Start with the emergency physician

If the skin temperature suddenly drops when testing the local skin temperature, the difference is more than 3 degrees Celsius, venous embolism is likely to occur.

Zhang Ling, a young nurse, reported: “I just measured 34.3 degrees Celsius, and the situation is good. ”

Zhou Yuan checked the color, swelling and capillary return of the reimplanted limb again, and found no problems before he breathed a sigh of relief.

“For three days after surgery, I was observed every hour, and I was notified as soon as there was a vascular crisis.”

Vascular crisis generally occurs within 72 hours.

Arterial crisis will make the skin color from rosy to pale and gray, and there will be deepening wrinkles, skin temperature and so on. Venous crisis is manifested as purple and dark skin color, light or even disappearing skin lines, and so on.

After a few more words, Zhou Yuan left the ward, and just went out and met the head nurse Tian Liang.

“Zhou Yuan?” Tian Liang was like seeing a ghost.

“I’m fine, don’t worry.”

Tian Liang shook his head: “Today is not your duty, you go back to rest.” Dry doctors do not rely on a momentary reluctance, every day is a tough battle, you must have a strong body! ”

Speaking of this, Zhou Yuan was not good to refuse anymore, and after checking a few more wards with Sun Meng, he was ready to go back to rest.

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

Just during the ward rounds, the system that had not moved for a long time suddenly squeaked, and it was busy examining patients at that time, and there was no time to see what happened.

Zhou Yuan sat in front of a table full of phoenix claws and turned on the system.

Presented in front of Zhou Yuan was a properties panel.

Name: Zhou Yuan

Items: Vitality Elixir*2, Intermediate Chest*1, Beginner Chest*2

Master the technology:

Master butt seam legal (+).

Perfect Grade Pressure Hemostasis (+).

Master amputation replantation technique (+).

Not mastered:

Aortic dissection aneurysm resection

Parkinson’s disease stereotactic ventrolateral thalamic nuclear destruction

Psychotic amygdala dismemberment

……

In the technology that has been mastered, each item has a plus sign after it, which seems to be upgradeable.

Zhou Yuan clicked on the details.

Master butt seam legal (+).

Progress: 5/100000

Perfect Grade Pressure Hemostasis (+).

Progress: 3/0

Master amputation replantation technique (+).

Progress: 1/5000

The improvement of technology requires the healing of patients with related technology.

Zhou Yuan could only sigh that fortunately, the replantation of the severed limb was not the same as the butt suture, and it took 100,000 proficiency to upgrade a level. It seems that the difficulty and requirements of the upgrade will be adjusted accordingly according to the difficulty of the technology.

“It turns out that perfection is the top, I was still thinking that it was better than perfection, could it be that when I stopped the bleeding, I would burst out the holy light?” Zhou Yuanpi said.

He returned his gaze to the system.

This time the amputation replantation surgery obtained one intermediate treasure chest and two primary treasure chests.

“Open the Junior Chest and get! Vitality Elixir *1! ”

“Open the Junior Chest and get! Vitality Elixir *1! ”

“Open the Intermediate Chest and get! Master aortic dissection aneurysm removal! ”

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

Primary chests are generally vitality potions, and there is a chance to obtain technology, but even if they are obtained, they can only be some basic operations such as suturing, hemostasis, and so on.

Intermediate treasure chests, on the other hand, have a high probability of obtaining technology and a small probability of obtaining master technology.

Aortic dissection aneurysms are a relatively rare and fatal disease that has been associated with a variety of diseases. Hypertension is an important cause of aortic dissection.

Although there is no clear medical explanation, it is generally believed that the aortic wall is stimulated by high dynamic blood pressure for a long time, so that the aortic wall tension is continuously in a state of tension, so it is easy to cause aortic dissection aneurysm.

In addition to hypertension, pregnancy, severe trauma, prolonged heavy physical labor, or drug stimulation are factors in the development of dissecting aneurysms.

Aortic dissection aneurysm resection is a major operation, generally less difficult than amputated limb replantation, but it is not excluded that the aneurysm is as large as eight or nine centimeters to compress blood vessels and nerves.

After going through the knowledge and surgical details about the aortic dissection aneurysm in his mind, Zhou Yuan began to fly on the phoenix claws with the needle in hand.

Although it is already a master butt stitching, there are many things that need to be felt by yourself.

It’s like a medical student suturing a banana peel all day, no matter how well it is done, there will always be a gap between it and the actual sewing of human skin.

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

When the eyes are tired, practice the barbell to ensure that hand strength is the daily care of the surgeon and the premise of holding the scalpel steadily.

And so the night passed.

It wasn’t until the alarm clock went off that Zhou Yuan came back to his senses, and after a simple wash, he walked out of the single dormitory with a basin of phoenix claws.

“The effect of this thing is so good, it’s actually like sleeping a whole night’s sleep, and I’m still in good spirits.” Zhou Yuan touched the vitality potion in his pocket and muttered.

The ocean that saw Zhou Yuan’s arrival from a distance immediately came over: “The little prince of phoenix claws is here again!” Everyone, come and grab it! ”

——

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