The Brilliant Village Doctor
Chapter 568
At present, the patient's life seems to have been saved!
However, this is not the case, and his situation is still not optimistic.
First of all, although the damaged artery on his leg was found and stopped the blood, it did not mean that it could be repaired. If you can't repair it, you can't restore blood supply to the calf. If the calf does not get blood supply for a long time, it will cause ischemic necrosis and eventually amputation. So even if he really saved his life, he may not be able to keep his leg!
Second, his other leg was still under the rubble, and it was not clear how the injury was. But from the door frame pressure leg trace, no doubt the injury is not light, at least tibia and fibula fracture is unable to run away. There will be other fatal injuries, no one can say!
Because of this kind of reason, Lin Hao's eyebrows are always tight, and his look is very suspicious. The operation is not over here. On the contrary, it's just the beginning!
Ren Junqi was relieved, but after seeing Lin Hao's look, she realized the seriousness of the problem for a moment. At the same time, she also remembered what Lin Hao had just said. He claimed not only to find the damaged vein, but also to repair and anastomose it!
Under such conditions, Ren Junqi asked herself that she did not have the ability, and she was sure that not only she, but also other surgical experts and professors could not make a meal without rice!
So, what is Lin Hao's way to repair and anastomose this artery in such a completely impossible situation?
If you change someone else, Ren Junqi doesn't expect it, because it's impossible! Just for Lin Hao, she is full of expectations!
First aid for delayed pneumothorax with straw, fantastic suture method, fantastic acupuncture anesthesia, and blind vision to find the bleeding artery Wait, wait, just a day, Lin Hao has let her witness several impossible miracles!
Now, she hopes to have another miracle, even if the miracle is as slim as the double color ball!
It's a long story. In fact, time has passed by in a moment!
After stopping the blood, Lin Hao did not rush to the next step, but asked, "how much blood pressure?"
Ren Junqi checked and said, "80 / 50!"
Lin Hao said, "hold his blood pressure for me. You can't let it drop again!"
Ren Junqi didn't like his attitude. He murmured in his heart: you are my student. Why do you drink to me? Do you have any respect for teachers? Even if not, at least you know how to respect the old and love the young?
In fact, she was not only depressed, but also the family members who were holding canvas to protect them from the wind and rain so that they could have a safe operation. Who is the real person here?
After waiting for a long time, Lin Hao did not see Ren Junqi carry out his doctor's advice. He couldn't help but ask, "can't you hear me?"
Ren Junqi's heart is absolutely a thousand ten thousand people are not willing to, but contact with Lin Hao's fierce and frightening eyes, his heart is cold like falling ice cave, and he quickly orders Peng Xiaojie: "epinephrine 3mg, once every five minutes! Monitor your blood pressure at any time! Pay attention to vital signs. "
Peng Xiaojie promised, quickly take the medicine, and give Liao Daxin injection.
Lin Hao looked at the wound and took a deep breath: "now, it can be said that we have saved his life! Then, let's keep his leg! "
Ren Junqi had no confidence at all, but Lin Hao, who was mysterious and powerful, was not afraid of anything. She nodded and said, "OK!"
Seeing her promise so simply, Lin Hao asked, "do you know what to do?"
Ren Junqi was asked to be embarrassed and murmured in a voice I don't know! "
Lin Hao, who was neither laughing nor crying, said, "I don't know you dare say that loud?"
Ren Junqi:
"Concentrate and cooperate with me!" Lin Hao handed her the hemostatic forceps, which were always holding one end of the ruptured artery, and told her, "hold on
Ren Junqi quickly took over the hemostatic forceps, and saw that he kept searching in the wound, and asked in doubt: "what are you looking for?"
"This artery is completely broken!" Lin Hao did not lift his head and said: "we only found one end, and the other has not been found. Only when both ends are found can we talk about repairing it!"
Ren Junqi suddenly, but also help to find in the field of surgery.
