Start with an emergency physician

If the skin temperature suddenly drops when testing the local skin temperature, and the difference is more than 3 degrees Celsius, it is very likely that venous thrombosis has occurred.

The nurse Zhang Ling reported:"It was just measured, 34.3 degrees Celsius, the situation is good."

Zhou Yuan also checked the color, swelling and capillary return of the replanted limb, and only breathed a sigh of relief after finding no problems.

"Within three days after the operation, you must observe and record every hour. If a vascular crisis occurs, notify me immediately."

Vascular crisis usually occurs within 72 hours.

Arterial crisis will cause the skin color to change from rosy to pale and gray, and wrinkles will deepen and the skin temperature will decrease. Venous crisis will manifest as dark purple skin color, lighter or even disappearing skin lines, etc.

After giving a few more instructions, Zhou Yuan left the ward. As soon as he left the door, he ran into the head nurse Tian Liang.

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

"I'm fine, don't worry.

Tian Liang shook his head and said,"It's not your turn today, go back and have a rest. Being a doctor is not...���It's okay for now. Every day is a tough battle. You must have a strong body!"

At this point, Zhou Yuan couldn't refuse. After checking a few more wards with Sun Meng, he prepared to go back to rest.

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

Just when he was checking the wards, the system that had been silent for a long time suddenly squeaked. At that time, he was busy examining the patients and had no time to see what happened.

Zhou Yuan sat in front of a table full of chicken feet and turned on the system.

In front of Zhou Yuan was an attribute panel.

Name: Zhou Yuan

Items: Vitality potion * 2, intermediate treasure box * 1, primary treasure box * 2

Mastered skills:

Master-level docking suturing method (+)

Perfect-level compression hemostasis method (+)

Master-level limb replantation technology (+)

Not mastered:

Aortic dissection aneurysm resection

Stereotactic thalamic ventrolateral nucleus lesion for Parkinson's disease

Amygdala lesion for mental illness

……

Among the techniques that have been mastered, there is a plus sign behind each one, which seems to be upgradeable.

Zhou Yuan clicked on the details.

Master-level docking suturing method (+)

Progress: 5/100000

Perfect-level compression hemostasis method (+)

Progress: 3/0

Master-level limb replantation technique (+)

Progress: 1/5000

To improve the technique, patients with related techniques need to be cured.

Zhou Yuan could only sigh that it was fortunate that limb replantation was not the same as docking suturing, which required 100,000 proficiency points to upgrade. It seems that the difficulty and requirements of upgrading will be adjusted accordingly according to the difficulty of the technique.

""Perfect is the top level. I was thinking before that it was even better than perfect. Could it be that when I stop bleeding, holy light will burst out?" Zhou Yuan said teasingly.

He turned his attention back to the system.

This time, the limb replantation surgery obtained an intermediate treasure chest and two primary treasure chests.

"Open the primary treasure chest and get! Vitality Potion*1!"

"Open the primary treasure chest and get! Vitality Potion*1!"

"Open the intermediate treasure chest and get! Master-level aortic dissection aneurysm removal!"

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

Primary treasure chests are generally vitality potions, and there is a chance to obtain technology, but even if you get it, it can only be some basic operations such as suturing and hemostasis.

For the intermediate treasure chest, there is 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 many diseases. Hypertension is an important cause of aortic dissection.

Although there is no clear explanation in medicine, it is generally believed that the aortic wall is stimulated by high-dynamic blood pressure for a long time, which makes the aortic wall tension continue to be in a tense state, thus easily causing aortic dissection aneurysm.

In addition to hypertension, pregnancy, severe trauma, long-term heavy physical labor or drug stimulation are also causes of dissection aneurysm.

Aortic dissection aneurysm Resection is a major surgery, which is generally less difficult than replanting a severed limb. However, it does not rule out the possibility that the aneurysm is as large as eight or nine centimeters and compresses blood vessels and nerves.

After reviewing the knowledge about aortic dissecting aneurysms and the details of the operation in his mind, Zhou Yuan began to dance on the chicken feet with the needle.

Although he is already a master at docking and suturing, there are many things that you need to feel for yourself.

It's like a medical student suturing banana peels all day long. No matter how well he does, there will always be a gap between suturing human skin and actually suturing human skin.

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

When his eyes get tired of staring, he practices with barbells. Ensuring hand strength is a surgeon's daily care and a prerequisite for holding the scalpel firmly.

The night passed like this.

Zhou Yuan didn't come back to his senses until the alarm rang. After a simple wash, he walked out of the single dormitory with a basin of chicken feet.

"This stuff works so well, it's like I slept through a whole night, I'm still full of energy now." Zhou Yuan muttered as he touched the vitality potion in his pocket.

Haiyang, who saw Zhou Yuan coming from afar, came over immediately:"The little prince of chicken feet is here again! Come and grab it!"

——

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