Start with the emergency physician

Without saying a word, He Jianyi rushed to the emergency department hall and called Zhou Yuan, who was on ward rounds, by the way.

“Teacher, what happened?” Zhou Yuan followed He Jianyi and asked.

“There is a patient coming from the surgical side, and we need to take over from the emergency department.”

Zhou Yuan was the same as He Jianyi’s surprise: “And the surgeon sent the patient to our emergency department?” See you for the first time! ”

He Jianyi glanced at Zhou Yuan: “It is estimated that it has nothing to do with you.” After the crush disconnection is successfully replanted, you are the first person in our hospital. ”

The two waited at the door of the emergency department hall, and it was estimated that there would be tens of seconds to come.

Jiang Xiaoqi also heard the wind and was a little puzzled.

“Are you saying the surgeon is going to transfer the patient to our emergency department?” Jiang Xiaoqi was puzzled.

Prince Bridge: “It seems to be, I heard Lin Wen and them say.” ”

“No, we always triage patients, how can there be surgery to send patients to the emergency department?”

Jiang Xiaoqi felt very strange: “The surgeons have solid professional skills, our emergency department is mainly life-saving, can’t compare with them who specialize in one subject, their patients can be treated by someone in our emergency department?” ”

Even she, a doctor from Harvard Medical School, can’t control it!

Prince Bridge: “Eh… Don’t we have an intern! ”

Jiang Xiaoqi took off his badge and looked at the five words “deputy chief physician” on it, feeling particularly heartbroken.

Woohoo!

At this moment, a rapid honking horn sounded.

One second for high, one second for flat, one second apart… Ambulance!

An ambulance sped to the door of the emergency department, braked sharply, and pushed down two beds.

The hospital bed was a little shocking, and most of the bed had been dyed red. The bed in front was a patient, and the bed in the back was covered, but with the eyes of Zhou Yuan and He Jianyi, it was obvious at a glance that it was three or four amputated arms.

“Severed limb replantation!” Zhou Yuan instantly thought of the reason why the surgeon came here.

“What’s going on?” He Jianyi and Zhou Yuan immediately rushed up, took the armrest of the hospital bed, and quickly pushed it towards the rescue room.

“I came from the factory, dozed off while operating the punch, and ended up putting my hand in, and my arm was cut into several segments, and we don’t have enough surgical manpower!” The one who spoke was Wu Guohui, deputy director of surgery.

Originally, he could have done this operation alone, but the patient’s arm was not completely a relatively simple cut, and after entering the punch, the broken arm was crushed at the same time.

In other words, this is not a simple dissociation, but a composite dissociation.

And the squeeze fracture, the difficulty of surgery is too high, the bones, blood vessels, and nerves that need to be connected are too much, Wu Guohui does not dare to make a rash move.

In desperation, he thought of Zhou Yuan, who had a successful case, and could only push people here.

“Is the operating room empty?” Zhou Yuan asked while running wildly with the hospital bed.

“Operating Room One!” Lin Wen’s answer was short.

Soon, the bloody hospital bed was pushed into the operating room, and only Zhou Yuan, Haiyang and the two deputy directors remained in the operating room.

Under the shadowless lamp, in addition to the operating table, there are three sterile tables. One contains amputated limbs, one contains instruments for debridement of amputated limbs, and the other contains surgical instruments.

“It’s been three hours, right?”

Zhou Yuan is also not pretentious, everyone knows why Wu Guohui sent people here, so he directly checked it.

Wu Guohui was a little surprised, and nodded: “Yes, but we chose low temperature preservation for the first time, and we carried out simple cleaning and disinfection, which can ensure twelve hours of activity.” ”

The implication is that if it really doesn’t work, you can only think of other ways.

Zhou Yuan asked again: “Are there any contraindications to amputated limb replantation for patients?” ”

This is something that must be clarified before surgery in addition to various signatures.

Replantation of amputated limbs is highly demanding, as do contraindications, such as patients with systemic chronic diseases that do not allow prolonged surgery. Or there is damage, irritating liquid, disinfectant soaked for a long time, etc.

“No contraindications!” Wu Guohui replied.

Zhou Yuan nodded and came to the patient, “Do you know where you are?” ”

The patient gritted his teeth, endured the pain, and said, “In the hospital.” ”

Zhou Yuan breathed a sigh of relief.

It’s good to be conscious.

In amputation replantation surgery, the situation becomes especially complicated once the patient is comatose and shocked.

“Rapid infusion, blood transfusion, placement of a reserved urinary catheter, and let the blood bank prepare 2000cc of blood for backup.”

Wu Guohui immediately explained the patient’s blood type and other conditions, and the blood bank immediately operated.

Zhou Yuan looked at the four severed arms that were squashed on the sterile table, and couldn’t help but become solemn.

It was the hardest surgery he had ever encountered so far!

“Cutting disengagement plus extrusion disengagement. Start debridement now! Zhou Yuan said.

Thorough removal is an important measure to prevent infection, and it is also the key to the success or failure of replantation surgery, this step also requires rich experience, Zhou Yuan intends to come himself.

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Ask for flowers and evaluation tickets, this should be the last one before zero, there is another one at zero, everyone remembers to give me all the data after zero, thank you!