Chen Wenqiang's footsteps downstairs were more urgent, and he was so hung in the last half of the stairs at the entrance of the stairs that he stumbled.He stood still and moved his ankles before he had to slow down and walk towards the east gate of the provincial courtyard.Not far in front of him was Director Hong of the ICU who had just turned into the east gate; Behind him hurried forward was Director Xiang of the Department of Orthopedics and Director of the Department of Trauma Surgery, Zhang Zhengjie.That's right, it's Zhang Zhengjie.He also received a call from Dr.
Wang.According to Director Liang's request, Dr.
Wang called Dean Chen and others, and after thinking about it, he called Zhang Zhengjie on his own initiative.With such a big forearm break, and the director of trauma surgery is called, no one can say that they did something wrong, right?!
On the 1st of next month, I'm going to be transferred back to the ward from the emergency department, so why don't you lay the groundwork first, right?
Li Min wants to do this broken arm replantation, no matter whether Chen Wenqiang and Director Xiang agree to do this operation or not, whether Zhang Zhengjie is qualified for this operation or not, and whether the operation can be successful in the end, the broken arm replantation operation that has never been done in the history of the provincial hospital has never been done before, and he told him that Zhang Zhengjie did not miss it, and he has to thank himself.That's a broken arm replant!
It's a pity that I can't walk away in the emergency room, I don't have the ability to go on stage, and I don't have an excuse to watch!
Dr.
Wang stood at the door of the emergency room full of regret, carefully leaning against the wall to give way, so as not to obstruct the nurses who came out and carried out the doctor's orders.He watched intently as Director Liang commanded the rescue, and the workers who sent the injured looked at him strangely.This doctor, wearing the attending physician's badge, what's the matter with him?
looks dignified and looks like a dog, why is he looking for a little girl to get an idea?
M's, what's wrong with this world, is it changing too fast or is it dazzling, the big man is not as good as a little girl?!"
Xiao Li, how much blood is prepared?"
Director Liang took the time to turn around and ask Li Min.“2000。”
Li Min, who was prescribing the test sheet, replied without raising his head.Director Liang turned around, and Dr.
Wang, who was standing by the door, fell into his eyes, so he asked him: "Did you call Director Zhou and Director Liu?"
”"Hit it.Xiao Li said that he wanted surgery, how dare I not find the director of anesthesia.With such a big operation, I can't help with anything else, so I have to find someone to find it thoroughly. ”Director Liang nodded at Dr.
Wang and turned back to his own.This Wang Dazhi is always like this - not only to sell well, but also to do a good job of foreshadowing to get rid of the relationship.To say that he slipped his head is to praise him.This person has a little responsibility in his bones, and he doesn't dare to bear the wrong seed.Director Liang doesn't have to think about it, if Chen Wenqiang and Director Xiang said that they would not do broken arm replantation for a while, he would definitely tell Director Zhou and Director Liu, who had run for nothing, that it was Li Min's proposition.It is said that the sky is falling, and there is a big man on top.It's really a big man like this, and I can't count on it.The emergency nurse walked out with a test sheet in one hand and a handful of blood-filled test tubes in the other.When she saw the anxious worker who was sending the injured to the house, she said, "You take it and send it to the laboratory department on the second floor." ”"I, I don't have a few bucks with me."
Workers in overalls did not dare to take the test tubes with their hands pricked."
First aid in emergencies, it's important to save lives.You don't have to pay first.You've got the blood. ”The emergency nurse got impatient."
Send it quickly.""
Okay."
The young man, dressed in oiled twist overalls, carefully took the test tubes."
Let's go.Go to the operating room. ”Director Liang ordered.
*Orthopaedic patients always carry an incubator with a broken arm.The inside of the box not only contained a severed arm wrapped in gauze, but also a stuffed block of crushed ice.Xiao Wang led by Pan Zhi and Xiao Cao led by Zhang Zhengjie pushed the flat car, and several interns also gathered around the flat car to follow.Director Liang was a few steps behind, and ordered Li Min in a low voice: "Xiao Li, you remember the operation for a while, you only care about the part of the anastomosis blood vessels, no matter who you are assigned to a group with."
Resolutely do not go to disinfect. ”"Yes."
Li Min didn't understand why Director Liang told herself like this, but she understood that Director Liang must be for her own good, so she immediately agreed.First, Director Hong from the ICU came over.He walked in a hurry, gasping for breath.When he saw them, he asked, "Director Liang, how are the injured?"
”"I lost a lot of blood and went into shock."
