Start with the emergency physician

Zhou Yuan didn’t say anything more, and directly started the topic.

“The first case I want to introduce to you is the amputated limb replantation done by an R surgical expert, whose name is Shenyuan Jing, but unfortunately, this surgical expert was later revoked because of his doctor’s license, and wasted all his good medical skills.”

“Coincidentally, Shenyuan Jing also performed a very difficult case of extrusion amputated limb replantation surgery, when the severed limb had lost blood supply, was pale in color, and the capillary reaction disappeared…”

As Zhou Yuan unfolded the case, section by section on tendon repair, vascular anastomosis, nerve repair, etc., Wu Guohui and others were expressionless.

Finally, Wu Guohui said: “Stop, we want to listen to you.” ”

Zhou Yuan was stunned: “Professor Shen Yuanjing is an expert in this field, maybe I have a little gap with him in this regard…”

Of course, this gap is more due to the high overall level of R medical care, and the replantation of amputated limbs is at the leading level in the world.

In terms of equipment, it is not as good as others, and no matter how good Zhou Yuan’s technology is, it is difficult to replace some sophisticated instruments.

Zhou Yuan was helpless, and picked his own operation and talked again.

The doctors who listened to the lecture were amazed for a while, amazed for a while, and pondered for a while, which made Zhou Yuan enjoy it very much.

Finally, it was time for the question-and-answer session, and the impatient doctors anxiously raised their hands.

Many of Zhou Yuan’s operations they have questions, these are things that cannot be learned in teaching materials, and they definitely can’t let them go.

“Why did you choose vascular forceps to stop bleeding in the second case of amputated limb replantation instead of a tourniquet?”

Zhou Yuan said, “Because there are exposed wounds.” The use of a tourniquet or other material that covers hemostasis can easily cause infection. In addition, the hemostatic method used can be judged according to the size of the bleeding amount, the amount of bleeding is small, local pressure bandaging is used, the amount of bleeding is large, and a tourniquet is used to stop the bleeding. ”

“If the bleeding is severe, surgical exploration must be carried out, because internal bleeding may have occurred at this time, and the cause of the bleeding needs to be confirmed as soon as possible.”

Someone raised his hand again: “What should I do if arterial spasm occurs after surgery?” ”

“Blood transfusion, hydration, heat preservation and pain relief.”

“Why does arterial embolism occur?”

“This is mainly a problem in vascular debridement, and incomplete debridement can easily lead to embolism. In addition, poor anastomosis quality, excessive anastomosis tension, and local infection may also cause arterial embolism. ”

“……”

“……”

During the question-and-answer process, the two-hour speech finally ended.

The doctors left the conference room with some reluctance.

Wu Guohui and Director Wang stayed.

“Very good!” Director Wang stood up and applauded.

He patted Wu Guohui, who was still in a daze, and Wu Guohui immediately stood up and applauded vigorously: “Not bad!” ”

“To be honest, I listened to your lectures, which are much more cost-effective than other experts! They just want to make money, just give a speech, how can they teach their real skills to doctors in other hospitals!

Zhou Yuan remembered the previous incident and said, “Director Wu, Director Wang, I have an idea, I don’t know if it’s possible to achieve it…”

“You say.”

Wu Guohui and Director Wang looked at each other and said solemnly.

“Have we ever encountered a patient with a broken finger in our hospital, but the finger cannot be found or the broken finger has lost its vitality?”

Director Wang thought for a while and nodded: “Yes, I remember, it was a worker in his twenties, and his fingers were all soaked with engine oil. ”

Zhou Yuan said, “How did you handle it at that time?” ”

“What can I do? Just debride him and let him take care of the remaining fingers. Wu Guohui said locally.

“Even if you take it back, it’s wasted.” Director Wang added.

“Have you ever thought about amputating a patient’s toe and transplanting it into a finger to make a new finger?”

Zhou Yuan’s words made Wu Guohui and Director Wang stunned.

The two lowered their heads and pondered.

After a long time, Director Wang raised his head and stared solemnly at Zhou Yuan, “This method you said… Theoretically possible, however, the toes and fingers have a large physiological difference. ”

“Besides, the patients have already broken their hands, and you still have to amputate your legs, who can accept it?”

In other words, it is a theory that is basically impossible to practice.

“Director, I want to give it a try…” Zhou Yuan stared at Director Wang.

He had a master-level amputated limb replantation technique, and his knowledge reserve in this area might be higher than that of the two directors, and Zhou Yuan felt that it was completely feasible after thinking about it carefully.

Now, what is missing is a guinea pig for clinical experiments.

The two looked at each other, and finally, Director Wang said, “Okay!” If I encounter such a patient, I will definitely call you over, as for whether he wants to…”

“I’ll figure it out!” Zhou Yuan said immediately.

When Zhou Yuan left, Wu Guohui and Director Wang stood up.

“The idea … It’s really shocking! Director Wang was a little stunned.

“I feel doable!” Wu Guohui said.

“Do you know that if this operation is successful, it means that in the field of amputated limb replantation, our country is ahead of the world in one aspect!” When the time comes… It will be Zhou Yuan walking ahead of all medical industry workers in the world! ”

Wu Guohui’s blood boiled: “I want to cut off my hands for Zhou Yuan to experiment now!” ”

Director Wang: …

……

“Back?” Sun Meng just finished checking the room, and when he saw Zhou Yuan coming, he was tired and swept away.

Zhou Yuan nodded and looked around: “Today is quite leisurely…”

There were only thirty or forty people in the emergency department hall, which was too easy compared to the usual hundreds of people.

“Today is a weekday, and it’s time to leave work… I guess I’m going to get busy soon. ”

The pressure in big cities is high, and most people will endure the pain and wait until they get off work to come to the hospital.

As soon as Sun Meng’s words were finished, the emergency phone on the side of the emergency department suddenly rang!

Zhou Yuan and Sun Meng glanced at each other and immediately became highly vigilant.

Soon after, He Jianyi rushed out and looked at Zhou Yuan: “Quick!” You follow me to the ambulance! Call Lu Chenxi over, and Xiao Xuebo from the Department of Thoracic Surgery… Alas, forget it, it’s too late, Zhou Yuansun Meng, you guys immediately follow me to the car! ”

Saying that, He Jian rushed up nervously, Zhou Yuan and Sun Meng didn’t ask more, and immediately got into the ambulance.

Before he could sit still, the ambulance started in a race against the clock, and at the same time, the sound of dripping and whining above his head sounded.

Soon, the ambulance rushed out of the courtyard door.

Zhou Yuan was a little unclear.

“Teacher, what happened, so urgent?” _

To see the ununderlined version of the novel, please download the Feilu Novel AP