Start From Emergency Doctor
Chapter 36
Chapter 36
Lin Wen was also anxious, “Give him stability!”
Hearing these words, Wang Shengli immediately covered his mouth, like a frog, his cheeks bulged, trying not to let himself make a sound.
“Can you keep calm?”
The last time I played was so painful.
On the other side, Zhou Yuan received the news that a car of people accelerated.
Dean Fang didn’t have much arrogance in front of everyone, and said with a smile: “If you haven’t become a famous doctor, someone will already ask you to come to see a doctor, okay!”
Ocean and Sun Meng are in high spirits.
“You didn’t know that Li Li, with an intern’s sign, actually looks exactly like a real intern! It’s better for you!” Haidao said.
Dean Fang’s mouth twitched.
Ten minutes later, the car stopped, and Zhou Yuan and others directly drove the car door and rushed to the emergency department.
“Come!” Zhang Ling said in surprise.
Zhou Yuan stopped and switched to a brisk walk.
In the hospital, doctors and nurses generally cannot run, which is a taboo.
“How is it going?”
“Old patient, the last time you sutured Wang Shengli, the leg was rotten and needed to be sutured last time, this time the leg was broken and the bone needed to be repaired.” Zhang Ling reported quickly.
Zhou Yuan nodded, opened the curtain, and saw Wang Shengli lying on the hospital bed.
“Doctor Zhou, you are here! I will die if I don’t come again!” Wang Shengli seemed to see the savior.
Zhou Yuan checked Wang Shengli’s injury.
The calf and thigh have been separated into a twisted shape, the knee joint has been dislocated, and the previous sutures have all collapsed and become bloody.
“How did it happen?” Zhou Yuan asked subconsciously.
“Climb…climb a tree.” Wang Shengli told the truth.
“Climbing a tree?!”
Zhou Yuan was dumbfounded: “Didn’t I ask Wang Dahai to remind you not to climb trees?”
Wang Dahai was the previous patient who was pierced by a branch in his palm. At that time, he boasted to Zhou Yuan that he and Wang Shengli were ready to climb the tree.(Read more @ wuxiax.com)
Wang Shengli said aggrievedly: “I’m not seeing the stitching effect is too good, I am anxious to show them!”
“Puff!”
The little nurses present couldn’t help but laughed out loud in front of this human tragedy.
Zhou Yuan pulled his face and tried to keep himself from smiling, which would make him unprofessional.
After a while, Wang Shengli suddenly spoke again: “Doctor Zhou, after you have connected the bones, can I still climb the tree?”
“cough……”
Zhou Yuan pretended to cough, covered his mouth, and immediately recovered his cold expression, cursing, “Are you a monkey?”
“Hey! Doctor Zhou, you are so smart. I am really a monkey. I have just passed my birth year and I am still wearing red pants!”
Zhou Yuan’s eyebrows twitched, “I saw it when I cut my pants.”
“The injury is a bit serious, but it’s nothing serious. It needs surgery.” Zhou Yuan looked at Wang Shengli.
“move!”
“Well, prepare the operating room. Who will be with me?” Zhou Yuan glanced.
In the end, Haiyang was honored to be the first assistant, Sun Meng was the second assistant, and Wang Ziqiao also ran over from Jiang Xiaoqi and grabbed a third assistant.
The three of them are residents, and they have a certain surgical foundation, but they are not solid enough.
Basic operations such as stitching can also be practiced in medical school. After reading the textbooks, no one teaches them here. Obviously, following Zhou Yuan’s textbook is the best way to improve.
Moreover, following Zhou Yuan has another advantage.
Zhou Yuan and them are the same age, so they won’t have the depressive feeling of being with He Jianyi and other directors. They can also make jokes, and the operation atmosphere will be much more relaxed.
Before the operation, Zhou Yuan gave Wang Shengli an X-ray by the way, and as expected, it was similar to what he had predicted.
“It’s very miserable, the femoral shaft is fractured and the tibia is fractured.” Zhou Yuan teased.
Wang Shengli cried to his father and called his mother: “Dr. Zhou, stop joking, you will numb me! It hurts!”
Zhou Yuan shook his head helplessly, a little admiring Wang Shengli’s courage.
In the previous injury, I did instruct Wang Shengli to walk on the ground in about a month, and try to walk more.
However, he walked up to the tree.
After preparing for the operation, Zhou Yuan also completed the disinfection work and walked into the operating room.
“Deal with femoral shaft fracture first.” Zhou Yuan explained.
“Spinal and epidural anesthesia.”
After the isotope-epidural anesthesia took effect, Zhou Yuan glanced at the time: “Start the operation.”
Wang Shengli was turned over by Haiyang and the others, and changed to a left side lying position with his right body facing upwards.
“Disinfect the right lower limb and right hip, and spread sterile sheets.” Zhou Yuan said.
Yizhuhai immediately began to disinfect.
Waiting for the disinfection to be completed, Zhou Yuan directly made an incision of about three centimeters on the outer side of the distal right thigh.
Next, using a modified lateral approach, from 6-7cm in front of the posterior superior iliac spine, extend forward around the anterior edge of the greater tuberosity and extend down the femur, 15cm in length, and incise the skin, subcutaneous tissue and deep fascia in turn.
“Electrocoagulation to stop bleeding.” Zhou Yuan said.
He is the chief sword, naturally it is impossible to perform perfect-level compression to stop the bleeding, he can only retreat to second place.
After exposing the deep fascia, Zhou Yuan then cut open the fascia lata and tensor fascia lata, bluntly separated the posterior edge of the gluteus medius and gluteus minimus, and used forceps to pull forward, exposing the piriformis muscles The attachment point of the external rotator group.
“Excision.” Zhou Yuan said. .
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