It's just that she's just focused, and she hasn't sorted out the veins of the muscle vessels. Lin Hao has reached out and said, "quick, give me the hemostatic forceps!"
Seeing his nervous look, Ren Junqi knew that he must have found something. He didn't dare to neglect him. He quickly released a hand and handed him a hemostatic forceps.
After Lin Hao took it, he immediately reached into the wound, clipped it in the muscular layer, and then pulled out a broken blood vessel.
Ren Junqi saw a burst of ecstasy, but also very ashamed, he has not sorted out a clue, he has found the blood vessel!
Just, how is he going to fix it?
Vascular repair is a very precise operation. It must be done in the operating room, under the strong light, with a microscope, and with a very thin special silk thread. Before that, we have to make several tedious and meticulous preparations for the blood vessels, but now there is nothing. How to repair it?When she was puzzled, Lin Hao finally opened his mouth again: "cut me a new infusion tube!"
Ren Junqi could not feel the way: "infusion tube?"
Lin Hao said, "yes!"
"How long does it take?" Peng asked
Lin Hao said, "it doesn't take long. Three centimeters is enough."
Peng Xiaojie opened a package of unopened infusion tubes and cut a section from the middle and handed it over.
Lin Hao carefully inserted the infusion tube into the disconnected artery, and then tied the connection with silk thread
Seeing this, Ren Junqi finally realized that he wanted to use the infusion tube as a bridge to connect the two ends of the broken artery.
It's so simple!
How clever!
That's amazing!
While admiring Lin Hao's wisdom, Ren Junqi also resents his own dullness. This method has no technical content at all, but it can solve problems in a timely and effective way. How can I not think of it?
At the same time, Lin Hao has already put the infusion tube into the artery that broke with the other end and tied it with silk thread. Check both ends, make sure that they are tight, there will be no leakage, he said to Ren Junqi: "loosen the hemostatic forceps!"
Ren Junqi was not very relieved. He was afraid that once the hemostatic forceps were released, the blood would gush out again. Liao Daxin could not afford to lose blood, even for a second or two. Close to carefully check again, but also confirmed that there is no problem, this finally released the hemostatic forceps!
As soon as the hemostatic forceps were released, the bright red blood immediately flowed through the infusion tube and was continuously transported down. Ren Junqi could not help it any longer. He exclaimed excitedly, "it is, it is, and the blood supply is restored!"
Lin Hao reaches out and touches Liao Daxin's lower leg. He finds that the artery has already had a slight pulsation. He also breathes a sigh of relief. Finally, the leg is saved!
After restoring the blood supply to the leg, Lin Hao did not sew the leg seriously. He just used two threads to tie the wound together at will. This is only a way to relieve the urgent need. The infusion tube can only temporarily replace the blood vessel. After arriving at the hospital, he still needs to do vascular anastomosis!
When he bandaged the wound, the door frame that pressed the patient's other leg was finally opened, and the whole person was finally lifted out.
But when Ren Junqi saw his leg again, she couldn't help wrinkling again.
Although there were several wounds on the leg, they were not as serious as the other leg, and there was no major artery injury. However, the lower leg was pressed out of the three or four grooves, the whole leg has become deformed, obviously inside the tibia and fibula fractures, and is a complex comminuted fracture.
In this case, it is necessary to open an operation to do internal fixation.
However, it doesn't matter. Since the person was rescued, he was immediately sent to the hospital, and then transferred to the orthopedic surgery department. Naturally, a doctor would operate on him.
But when Ren Junqi was ready to let the firemen carry the patient out, Lin Hao said again, "Ren Junqi, you have to deal with his wounds, I'll make his fracture!"
"Eh?" Ren Junqi heard a face muddled, "you come to make his fracture?"
Lin Hao nodded and said, "yes!"
"What do you do?" Ren Junqi had no good breath way: "he is so serious and so complex comminuted fracture, absolutely want to do internal fixation operation!"
