The orthopedic inpatient always pushes the flat cart in front, and then the directors, and Li Min follows at the end with the incubator.There are two operating tables in the 12th operating room, which are brightly lit at this time, and two shadowless lights, one large and one small, are turned on, and there are only two nurses patrolling the table who are busy around Director Zhou and Director Liu, who are anesthetized."
Old Zhou, let's go to bed now."
Director Liang shouted at the four of them."
Come on."
Director Zhou pointed to the operating table with the shadowless lamp turned on and said, "It's time for this bed inside." ”There were many people over the bed, so Li Min went to the side to stand, and she found that Chen Wenqiang hooked Director Zhou's round stool, turned it to the wall and sat down, rubbing his ankles with his feet crossed.Li Min frowned, looked at it intently, and didn't find anything abnormal in his ankle, which was a bit strange.The head nurse took the intern away with the two who had been assigned to him last year.She followed up in the operating room and helped the patrol nurses prepare for the operation.Followed by the replantation operation of the severed finger of the director is a special instrument nurse.The craniotomy that followed Chen Wenqiang and Li Min involved neurosurgical instruments, microsurgical instruments, and their usual nurses."
Go and move the two little tables next door."
The head nurse spoke, and the two patrol nurses immediately went to move things.The so-called small table, one in each room.It is usually used by anesthesiologists to write anesthesia records.At this time, the two small tables that were moved over became two small disposal tables after some laying.One is for the stump.That's where the surgical field of view is.The head nurse stood on tiptoe to reach the handle of the lamp tray of the shadowless lamp, and laboriously rotated the large shadowless lamp to the side of the affected limb on the operating table, shining the light on the residual limb wrapped in a small sheet in the emergency department.The small shadowless lamp is then rotated to the opposite side of its body, which is illuminated by the instrument nurse.The head nurse of the other shadowless lamp also turned on, facing the empty basin that the nurse hurriedly sent over to the patrol nurse in the open space.This is for the group of people who have severed their hands.The small disposal table next to it was also quickly prepared.The two patrol nurses began to prepare the instrument table, they brought over two surgical instrument bags, opened the outermost package skin according to the regulations, and the rest of the part had to be opened when the instrument nurse came.Then the two of them went out and brought in two large packages with surgical gowns."
Where?
Matron. ”The instrument nurse is not yet in place, and the surgical gown cannot be placed on the instrument table as usual."
Put the empty operating table over here first.You two just talk a lot of nonsense, I'm not in this room, so you won't put it on this empty bed?
What to ask!
”* Director Xiang looked at the three women of the, coming and going in front of him like butterflies wearing flowers, he closed his eyes, closed his eyes, closed his eyes again, and when he opened his eyes, it was still these three "old" women.M eggs, where are the little girls in the operating room?
Director Xiang couldn't hold it anymore."
Director Liang, Director Wang, Director Zhang, you go and brush your hands to deal with the stump first."
M egg, this orthopedic is Lao Tzu's world, and Lao Tzu has the final say.Director Liang won't worry so much about him, Director Wang is easy-going, Zhang Zhengjie easily won the opportunity to watch the stage, and the three of them went out smoothly."
Xiao Wang, you also go to brush your hands."
Director Xiang drove people away, and felt a lot more comfortable.Then he leaned in front of Director Hong: "Old Hong, I have to ask you for this." ”"You said it once."
Director Hong cooperated with Director Zhou to connect the ECG lead and monitor the injured person, and then watched intently as Director Zhou and Director Liu anesthetized the injured person.Xiang picked up a soft nail to the director, and he didn't think it was wrong.He turned his head and beckoned Li Min and said, "Doctor Li, bring the incubator to this side." ”Li Min put the incubator in the place he designated, and then immediately retreated to Chen Wenqiang's side.She stood beside Chen Wenqiang and asked him, "Teacher, what's wrong with your ankle?"
Twisted?
”"I was in a hurry just now, and I was stunned for a while."
Chen Wenqiang let go and stretched out his ankle to show Li Min."
You see it's not swollen, it's fine.""
Then you'd better not rub it.I'll go find some ice cubes for you. ”"Don't worry, there's ice in the incubator in a while.You go find a discarded small slip, and then move two round stools over, and we will have to sit and anastomosis the blood vessels in a while.Go ahead. ”"Yes."
