Start as an Emergency Physician

"Successfully integrated the master-level butt suture and the perfect compression hemostasis method!obtained!master-level amputated limb replantation technology!".

Zhou Yuan's eyes lit up.

Whether it is a master-level butt suture or a perfect-level compression hemostasis, it is a minor operation.

The former is nothing more than stitching up small wounds or something, and the latter simply turns Zhou Yuan into a humanoid hemostat.

On the contrary, it is the amputated limb replantation technique, which can be regarded as a real major surgery, and ordinary doctors can't do it!

And the master-level amputated limb replantation technology is simply Hua Tuo in the world!

Zhou Yuan smiled and followed He Jianyi to the emergency department hall.

I saw a plainly dressed man in the prime of life sitting on the hospital bed hunched over, his right hand covering his left hand, and blood kept flowing from between his fingers.

Lin Wen, the little nurse next to her, was already so anxious that she was about to stomp her feet, and when she saw He Jianyi coming, she hurriedly ran up: "Director He, this patient's hand is broken, take a look!"

"Report the patient's condition. "

Patient's name: Tie Wang. Age: 35 years old. Symptoms: The initial diagnosis is a squeezing dissection of the hand!".

Hearing the severed hand, Zhou Yuan, who had just mastered the amputated limb replantation technique, ran faster than He Jianyi, and immediately went to the patient to observe.

After mastering the master-level limb replantation technique, Zhou Yuan gained not only practical knowledge, but also theoretical experience.

Depending on the cause of the injury, the damage of the amputated limb will also vary, and the common types of amputation are cutting disconnection, rolling disconnection, crushing disconnection, and tearing disconnection.

After Zhou Yuan looked at it carefully, he probably had a result in his heart.

It is indeed a crushing disengagement of the hand caused by the compression of a large machine, stone, or other heavy object.

He Jianyi was a little surprised, walked over from behind, and tested Zhou Yuan: "What do you see?"

Zhou Yuan said clearly: "The disconnection plane of the severed finger is irregular, the tissue damage is serious, and there are a large number of iron filings, wood chips and so on in the section and tissue gap. There was a concomitant injury to the distal limb that was crushed, and the fracture and vascular rupture occurred at the same time..."

He Jianyi originally asked casually, but he didn't expect Zhou Yuan to really answer, and he was stunned.

You took a look at the diagnosis at this point?

Do you have a textbook in front of you?!

Zhou Yuan didn't pay attention to He Jianyi's expression, still observing the patient's severed hand, and continued: "Superficial vein contusion, some of these veins have thrombosis, and the venous blood return of the limbs is blocked. "

Lin Wen swallowed her saliva and looked at Zhou Yuan as if she were looking at a humanoid microscope and a scanner.

He Jianyi smiled as if he had seen a ghost, and still walked in front of Wang Tie.

After all, the patient's complaints are also important.

He Jianyi took a sterilized tweezer from Lin Wen's hand and lightly tapped it on the patient's severed hand.

"Does it hurt?".

Wang Tie suddenly bared his teeth and grinned: "It hurts!Doctor, it hurts too much!".

He Jianyi squatted down, carefully observed a few times, and nodded a few more times at the distal end of the severed limb.

Three positions, two with pain and one without feeling.

It is basically consistent with Zhou Yuan's judgment.

"Yes. "

He Jianyi turned his head and glanced at Zhou Yuan: "How is this practiced?

Zhou Yuan gritted his teeth and smiled: "You ask the ocean, sometimes the phoenix claws they eat are flat, and the bones are broken." "

He Jianyi was silent for a second, choosing to ignore Zhou Yuan.

"The situation is more complicated and may require partial amputation. He Jianyi frowned, and his tone was a little heavy.

Venous return is blocked by blood clots, and some distal tissues have begun to die.

Moreover, the severed limb presents a comminuted fracture, and if the amputated limb is to be replanted, it is necessary to connect blood vessels, nerves, and bones, which is too difficult for him to do with confidence.

Wang Tie, who had been sitting on the hospital bed and enduring the pain, immediately widened his eyes when he heard that he was going to have his leg amputated.

"I can't amputate my leg, doctor! I'm the only one in my family who comes out to work to earn money, I have parents to support, and children to pay for school fees, if I don't have this hand, the construction site won't want me!" Wang Tie's voice became trembling.

Once he falls, then the whole family will collapse in an instant!

Zhou Yuangang wanted to whisper to He Jianyi that he might be able to try, but another person was directly inserted between Zhou Yuan and He Jianyi.

"Who said this hand had to be amputated?" the voice said.

Zhou Yuan looked up and was immediately happy.

This is Jiang Xiaoqi, a Ph.D. student who graduated from Harvard Medical School with a major in emergency medicine.

It can be regarded as a high-tech talent recruited from overseas.

It's just that now Jiang Xiaoqi has just returned from abroad and has not officially taken up her post, and He Jianyi, Lin Wen and others don't know her.

"Who are you?"

He Jianyi's face was not good.

He made this decision after careful consideration, and now it seems that he has a knowledgeable person who wants to teach himself a lesson

"It doesn't matter who I am, I want to ask you, as a doctor, have you told your patients all the treatment options available?

He Jianyi was happy and took a step out of the way: "Come and see, there are multiple comminuted fractures, no amputation, only amputated limb replantation, this kind of delicate surgery, even if the director of the hand surgery comes, there is no way! Who can go on? Can you do it?!".

Jiang Xiaoqi was choked and rolled her eyes.

I just want to refute whether it can be successful or not, at least give the patient the right to choose.

At this moment, a somewhat weak, but full of breath voice rose with a hand

"I... I can..." Zhou Yuan glanced at He Jianyi and Jiang Xiaoqi.

———

Update sent,I have chronic urticaria,I don't know why I had severe stomach pain in the early hours of yesterday morning,And then went to the hospital for an infusion,This morning I got better,Go home and sleep.,Updated a bed together.,I don't know why my stomach hurts again.,Barely finished writing this chapter.,I'll do my best.,Stomach doesn't hurt to write.,Try to be about seven or eight more a day.,If you can't do it.,I hope you understand!Thank you!