I Spent Those Years In the Operating Room Fighting Monsters

　　 Although the shape of blood vessels is fixed to a certain extent, it is not so easy to do blood vessel exploration on a living body.

　　 Blood vessels are generally formed between muscles, bones, and the surface of the periosteum. They are deep anatomical parts, and they are not a simple matter of exposing a fixed field of vision through surgery.

　　 Surgery is very important for the exposure of the surgical field of view and the control of the anatomical structure.

　　 Routine surgery is a fixed approach, just a few positions, a few layers of the same structure, every day, every day, you can reach the realm of lifting the weight with ease.

　　 For operations in unfamiliar areas, you still need to be cautious during the operation.

　　 Lu Cheng wanted to do blood vessel exploration, and he said so easily, which is really strange. But this is really the best way for Lu Cheng to prove that the blood vessel he saw was split.

　　 Moreover, for traumatized patients, it is one of the principles to do blood vessel and nerve exploration, so it can also be explained clearly.

　　Zou Qian thought for a while, then nodded and said, "Well, let's go, you slow down, don't be reckless!"

　　 Lu Cheng also said that he was using a blunt dissected blood vessel to explore, not with a scalpel, otherwise, with the courage of Zou Qian, he would not dare to let Lu Cheng try.

　　 If Lu Cheng cuts off the blood vessels and nerves, who will he turn to to make sense? In this case, he is in charge, and the responsibility is still on his shoulders.

　　 Blunt separation, unless it is Lu Cheng's extremely violent tear, otherwise our blood vessels and nerves are not that fragile.

　　 It’s just that when Zou Qian is doing debridement and exploration on it, one person needs to wash, and one person needs to assist his vision and use a suction device to **** the blood in the vision. There was no one to help Lu Cheng with liquid and necrotic tissue.

　　 The three of them had done debridement and suture before, so they cooperated fairly well.

　　 Cao Xiao and his left hand are holding tweezers to match Zou Qian's sharp knife, and his right hand is constantly attracting Zou Qian's scalpel diagonally below, not blocking his operating space, but also ensuring the cleanliness of the surgical field.

　　 This trauma is very serious, so Fang Nixin is also earnestly holding the tweezers to cooperate with Zou Qian in the detection of tissue necrosis.

　　Although it is difficult to distinguish the necrotic tissue when there is an exsanguination zone, the exsanguination zone is only an exsanguination zone after all, and it is impossible to completely occlude the artery.

　　 When there is still a certain amount of blood flow inside the artery, there will still be blood stains at the end that will ooze out, and the oozing blood will be more than when Lu Cheng just stopped bleeding.

The effect of 　　 expelling blood is weaker than manual pressing, and the effect of manual hemostasis is slightly weaker than that of tourniquet.

It's just that at this time, none of the three of them paid too much attention to the work of Lu Cheng below. Lu Cheng just moved around between the muscles with a vascular clamp, and then when he saw something, he held the blood vessels in his hands. The forceps clamped into the tissue.

　　 Only three or four minutes passed, Lu Cheng had already clamped five of them, and it seemed that this was the last one.

　　Zou Qian frowned and said: "Xiao Lu, the vascular clamp can't clamp muscles and nerves, otherwise the muscle tissue will liquefy, you know?"

　　 The reason why Zou Qian promised Lu Cheng to do his own job was because Lu Chenggang came to the emergency department and Li Dongshan had high hopes for him. The second is that Lu Cheng's pressure to stop bleeding just now is really amazing, and he wants Lu Cheng to play anatomy knowledge by himself.

　　 After all, Lu Cheng is so old, how much clinical experience can he have?

　　 I’m afraid I just want to accumulate a little more knowledge of anatomy. The exploratory anatomy of a living person is quite different from the anatomical structure of the general teacher in anatomy.

　　 Both learning experiences are extremely important and precious.

　　 Lu Chengchi looked up and said, "I know, Mr. Zou."

　　 "I am clamping the upper and lower edges of the blood vessel that was scratched, but my imagination is not as serious as the reality. This patient has an opening in the radial ulnar artery. There is one ulnar artery and two radial arteries."

　　 "It is still uncertain whether the arterial branch is broken, but even if it is broken, I can't bother it."

　　 "Mr. Zou, these openings are simple vertical slits. Should we sew them ourselves or call for vascular surgery to sew them?"

　　 After Lu Cheng finished speaking, Zou Qian immediately looked over his head stiffly. Through the crevices between the muscles squeezed out by the vascular forceps, he could see the blood vessel breaches penetrating the brain between the gaps.

　　 Because both ends of the breach were clamped, the blood vessels in the breach were deflated, but Lu Cheng only turned it over and showed the breach in front of the slightly petrified people.

　　 This is a bit unbelievable.

　　 The radial ulnar artery of the forearm, someone can use a vascular clamp to make it out of shape and find the breach?

It seems that in the cognition of Zou Qian's trio, no professor has ever done such a **** thing. Of course, it may also be because the professors never need to go to the emergency department. One paragraph.

　　 So they are ignorant.

　　 It’s just that, combined with the complex situation of the radial ulnar artery, we can see the current reality again.

　　 Is this doing vascular exploration or teaching in vivo vascular anatomy?

　　 Why did I just think about debridement for the patient? I missed such a good opportunity.

　　Zou Qian was stunned for two or three seconds, and then hurriedly said: "Call the general hospital of the vascular surgery department, saying that a blood vessel breach was found on the stage~www.wuxiaspot.com~ needs to be sutured."

　　 Orthopedics does not deal with the breach of large blood vessels. Even microsurgery only deals with the anastomosis of small blood vessels. This is a matter of principle.

　　Emergency surgery is not qualified to perform suture operations in vascular surgery before applying for the operation permission of the vascular department, and has to call the general hospitalization of vascular surgery to save the field.

It’s just that Zou Qian was a little depressed. According to his ideas and the design of the operation, he didn’t regard Lu Cheng and Cao Xiaohe or even Fang Nixin as a person who could normally help him with the operation of the main knife. people.

　　 He intends to explore the blood vessels after the debridement is completed under the hemostasis effect of the bleeding band. After all, in normal times, there is no emergency surgery so luxurious that there can be two surgeons who can perform an operation at the same time. Even the Second Xiangya Hospital would not be so extravagant.

　　 Zou Qian can perform vascular exploration. After all, Zou Qian has been attending for several years, but there is no one from the emergency department to pick up his general inpatient class, so he has to continue the hospital stay.

　　 But even so, it is necessary to separate the blood vessels bluntly so quickly, and to be able to separate to the level of Lu Cheng now.

　　 Zou Qian has self-knowledge, this is impossible.

　　 The shape of blood vessels is probably based on the anatomical structure, but normal doctors do not have so much experience in biopsy, and the experience of autopsy is not completely applicable to normal operations.

　　 This is how I am now. I was caught off guard to call the general hospitalization of the vascular surgery.

　　 Biopsy can achieve the level of Lu Cheng, how many people did you cut in the hospital below?

　　Zou Qian has reason to doubt whether Lu Cheng is just playing in the womb, not doing anything else, just playing...