To do fracture internal fixation, first of all, X-ray, to understand the fracture in the leg, in order to accurately reset. In addition, metal screws, steel plates, intramedullary nails, steel wires, bone plates and other special metal fixators must be used!
However, there are no inspection instruments and no surgical tools. What does he take for internal fixation of fractures?
Ren Junqi was full of questions, but before she finished, Lin Hao had already started to work.
He first pricked the patient's knee five centimeters up, and then stretched out his hand to pull the leg which was deformed enough to fold up. Obviously, he wanted to straighten it!
Ren Junqi was shocked to see this. The patient's injury was so serious that he could not stand such a rough and hard talk. He had to die in pain!
It's just that Lin Hao's action is too fast. Before she calls out "stop", the patient's calf has been completely straightened by him!
However, it is strange that the patient did not respond at all and the vital signs did not change at all!
Ren Junqi was made inexplicable, eyes inadvertently fell on the lower edge of the thigh when the silver needles, this is the effect of acupuncture anesthesia!
After straightening the patient's lower leg, Lin Hao stroked his hands from top to bottom, and then again. Finally, he said with a strange smile: "you are lucky. Not only do you have no big open wounds, but also there are not too many free bone fragments!"
Ren Junqi is speechless again, so touch two times, you know that there are not too many free bone fragments, what do you think you are? X-ray?
Just when she was wondering, Lin Hao had already gone to look for some slender and strong bamboo sticks in the collapsed debris pile on the edge!When he came back, he saw that Ren Junqi was still looking at himself stupidly and stupidly. He said, "what are you doing here? Sleepwalking? Don't hurry to get your own! "
Ren Junqi murmured gloomily and began to get busy!
When she began to deal with the small wounds, Lin Hao called two family members over and asked them to hold the patient's ankle, the other to hold his knee, and Lin Hao squatted in the middle!
What is this for?
Ren Junqi is very good and Qi Qi. He can't help but go up and down. When he looks carefully, he finds that Lin Hao's hands are rubbing up and down around the patient's leg fracture, as if he were rubbing a ball of noodles!
After a while, he suddenly said to his family, "pull
The two family members immediately pulled the patient's leg straight again!
See here, Ren Junqi finally understand, Lin Hao is to do fracture external fixation for patients, and seems to want to use manual reduction!
For this, she was a little sniffy, because she felt that it was useless at all!
Fracture external fixation is far less direct and effective than internal fixation. External fixation is performed under blind vision. It is not known whether the fracture inside can be connected. Even if it is connected, the alignment and alignment are difficult to be neat. In addition, such fixation method is also easy to occur fracture end displacement, rotation and so on.
However, no matter whether Lin Hao can restore the fracture or not, it is also beneficial to fix it. At least, it will not cause secondary injury on the way to the hospital.
When Lin Hao saw that the leg had been stretched straight, he stretched out his hands, one holding the belly of his leg and the other on his feet. He pressed hard in the middle, listening to a dull sound coming from the fracture. Then he changed to another fracture. Just like before, he pressed hard up and down, and then he heard a dull "click"
After several successive times, he stopped pressing, but pushed, pulled, rubbed and stroked up and down again and again for a while. Then he picked up the bamboo strips that had been wrapped in gauze, placed one on the left and right sides of the lower leg, and wrapped them with gauze.
When external fixation of fracture is done well, Ren Junqi also treats those small wounds well!
Lin Hao checked the patient's vital signs and found that he had recovered and was in a relatively stable state. He could not help but breathe a sigh of relief. He said to Liao Xichuan, the patient's son, "well, your father's life has been saved. Not only that, but also his legs will be OK."
Liao Xichuan listened to the color of ecstasy floating on his face, and quickly stretched out his hands and said, "doctor, thank you, thank you! I, my family, will not forget your great kindness
Lin Hao didn't shake hands with him. He just waved his hand and said, "now hurry him to the hospital. He needs to do some treatment before he is completely OK."
