Start From Emergency Doctor

Chapter 128

Zhou Yuan didn’t say much, and started the topic directly.

“The first case I want to introduce to you is the replantation of a severed limb performed by a surgeon from country R. The name is Shenyuanjing, but it is a pity that this surgeon was later revoked because of his doctor’s license, and wasted all his life. Medical skills.”

“Coincidentally, Shenyuanjing also performed a very difficult squeezing severed limb replantation operation. At that time, the severed limb had lost blood supply, the color was pale, and the capillary reaction disappeared…”

As Zhou Yuan unfolded the case and talked about tendon repair, vascular anastomosis, nerve repair, etc., Wu Guohui and others were expressionless.

Finally, Wu Guohui said: “Stop, we want to listen to you.”

Zhou Yuan was taken aback: “Professor Shen Yuanjing is an expert in this area. Maybe I am a little bit behind him in this area…”

Of course, this gap is more due to the high level of overall medical care in country R, ​​and the replantation of severed limbs is at the leading level in the world.

In terms of equipment, it is inferior to others, and Zhou Yuan’s technology can hardly replace some sophisticated instruments, no matter how good it is.

Zhou Yuan had no choice but to pick his own surgery and talked about it again.

The doctors who were attending the lecture were eager for a while, amazed for a while, and thoughtful for a while, which made Zhou Yuan very enjoyable.

Finally, when it came time to ask questions, the unbearable doctors raised their hands anxiously.

They have questions about many of Zhou Yuan’s operations. These are things they can’t learn from the textbooks, and they definitely can’t let it go.

“Why did you choose a vascular clamp to stop bleeding in the second case of replantation of a severed limb instead of a tourniquet?”

Zhou Yuan said: “Because there are exposed wounds. The use of tourniquets or other materials covering hemostasis can easily cause infection. In addition, the method of hemostasis can be judged according to the amount of bleeding. The amount of bleeding is small, and local compression bandages can cause bleeding Use a tourniquet to stop bleeding.”

“If the bleeding is severe, surgical exploration must be performed, because internal bleeding may have occurred at this time, and the cause of the bleeding needs to be confirmed as soon as possible~ˇ.”

Someone raised his hand again: “What should I do if arterial spasm occurs after the operation?”

“Blood transfusion, heat preservation and pain relief.”

“Why does arterial embolism occur?”

“This is mainly a problem of vascular debridement. Incomplete debridement can easily lead to embolism. In addition, poor anastomosis, excessive anastomotic tension, and local infection may also cause arterial embolism.

“…”

“…”

In one question and one answer, the two-hour speech finally came to an end.

The doctors left the meeting room reluctantly.

Wu Guohui and Director Wang stayed.

“Very good!” Director Wang stood up and applauded.

He patted Wu Guohui who was still in a daze. Wu Guohui stood up immediately and applauded vigorously: “Not bad, not bad!”(Read more @ wuxiax.com)

“To be honest, I listened to your lecture and it was more cost-effective than the experts invited from other provinces! They just want to make money and give a speech at will. How can they teach the doctors in other hospitals!”

Zhou Yuan remembered the incident before and said: “Director Wu, Director Wang, I have an idea, I don’t know if it is possible…”

“you said.”

Wu Guohui and Director Wang looked at each other and said solemnly.

“Have our hospital ever encountered a patient whose finger was severed but could not be found or whose severed finger has lost vitality?”

Director Wang thought for a while and nodded: “Yes, I remember, it was a worker in his twenties. At that time, all his fingers were soaked with engine oil.”

Zhou Yuan said: “How did you deal with it at the time?”

“What can I do? Just do a debridement for him and let him treat the remaining fingers well.” Wu Guohui said politely.

“Even if you take it back, it will be discarded.” Director Wang added.

“Then have you ever thought about cutting off the patient’s toe, then transplanting it onto the finger, and connecting it to a new finger?”

Zhou Yuan’s words stunned Wu Guohui and Director Wang.

The two lowered their heads and began to think.

After a long time, Director Wang raised his head and stared at Zhou Yuan solemnly, saying: “The method you said… theoretically works, but there is a big physiological difference between toes and fingers.”

“Besides, the patient has already severed his hand, and you have to have his leg amputated. Who can accept it?”

In other words, this is a theory that is basically impossible to practice.

“Director, I want to try…” Zhou Yuan stared at Director Wang.

He has master-level replantation of severed limbs, and his knowledge of this aspect may be higher than that of the two directors. After careful consideration, Zhou Yuan thinks that it is completely feasible.

Now, what is missing is a mouse for clinical trials.

The two looked at each other, and finally, Director Wang said: “Okay! If you encounter such a patient, I will definitely call you over. As for whether he wants to…”

“¨ I’ll find a way!” Zhou Yuan said immediately.

When Zhou Yuan left, Wu Guohui and Director Wang stood up.

“This idea… is really shocking!” Director Wang was a little startled.

“I feel feasible!” Wu Guohui said.

“Do you know that if this operation is successful, it represents the field of replantation of severed limbs. Our country is ahead of the world in one aspect! At that time… it will be Zhou Yuan who will be among all the medical industry workers in the world? Forward!”

Wu Guohui was full of enthusiasm: “I want to cut off my hand and give Zhou Yuan an experiment!”

Director Wang:…

…

“I’m back?” Sun Meng just finished checking the room and saw Zhou Yuan coming, and his tiredness was wiped out again.

Zhou Yuan nodded, and looked around: “It’s pretty leisurely today…”

There are only thirty or forty people in the emergency department hall. Compared with the usual hundreds of people, it is too easy.

“Today is a working day, and it happens to be off work now… I guess (for money) will be busy soon.”

The pressure in big cities is high, and most people suffer from illness and wait to come to the hospital after get off work.

As soon as Sun Meng finished speaking, the emergency phone in the emergency department suddenly rang!

Zhou Yuan and Sun Meng looked at each other and immediately became highly vigilant.

Soon after, He Jianyi rushed out and looked at Zhou Yuan: “Quick! You get into the ambulance with me! Call Lu Chenxi, and Xiao Xuebo from the thoracic surgery… Sun Meng Yuan, follow me in the car immediately!”

With that, He Jian rushed up nervously, Zhou Yuan and Sun Meng didn’t ask much, and immediately got into the ambulance.

The ambulance started racing against time before sitting down, and at the same time, the sound of humming from the top of my head rang.

Soon, the ambulance rushed straight out of the courtyard.

Zhou Yuan is a little unclear.

“Teacher, what happened, so urgent?”.