Director Liang continued to say, "Director Hong, I'm not afraid if you come." ”Director Hong crooked the corners of his mouth and said, "Director Liang, thank you for valuing me so much."
Xiao Li, do you think you can connect the broken arm?
”"Director Hong, I want to try.He's only 31 years old, and if he doesn't have an arm, it's going to be too difficult in the future. ”Director Hong nodded with a deep sigh: "At this age, it's not good to lose an arm."
Director Liang, do you think it's okay?
”"Do your best to listen to God's will.If we don't try, he'll have no hope.But it's hard to say before you survive. ”The medical elevator is waiting for them with the door open.When the elevator worker saw that there were too many people, he immediately shouted: "Intern take another elevator." ”The interns who had already gone in walked out, and Li Min had to retreat and give up his position.At the moment when the elevator door was about to close, Chen Wenqiang came over panting."
Wait a minute."
Dean Chen's voice The elevator worker still remembered, and she immediately pressed the button to open the door and let Chen Wenqiang in.The elevator goes up to the operating theatre on the 17th floor."
How's the wounded?
Old Liang. ”Chen Wenqiang saw that part of the severed limb stump of the injured person was exposed from under the quilt, and the stump was wrapped in a small sheet, only to see that the oozing blood was partially stained on the small sheet."
It's shock.The forearm was rolled into the machine, and he pulled it out on his own.Avulsion wounds after complete dissociation and crushing. ”Director Liang said and took a deep breath and went out, nodding at Chen Wenqiang and motioning for him to look at Li Min.Chen Wenqiang understood, this matter, it may really be like Wang Dazhi said, Li Min wanted to connect his arm."
This person has a good physical foundation, he is only 31 years old, and he is a worker.I took a look at it and it's not impossible to try.If you try it, it will fail, and the injured person will be able to accept it in the future, don't you say?
”Chen Wenqiang understood the meaning of Director Liang's words, and it was unlikely that he would succeed, but for the sake of the young injured and Xiao Li's wishes, Director Liang was willing to try.Hmph, he also said that he was used to Xiao Li, and he dared to accompany Xiao Li to mess around with such a big operation.No, when did Lao Liang become such an unreliable person?
Chen Wenqiang looked at Director Hong suspiciously, looked at the general inpatient of the orthopedic department, and said in a deep voice: "You are the director of the group tonight, and we will all listen to your arrangement." ”Director Liang got the sentence he wanted, his facial expression was slightly relieved, and he nodded at Chen Wenqiang reassuringly, "Let's do our best to pick him up." ”When I arrived at the operating room, I found that the head nurse had also arrived.She personally came to pick up the flat car and said to Chen Wenqiang: "How many people do you have to go for this operation?"
If you don't go on stage, don't go in. ”Chen Wenqiang replied to him: "Lao Liang is in charge tonight, and I will listen to his arrangement."
But you find out those microscopic instruments of mine, and wait for Xiao Li to use the anastomosis blood vessels. ”"Do you want Xiao Xu to come over?""
Come on, she's been with us for a long time, and she's familiar with things.Lao Xiang is used to whom, you ask him, this surgery can not be done in a few hours. ”"Okay."
While they were talking, Director Liang had already taken Director Hong and the others into the operating room from the other side, and they were going to the locker room first.In the hall of the empty operating room, only the head nurse was left guarding the unconscious wounded on the flat car.* The doorbell is ringing again.The head nurse walked over and opened the door, and saw that it was Director Xiang and Zhang Zhengjie.She raised her hand and pressed the button to open the door on the wall, pointed to the side door and said, "Go from that side." ”Director Xiang was anxious to see the injured first, so he had to follow the instructions of the head nurse.Zhang Zhengjie followed him silently.Director Xiang was caught up by Zhang Zhengjie at the east gate, and he was very unhappy.M's, you are a worker, peasant and soldier, and you didn't finish elementary school well, can you join in the fun with this broken arm replantation?
But Director Li's death reminded him that he must not look down on people based on his ability!
So when Zhang Zhengjie greeted him, he put on an unprecedented appearance of having nothing to do with Zhang Zhengjie to speak."
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Ha, it's Director Zhang, it's for the operation of the broken arm?""
yes.Director Xiang, let me help you with your arm. ”Zhang Zhengjie's humble demeanor and the request in his tone were something that Director Xiang had never seen.Even when Zhang Zhengjie was first assigned to the orthopedic department of the provincial hospital and was a small resident doctor, he never enjoyed such treatment as him.Zhang Zhengjie was able to put his posture so well, which Director Xiang didn't expect.Since he doesn't want to offend people, he doesn't care if Zhang Zhengjie comes to power.If you are willing to play the role of an intern, you can go."