Liao Xichuan nodded repeatedly, then with the firemen, he carried his father on a stretcher #####
However, this is not the case, and his situation is still not optimistic.
First of all, although the damaged artery on his leg was found and stopped the blood, it did not mean that it could be repaired. If you can't repair it, you can't restore blood supply to the calf. If the calf does not get blood supply for a long time, it will cause ischemic necrosis and eventually amputation. So even if he really saved his life, he may not be able to keep his leg!
Second, his other leg was still under the rubble, and it was not clear how the injury was. But from the door frame pressure leg trace, no doubt the injury is not light, at least tibia and fibula fracture is unable to run away. There will be other fatal injuries, no one can say!
Because of this kind of reason, Lin Hao's eyebrows are always tight, and his look is very suspicious. The operation is not over here. On the contrary, it's just the beginning!
Ren Junqi was relieved, but after seeing Lin Hao's look, she realized the seriousness of the problem for a moment. At the same time, she also remembered what Lin Hao had just said. He claimed not only to find the damaged vein, but also to repair and anastomose it!
Under such conditions, Ren Junqi asked herself that she did not have the ability, and she was sure that not only she, but also other surgical experts and professors could not make a meal without rice!
So, what is Lin Hao's way to repair and anastomose this artery in such a completely impossible situation?
If you change someone else, Ren Junqi doesn't expect it, because it's impossible! Just for Lin Hao, she is full of expectations!
First aid for delayed pneumothorax with straw, fantastic suture method, fantastic acupuncture anesthesia, and blind vision to find the bleeding artery Wait, wait, just a day, Lin Hao has let her witness several impossible miracles!
Now, she hopes to have another miracle, even if the miracle is as slim as the double color ball!
It's a long story. In fact, time has passed by in a moment!
After stopping the blood, Lin Hao did not rush to the next step, but asked, "how much blood pressure?"
Ren Junqi checked and said, "80 / 50!"
Lin Hao said, "hold his blood pressure for me. You can't let it drop again!"
Ren Junqi didn't like his attitude. He murmured in his heart: you are my student. Why do you drink to me? Do you have any respect for teachers? Even if not, at least you know how to respect the old and love the young?
In fact, she was not only depressed, but also the family members who were holding canvas to protect them from the wind and rain so that they could have a safe operation. Who is the real person here?
After waiting for a long time, Lin Hao did not see Ren Junqi carry out his doctor's advice. He couldn't help but ask, "can't you hear me?"
Ren Junqi's heart is absolutely a thousand ten thousand people are not willing to, but contact with Lin Hao's fierce and frightening eyes, his heart is cold like falling ice cave, and he quickly orders Peng Xiaojie: "epinephrine 3mg, once every five minutes! Monitor your blood pressure at any time! Pay attention to vital signs. "
Peng Xiaojie promised, quickly take the medicine, and give Liao Daxin injection.
Lin Hao looked at the wound and took a deep breath: "now, it can be said that we have saved his life! Then, let's keep his leg! "
Ren Junqi had no confidence at all, but Lin Hao, who was mysterious and powerful, was not afraid of anything. She nodded and said, "OK!"
Seeing her promise so simply, Lin Hao asked, "do you know what to do?"
Ren Junqi was asked to be embarrassed and murmured in a voice I don't know! "
Lin Hao, who was neither laughing nor crying, said, "I don't know you dare say that loud?"
Ren Junqi:
"Concentrate and cooperate with me!" Lin Hao handed her the hemostatic forceps, which were always holding one end of the ruptured artery, and told her, "hold on
Ren Junqi quickly took over the hemostatic forceps, and saw that he kept searching in the wound, and asked in doubt: "what are you looking for?"
"This artery is completely broken!" Lin Hao did not lift his head and said: "we only found one end, and the other has not been found. Only when both ends are found can we talk about repairing it!"
Ren Junqi suddenly, but also help to find in the field of surgery.
It's just that she's just focused, and she hasn't sorted out the veins of the muscle vessels. Lin Hao has reached out and said, "quick, give me the hemostatic forceps!"
