Path of Medicine With a System

The first successful operation for replantation of the upper end of the severed wrist joint was performed by Hua people under the extremely poor environment and conditions, awesome! One of the chief surgeons was related to Mr. Qiu. Just thinking back then makes people excited. The United States led its younger brother to blockade China in all aspects, and the Soviets were so small-minded.

Even in that kind of harsh environment, without even having an advanced microscope, the medical experts of the year still made a world number one. Then, there is no more. When money is the boss, this subject shrinks rapidly in Huaguo. This is also a typical subject that is shrinking sharply when all subjects are catching up with the pace of the world.

In the operating room, after Xiao Congcong was pushed in, the doctors nervously started preoperative preparations to correct the shock. Xiao Congcong, who was already sluggish, became even more sluggish at this time.

I don't even have the strength to cry, with a pale face, looking at a group of weird people in green clothes, blue hats, and blue masks, the nervous and frightened little doll curls up like a wolf who lost its mother . Try to shrink yourself together, as if you can feel safe in this way.

Rehydration, symptomatic treatment, and Xiao Congcong fell asleep under the hypnosis of sedatives. While the severed little hand was preparing Xiao Congcong for anesthesia, Zhang Fan and Li Liang had already done the preliminary treatment.

"Prepare Kirschner wires and intramedullary nails, steel plates cannot be used for this operation!" Zhang Fan said to the surgical nurse while handling the severed little hand.

"Director Zhang, why don't you use steel plates?" Li Liang didn't understand. Since Lao Chen explained, Li Liang no longer called Brother Zhang Fan in his work unit.

"If the plate is used for fixation, the periosteum will be severely damaged, especially for young children. Try not to damage the periosteum without damaging the periosteum." Zhang Fan explained. There are many advantages of the steel plate, but its biggest disadvantage is the damage to the periosteum.

The periosteum on the surface of the bone contains a large number of blood vessels and running nerves, which cannot be regenerated once damaged, especially this nerve, once it is damaged, it is too difficult to repair.

Steel plates are the product of large-scale industrialization. When using them, it is necessary to ensure that the steel plates and bones are attached. If they are not attached, either the steel plates are broken, or the fracture ends are not fixed firmly.

To stick to it, you must first use a bone knife to destroy this layer of periosteum. The Kirschner wire is much simpler, like a steel braze for knitting a sweater, two intersecting straight lines fix a plane, which is the principle. But why is surgery less used now? It’s simple because it’s cheap!

After brushing and disinfecting his severed little hand, Zhang Fan said to Li Liang, "Li Liang, inject the heparin saline solution." Zhang Fan grabbed his little hand and made the severed end face Li Liang. The trotters, especially the color of the skin, are exactly the same as the trotters after being washed.

The cross-section blood vessels flushed with heparin are to prevent residual blood from coagulating in the blood vessels. The key to the success of replantation of severed limbs is whether the blood vessels are connected by high-quality sutures. .

While rinsing, Zhang Fan knotted the blood vessels and nerves with black silk thread, which was to mark again. This kind of surgery can't waste a little time.

After dealing with the severed little hand, the anesthesia was ready, and Zhang Fan and Li Liang started the operation. The instruments used in hand and foot surgery are similar to those used in vascular surgery and ophthalmology. The instruments used are very fine and not like orthopedics.

The instruments used in orthopedic surgery are very similar to those used by carpenters, hammers, saws, bone files, bone knives, electric drills! Remove a bone character, these tools will definitely make carpenters familiar!

Every family has three friends and four friends, and Xiao Congcong's uncle's family is also in the rural power station. Congcong's uncle is a small cadre of the Rural Power Station, and Congcong's parents are ordinary employees. The uncle is a nice person, but this aunt likes to tell stories.

"Oh! What do you think of children? Children are young and ignorant, are you ignorant? The combined age of the whole family is almost two hundred years old, and you still can't look down on a four-year-old doll." People have not yet arrived. , the strange voice has arrived,

These words are really heartbreaking!

The two old people who were already very guilty were heartbroken when they heard it. They felt sorry for their grandson and were annoyed, but what else could they say at this time, the two old people didn't even have the right to cry, they were directly sinners! Really, it's too uncomfortable.

"Say a few words less, and go home if you say more!" The uncle was also anxious. He growled at his wife.

"Is the money enough? I brought my bank card. I must ask the doctor to use the best medicine and equipment. It's too late now. You should give the doctor some red envelopes before the operation. For such a big thing, Hey!" Walking in front of his younger brother, he whispered a few words, and then asked, "Where is the person in charge of the hospital, I'll go and do some things."

Before he finished speaking, Lao Chen prepared the surgery signature and came over: "Come on, the parents of the child come to the office to sign."

Congcong's father helped Congcong's mother into the doctor's office with difficulty, and the uncle followed, and Aunt Congcong hurriedly followed after seeing it. She was worried that her old man would give money!

Congcong's grandpa and grandma are already like puppets whose threads have been pulled out, staring blankly at the green light at the door of the operating room.

"Here, here. You all know the difficulty and danger of the operation, and the sequelae after the operation. Sign it!" After explaining his illness, Lao Chen pointed to the place where he wanted to sign and said to his family members.

For Cong Cong's family, they are now pigs waiting to be slaughtered. What the doctor says they should do, let alone resist, dare not even have any objections! Now they are afraid that something will happen to the doctor.