Li Min walked out of the operating room without squinting.She didn't look at Director Xiang who was squatting in front of the incubator, nor did she look at Director Hong who walked to the incubator to see the severed limbs.The round stool Chen Wenqiang mentioned is the kind of three-legged leather round stool that can be lifted and lowered, which can adjust the height in a wide range and provide the best working height and comfortable seat for the two people.Without a comfortable position, it's hard to hold on for a few hours.It is important to know that a moment of vascular anastomosis is the main thing.If the arteries and blood vessels are blocked, no matter how beautiful you do the disinfection and severance treatment in front of you, it will be useless; The roughness of the venous vascular anastomosis can easily lead to the formation of blood clots, and the severed hand is still not possible.Director Xiang was already dissatisfied with Li Min at the moment when Li Min put down the incubator and left immediately-you said you were a little girl, why didn't you have the eyesight to see it?
Let you bring the incubator, just take it?
You don't know if you want to open it!
But his eyes followed Li Min, and when he saw that Li Min and Chen Wenqiang said a few words and went out, thinking that Chen Wenqiang had something to send Li Min to do, he swallowed his dissatisfaction, lowered his head and silently opened the incubator.
*Li Min didn't move forward because of Director Liang's instructions: let her not get her hands dirty.In fact, she looked at the director and sent everyone out to brush her hands, and she knew in her heart that it would be herself who would not be able to make trouble for a while, holding the proximal end of the stump.Li Min was a little annoyed.Director Xiang left Chen Wenqiang and himself, he didn't dare to instruct Chen Wenqiang, did he plan to let himself hold the proximal end of the stump arm?
Most of the weight of the arm after anesthesia is not light, and the disinfection of the broken arm must be more careful than the disinfection of the severed finger in the thirty nights, thinking of the requirements of the director of the orthopedic hospitalization for disinfection, Li Min knows that the greater trouble is in the work of lifting the sterilized arm, and the actual time required may be longer than he expected.I really want to hold the stump arm for more than ten minutes......
When the disinfection is complete, Li Min guarantees that his arms will be stiff and his fingers will lose their dexterity.Even if he was lucky enough to pinch the fingers of the injured and carry the distal end of the residual limb to cooperate with the disinfection, even if it would take a long time to repair the stump, Li Min knew that his fingers would not return to the best state.Then the blood vessels that follow will not be able to perform at their best......
Li Min was annoyed.from following Chen Wenqiang to craniotomy; transferred from the eleventh day of the year before last to the group of Director Li and Director Liang Chen Wenqiang; Since following Chen Wenqiang for microsurgery in brain surgery, she has never been treated like this again.She is now an attending physician in the Department of Neurosurgery.Regardless of surgical skills, no one in this operating room can beat themselves in the vascular anastomosis of microsurgery alone.Director Xiang is not successful, Director Wang is not successful, and Dean Chen is not successful.They are less than themselves the unique ingenuity of girls that the world says.They are old.The time that belonged to them has passed.Director Liang and Zhang Zhengjie did not touch microsurgery at all.But Director Xiang's arrangement is to determine that her Li Min's identity in this operation is in the lowest position.Li Min was embarrassed.Orthopedic hospitalization has always undergone finger amputation replantation surgery, and has been on several times, but still cannot complete the vascular anastomosis under the microscope.The finger amputation surgery on the night of the thirtieth was done by himself.Can he go and brush his hands, and let himself stay here and hold the stump?
Li Min wants to save herself.She said that she would give Chen Wenqiang ice to his ankle without any abnormality.Chen Wenqiang sent her out to find a round stool and a discarded small list.There are two operating rooms next to the round bench, and you can let the patrol nurse move in.Discarded little lists?
Li Min immediately understood what Chen Wenqiang meant.That's why she left in a hurry, without squinting.She went back to the locker room, opened the locker, took a sanitary napkin to the bathroom, and called the duty room when she came out."
Mujay, it's me.Well, we're going to do that amputated limb replantation.Well, yes, it was brought to the emergency room just now.It is severed from the middle of the forearm, and the crushing and contusion is obvious.It's definitely not going to be good.Uh-huh, coincidence?
We will be given 6 to 8 hours at most for surgery, and we will have to finish the work within this time period, and it will affect the survival of the amputated limb for a long time. ”Mu Jie on the phone understood that the operation would take about a long time."
Go home and go to sleep.Sleep comfortably at home. ”"I want to sleep in the duty room, and the quilt in the duty room smells of you."
Li Min blushed.She looked around like a thief, but luckily there was no one.She touched her chest that began to jump and said, "I won't tell you, I can't talk on this phone, I want to drink millet pumpkin porridge tomorrow morning." ”"Smack" Li Min put down the phone.Mu Jie, who was on the other side of the duty room, listened to the busy sound coming back from the microphone, laughed and put down the microphone.Min Min must have blushed again, he thought.It's no wonder that some men like to flirt with girls, it turns out that girls blushing can make people feel comfortable.And when I thought of Min Min's red face......