Seeing his nervous look, Ren Junqi knew that he must have found something. He didn't dare to neglect him. He quickly released a hand and handed him a hemostatic forceps.
After Lin Hao took it, he immediately reached into the wound, clipped it in the muscular layer, and then pulled out a broken blood vessel.
Ren Junqi saw a burst of ecstasy, but also very ashamed, he has not sorted out a clue, he has found the blood vessel!
Just, how is he going to fix it?
Vascular repair is a very precise operation. It must be done in the operating room, under the strong light, with a microscope, and with a very thin special silk thread. Before that, we have to make several tedious and meticulous preparations for the blood vessels, but now there is nothing. How to repair it?When she was puzzled, Lin Hao finally opened his mouth again: "cut me a new infusion tube!"
Ren Junqi could not feel the way: "infusion tube?"
Lin Hao said, "yes!"
"How long does it take?" Peng asked
Lin Hao said, "it doesn't take long. Three centimeters is enough."
Peng Xiaojie opened a package of unopened infusion tubes and cut a section from the middle and handed it over.
Lin Hao carefully inserted the infusion tube into the disconnected artery, and then tied the connection with silk thread
Seeing this, Ren Junqi finally realized that he wanted to use the infusion tube as a bridge to connect the two ends of the broken artery.
It's so simple!
How clever!
That's amazing!
While admiring Lin Hao's wisdom, Ren Junqi also resents his own dullness. This method has no technical content at all, but it can solve problems in a timely and effective way. How can I not think of it?
At the same time, Lin Hao has already put the infusion tube into the artery that broke with the other end and tied it with silk thread. Check both ends, make sure that they are tight, there will be no leakage, he said to Ren Junqi: "loosen the hemostatic forceps!"
Ren Junqi was not very relieved. He was afraid that once the hemostatic forceps were released, the blood would gush out again. Liao Daxin could not afford to lose blood, even for a second or two. Close to carefully check again, but also confirmed that there is no problem, this finally released the hemostatic forceps!
As soon as the hemostatic forceps were released, the bright red blood immediately flowed through the infusion tube and was continuously transported down. Ren Junqi could not help it any longer. He exclaimed excitedly, "it is, it is, and the blood supply is restored!"
Lin Hao reaches out and touches Liao Daxin's lower leg. He finds that the artery has already had a slight pulsation. He also breathes a sigh of relief. Finally, the leg is saved!
After restoring the blood supply to the leg, Lin Hao did not sew the leg seriously. He just used two threads to tie the wound together at will. This is only a way to relieve the urgent need. The infusion tube can only temporarily replace the blood vessel. After arriving at the hospital, he still needs to do vascular anastomosis!
When he bandaged the wound, the door frame that pressed the patient's other leg was finally opened, and the whole person was finally lifted out.
But when Ren Junqi saw his leg again, she couldn't help wrinkling again.
Although there were several wounds on the leg, they were not as serious as the other leg, and there was no major artery injury. However, the lower leg was pressed out of the three or four grooves, the whole leg has become deformed, obviously inside the tibia and fibula fractures, and is a complex comminuted fracture.
In this case, it is necessary to open an operation to do internal fixation.
However, it doesn't matter. Since the person was rescued, he was immediately sent to the hospital, and then transferred to the orthopedic surgery department. Naturally, a doctor would operate on him.
But when Ren Junqi was ready to let the firemen carry the patient out, Lin Hao said again, "Ren Junqi, you have to deal with his wounds, I'll make his fracture!"
"Eh?" Ren Junqi heard a face muddled, "you come to make his fracture?"
Lin Hao nodded and said, "yes!"
"What do you do?" Ren Junqi had no good breath way: "he is so serious and so complex comminuted fracture, absolutely want to do internal fixation operation!"