If this surgery is done, it may take a long time.It's good to be able to sit at that time, otherwise the work of holding your arms and not being able to move for a few hours is not an easy errand. ”"Thank you, Director Xiang, for giving me the opportunity."
Zhang Zhengjie immediately seized the opportunity to finalize his position on stage.Second help, that's good!
As long as you can come to power, you won't lose anything if you come tonight.It is important to know that in the past, no one was allowed to observe the replantation of the severed fingers of the director, and the number of suspects increased the chance of pollution.Anyway, I don't know the vascular anastomosis under the microscope now, so I will look at the broken arm once and replant, and then slowly ponder it.Zhang Zhengjie is full of confidence, has a good foundation in orthopedics and a good grasp of anatomy, and when he has Xiao Li's surgical skills, what surgery can't be done, do you still care about your old finger replantation and arm replantation?
Lao Tzu will give you a decapitation and replanting another day!
* Director Xiang and Zhang Zhengjie took their own hand clothes and went into the locker room.Seeing a large number of shirtless people in their hand clothes, the two of them were stunned.Waiting for Director Liang to stick his head out of his hand clothes, he asked the director in a daze."
Lao Liang, how many surgeries will you perform in a while?""
Hey, you can't expect me to be better.On this big night, you have to meet at dawn with your broken arm.How many more do you want to drive?
”Director Xiang put his hand-washing clothes on the bench and said, "Lao Liang, my ugly words are ahead, don't go in if you don't have surgery."
Lao Tzu is afraid of pollution. ”Director Hong lifted his pants and turned around and said, "Lao Xiang, I'll take off my pants if you don't need me." ”Director Hong of the ICU, this is a figure that the directors of all departments dare not offend.Although Director Xiang didn't see the injured person, when he saw Director Liang inviting him, he immediately smiled and said, "Lao Hong, this injured person has to be taken care of by your ICU."
You can't go. ”Whether it is to do the replantation of the broken arm, or simply do the amputated limb dissection and debridement, and the arm stirred into the machine is pulled out, it is absolutely impossible to be a simple disabling injury.Director Zhou opened the curtain and came in, and in the locker room next door, Li Min and Director Liu were talking."
Senior sister is here.""
Hmm.I heard that you and Mujay got your certificate today?
”"yes.You got the idea.Did Muljay call you?
”"No, I called your department early in the morning, but your nurse said that you went to the outpatient clinic for a physical examination.""
Senior sister has something to do with me?""
I advise you to get the certificate as soon as possible, so that I can give you the big red envelope prepared for you.""
Then I'll thank Senior Sister first."
Then there was the soft laughter that Director Liu and Li Min deliberately suppressed, and here they could only hear the voice and couldn't tell what they were saying."
Dean Chen, what do you mean?"
Director Xiang looked at the black pressed head, trying to suppress the small flame in his heart.M's, don't offend people just want to suffocate Lao Tzu to death?
Director Liang stood up in time and said, "Lao Xiang, how many groups do you think we will do the operation?"
”"Let's talk about the wounded after seeing them."
Director Xiang suppressed his anger and replied to Director Liang, then turned his head to stare at his hospitalized chief doctor."
Okay, you're going to change your clothes.We are all waiting for you. ”Director Liang got a perfunctory answer from Director Xiang, and he was also a little uncomfortable.It's just that he is not as direct as Chen Wenqiang, and his face is not obvious.The orthopedic inpatient was forced to raise his voice and speak to Director Liang under pressure from the director: "Director Liang, don't bring interns for this operation."
More people increase the chance of infection. ”Director Xiang in the locker room relaxed his facial expression slightly."
There must be three people in a group, and at least three groups must take turns for this operation."
Director Liang considered the words and replied very cautiously.Keeping all those who are going on stage happy before the operation is conducive to the success of the operation.For the sake of the injured person's face, he will not worry about the old thing that is always cautious.Zhang Zhengjie was willing to miss the opportunity, and he immediately raised his voice and replied: "Director Liang, I'll go and support the position of the arm." ”"Okay.Don't regret if you're willing to hold your arm. ”Seeing that he took the initiative to back down, Director Liang immediately turned to Director Xiang: "Lao Xiang, are you in a group with your Director Kewang, or are you in a group with your hospitalized general group?"
”"I'll take him with a group."
To the director refers to the total hospitalization of the orthopedic department."
