Start with the emergency physician

Zhou Yuan’s young voice fell, and the not young assistants immediately raised their spirits.

Wu Guohui is not the first time to be an assistant, but he is still a little excited.

While doing debridement, Zhou Yuan recalled the three principles of amputated limb replantation surgery.

First, replantation of a severed limb is secondary to the patient’s life.

If the amputation of the limb is accompanied by other life-threatening fatal problems, these problems must be solved first, and the amputated limb replantation can be carried out under the condition of ensuring the safety of life.

Secondly, if the time of the severed limb is longer than the time limit, especially when the severed limb is rich in muscle tissue, special attention should be paid to it.

Because such a severed limb may cause fatal complications after successful replantation and restoration of blood supply to the severed limb. If the chance of fatal complications is assessed to be too high, amputation should be an option.

Finally, after amputation replantation surgery, successful survival of the amputated limb does not equal success.

A successful amputated limb replantation must ensure that the replanted limb returns to its original function. If postoperative function is not possible, replantation should not be performed, and forced replantation will not only increase the patient’s pain, but also make it difficult to assemble the prosthesis.

After debridement, Zhou Yuan began to flush the vascular bed, everything was ready, and the familiar amputated limb replantation surgery began again.

The patient suffered crush trauma and complained of an accident involving his right leg under the car. The diagnosis results are crushing fracture of the right leg, incomplete fracture of the right knee joint, obvious deformity, and so on.

Before starting the operation, Wu Guohui had long made up his mind that in front of the leaders and junior doctors, he absolutely put on the shelf of his deputy chief physician, and he absolutely could not lose face.

Like what kind of cow lying groove, it can never be said.

So, throughout the operation, Wu Guohui smiled and nodded slowly and regularly.

People who don’t know why can’t help but exclaim: This is the hidden boss!

“The blood vessels are sutured.” After a long time, Zhou Yuan’s words made the stunned people wake up.

Wu Guohui nodded slowly: Oh, the blood vessels have been sewn.

“Good.” Wu Guohui calmly appreciated.

“Director Wang, trouble loosen the vascular clamp.”

Now it’s time to test circulatory function.

Director Wang did so, and Wu Guohui came up, ready to pick a few faults for Zhou Yuan, but also to give everyone a dismount, showing his strictness as a deputy chief physician.

“Let me verify the blood circulation effect.”

Zhou Yuan let out of the way with a “good” sigh and gave way slightly.

Wu Guohui touched it with his hands, “Well, you can feel the arterial pulse at the distal end of the replanted end body.” ”

“Hmm… The skin of the replanted limb is rosy, and the capillaries are filled quickly and completely. ”

“Hmm… Skin temperature recovery is normal. ”

Wu Guohui did another blood strangulation experiment and pricked a small hole with a thick needle at the end of his finger, and found that blood continued to spill.

Wu Guohui held the needle and said dumbly: “The anastomosis arteriovenous end is in good condition…”

At this time, an intern who had been staring at the textbook was not happy: “Director, why do you read according to the textbook!” ”

Wu Guohui: Grass.

……

Next is muscle tendon repair, nerve repair.

After doing all this, Zhou Yuan began the final step and set out to cover the skin.

“Everyone is optimistic…” Wu Guohui couldn’t help but speak.

“Especially the one who turned the book and went back to write an examination report to the senior doctor.” He said as if he were vengeful.

Zhou Yuan was still focused.

In order to prevent the possible circumferential scar contracture after surgery, Zhou Yuan made several oblique small incisions about 60 degrees of the original wound, followed by “Z” sutures.

The patient had a defect in the skin, and Zhou Yuan took some free skin sheets for grafting, covering the wound defect, and then placed rubber drainage strips in each fascial space.

This is a kind of material used to protect free blood vessels, nerves and other tissues, safe and convenient to use, small damage to tissues, fast postoperative recovery, and can play a good protective traction effect.

If everyone in the operating room lived in the jungle, they must be high-level humans who could eat the highest leaf.

In the conference room, interns and trainees are staring at the screen, and if it were not for the rule that you cannot take pictures, this place would have become the scene of a press conference.

In the operating room, people do their jobs.

The main knife is responsible for stitching, calming, and pretending.

The first assistant and the second assistant are responsible for calming down and pretending.

Sansuke, as well as interns and trainees, are responsible for forcibly calming down.

An operation that ends in a relaxed teaching atmosphere.

The moment Zhou Yuan put down the needle forceps, everyone made a “sigh” sound with unfinished meaning and complaints.

“Why, who wants to come up and break a leg to support teaching?” Zhou Yuan swept past everyone and said with the momentum of a king.

“No, no, no.”

“Doctor Zhou is awesome!”

“Director Wu?” Zhou Yuan glanced at Wu Guohui.

“No, no, no, I don’t want to! Dr. Zhou is awesome! Wu Guohui stared at the scalpel in Zhou Yuan’s hand that emitted a cold light, shivering.

Zhou Yuan was stunned: “No, I mean, you can put down the hemostats.” ”

Wu Guohui immediately put down the utensils in his hand.

“Director Wang, declare the operation complete?” Zhou Yuan looked at Director Wang and asked.

Director Wang nodded.

Only then did Zhou Yuan smile and say, “The operation is complete!” ”

The moment the scalpel was put down, the eyes of countless interns came over.

Under the illumination of the shadowless lamp behind him, Zhou Yuan’s body exuded a circle of light.

They seemed to see a phoenix spreading its wings in the internship chick nest, trampling on countless hospitalized hens, chief roosters, and many deputy director cranes.

——

End of the sixth change, start of the seventh change! Ask for a monthly pass!