"Remember to pay the fee."

"Director, how much is it?" Congcong's parents were already like zombies, they didn't even have any normal thinking, and only Uncle Congcong came forward to speak.

"About 20,000!"

"Okay, I'll pay the fee now." As he spoke, Uncle Congcong was about to pay the fee. Aunt Congcong got a little anxious, and secretly pulled her husband by the back of his lap and didn't let go.

Uncle Congcong didn't say much, and pushed his wife's hand away with his hand, and then went out to pay the fee. At this moment, Auntie's heart feels like a knife is twisting, 20,000 is not a small number for ordinary people. Why!

At this time, the three of them were like zombies, and they walked out of the office stiffly, and suddenly, the aunt seemed to come alive: "You too, children and children can't see it well, what kind of crappy hospital did you find, why don't you go to a public hospital! "

Congcong's parents are like deaf people! As a result, Lao Chen heard these words, "Hey! Big sister. That's not what you said, a bad hospital? Go and inquire, the whole Chasu City, as long as our hospital says it can't be done, other hospitals don't want this kind of replantation surgery. Come to think of it, this is us for replanting amputated limbs in Chasu City!" As he spoke, he gave a thumbs up!

proud! Can he not be proud? A doctor who could not get ahead in a county hospital in the past is now unable to parry the public tertiary hospital. Can he not be proud! Can you not be proud!

In the operating room, Zhang Fan and Li Liang performed the operation nervously and quickly, "Surgeries on children must consider the future development, especially the bone-scale line. Don't touch it if you can." Zhang Fan was doing the operation , while explaining to Li Liang.

Song Bing stood aside and acted as the itinerant nurse. As long as Zhang Fan was undergoing surgery, Li Liang and Song Bing were either assistants or itinerant nurses. They would never let go of this opportunity to observe!

Debridement, the first step in traumatic surgery, is also a very important step. An excellent debridement lays a solid foundation for replantation.

Three to four hours after the muscles lose blood, they are relatively insensitive to general stimulation. Fortunately, the time sent by Congcong is relatively short, and the current situation is not bad.

The preservation of limbs, one is for a sound physique, and the other is for the function of the limbs. The premise of keeping the body shape is to fix the fracture and repair the blood vessels, especially the blood vessels, which must ensure high-quality sutures.

The guarantee of limb function is the repair of nerves. To put it simply, the more the centrifugal segment is replanted, the higher the chance is, because the farther it is, the smaller the lumen of the blood vessels and nerves. In layman's terms, the larger the segment, the harder it is to repair, and the harder it is to survive!

Flush, Zhang Fan quickly flushed the blood vessels with heparin saline, Li Liang's current cooperation can barely keep up with Zhang Fan. During this period of time, Li Liang also suffered a lot.

After the debridement was completed, the fracture began to be fixed. The child's bones were as white as ivory and jade, and as slender as chopsticks. "Hey! Such a small child has suffered so much." Yes, I couldn't help but feel a little sad when I saw the little baby's hands today.

The fracture was fixed, and the surgical electric drill pressed the Kirschner wire, butt jointed the radius and ulna, at a slight angle of 30, and gently penetrated the bone under the high-speed rotation of the electric drill. This straight stump is the easiest to fix.

By crossing left and right, Zhang Fan fixed a plane. A fractured plane, fixed very precisely, without any hesitation, without any gestures, just so proficient and so accurate. Because Li Liang is an assistant, he still can't understand it.

And Song Bing, who was standing on the patrol position, watched Zhang Fan's surgery, and kept shouting in his heart: "Damn! Damn! Damn! It turned out to be done this way, oh! Why do you want to do this!" Excited and confused The stop and stop alternately, it is estimated that he will have another night of liver after the operation!

After the fracture and tendons are fixed, there are blood vessels. At this time, it is necessary to bring a microscope. The key to the success of the operation comes, but for Zhang Fan, it is not difficult.

Step by step, once the operation is performed, Zhang Fan is like a robot. The muscles that have been livered countless times in the system have already formed a memory, and the priorities are very standard.

Nerve suturing, skin suturing, step by step, "OK!" After the operation, Zhang Fan said softly. As soon as he spoke, the operating room was like Su Rong's world of ice and snow, and everyone came back to life.

"Director, are you tired? I'll open a bottle of glucose for you!" Song Bing said fawningly to Zhang Fan.

"It's okay. You have to remember, don't relax at this time, don't be careless, you must observe the replanted limbs, whether there are changes in skin and temperature."

"Yes." Li Liang and Song Bing nodded in agreement at the same time.

At this time, Congcongli's severed little hand has been connected to the arm, but the colors on both sides are distinct.

The skin on the severed side was pale, like a prosthetic limb. With the opening of the tourniquet, the skin visible to the naked eye slowly changes color. From near to far, the severed limbs have changed color.

In a few seconds, as if by a magic trick, the skin of the little hand became normal, except for a circle of black lines at the part where it was cut off, like a black ribbon bracelet, embroidered on the little arm! It's really cute, it's really good-looking, this black ribbon is really many times more beautiful than the bloody, white-boned one!

"After the operation, pay close attention, especially within 24 hours after the operation, you must not be negligent."

Okay, Li Liang and Song Bing nodded at the same time.

The operation is over! The rescue was successful, and more than three hours had passed.

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