Start From Emergency Doctor

Chapter 7

“Successfully integrated the master-level butt-suturing technique and the perfect-level compression hemostasis! Obtained! Master-level replantation technique of severed limbs!”

Zhou Yuan’s eyes lit up.

Whether it is a master-level butt-suturing technique or a perfect-level compression hemostasis, it is said to be a minor operation.

The former is nothing more than suturing small wounds, and the latter is simply turning Zhou Yuan into a human-shaped hemostatic forceps.

On the contrary, it is the technique of replantation of severed limbs, which can be regarded as a real major operation, and ordinary doctors can’t do it!

And the master-level replantation technique of severed limbs is simply Hua Tuo alive!

Zhou Yuan smiled and followed He Jianyi to the emergency department hall.

I saw a plainly dressed mature man sitting on the hospital bed hunched over, with his right hand covering his left hand, and blood was constantly flowing from between his fingers.

Lin Wen, the young nurse next to her, was already stomping her feet in a hurry. Seeing He Jianyi’s arrival, she hurried up and said, “Director He, this patient’s hand is broken, look at it!”

“Report the patient’s condition.”

“Patient name: Wang Tie. Age: 35 years old. Symptoms: The initial diagnosis is squeezing of the hand!”

Hearing the severed hand, Zhou Yuan, who had just mastered the technique of replanting severed limbs, ran faster than He Jianyi, and immediately went to observe the patient.

After mastering the master-level replantation technique of severed limbs, Zhou Yuan gained not only practical knowledge, but also theoretical experience.

Depending on the cause of the injury, the injury situation of the severed limb will be different. The common types of severed limbs include cutting detachment, rolling detachment, squeezing detachment, and tearing detachment.

After Zhou Yuan took a closer look, he probably had a result in his heart.

It is indeed the squeezing separation of the hand caused by the squeezing of large machines, stones or other heavy objects.

He Jianyi was a little surprised. He walked over from behind and tested Zhou Yuan: “What do you see?”

Zhou Yuan said: “The breaking plane of the broken finger is irregular, the tissue damage is serious, and there are a lot of iron filings, sawdust, etc. in the cross section and the interstitial space. The distal end of the crushed limb has combined injuries and fractures. It happened at the same time as the blood vessel rupture…”

He Jianyi was originally asking casually, but Zhou Yuan actually answered it unexpectedly, and he was bewildered.

Did you diagnose it with a glance?

Have you read a textbook in front of you? !

Zhou Yuan didn’t pay attention to He Jianyi’s expression and was still observing the patient’s severed hand. He continued: “Superficial vein contusion. Thrombosis has occurred in some of these veins. The blood flow of the limbs is blocked. If no surgery is performed, the patient will be severed. The limbs will be completely necrotic, even affecting the entire arm.”(Read more @ wuxiax.com)

Lin Wen swallowed and looked at Zhou Yuan as if looking at a human-shaped microscope plus a scanner.

He Jianyi smiled as if he was hell, and walked up to Wang Tie.

After all, the patient’s main complaint is also very important.

He Jianyi took a sterile forceps from Lin Wen and tapped it on the patient’s severed hand.

“Does it hurt?”

Wang Tie suddenly grinned, “It hurts! Doctor, it hurts too much!”

He Jian squatted down, carefully observed a few times, and clicked on the distal end of the severed limb several times.

In the three positions, two felt pain and one did not feel.

Basically consistent with Zhou Yuan’s judgment.

“sure.”

He Jianyi turned his head and glanced at Zhou Yuan: “How is this practiced? It’s also chicken feet?”

Zhou Yuan grinned and said, “You ask Haiyang, sometimes the chicken feet you eat are flat and the bones are broken.”

He Jianyi was silent for a second and chose to ignore Zhou Yuan.

“This situation is more complicated and may require partial amputation.” He Jianyi frowned, his tone a bit heavy.

The venous return was blocked by the thrombus, and some tissues in the distal end had begun to die.

Moreover, the severed limb presents a comminuted fracture. If the severed limb is to be replanted, blood vessels, nerves, and bones need to be connected. This is too difficult, and he is not sure to do it.

Wang Tie, who had been sitting on the hospital bed and enduring the pain, immediately widened his eyes when he heard that his limb was about to be amputated.

“Can’t amputee, doctor! I am the only one in my family who comes out to work to earn money. I have parents to support and children’s tuition. If my hands are gone, the construction site will not need me!” Wang Tie’s voice became trembling. stand up.

Once he falls, the whole family will collapse in an instant!

Zhou Yuan just wanted to talk to He Jianyi that he might try it, but another person directly intervened in Zhou Yuan and He Jianyi.

“Who said this hand must be cut?” said the voice.

Zhou Yuan looked up and was immediately happy.

This is Jiang Xiaoqi, a doctoral student in emergency medicine from Harvard Medical School.

It can be regarded as high-tech talents dug from overseas.

However, Jiang Xiaoqi has just returned from abroad and has not officially taken up her post. He Jianyi, Lin Wen and others do not know her.

“who are you?”

He Jianyi’s face was not good.

He made this decision after careful consideration. Now it seems that someone who knows how to do it wants to teach himself?

“It doesn’t matter who I am. I want to ask you, as a doctor, have you told the patient all the treatment options available? Just judge based on your own experience and subjective assumptions. Is this what a doctor should do? “Jiang Xiaoqi forced to ask.

He Jianyi was happy, and stepped aside: “Let’s take a look, there are many comminuted fractures, no amputation, only the replantation of the severed limb, this kind of delicate operation, even if the director of hand surgery has not come. Way! Who can go? Can you do it?!”

Jiang Xiaoqi was choked and rolled her eyes.

I just wanted to refute that no matter whether it succeeds or not, at least give patients the right to choose.

At this moment, a voice that was a little weak but full of breath rose along with a hand:

“I…I can…” Zhou Yuan glanced at He Jianyi and Jiang Xiaoqi.

———

The update was delivered. I have chronic urticaria. I don’t know why my stomach hurts in the early morning of yesterday. I went to the hospital for an infusion. I got better this morning. I went home and slept. I updated my bed. My stomach hurts again. I barely finished writing this chapter. I will try my best. If my stomach hurts, I will write as hard as I can. If I can’t do it, I hope you can understand it! Thank you! .