medical simulator

Chapter 67 Dazed gift!

In fact, everyone felt that it was completely unnecessary for Du Yanjun to call Zhou Cheng, but they didn't tell him not to call him.

If adults are able to hide their emotions, the other three are more airtight than Du Yanjun...

Zhou Cheng immediately answered the call from Du Yanjun, and after hearing what Du Yanjun wanted to say.

Zhou Cheng also expressed surprise very cooperatively: "Thank you, Yan Jun, I will be in the operating room soon."

Not long after hanging up the phone, Zhou Chengcheng entered the operating room, and then said hello to Cai Dongfan and Luo Yun successively, and then made preparations before the manipulation reset.

Although Zhou Cheng didn't need to do long preparations, in order to make Cai Dongfan and Luo Yun feel more at ease, he decided to watch the movie for half a minute longer, and then invite Luo Yun to be his assistant...

And just after Cai Dongfan suddenly stopped Du Yanjun's disinfection and spreading of towels, An Ruo had just finished anesthesia and saw that the patient's vital signs were still stable.

He moved the smooth iron round stool to the side of the leather sofa where Zeng Yi was sitting, and said in a low voice, "Teacher, what are these orthopedic surgeons doing?"

"Isn't manipulative reduction the first surgery added temporarily? The surgery notice for this surgery says intramedullary nail fixation."

An Ruo is not a very gossip girl, so after she came in, she didn't ask her teacher about what happened during the first operation.

And with Yang Yifeng around, she was even more lazy to inquire.

Because although Yang Yifeng has a very annoying personality, he is indeed easy to attract the likes of old men and old ladies...

Zeng Yi used his head to control his neck to rotate in a circle, and while fully relaxing his cervical spine, he said, "This should be an extra act on the spot."

"The successful reset of the operation in the previous operation is not only related to Yang Yifeng, but also has something to do with this little training."

"Anyway, I don't understand those things in the orthopedics department, so I just think about cutaneous nerve branch block anesthesia."

After turning his neck around the axis, Zeng Yi raised his head and concluded, "It should be this Guipei named Zhou Cheng, who helped a lot when doing the manual reset. Didn't have time to ask."

"Anyway, Cai Dongfan and that Professor Zhong took a C-arm perspective halfway, and they didn't come back."

If Zhong Hua heard this, he would be a loyal fan of Zeng Yi——

Correct!
Just like that, that Cai Dongfan drove me away, can you believe it?
"Don't worry about them, as long as the delay is not too long, everyone will take the students away." Zeng Yi said.

"Oh." An Ruo nodded, expressing her agreement.

His aptitude is not good either. When Zeng Yi taught him how to administer anesthesia, he was so at a loss.

It also made other surgeons wait for a long time.

When An Ruo thought about it, she lowered her head slowly. Her own aptitude and talent are actually not very good!
The undergraduate course is just an ordinary second course, not even 985/211, but my own college entrance examination score line is actually able to get on the second line.

During the postgraduate examination, her scores were not very high, and she still didn’t get into the affiliated hospital of Shonan University, which she wanted. She sternly rejected the idea of ​​finding a relationship at home to put her in, and resolutely chose to transfer, and came to Shashi No. [-] Hospital.

But he didn't refuse his parents' proposal to find him a director as a teacher.

But An Ruo worked hard enough and lacked aptitude, so she used her talent to make up for it, and maybe she didn't want to be convinced of her talent during her undergraduate studies, so she wanted to show herself in the National Undergraduate Medical Competition, and spent a lot of time preparing.

Still broke down in the quarterfinals.Got the second prize.

Although this is already the best grade he has ever obtained in his undergraduate school, An Ruo still feels unconvinced.

After the competition, when I looked back and found that I didn't have enough time to prepare for the postgraduate entrance examination of Shonan University, but An Ruo was still working overtime and enrolled in some relatively high-quality training courses...

but?
"Click!"

An Ruo's mind was still immersed in the gap in medical talent between herself and Yang Yifeng.

A rather crisp sound directly interrupted her thinking, and even the sudden sound caused the erector spinae and paraspinal muscles of her younger generation to tremble suddenly, and then the cold feeling began to rise from a certain point on the back. Jump up and down.

Immediately began to turn to look at the source of the sound.

It turned out that Cai Dongfan, Luo Yun and others were calmly surrounding the operating table.

