The Brilliant Village Doctor

After Liao Daxin was admitted to the orthopedics and traumatology department, in view of the serious injury, Ding Yongzhong, the director, did not dare to neglect him and immediately asked Yuan Fang to carry out the examination.

Emergency X-ray, emergency B-ultrasound, emergency blood routine, emergency urine routine, liver function diagnosis

After a series of examinations, the first result was X-ray, but when Ding Yongzhong and Yuan Fang saw the X-ray photos of the patient, they were almost dumbfounded at the same time!

Ren Junqi's diagnosis is correct. The patient is indeed a tibia and fibula fracture, and it is a very serious comminuted fracture. Swelling and ecchymosis can be seen in the appearance of the limbs. X-ray photos can also see obvious fracture lines and bone fragments. What makes them feel incredible is that there is no rotation dislocation of the fracture, and the bone fragments are not free, and they still maintain the original physiological anatomy completely Location, it looks like it's intact Jigsaw puzzle!

Yes, the two characters can best describe their impression at the moment!

Such a serious comminuted fracture, can still maintain such a good state, under normal circumstances, it is simply impossible!

Director Ding Yongzhong looked at it for a while and asked Yuan Fang, "Yuan Fang, what do you think?"

Yuan Fang subconsciously responded: "I can only say that the patient's luck is really too good!"

Ding Yongzhong frowned and asked, "luck?"

Yuan Fang said: "the fracture is so serious that it can still maintain the anatomic position. What is not good luck?"

"You Ding Yongzhong shook his head and sighed, and said to him, "what a fool!"

Yuan Fang was criticized for no reason and said wrongly: "Uncle..."

Ding Yongzhong interrupted him angrily: "didn't I say that? Call me the director at the hospital

Yuan Fang had to change his words: "director!"

Ding Yongzhong said angrily: "this fracture has been repositioned by means of manipulation, but you can't see it, and you say you're lucky. What do you mean you're not ignorant?"

"Manual reduction?" Yuan Fang said in astonishment: "this How could it be? "

Ding Yongzhong pointed to the X-ray photo and said: "look at the soft tissue of the fracture connection, there are scars interspersed by the fracture. What does that prove? It is proved that the fracture is very serious, not only dislocation, rotation, but also incarceration! "

Yuan Fang hurriedly went up to examine it carefully, and then had to agree with Ding Yongzhong's view. However, he was more puzzled and asked, "if the fracture is really so serious, who restored it? And it can be reset so beautiful, alignment line neat, even bone fragments are inlaid back to the original position. Ren Junqi should have no such ability? "

Ding Yongzhong shook his head and said, "don't say it's the emergency department. Even our orthopedics department can't find it!"

Yuan Fang asked suspiciously, "Uncle Lian No, director, can't you either? "

Ding Yongzhong sighed: "if it's open surgery for internal fixation, I'm sure I can. But the external fixation is invisible and intangible. I ask myself that I don't have this ability! "

Yuan Fang wondered, "what the hell is that? Who did this external fixation? "

Ding Yongzhong pondered and asked, "is there any new expert professor in the emergency department?"

Yuan Fang was Ren Junqi's admirer. Although he did not have the courage to pursue it, he kept an eye on the trend of the emergency department, so he knew the personnel changes of the emergency department like the palm of his hand. So he shook his head and said, "I haven't heard of it!"

Ding Yongzhong asked again, "there are no new doctors?"

Yuan Fang shook his head again, "no, but It's like two new doctors in advanced education! "

Are these two doctors doing it? Ding Yongzhong thought about it and asked, "where are the family members of the patients?"

Yuan Fang said, "outside!"

Ding Yongzhong said, "call him in!"

Yuan Fang hurriedly called in Liao Daxin's son, Liao Xichuan. After asking about the situation in detail, they couldn't help but look silly again!

From the situation described by Liao Xichuan, it can be confirmed that this is indeed a complex and serious comminuted fracture, because at that time, the limb not only had swelling, ecchymosis, but also deformity and obvious bone fricative sound! At the same time, it is also confirmed that this fracture has been reduced by manipulation! What they never expected was that the person who restored the fracture was only a doctor under 20 years old!

After they looked at each other for a while, Yuan Fang opened his mouth and asked, "Mr. Liao, are you sure that's just a student?"

Liao Xichuan nodded his head and said, "yes, the emergency nurse told me personally. At that time, because of this, they still quarreled for a long time, and I also struggled for a long time to shout!"

Ding Yongzhong asked again, "do you know his name?"

"It's called Lin Hao!" Remembering Lin Hao's saving his father's life, Liao Xichuan naturally remembered his name and asked, "doctor, is there any problem?"

Ding Yongzhong shook his head and said, "no, we just know about the situation! Well, you go out first. After the results of various tests come out, if there is no problem, we will operate on your father! "

Liao Xichuan nodded and went out!

"Uncle Fang asked Director, since this comminuted fracture has been handled so perfectly, what operation should we do? "Ding Yongzhong glared at him and said, "this fracture does not need to be operated on again, but what about the broken femoral artery?"

