Start with an emergency physician
Chapter 126
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Zhou Yuan didn't say much and got straight to the point
"The first case I want to introduce to you is a limb replantation performed by a surgeon from R. His name is Kamiya Akira. Unfortunately, this surgeon’s medical license was revoked, wasting his good medical skills."
"Coincidentally, Shen Yuanjing also performed a very difficult replantation surgery on a squeezed severed limb. At that time, the severed limb had lost blood supply, was pale in color, and had lost capillary response.……"
As Zhou Yuan started to explain the cases, he 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 stunned:"Professor Kanhara Akira is an expert in this area. Maybe I am a little behind him in this area.……"
Of course, this gap is more because the overall level of R Medical is relatively high, and the replantation of severed limbs is at the leading level in the world.���Without others, no matter how good Zhou Yuan's skills are, it is difficult to replace some sophisticated instruments.
Zhou Yuan had no choice but to talk about his own surgery again.
The doctors who listened to the lecture were sometimes excited, sometimes amazed, and sometimes thoughtful, which made Zhou Yuan very enjoyable.
Finally, it was time for questions, and the doctors who couldn't wait raised their hands anxiously.
They had questions about many of Zhou Yuan's operations, which were things that could not be learned from textbooks, and they definitely couldn't let go.
"Why did you choose a vascular clamp to stop bleeding instead of a tourniquet for the second limb replantation?"
Zhou Yuan said:"Because there is an exposed wound. Using a tourniquet or other covering materials to stop bleeding can easily cause infection. In addition, the amount of bleeding can be used to determine the method of hemostasis. If the amount of bleeding is small, use local pressure bandage. If the amount of bleeding is large, use a tourniquet to stop bleeding."
"If the bleeding is severe, surgical exploration is necessary, because internal bleeding may have occurred at this time, and the cause of the bleeding needs to be confirmed as soon as possible."
Another person raised his hand:"What should I do if arterial spasm occurs after surgery?"
"Blood transfusion, fluid replacement, 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 quality, excessive anastomotic tension, and local infection may also cause arterial embolism."
"……"
"……"
The two-hour speech finally came to an end with questions and answers.
The doctors left the meeting room reluctantly.
Wu Guohui and Director Wang stayed behind.
"Very good!"Director Wang stood up and applauded.
He patted Wu Guohui who was still in a daze. Wu Guohui immediately stood up and applauded vigorously:"Not bad, not bad!"
"To be honest, I find your lectures much more cost-effective than those of other experts! They just want to make money and give a random lecture. How can they teach real skills to doctors in other hospitals?
Zhou Yuan was thinking about the previous incident and said,"Director Wu, Director Wang, I have an idea. I wonder if it is possible to realize it.……"
"You say."
Wu Guohui and Director Wang looked at each other and said solemnly
"Has our hospital ever encountered a patient with a broken finger, but the finger cannot be found or the broken finger has lost its vitality?"
Director Wang thought for a while and nodded:"Yes, I remember, it was a worker in his twenties, and his fingers were all soaked in engine oil."
Zhou Yuan said:"How did you deal with it at that time?"
"What can we do? Just clean the wound and let him take good care of the remaining finger."Wu Guohui said nonchalantly.
"Even if we take it back, it will be useless." Director Wang added
"Have you ever thought about cutting off the patient's toes and transplanting them to fingers to create new fingers?"
Zhou Yuan's words stunned Wu Guohui and Director Wang.
They lowered their heads and pondered.
After a long time, Director Wang raised his head, stared at Zhou Yuan seriously, and said:"The method you mentioned... is theoretically feasible, but toes and fingers have great physiological differences."
"Besides, the patient's arm has already been broken, and you want to amputate his leg, who can accept that?"
In other words, this is a theory that is basically impossible to put into practice.
"Sir, I want to give it a try.……"Zhou Yuan stared at Director Wang.
He was a master in limb replantation and his knowledge in this area might be higher than the two directors. After careful consideration, Zhou Yuan felt that it was completely feasible.
Now, what was missing was a mouse for the clinical experiment.
The two looked at each other, and finally, Director Wang said,"Okay! If I encounter such a patient, I will definitely call you over. As for whether he is willing to do it or not,……"
"I'll find a way!" Zhou Yuan said immediately.
After Zhou Yuan left, Wu Guohui and Director Wang stood up.
"This idea... is really shocking!"Director Wang was a little stunned.
"I think it's feasible!" said Wu Guohui
"Do you know that if this operation is successful, it means that in the field of limb replantation, our country is ahead of the world in one aspect! At that time...it will be Zhou Yuan who will be ahead of all medical workers in the world!"
Wu Guohui's blood boiled:"I want to cut off my hand now for Zhou Yuan to do experiments!"
Director Wang:……
……
"Are you back?" Sun Meng had just finished her ward rounds, and when she saw Zhou Yuan coming, her tiredness was swept away.
Zhou Yuan nodded and looked around:"It's quite free today.……"
There were only 30 or 40 people in the emergency department hall, which was much easier than the usual hundreds of people.
"Today is a weekday, and it's time to get off work... I guess I'll be busy soon."
The pressure in big cities is high, and most people will endure the pain and wait until after work to come to the hospital. Just as Sun Meng finished speaking, the emergency phone at the emergency department suddenly rang!
Zhou Yuan and Sun Meng looked at each other and immediately became highly alert.
Not long after, He Jianyi rushed out and looked at Zhou Yuan:"Quick! Get in the ambulance with me! Call Lu Chenxi over, and Xiao Xuebao from the Department of Thoracic Surgery... Oh, forget it, it's too late, Zhou Yuan and Sun Meng, get in the car with me immediately!"
As he said that, He Jianyi ran away with a nervous look on his face. Zhou Yuan and Sun Meng got in the ambulance without asking any questions.
Before they could sit down, the ambulance started in a race against time. At the same time, a beeping sound rang overhead.
Soon, the ambulance rushed out of the hospital gate.
Zhou Yuan was a little confused
"Teacher, what happened? Why is it so urgent?"_To read the ununderlined version of the novel, please download Faloo Novel AP
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