Start as an Emergency Physician

Zhou Yuan's young voice fell, and the assistants who were not young immediately lifted their spirits.

It's not the first time Wu Guohui has been an assistant, but he is still a little excited.

While doing debridement, Zhou Yuan recalled the three principles of amputated limb replantation surgery.

First of all, replantation of the amputated limb is secondary compared to the patient's life.

If there are other life-threatening and fatal problems at the same time as the severed limb, these problems must be solved first, and the amputated limb can be replanted only when the safety of life is ensured.

Secondly, special attention should be paid if the amputated limb has been out of the body for longer than the time limit, especially when the severed limb is rich in musculature.

This is because such amputated limbs may cause fatal complications after successful replantation and restoration of blood vascularization of the amputated limb. If, after evaluation, the chances of fatal complications are too great, amputation should be an option.

Finally, after amputated limb replantation surgery, successful survival of the amputated limb is not the same as success.

A successful amputated limb replantation operation must ensure that the replanted limb returns to its original function. If it is not possible to recover the function after surgery, it should not be replanted, and forced replantation will not only increase the patient's suffering, but also make it difficult to fit the prosthesis.

After the debridement was completed, Zhou Yuan began to irrigate the vascular bed, everything was ready, and the familiar amputated limb replantation operation began again.

The patient suffered crush trauma and complained of his right leg being accidentally involved under the car. The diagnosis is crush dissection of the right leg, incomplete dissociation of the right knee, obvious deformity, etc.

Before starting the operation, Wu Guohui had already made up his mind that in front of the leaders and junior doctors, he would definitely put on the shelf of his deputy chief physician, and he would definitely not lose face.

It's like something, it's impossible to say.

So, throughout the operation, Wu Guohui smiled and nodded slowly and regularly.

People who don't know why can't help but exclaim: This is the hidden boss!

"The blood vessels are sutured. After a long time, Zhou Yuan's words woke up the stunned crowd.

Wu Guohui nodded slowly: Oh, the blood vessels have been sewn up.

"Not bad. Wu Guohui calmly appreciated.

"Director Wang, please loosen the vascular clip. "

Now it's time to test the function of blood circulation.

Director Wang did so, and Wu Guohui came up, ready to find a few faults for Zhou Yuan, and also to give everyone a dismissal, showing his strictness as the deputy chief physician.

"Let me verify the effect of blood circulation. "

Zhou Yuan said "okay" and moved out of the way slightly.

Wu Guohui touched it as soon as he got his hands on, "Well, you can feel the arterial pulse at the distal end of the replantation terminal body." "

"Hmm... The skin of the replanted limb is ruddy, and the capillaries fill quickly and completely. "

"Hmm... The skin temperature rises normally. "

Wu Guohui did another blood strangulation experiment, and pricked a small wound with a thick needle on the tip of his finger, and found that blood was constantly spilling.

Wu Guohui held the needle and said in a daze: "The arteriovenous end of the anastomosis is in good condition..."

At this time, an intern who had been staring at the textbook was not happy: "Director, why are you reading according to the textbook!"

Wu Guohui: Grass.

......

The next step is muscle tendon repair and nerve repair.

After all this was done, Zhou Yuan started the final step and set about covering the skin.

"Everyone, look at it..."Wu Guohui couldn't help but speak.

"Especially the one who turned the book, went back and wrote an examination report to the senior doctor. He said again as if holding a grudge.

Zhou Yuan was still focused.

In order to prevent annular scar contracture that may occur after surgery, Zhou Yuan made several small oblique incisions at about 60 degrees from the original wound, followed by "Z" sutures.

The patient's skin was defective, and Zhou Yuan took some free skin pieces for transplantation to cover the wound defects, and then placed rubber drainage strips in each fascial space.

This is a material used to protect free blood vessels, nerves and other tissues, which is safe and convenient to use, has little damage to tissues, and can recover quickly after surgery, and can play a good protective traction effect.

The people in the operating room, if they live in the jungle, must be high-level humans who can eat the highest leaves.

In the conference room, interns and trainee doctors are staring at the screen, and if it weren't for the rule that they can't take pictures, this would have become the scene of a press conference.

In the operating room, people do their jobs.

The main knife is responsible for stitching, calming, and pretending.

The first assistant and the second assistant are responsible for calming down and pretending to be forced.

The three assistants, interns, and trainee doctors are responsible for forcibly calming down.

A surgery, ending in a relaxed teaching atmosphere.

The moment Zhou Yuan put down the needle forceps, everyone let out an unfinished and complaining "tsk" sound.

"What's the matter, who wants to come up and break a leg to support teaching?" Zhou Yuan swept over everyone and said with the momentum of a king.

"No, no, no. "

"Dr. Zhou is awesome!".

"Director Wu?" Zhou Yuan glanced at Wu Guohui.

"No, no, no, I don't want to! Doctor Zhou is awesome!" Wu Guohui stared at the scalpel in Zhou Yuan's hand that emitted a cold light, shivering.

Zhou Yuan was stunned: "No, I mean, you can put down the hemostat." "

Wu Guohui immediately put down the utensils in his hand.

"Director Wang, is the operation announced to be completed?" Zhou Yuan looked at Director Wang and asked.

Director Wang nodded.

Zhou Yuan smiled and said, "The operation is complete!"

The moment the scalpel was put down, the eyes of countless interns came to me.

Under the illumination of the shadowless lamp behind him, Zhou Yuan's body exuded a circle of light.

They seemed to see that in the intern chick nest, a phoenix spread its wings and trampled on countless hospitalized hens, attending roosters, and many deputy director cranes.

——

The sixth watch is over, and the seventh watch begins!