Start as an Emergency Physician

If the skin temperature drops suddenly, with a difference of more than 3 degrees Celsius, venous thrombosis is likely to occur.

The little nurse Zhang Ling reported: "I just measured it, 34.3 degrees Celsius, and the condition is good. "

Zhou Yuan checked the color, swelling and capillary return of the replanted limb again, and found no problems, and then breathed a sigh of relief.

"I was observed and recorded every hour for three days after the operation, and I was notified as soon as I had a vascular crisis. "

Vascular crises generally occur within 72 hours.

Arterial crisis can cause the skin color to change from ruddy to pale and gray, and there will also be deepening wrinkles and lower skin temperature. Venous crisis is characterized by dark skin color, lightening or even disappearing skin lines, and so on.

After a few more words, Zhou Yuan left the ward and ran into Tian Liang, the head nurse, as soon as he went out.

"Zhou Yuan?" Tian Liang felt as if he had seen a ghost.

"I'm fine, don't worry. "

Tian Liang shook his head: "It's not you on duty today, you go back and rest." Being a doctor is not something that can be done by reluctance for a while, every day is a tough battle, and you must have a strong body!".

Speaking of which, Zhou Yuan couldn't refuse anymore, and after checking a few more wards with Sun Meng, he was ready to go back to rest.

After returning to the single dormitory, Zhou Yuan hurriedly closed the door.

During the ward rounds, the system, which had not moved for a long time, suddenly squeaked, and I was busy examining the patient at that time, and I didn't have time to see what was happening.

Zhou Yuan sat down at the table full of phoenix claws and turned on the system.

In front of Zhou Yuan is a panel of properties.

Name: Yuan Zhou

Items: Vitality Potion*2, Intermediate Chest*1, Beginner Chest*2

Mastering the technology:

Master butt seam method (+).

Perfect compression hemostasis (+).

Master Limb Replantation Technique (+).

Not mastered:

Aortic dissection aneurysm resection

Stereotactic surgery for ventrolateral thalamic nucleus destruction in Parkinson's disease

Psychiatric amygdala destruction

......

In the techniques that have been mastered, each item is followed by a plus sign, which seems to be upgradeable.

Zhou Yuan clicked on the details.

Master butt seam method (+).

Progress: 5/100000

Perfect compression hemostasis (+).

Progress: 3/0

Master Limb Replantation Technique (+).

Progress: 1/5000

The improvement of technology requires the healing of patients with related technologies.

Zhou Yuan could only sigh that fortunately, the replantation of the amputated limb was not the same as the butt suture, and it took 100,000 proficiency to upgrade to a level. It seems that the difficulty and requirements of the upgrade will be adjusted accordingly according to the difficulty of the technology.

"It turns out that perfection is the top, I was still thinking that it was more awesome than perfect, could it be that when I stop the bleeding, there will be a burst of holy light?" Zhou Yuanpi said.

He turned his gaze back to the system.

This time the amputated limb replantation operation obtained one intermediate treasure chest and two primary treasure chests.

"Open the primary treasure chest and obtain !Vitality Elixir*1!".

"Open the primary treasure chest and obtain !Vitality Elixir*1!".

"Open the Intermediate Treasure Chest and get the Master Aortic Dissection Aneurysm Removal!".

After opening the treasure chest this time, Zhou Yuan roughly confirmed what could be obtained from the primary treasure chest and the intermediate treasure chest.

The primary treasure chest is usually a vitality potion, and there is a chance to obtain technology, but even if it is obtained, it can only be some basic operations such as suturing and stopping bleeding.

Intermediate chests, on the other hand, have a high probability of obtaining technology and a small probability of obtaining master-level technology.

Aortic dissection aneurysm is a relatively rare and fatal disease, and its occurrence is related to a variety of diseases. Hypertension is an important factor in the development of aortic dissection.

Although there is no clear medical explanation, it is generally believed that the aortic wall is stimulated by hyperdynamic blood pressure for a long time, which makes the aortic wall tension continue to be in a state of tension, so it is easy to cause aortic dissection aneurysm.

In addition to hypertension, pregnancy, severe trauma, long-term heavy physical exertion, or drug stimulation are also factors in the development of dissecting aneurysms.

Aortic dissection aneurysm resection is a major surgery, which is generally less difficult than amputated limb replantation, but it is not excluded that the aneurysm is as large as eight or nine centimeters to compress blood vessels and nerves.

After going through the knowledge and details of the aortic dissection aneurysm in his mind, Zhou Yuan began to fly on the phoenix claws with the needle.

Although it is already a master butt suture, there are many things that need to be felt by yourself.

It's like a medical student stitching a banana peel all day long, no matter how well it is, there will always be a gap between it and actually sewing the human skin.

Because of the vitality potion, Zhou Yuan's mental state was particularly good, and he was not sleepy at all.

When your eyes are tired, you can practice barbells to ensure hand strength is the daily care of surgeons, and it is also the premise of holding the scalpel steadily.

And so the night passed.

It wasn't until the alarm clock rang that Zhou Yuan came back to his senses, and after a simple wash, he walked out of the single dormitory with a basin of phoenix claws.

"The effect of this thing is so good, it's like a whole night's sleep, and I'm still in good spirits. Zhou Yuan touched the vitality elixir in his pocket and muttered.

Seeing Zhou Yuan's arrival from afar, the ocean immediately came over: "The little prince of phoenix claws is here again!

——

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