Start with the emergency physician

“Successfully fused the Master Butt Suture Technique and the Perfect Compression Hemostasis! Obtain! Master amputated limb replantation technology! ”

Zhou Yuan’s eyes lit up.

Whether it is a master-level butt suture or a perfect-level compression hemostasis, it is a minor operation.

The former is nothing more than suturing small wounds or something, and the latter simply turns Zhou Yuan into a humanoid hemostat.

On the contrary, it is a severed limb replantation technique, which can be regarded as a real major operation, and ordinary doctors cannot do it!

And the master-level amputated limb replantation technology is simply Hua Tuo in the world!

Zhou Yuan smiled and followed He Jianyi to the emergency department hall.

I saw a plainly dressed prime-aged man sitting hunched over on the hospital bed, his right hand covering his left hand, and blood kept flowing out from between his fingers.

Lin Wen, the little nurse next to her, was already anxious to stomp her foot, and when she saw He Jianyi’s arrival, she quickly ran up: “Director He, this patient’s hand is broken, take a look!” ”

“Report the patient.”

“Patient’s name: Wang Tie. Age: 35 years old. Symptoms: Initial diagnosis is hand crush disconnection! ”

Hearing the severed hand, Zhou Yuan, who had just mastered the technique of amputated limb replantation, ran faster than He Jianyi, and immediately went to the patient to observe.

After mastering the master-level amputated limb replantation technique, what Zhou Yuan gained was not only practical knowledge, but also theoretical experience.

According to the cause of the injury, the injury of the severed limb will be different, and the common types of severed limbs are cutting disconnection, rolling dissociation, crushing disconnection and tearing disconnection.

After Zhou Yuan looked at it carefully, he probably had a result in his heart.

It is indeed a crushing break of the hand caused by the extrusion of a large machine, stone, or other heavy object.

He Jianyi was a little surprised, walked over from behind, and tested Zhou Yuan: “What do you see?” ”

Zhou Yuan said with a plate and an eye: “The broken plane of the broken finger is irregular, the tissue damage is serious, and there are a large number of iron filings, wood chips and so on in the section and tissue gap.” There are combined injuries to the distal end of the crushed limb, fractures and vascular ruptures occur at the same time…”

He Jianyi came to ask casually, but he didn’t expect that Zhou Yuan actually answered, and he was dumbfounded.

Did you diagnose this with a glance?

Did you put a textbook in front of you?!

Zhou Yuan did not pay attention to He Jianyi’s expression, still observing the patient’s severed hand, and continued: “Superficial vein contusion, some of these veins have been thrombotic, limb venous blood return is blocked, if no surgery is performed, the severed limb will be completely necrotic, and even affect the entire arm.” ”

Lin Wen swallowed her saliva and looked at Zhou Yuan as if she were looking at a humanoid microscope plus a scanner.

He Jianyi smiled as if he had seen a ghost, and still walked in front of Wang Tie.

After all, it is also important for the patient to complain about the condition.

He Jianyi took a sterilized tweezer from Lin Wen’s hand and lightly tapped it on the patient’s severed hand.

“Does it hurt?”

Wang Tie suddenly grinned: “It hurts!” Doctor, it hurts so much! ”

He Jianyi squatted down, carefully observed a few times, and made several more stops at the far end of the severed limb.

Three positions, two with pain and one without sensation.

It basically coincides with Zhou Yuan’s judgment.

“Yes.”

He Jianyi turned his head and looked at Zhou Yuan: “How did you practice this?” Also phoenix claws? ”

Zhou Yuan croaked his teeth and smiled: “You ask the ocean, sometimes the phoenix claws they eat are flat, and the bones are broken.” ”

He Jianyi was silent for a second, choosing to ignore Zhou Yuan.

“It’s a complicated situation and may require partial amputation.” He Jianyi frowned, and his tone was a little heavy.

Venous return is obstructed by blood clots, and some tissues at the distal end have begun to necrosis.

Moreover, the severed limb presents a comminuted fracture, and if you want to carry out the replantation of the severed limb, you need to connect blood vessels, nerves, and bones, which is too difficult, and he is not sure to do it.

Wang Tie, who had been sitting on the hospital bed and endured the pain, immediately widened his eyes when he heard that his leg was going to be amputated.

“You can’t amputate, Doctor! I am the only one in my family who comes out to work to earn money, there are parents to support, and children’s tuition to provide, if my hand is gone, the construction site will not want me! Wang Tie’s voice became trembling.

Once he falls, then the whole family will collapse in an instant!

Zhou Yuangang wanted to whisper to He Jianyi that he might be able to try, but another person directly inserted into Zhou Yuan and He Jianyi.

“Who said this hand has to be cut off?” The voice said.

Zhou Yuan looked up and was immediately happy.

This is Xiaoqi Jiang, a doctoral student who graduated from Harvard Medical School majoring in emergency medicine.

It can be regarded as a high-tech talent recruited from overseas.

It’s just that now Jiang Xiaoqi has just returned from abroad and has not officially taken up her post, and He Jianyi, Lin Wen and others do not know her.

“Who are you?”

He Jianyi’s face was not good.

He made this decision after careful consideration, and now it seems that a knowledgeable person wants to teach himself a lesson?

“It doesn’t matter who I am, I want to ask you, as a doctor, have you told your patients all the options available?” Is this what a doctor should do to judge based only on his own experience and subjective imagination? Jiang Xiaoqi pressed and asked.

He Jianyi was happy and let go of a step: “You come and see, multiple crushed fractures, no amputation, only amputation and replantation, this kind of precision surgery, even if the director of the hand surgery comes, there is no way!” Who can get on? Can you?! ”

Jiang Xiaoqi choked and rolled her eyes.

Just want to refute whether it can be successful or not, at least give the patient the right to choose.

At this moment, a somewhat weak, but full of breath voice rose along with a hand:

“I… I can…” Zhou Yuan glanced at He Jianyi and Jiang Xiaoqi.

———

Update to, I have chronic urticaria, I don’t know why I had severe stomach pain in the early hours of yesterday morning, and then went to the hospital for infusion, this morning was better, went home and slept, and the bed was updated together, just now I don’t know why my stomach hurts again, barely finished writing this chapter, I tried my best, my stomach doesn’t hurt to write hard, try to be about seven or eight every day, if you can’t do it, I hope you are considerate! Thanks!