Start with an emergency physician

"Features?"

Haiyang and Liu Kai were both stunned, and then they observed carefully.

They saw that the needle holder was like nothing in Zhou Yuan's hand, and the sutures were quickly shuttled under the skin and tied quickly, with ease.

He Jianyi studied emergency medicine, and it was impossible for him to spend a lot of time to learn a simple suture, so he did not have the skills like Zhou Yuan.

However, his eyesight was still extremely sharp, and he could see the exquisiteness of Zhou Yuan's suture at a glance.

"Is it... coherent?" Haiyang seemed to have noticed something and asked carefully.

He Jianyi smiled with relief,"Yes."

"There are also skills in suturing, just like the principle of doing it with all your strength, then weakening and finally exhausting it. If you are intermittent in the middle, the suturing will definitely not be very good."

"Have you learned it?" He Jianyi asked again

"I learned it, I learned it!" Haiyang and Liu Kai nodded like chicks pecking at rice.

"Well. It's useless to learn it. Your hands are not steady. When you sew, you can't grasp the position of the needle. If you sew continuously, it's easy to stab the person directly into a sieve."He Jian said.

The corners of Haiyang's mouth twitched, but they had to admit that this was the fact.

"Go back and practice more with your hands and feet. You can be more consistent when practicing."He Jianyi said.

Soon, Zhou Yuan's suture was also completed.

There was an active bleeding during the suture. Haiyang immediately handed over the prepared Prolene non-absorbable suture, which stopped the bleeding well.

"Teacher, the operation is completed."Zhou Yuan took off his mask, revealing his pale face, and panted slightly.

He stood up, his knees were soaked with sweat, and his lead coat was also wet, which made people feel distressed.

He Jianyi nodded,"You are the chief surgeon, you announce it."

Haiyang and others were extremely envious.

He didn't even touch the scalpel, but Zhou Yuan could already shout"The operation is completed" in front of He Jianyi!

Zhou Yuan glanced at the time.

This operation took 121 minutes. If it were someone else, I'm afraid this number would exceed 200.

"The operation is over."

After this sentence landed, the mood of everyone in the operating room relaxed a little.

Zhou Yuan followed He Jianyi out of the operating room. What they didn't expect was that the old man's family members hadn't come yet.

"What's going on?"He Jianyi frowned.

"The patient's daughter and son said they would come as soon as they got off work..." Lin Wen explained.

"Come here after work? Their mother is dying, why are they still working!" He Jianyi was furious.

Zhou Yuan also frowned, and his impression of the old man's children suddenly became extremely bad.

"Now that the operation is successful, I guess it is even less likely that they will come. Let's pay attention to the postoperative care of this old man first, and save him before we talk about other things."Zhou Yuan thought for a while and said.

Carotid endarterectomy is a major operation. Not only is the intraoperative risk high, but postoperative care is also extremely important.

Patients after carotid endarterectomy need close care from doctors and nurses, because most patients with carotid stenosis have had long-term anticoagulant treatment such as oral aspirin and Plavix before the operation. The first complication that is prone to occur after the operation is postoperative bleeding.

Although the old man had lost consciousness before he fell into a coma, he also used a lot of anticoagulants, such as heparin.

During the postoperative care of the patient, doctors and nurses need to closely observe the patient's neck condition. Once a neck hematoma is found, doctors and nurses should take measures immediately, including intubating the patient and protecting the patient. The patency of the human airway.

At the same time, in an emergency, the incision can be opened and the hematoma can be released.

Except for the urgent complications mentioned above, other aspects of care are basically the same as ordinary neurosurgery.

In addition, for patients after carotid endarterectomy, heparin sodium or heparin calcium should be routinely injected twice a day for 3 consecutive days. At the same time, take aspirin orally as soon as possible after surgery, at least for more than 3 months. If the patient also has stenosis in other parts of the body, the oral administration of aspirin and Plavix should be strictly followed according to the course of treatment and regular treatment.

Only in this way can the carotid endarterectomy be truly completed.

A few minutes later, the directors of the Department of Neurology and Neurosurgery who heard the news were stunned.

"How is it possible... you actually succeeded?"

The head of neurosurgery noticed Zhou Yuan's name tag and said,"Are you the Zhou Yuan that Dean Fang mentioned? The Zhou Yuan who performed the limb replantation surgery?!"

Zhou Yuan nodded."It's me."

"How is this possible! This kind of surgery is done entirely based on experience. Whoever has more experience will do it better. How can an intern like you have any surgical experience!" He

Jianyi was unhappy after listening to this and said,"He has performed more hands than you have performed feet!"

The neurosurgeon was stunned and said,"I work on the brain, not feet."

He Jianyi was too lazy to argue with them and said to Zhou Yuan,"Take a break and then go find Dean Fang.""

"I should have told you earlier, but I came across this surgery."

————

The fifth update ends and the sixth update begins. This book does not need to be nurtured. The quantity is sufficient and the quality is okay. Just give me the data!