Yuan Fang suddenly said, "Oh, yes, there is still this stubble! In a moment, we will amputate the patient. I will communicate with the family first! "

Ding Yongzhong said, "come back!"

Yuan Fang stopped and looked at him suspiciously.

Ding Yongzhong drank and asked, "when did I say I'm going to amputate?"

Yuan Fang scratched his head and said, "no amputation?"

Although Ding Yongzhong was angry, he was not in a hurry. He just asked, "why do you want to amputate your limb first?"

Yuan Fang took it for granted: "the femoral artery is completely broken, and the patient will soon die of blood loss. Now the patient is still alive. It must be Ren Junqi's good luck that he found the broken place and ligated the blood. But as time goes by, the lower limbs must have been necrotic. What can we do without amputation? "

Ding Yongzhong did not judge right or wrong first, but waved his hand and said, "go to see the patient's leg first, and then come back and tell me!"

Yuan Fang went out of the office to check on the patient.

After a while, he returned to the director's office again, but his face was full of amazement and strange color.

Ding Yongzhong asked, "how about it?"

Yuan Fang said, "he There is no necrosis in that leg

Then Ding Yongzhong asked, "why amputation?"

Yuan Fang was embarrassed and said, "I thought..."

Ding Yongzhong asked: "when the patient was just handed over, you didn't ask Ren Junqi what he had done to the patient?"

Yuan Fang shook his head and said, "no!"

Ding Yongzhong said, "didn't you go with her and talk for a while? Why didn't you ask? "

Yuan Fang scratched his head awkwardly: "I just asked her if she was tired or hungry. Would you like to buy her a snack?"

Ding Yongzhong:

Yuan Fang picked up the phone on the desk and said, "I'll ask now!"

"Don't ask!" Ding Yongzhong shook his head and said, "since the patient is here, we will know if we have a check."

Yuan Fang had to put down the phone and followed Ding Yongzhong to the ward.

When Ding Yongzhong opened the wound carefully, and then cut a suture inside with a tissue scissors, he finally saw the scene inside the wound, and then he and Yuan Fang were completely shocked!

They see a lot of broken arteries. They have done a lot of vascular anastomosis. But it was the first time that they could connect arteries and blood vessels so fresh and refined!

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there is a folk saying: Ten wasps sting a cow!

From this, we can see how toxic wasps are, but in front of this wasp stinging patient, there is obviously more than one sting, roughly more than 20!

The local area that is stung not only has redness and swelling, ache, Sao Yang, had blister. At the same time, it also caused systemic poisoning symptoms, fever, vomiting, abdominal pain, and muscle spasm! Especially terrible is, the patient is obviously allergic to wasp toxin, cold sweat dripping, pale face, lips cyanosis, larynx has occurred edema, throat pain, hoarseness, dyspnea and other symptoms!

These allergies and shock symptoms are still aggravating. If they are not handled in time, he may die. Ren Junqi has some experience in dealing with bee stings. Although it is the first time that she is so serious, she still needs to give first aid on the spot!

"Lie down, concave, head side, oxygen! Open double venous access! " Ren Junqi quickly under the doctor's order: "adrenaline 0.5 subcutaneous injection, methylprednisone 40mg intravenous injection, 10% calcium gluconate 20ml plus 5% glucose 20ml, aminophylline 0.25g intravenous drip, dopamine 40mg plus normal saline 50ml injection, low molecular dextran, Ringer's solution intravenous drip!"

As a string of her medical orders fell, Peng Xiaojie was immediately busy in a group. Lin Hao saw that she was sweating a lot, so he also guest served as a nurse to help.

After the drugs were orderly injected into the patient's body, other symptoms were alleviated, but dyspnea was still very serious.

Lin Hao noticed that there was a wasp sting on the patient's laryngeal node, which showed obvious swelling. There are throat edema caused by bee venom allergy inside and bee venom stinging on the outside. The trachea is naturally unable to ventilate under the pressure of internal and external troubles. In this case, tracheotomy must be carried out immediately, otherwise the patient will soon die of asphyxia and hypoxia!

"Ren Junqi, the medicine you use can't relieve his throat edema, so tracheotomy must be done immediately!" Lin Hao reminded her.

"Eh?" Ren Junqi was in a hurry and said, "I, I haven't done tracheotomy!"

Lin Hao was made quite speechless and said: "you can't even do such a simple operation? Do you want me to call your teacher

Ren Junqi's face was flushed and his heart was not wronged. Although there were many emergency cases, there were not many patients who needed tracheotomy. In the case of home visits, none of them had ever met!Lin Hao saw her look very ashamed, and no longer scolded her, just said: "take the cut bag, I'll teach you!"

Hearing this, Ren Junqi was stunned. Peng Xiaojie on one side was also confused. The primary and secondary parts were completely reversed. The students became teachers!

Lin Hao drank and asked, "what are you doing? Take the cut bag

Ren Junqi subconsciously used to open the bag, but after opening it, he hesitated: "I, I can't..."

Lin Hao didn't get angry: "Ren Junqi, don't let me look down on you. If you haven't done it, you can't do it?"

Ren Junqi was stimulated to reach out and picked up the scalpel #####