Start From Emergency Doctor

Chapter 64

Zhou Yuan’s young voice fell, and the younger assistants immediately raised their spirits.

It’s not the first time Wu Guohui has been an assistant, but he is still a little excited.

While doing debridement, Zhou Yuan recalled the three principles of replantation of severed limbs.

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

If there are other fatal life-threatening problems at the same time as the limb is broken, these problems must be solved first, and the limb can be replanted under the condition of ensuring the safety of life.

Secondly, if the amputated limb exceeds the time limit, especially when the amputated limb is rich in muscle tissue, pay special attention.

Because such severed limbs may cause fatal complications after successful replantation and restoration of blood supply to the severed limbs. If after assessment, the probability of fatal complications is too great, amputation should be chosen.

Finally, after the replantation of the severed limb, the successful survival of the severed limb does not mean success.

A successful replantation of a severed limb must ensure that the replanted limb restores its original function. If it is impossible to recover the function after operation, it should not be replanted. Forced replantation will not only increase the patient’s pain, but also bring difficulties to the assembly of the prosthesis.

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

The patient suffered a crushing trauma, and the main complaint was that his right leg was accidentally involved in the underside of the vehicle. The diagnosis result is squeezing severance of the right leg, incomplete rupture of the right knee joint, obvious deformity, etc.

Before starting the operation, Wu Guohui had made up his mind long ago that in front of leaders and lower-level doctors, he absolutely must put on the air of his deputy chief physician, and he must not be ashamed.

It’s like something awesome, it’s absolutely impossible to say it.

Therefore, 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 vessel is sutured.” After a long time, Zhou Yuan’s words awakened the dumbfounded people.

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

“Not bad.” Wu Guohui calmly praised.

“Director Wang, please loosen the vascular clamp.”

Now is the link to test the blood circulation function.

Director Wang did so, and Wu Guohui came up and prepared to pick out a few problems for Zhou Yuan, and also give everyone a stance, showing his sternness as the deputy chief physician.

“I will verify the blood circulation effect.”

Zhou Yuan let out a “OK” and moved away slightly.

Wu Guohui just touched it with his hands, “Well, I can feel the arterial pulsation at the distal end of the replanted end body.”(Read more @ wuxiax.com)

“Well… the skin of the replanted limbs is rosy, and the capillaries fill up quickly and intact.”

“Hmm… Piwen has recovered to normal.”

Wu Guohui did another blood-stripping experiment and punctured a small hole with a thick needle on the tip of his finger, and found that blood was constantly overflowing.

Holding the needle, Wu Guohui said blankly: “The arteriovenous end of the anastomosis is in good condition…”

At this time, an intern who had been staring at the textbook was unhappy: “Director, how can you read the textbook according to the textbook!”

Wu Guohui: Grass.

…

Next is the repair of muscles and tendons and the repair of nerves.

After finishing all this, Zhou Yuan started the final step, starting to cover the skin.

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

“Especially the one who turned the book, went back and wrote an examination report to the superior doctor.” He said again like a grudge.

Zhou Yuan is still focused.

This time, the situation of the severed limb replantation patient is different. In order to prevent the ring-shaped scar contracture that may occur after the operation, Zhou Yuan made several oblique small incisions at about 60 degrees of the original wound, and then performed “z” sutures.

The patient had skin defects. Zhou Yuan took some free skin grafts for transplantation to cover the wound defect, and then placed rubber drainage strips in each fascial space.

This is a material used to protect free blood vessels, nerves and other tissues. It is safe and convenient to use, with little tissue damage, quick recovery after surgery, and can play a good protective traction effect.

The people in the operating room, if they live in the jungle, must be high-level humans who can eat the highest leaf.

In the conference room, the interns and training doctors were all staring at the screen. If it weren’t for the regulations on not taking pictures, this place had become the site of the press conference.

In the operating room, people perform their duties.

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

First help and second help are responsible for calmness and pretense.

Misuke, intern doctors, and training doctors are responsible for compelling calmness.

An operation ends in a relaxed teaching atmosphere.

The moment Zhou Yuan put down the needle pliers, everyone made a “tsk” sound that was unfulfilled and complaining.

“Why, who wants to come up and break a leg to support the teaching?” Zhou Yuan swept across the crowd and said with a king’s momentum.

“No more.”

“Doctor Zhou is awesome!”

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

“No, no, I don’t want to! Doctor Zhou is awesome!” Wu Guohui shivered as he stared at the scalpel in Zhou Yuan’s hand.

Zhou Yuan was taken aback: “No, I mean, you can put down the hemostatic forceps.”

Wu Guohui immediately put down the utensil in his hand.

“Director Wang, do you announce the completion of the operation?” Zhou Yuan looked at Director Wang and asked.

Director Wang nodded.

Zhou Yuan smiled and said, “The operation is complete!”

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

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

They seemed to see a phoenix spreading its wings in the practice chicken coop, trampling to death countless hospitalized hens, attending roosters, and many deputy director cranes.

——

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