Start as an Emergency Physician

Zhou Yuan didn't say anything, and directly started the topic.

"The first case to introduce to you is the replantation of a severed limb done by an R-surgeon, whose name is Kamihara Jing, but unfortunately, this surgical expert was later revoked because of his doctor's license, and his good medical skills were wasted. "

"Coincidentally, Shenyuan Jing also performed a very difficult extrusion amputated limb replantation operation, when the severed limb had lost blood vessels, the color was pale, and the capillary reaction disappeared..."

As Zhou Yuan unfolded the case, talking about tendon repair, vascular anastomosis, nerve repair, etc., Wu Guohui and others were expressionless.

Finally, Wu Guohui said: "Stop, we have to listen to you." "

Zhou Yuan was stunned: "Professor Shenyuan Jing is an expert in this area, maybe there is a little gap between me and him in this regard..."

Of course, this gap is more due to the high overall level of R medical treatment, and the replantation of amputated limbs is at the leading level in the world.

In terms of equipment, it is not as good as others, and no matter how good Zhou Yuan's technology is, it is difficult to replace some sophisticated instruments.

Zhou Yuan was helpless, and picked his own surgery and talked about it again.

The doctors who listened to the lecture were high for a while, amazed for a while, and pondered for a while, which made Zhou Yuan enjoy it very much.

Finally, when it came to the question session, the doctors who couldn't bear it raised their hands anxiously.

They have questions about many of Zhou Yuan's operations, which are things that can't be learned from textbooks, and they definitely can't let them go.

"Why did you choose a vascular clamp to stop bleeding in the second case of amputated limb replantation instead of a tourniquet?"

Zhou Yuan said: "Because there are bare wounds. Infection can easily occur when using a tourniquet or other material that covers the hemostasis. In addition, the hemostasis method used can be judged according to the amount of bleeding, the amount of bleeding is small, local pressure bandaging is used, and the amount of bleeding is large, and the tourniquet is used to stop bleeding. "

"If the bleeding is severe, it is necessary to perform surgical exploration, because internal bleeding may have occurred at this time, and the cause of the bleeding needs to be confirmed as soon as possible. "

Someone raised his hand again: "What should I do if there is arterial spasm after surgery?"

"Blood transfusion, rehydration, heat preservation and pain relief. "

"Why does arterial embolism occur?"

"This is mainly a problem in vascular debridement, which can easily lead to embolism if the debridement is not complete. In addition, poor anastomotic quality, excessive anastomotic tension, and local infection may also cause arterial embolism. "

“......"

“......"

In the middle of a question and answer, the two-hour speech finally came to an end.

The doctors reluctantly left the room.

Wu Guohui and Director Wang stayed.

"Very good!" Director Wang stood up and applauded.

He patted Wu Guohui, who was still in a daze, Wu Guohui immediately stood up and applauded vigorously: "Not bad, not bad!"

"To be honest, I listen to your lectures, which are much more cost-effective than other experts! They just want to make money, just give a speech, how can they teach the real skills to the doctors in other hospitals!

Zhou Yuan remembered the previous incident and said, "Director Wu, Director Wang, I have an idea, I don't know if it is possible to achieve it..."

"You say. "

Wu Guohui and Director Wang glanced at each other and said solemnly.

"Have we ever encountered a patient in our hospital who has had a severed finger, but the finger cannot be found or the severed finger has lost its vitality?"

Director Wang thought for a while and nodded: "Yes, I remember, it was a worker in his twenties, and his fingers were all soaked in engine oil at that time. "

Zhou Yuandao: "How did you deal with it at that time?"

"What can I do? Just give him a debridement and let him take good care of the rest of his fingers. Wu Guohui said locally.

"Even if you take it back, it's useless. Director Wang added.

"Have you ever thought about amputating the patient's toe and transplanting it into a finger to make a new finger?"

Zhou Yuan's words made Wu Guohui and Director Wang stunned.

The two of them lowered their heads and pondered.

After a long time, Director Wang raised his head, stared at Zhou Yuan solemnly, and said, "The method you said... Theoretically, it works, however, the toes and fingers have a big physiological difference. "

"Besides, the patients have already broken their hands, and you have to amputate your legs, who can accept it?"

In other words, it's a theory that is basically impossible to put into practice.

"Director, I want to give it a try..."Zhou Yuan stared at Director Wang.

He has a master-level limb replantation, and his knowledge of this area may be higher than that of the two directors, and Zhou Yuan thinks it is completely feasible after thinking about it carefully.

Now, what is missing is a clinical trial mice.

The two glanced at each other, and finally, Director Wang said, "Okay! If you meet such a patient, I will definitely call you over, as for whether he is willing..."

"I'll figure it out!" Zhou Yuan said immediately.

Waiting for Zhou Yuan to leave, Wu Guohui and Director Wang stood up.

"The idea... It's really shocking!" Director Wang was a little stunned.

"I think it's possible!" Mr. Wu said.

"Do you know that if this operation is successful, it means that in the field of amputated limb replantation, our country is ahead of the world in one aspect! It will be Zhou Yuan who is ahead of all the medical industry workers in the world!"

Wu Guohui's blood boiled: "I want to cut off my hand now for Zhou Yuan to experiment!"

Director Wang: ...

......

"Are you back?" Sun Meng happened to have just finished checking the room, and when he saw Zhou Yuan coming, he was tired and swept away.

Zhou Yuan nodded and looked around: "It's quite idle today..."

There are only thirty or forty people in the hall of the emergency department, which is too easy compared to the usual hundreds of people at every turn.

"It's a weekday, and it's time to get off work... I guess I'm going to get busy soon. "

Big cities are stressful, and most people endure the pain and wait until they get off work to come back to the hospital.

As soon as Sun Meng's words were finished, the emergency phone in the emergency department suddenly rang!

Zhou Yuan and Sun Meng glanced at each other and immediately became highly vigilant.

Not long after, He Jianyi rushed out and looked at Zhou Yuan: "Quick! You follow me to the ambulance! Call Lu Chenxi over, as well as Xiao Xuebo from the thoracic surgeon... Alas, forget it, it's too late, Zhou Yuan and Sun Meng, you get in the car with me immediately!"

Saying that, He Jian ran nervously, Zhou Yuan and Sun Meng didn't ask much, and immediately got into the ambulance.

Before they could sit down, the ambulance raced against the clock when a whining sound sounded overhead.

Soon, the ambulance rushed out of the hospital gate.

Zhou Yuan was a little unsure.

"Teacher, what is going on, so urgent?"

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