Start as an Emergency Physician
Chapter 35
Lin Wen was also anxious, "Give him a boost!"
Hearing this, Wang Shengli immediately covered his mouth, like a frog, his cheeks bulged, trying not to make a sound.
"Can you stop settling down?".
It hurt so much last time.
On the other side, Zhou Yuan received the news, and a carload of people sped up.
Dean Fang didn't have much of a stand in front of everyone, and said with a smile: "Before you become a famous doctor, someone has already asked you to come to see a doctor, okay!"
Haiyang and Sun Meng are in high spirits.
"You don't know that Li Li, who has a sign of an intern, is exactly the same as a real intern!
Dean Fang's mouth twitched.
Ten minutes later, the car stopped, and Zhou Yuan and others directly pulled the car door and rushed to the emergency department.
"It's here!" Zhang Ling said in surprise.
Zhou Yuan stopped and turned to walk briskly.
In hospitals, doctors and nurses are generally not allowed to run, which is a big no-no.
"How's it going?".
"Old patient, just Wang Shengli, who you sutured last time, last time the leg was rotten and needed to be stitched, and this time the leg was broken and needed to be bone-grafted. Zhang Ling quickly reported.
Zhou Yuan nodded, opened the curtain, and saw Wang Shengli lying on the hospital bed.
"Doctor Zhou, you're here! If you don't come, I'm going to die!" Wang Shengli seemed to see a savior.
Zhou Yuan checked Wang Shengli's injuries.
The calf and thigh had separated into a twisted shape, the knee was dislocated, and the previous stitches were all broken, and the flesh was blurred.
"How did you do it?" Zhou Yuan subconsciously asked.
"Crawl... Climb trees. Wang Shengli told the truth.
"Climbing a tree?!".
Zhou Yuan was dumbfounded: "Didn't I ask Wang Dahai to remind you not to climb trees?"
Wang Dahai was the patient who was pierced through the palm of his hand by a branch before, and he boasted to Zhou Yuan that he and Wang Shengli could already go up the tree.
Wang Shengli said aggrievedly: "Didn't I see that the stitching effect was too good, and I was in a hurry to show them!".
"Poof!".
The little nurses present couldn't hold back and laughed out loud in front of this human tragedy.
Zhou Yuan pulled his face and tried not to let himself laugh, which would make him look unprofessional.
After a while, Wang Shengli suddenly spoke again: "Doctor Zhou, after you take the bones, can I still climb the tree?"
"Ahem..."
Zhou Yuan pretended to cough, covered his mouth, and immediately recovered his cold expression, scolding: "Are you a monkey?"
"Eh, Dr. Zhou, you're so smart, I'm really a monkey, I'm still wearing red pants just after my birth year!".
Zhou Yuan's eyebrows jumped, "I saw it when I cut my pants." "
"The injury was a bit serious, but it wasn't a big deal, it required surgery. Zhou Yuan looked at Wang Shengli.
"Move!".
"Well, let's get ready for the operating room. Who's with me?" Zhou Yuan glanced at it.
In the end, Haiyang was honored to be the first assistant, Sun Meng was the second assistant, and Wang Ziqiao also ran over from Jiang Xiaoqi and grabbed the third assistant.
All three of them are resident doctors, and they have a certain surgical foundation, but they are not solid enough.
And basic operations such as suturing, they can be practiced when they are in medical school, look at the textbooks, and no one teaches them here, obviously, following Zhou Yuan's textbook is the best way to progress.
Moreover, there is another benefit to following Zhou Yuan.
Zhou Yuan is the same age as them, and he will not have the feeling of depression with He Jianyi and other directors, and he can still joke, and the atmosphere of the operation will be much more relaxed.
Before the operation, Zhou Yuan took an X-ray of Wang Shengli by the way, and sure enough, it was similar to what he predicted.
"It's miserable, the femoral shaft is fractured and the tibia is fractured. Zhou Yuan teased.
Wang Shengli cried and shouted to his mother: "Doctor Zhou, don't be joking, hurry up and numb me!
Zhou Yuan shook his head helplessly, a little admiring Wang Shengli's courage.
With the previous injury, I did instruct Wang Shengli to walk on the ground in about a month, and to try to walk more.
But he went out of his way to the tree.
After the operation was prepared, Zhou Yuan also did a good job of disinfection and walked into the operating room.
"Treat femoral shaft fractures first. Zhou Yuan explained.
"Spinal anesthesia and epidural. "
After the combined isoscele-epidural anesthesia took effect, Zhou Yuan glanced at the time: "Start the operation." "
Wang Shengli was turned over by Haiyang and others, and was replaced by a lying position on the left side, with his right body facing up.
"The right lower limb and right hip are disinfected, and sterile sheets are laid. Zhou Yuandao.
Ichisuke Marine immediately began to disinfect.
Zhou Yuan waited for the sterilization to be completed, and made an incision of about three centimeters directly on the distal lateral side of his right thigh.
Then, a modified lateral approach is used to cut the skin, subcutaneous tissue, and deep fascia from 6-7 cm anterior to the anterior edge of the greater tuberosity along the femur with a length of 15 cm.
"Electrocoagulation to stop bleeding. Zhou Yuandao.
He is the main knife, so naturally it is impossible to stop the bleeding with perfect-level compression, so he can only retreat to the second.
After exposing the deep fascia, Zhou Yuan then cut the fascia lata and tensor fascia lata, bluntly separated the posterior edge of the gluteus medius and gluteus minimus, and operated forceps to retract forward, exposing the attachment points of external rotator muscle groups such as piriformis muscles.
"Excision. Zhou Yuan said.
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