The strange thing was that Cai Dongfan was far away from the operating table, and in the audience seat, he asked Gui Pei, who seemed to be surnamed Zhou: "Is this okay?"

His tone seemed rather startled, but it was a pity that his back was facing An Ruo, so he couldn't see Cai Dongfan's expression clearly.

However, the other two Xiaoguipei opposite Cai Dongfan had blank expressions on their faces. When they looked at the expressions, they were just confused because they didn't understand...

Zhou Cheng and Luo Yun let go of the patient's lower limbs: "Mr. Cai, now the deformity has disappeared, the line of force has basically recovered, and it is almost reset, but the specific evaluation will have to wait for the C-arm reexamination."

The three basic clinical manifestations of fractures are pain and swelling of the affected limb, abnormal activity, and local deformation of the affected limb.

In the case of a fracture, regardless of reduction or not, pain and abnormal movement are definitely present, and the definition of a fracture is the interruption of bone integrity and continuity.

But now that the patient is under anesthesia, the pain cannot be assessed.

The only visible deformity of the patient's current affected limb disappeared.In fact, the line of force has to be seen from the X-ray to be accurate, of course, it can also be seen from the general view.

Zhou Cheng could only find these evidences, so naturally he dared not say anything.

Cai Dongfan immediately understood that he was too anxious to ask this question, and said, "Director Zeng, the anesthesiologist, we are going to take the C-arm."

"Oh! Okay!" Zeng Yi and An Ruo jumped up from their respective stools like rabbits, and quickly slipped out of the operating room.

It can be said that most doctors in the anesthesiology department are deeply disgusted by the C-arm radiation in the operating room, and feel that the existence of orthopedics and spinal surgery in the operating room is simply two alternatives.

After setting the position of the C-arm machine, put the lower limb of the patient's healthy side down on the operating bed, and Luo Yun also exited the operating room immediately after!
I came to the small cubicle of the operating room, and in the small cubicle again, there was an operation instrument connected to the C-arm machine!

C-arm machine, sub-irradiator and operating instruments in the operating room.

Cai Dongfan ordered the itinerant nurse to click.

In the black film, the pale white tibia and fibula are developed.

Cai Dongfan and Luo Yun saw it, and as expected, the fracture line disappeared!

Look clearly, this time it disappeared, not the previous patient's so-called, the gully between the fractures turned into an ordinary fracture line!
It is basically certain that the fracture has been reset.

However, medicine is not a simple conjecture, and it is not a simple level that can explain everything, so for the sake of safety, in addition to taking the upper and lower frontal planes, the left and right lateral planes are also taken!
On the frontal plane, only the lateral displacement of the fracture can be seen, and the front and rear displacements will be blocked.

Therefore, a lateral plane is needed to supplement it.

Why didn't the previous patients do it?

What are you doing it for?As long as it is an ordinary fracture, it can be treated conservatively. After taking a lateral view, it is slightly displaced. Do you still want to reset it to the level of anatomical reduction?
After Cai Dongfan and Luo Yun finished watching, their faces became tangled up!

In the past, there were fractures that could be evaluated by X-rays, but now, the fracture lines are perfectly stitched together, of course they must exist, and they can be magnified many times for sure.

And there is no displacement, which belongs to the category of anatomical reduction.

You are the open reduction of the fracture, and this is the end result, right?

If this is the case, should the surgery still be done?

Luo Yun was too lazy to bother with this question, so he turned to look at Cai Dongfan.After Cai Dongfan read the front and side positions carefully and carefully, he said with emotion: "In this situation, it would be a pity to have an operation to incision, Luo Yun, are you right?"

Luo Yun nodded, even Du Yanjun and Zhang Zhengquan nodded.

They were thinking in their minds that such patients can be fixed with plaster external fixation. If they have to undergo surgery, they can only undergo surgery for the volume of surgery.

Of course, this is not impossible. Cai Dongfan is going to have an operation, and there must be some. Delete the X-ray results of the C-arm during the operation.

Orthopedic doctors across the country go to see the preoperative examination, that is, the plain film that the patient brought down from the ward. Who dares to say that it is not within the scope of surgical indications?

"Then perform a plaster external fixation and send him back to the ward!"

"Luo Yun, go talk to the family." Cai Dongfan made a final decision, and gave Luo Yun a dazed gift.

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(End of this chapter)