Start with the emergency physician

“Features?”

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

I saw that the needle forceps were held in Zhou Yuan’s hands as if there was nothing, and the sutures quickly shuttled under the skin, and quickly knotted, with ease.

He Jianyi studied emergency medicine, and it was impossible to use a lot of effort to learn a simple suture, so there was no technique like Zhou Yuan.

However, his eyesight is still extremely sharp, and he can see at a glance the ingenuity of Zhou Yuan’s stitching.

“Yes… Is it coherent? The ocean seemed to see something and asked carefully.

He Jianyi smiled gratifyingly, “That’s right. ”

“There is also skill in stitching, and it is a reason to make a big splash and then exhaust it again. If it is intermittent halfway, this suture will not be the same. ”

“Learned?” He Jianyi asked again.

“Learned, learned!” Haiyang and Liu Kai nodded like chickens pecking rice.

“Hmm. It is useless to learn, your hands are unstable, you can’t grasp the position of the needle when suturing, and it is easy to tie people directly into a sieve when they are coherent. “He Jianyi.

The corners of the ocean’s mouths twitched, but they had to admit that this was the truth.

“Go back and practice more with your hands, feet, and feet. You can be a little more coherent when practicing. He Jianyi said.

Soon, Zhou Yuan’s stitching was also completed.

There was an active bleeding in the middle of the suture, and the ocean immediately handed over the prepared Priling nonabsorbable suture, which stopped the bleeding well.

“Teacher, the operation is complete.” Zhou Yuan took off his mask, revealing his pale face, and gasped slightly

He stood up, his knees were already soaked with sweat, and his lead clothes were also wet, which made people feel distressed to see it.

He Jian nodded, “You are the main knife, you announce.” ”

Ocean and others are envious.

He didn’t even touch the scalpel, and Zhou Yuan was already able to shout “operation completed” in front of He Jianyi!

Zhou Yuan glanced at the time.

The operation took 121 minutes, and if it had been someone else, I am afraid that the number would have exceeded 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, and what they didn’t expect was that the family of the old man had not come until now.

“What’s going on?” He Jianyi frowned.

“The patient’s daughter and son all said they would come over as soon as they got off work,” Lin Wen explained.

“Rushing from work? Their mothers are dying and go to a fart class! “He Jianyi started a nameless fire.

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

“Now that the operation is successful, I estimate that they are even less likely to rush over, let’s pay attention to the postoperative maintenance of this old man first, save the person and talk about the rest.” Zhou Yuan thought about it and said.

Carotid endarterectomy is a major operation, not only with high intraoperative risk, but also extremely important postoperative maintenance.

Patients after peeling need close care from doctors and nurses, because most of the patients with carotid artery stenosis have been treated with oral aspirin, Polivi and other long-term anticoagulation before surgery, and the first complication that is prone to occur after surgery 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.

In the postoperative care of patients, doctors and nurses need to closely observe the patient’s neck, and once a neck hematoma is found, doctors and nurses should take immediate measures, including endotracheal intubation to protect the patency of the patient’s airway.

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

Except for the urgent complications mentioned above, other aspects of care are essentially the same as for normal 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 3 months. If the patient is accompanied by strictures in other parts, oral administration of aspirin and polislavi should be strictly followed by the course of treatment and regular treatment.

Only then can carotid endarterectomy be truly completed.

A few minutes later, the directors of neurology and brain surgery who rushed to hear the news were stunned.

“How could it be… You actually succeeded? ”

The director of brain surgery noticed Zhou Yuan’s chest tag: “You are the Zhou Yuan mentioned by Dean Fang?” Zhou Yuan who did amputated limb replantation surgery?! ”

Zhou Yuan nodded. “It’s me.”

“How is this possible! This kind of surgery is completely based on experience, whoever has good experience will do it well, how can you have surgical experience as an intern! ”

He Jianyi was not happy to listen to it, and choked, “He has taken more hands than you have taken feet!” ”

The brain surgeon was stunned: “I am engaged in the head, not the foot.” ”

He Jianyi didn’t bother to argue with them, and said to Zhou Yuan: “Take a break, and then go to Dean Fang.” ”

“I should have told you earlier, but I ran into this operation temporarily.”

————

The fifth more ends, start the sixth more, this book does not need to be fattened, the amount is enough, the quality is good, you just cast data for me!