Then Lao Chen, you and Xiao Li's group do vascular anastomosis.I'll wait for Lao Wang to come over. ”"Okay.""
Lao Xiang, your group disinfects the proximal end of the broken arm, let Lao Wang disinfect the stump, Director Zhang, you cooperate with Director Wang to disinfect."
Director Liang assigns work."
Okay."
A couple of men responded.Director Wang came in with a set of hand clothes."
Oh, I'm sorry, I'm late.Lao Xiang, I saw that your elevator was closed, and I shouted several times to make you wait for me. ”"Oh, I didn't hear that.You ask Director Zhang, he came with me. ”Director Xiang really didn't hear it.Zhang Zhengjie immediately nodded in agreement."
yes, yes, I didn't hear it in the elevator."
Director Liang comforted him and said, "It's not too late, they haven't changed their clothes." ”Then I went back to the grouping and work arrangements I had just made.Director Wang accelerated the work of changing clothes, and promised "um" and "okay".Director Xiang's aggressiveness, Director Liang's step-by-step concession, the inpatient performance of orthopedics is always a tiger, and the silent Dean Chen all disappointed the interns who had already changed into their hand clothes, and Xiao Cao and Xiao Wang, who had been busy for half a day, lost their spirits.Even the director of the trauma surgery department only managed to get a position to support his arm, so it was impossible for them to even go into the operating room.
*These people changed into hand clothes, and Director Xiang and Director Liang were in front, wearing hats and masks, and walked towards the lobby of the operating room.They were going to go and see the wounded.I saw the head nurse carrying a large pair of scissors and leading the two nurses to cut the sweaters of the injured people.When the upper body of the injured person was fully exposed, everyone was surprised.The injured person was not only a severed forearm, but also a crushed contusion of the upper arm could be seen through the small sheet of bandaging the wound; The exposed skin of the shoulders, neck, and chest were all extensive, extensive, and severe soft tissue contusions.Director Hong of the ICU gasped and said, "Lao Chen, he is in a state of shock now, and these injuries alone and crush injury syndrome cannot be avoided."
Are you sure you want to take the arm?
But don't have a broken arm, and your life won't be saved in the end. ”Crush injury syndrome is a critical condition in orthopedics, which is caused by the degeneration or necrosis of muscle tissue in the body after being squeezed by a large external force or a long period of time.Subsequently, myoglobin and potassium ions in necrotic muscle tissue are released into the bloodstream, which eventually leads to renal impairment and kidney failure.It is often accompanied by shock, myoglobinuria, acidosis, azotemia, and hyperkalemia.It can be said that the appearance of each symptom is the impermanence of his life on the road to life."
He was 31 years old.The arm was rolled into the printing press.The children in the family are not in school yet. ”Li Min, who was standing beside Chen Wenqiang, did not hide the excitement contained in her crisp voice even though she was wearing a tight mask.The patient's age, the nature of the work, and the family burden reported by Li Min are in everyone's ears, which is the reason why the broken arm has to be replanted.- The worker, the manual laborer, if he does not have this arm, his family, the rest of his life, and the predicament he will face in the future, will make his life worse than death.Those who were qualified to speak and whose technical titles were deputy chief physicians exchanged glances with each other, and they understood what they were thinking without anyone opening their mouths to say anything.Just by looking at these soft tissue contusions, you can guess what the muscles, blood vessels, and nerves of the broken ends and stumps look like.Difficult, difficult, very difficult surgery!
Chen Wenqiang stretched out his hand to cover the patient with the quilt and turned his head to look at Director Liang.Director Liang is the director and person in charge of tonight's night shift.You should listen to him first and then speak for yourself.Director Liang waved his hand without hesitation, and said arrogantly: "We want to save our lives and protect this arm."
Went to the operating room.Brush your hands after getting out of bed.Lao Chen, you and Xiao Li will guard him in the operating room for a while.Lao Hong, please. ”The orthopedic inpatient always handed Li Min the incubator containing the stump in his hand and went to push the cart himself."
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Head nurse, which operating room to go to?""
Number 12.Sixty or six Shun. ”The head nurse agreed, and carried big scissors to catch ducks, and blasted the interns out: "Let's all go back, the more people, the greater the chance of infection."
It's useless for you to see this surgery.There is a lively kung fu, go back to practice knotting. ”※※※※※※※※※※※※※※※※※※※※ added something to the previous chapter, so the first paragraph of this chapter ......
Alas, this is all a bit far away from covering the face without saving the manuscript