To do fracture internal fixation, first of all, X-ray, to understand the fracture in the leg, in order to accurately reset. In addition, metal screws, steel plates, intramedullary nails, steel wires, bone plates and other special metal fixators must be used!
However, there are no inspection instruments and no surgical tools. What does he take for internal fixation of fractures?
Ren Junqi was full of questions, but before she finished, Lin Hao had already started to work.
He first pricked the patient's knee five centimeters up, and then stretched out his hand to pull the leg which was deformed enough to fold up. Obviously, he wanted to straighten it!
Ren Junqi was shocked to see this. The patient's injury was so serious that he could not stand such a rough and hard talk. He had to die in pain!
It's just that Lin Hao's action is too fast. Before she calls out "stop", the patient's calf has been completely straightened by him!
However, it is strange that the patient did not respond at all and the vital signs did not change at all!
Ren Junqi was made inexplicable, eyes inadvertently fell on the lower edge of the thigh when the silver needles, this is the effect of acupuncture anesthesia!
After straightening the patient's lower leg, Lin Hao stroked his hands from top to bottom, and then again. Finally, he said with a strange smile: "you are lucky. Not only do you have no big open wounds, but also there are not too many free bone fragments!"
Ren Junqi is speechless again, so touch two times, you know that there are not too many free bone fragments, what do you think you are? X-ray?
Just when she was wondering, Lin Hao had already gone to look for some slender and strong bamboo sticks in the collapsed debris pile on the edge!When he came back, he saw that Ren Junqi was still looking at himself stupidly and stupidly. He said, "what are you doing here? Sleepwalking? Don't hurry to get your own! "
Ren Junqi murmured gloomily and began to get busy!
When she began to deal with the small wounds, Lin Hao called two family members over and asked them to hold the patient's ankle, the other to hold his knee, and Lin Hao squatted in the middle!
What is this for?
Ren Junqi is very good and Qi Qi. He can't help but go up and down. When he looks carefully, he finds that Lin Hao's hands are rubbing up and down around the patient's leg fracture, as if he were rubbing a ball of noodles!
After a while, he suddenly said to his family, "pull
The two family members immediately pulled the patient's leg straight again!
See here, Ren Junqi finally understand, Lin Hao is to do fracture external fixation for patients, and seems to want to use manual reduction!
For this, she was a little sniffy, because she felt that it was useless at all!
Fracture external fixation is far less direct and effective than internal fixation. External fixation is performed under blind vision. It is not known whether the fracture inside can be connected. Even if it is connected, the alignment and alignment are difficult to be neat. In addition, such fixation method is also easy to occur fracture end displacement, rotation and so on.
However, no matter whether Lin Hao can restore the fracture or not, it is also beneficial to fix it. At least, it will not cause secondary injury on the way to the hospital.
When Lin Hao saw that the leg had been stretched straight, he stretched out his hands, one holding the belly of his leg and the other on his feet. He pressed hard in the middle, listening to a dull sound coming from the fracture. Then he changed to another fracture. Just like before, he pressed hard up and down, and then he heard a dull "click"
After several successive times, he stopped pressing, but pushed, pulled, rubbed and stroked up and down again and again for a while. Then he picked up the bamboo strips that had been wrapped in gauze, placed one on the left and right sides of the lower leg, and wrapped them with gauze.
When external fixation of fracture is done well, Ren Junqi also treats those small wounds well!
Lin Hao checked the patient's vital signs and found that he had recovered and was in a relatively stable state. He could not help but breathe a sigh of relief. He said to Liao Xichuan, the patient's son, "well, your father's life has been saved. Not only that, but also his legs will be OK."
Liao Xichuan listened to the color of ecstasy floating on his face, and quickly stretched out his hands and said, "doctor, thank you, thank you! I, my family, will not forget your great kindness
Lin Hao didn't shake hands with him. He just waved his hand and said, "now hurry him to the hospital. He needs to do some treatment before he is completely OK."
Liao Xichuan nodded repeatedly, then with the firemen, he carried his father on a stretcher #####
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