Mujay indulged in the imagination of countless times throughout the year.
*Not to mention that Li Min was wandering around outside the operating room, Director Hong took a look at the severed end of the stump and felt very bad.He stood up, left Director Xiang and the incubator, walked to Chen Wenqiang's side, and asked him in a low voice, "Dean Chen, you, what's wrong with your ankle?"
”He originally wanted to say, "You come and have a look", but when the words came to his lips, Chen Wenqiang's action of rubbing his ankles stopped him."
I was in a hurry just now, and when I went downstairs, I broke my foot on the steps.""
Would you like to make an ice pack?"
The head nurse adjusted the three shadowless lamps and prepared two small disposal tables."
Okay, then I'll trouble you, head nurse.You can help me find a discarded little list, and when they take out the severed hand, just wrap some crushed ice from the cooler.I asked Xiao Li to go out to find a small order, but the small order was not found, this half-god, the person is still gone. ”Chen Wenqiang complained about Li Min in real and false ways."
I don't know where people have gone.""
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You instructed our aunt and grandmother to find a small list, and you want to scrap it?
You're going to have a problem.Not everyone in my operating room knows where to put things.You might as well have a clean one, my aunt and grandmother won't be so embarrassed.Wait a minute, I'll find you a list and someone to come back. ”The head nurse chattered a lot, lifted the mask up, and glanced around the operating room, but didn't find anything inappropriate, so she went out with a relaxed expression and brisk steps.Director Xiang glared at the severed hand, and he couldn't say that it was wrong for Chen Wenqiang to send Li Min out to find Xiaodan.He grunted, but very carefully, put the severed arm back into the incubator.looked at Zhang Zhengjie, who had just come back from brushing his hands, and said, "Director Zhang, you come over and carry him on the shoulder."
Xiao Wang, you come to disinfect, leave me 5 centimeters in this piece, I brushed my hands and came back to tidy up.You are not allowed to hang up on me a little.I sanitize the rest myself. ”The orthopedic inpatient nodded his head in agreement.Zhang Zhengjie was dumbfounded.M's, can you be so neat?
Lao Tzu finished brushing his hands, you let me carry his shoulder!
Won't I brush my hands again later?
But he asked to come to power on his own, and now he is under the roof and has to bow his head in resignation......
Director Xiang snorted angrily and walked out to brush his hands.He had just gone out when Xiao Huang, a trauma surgeon, came in in a crumpled hand gown.Director Wang of the Department of Orthopedics smiled, hehe, it's better to come early than to come by chance.I'm worried that no one will carry the severed hand for me.He pointed to the incubator and said, "Who is that, you?"
and "Xiao Huang." ”Director Liang called someone for him."
Yes, Xiao Huang, you take out that severed hand from the incubator.Look at me, cough, people don't have a good memory when they are old.Be careful, don't fall underground.Lao Liang, who of us will disinfect?
”"You're sanitized.You have a lot of reputation for disinfection of orthopedic limb replantation, and I don't dare to touch it. ”Director Wang laughed: "There is something that you Lao Liang can't do." ”"The broken arm is replanted.Haven't done it!
”Director Liang's mood was soothed, and seeing that Li Min was not in the operating room, he was hiding out.Hey, yes.Those who are obedient are good boys.Why did Chen Wenqiang sit with his feet crossed?
This was beyond Director Liang's expectations.He grabbed a surgical gown, put it on and walked, and approached Chen Wenqiang and asked him, "What's wrong with your foot?"
”"I was in a hurry when I went downstairs just now, so I went down.It's fine, it's not swollen. ”Chen Wenqiang showed Director Liang his ankle."
It's just uncomfortable to stand."
Director Liang looked at his ankle carefully and said to him: "Look at your useless appearance."
How old it is, you're in a hurry.There is calm in every big event, you know?
”"I'm not that person, you don't have to say that to me.The main reason is that the light at the entrance of our building is broken.From the bright place to the dark place all of a sudden, I stumbled.Just the last half of the steps. ”Chen Wenqiang stood up as he said this, although he said that his feet were uncomfortable, he still got up and circled around Director Liang for half a circle, and tied the strap behind the surgical gown for him.Xiao Huang no longer expected that he would hear the news and come to see the freshness, and he would have such a difficult errand as soon as he entered the door.But would he dare to refuse?
Dean Chen looked at him with his ankles in his hands; Director Zhang took the time to look at the injured man when he loosened the tourniquet on the injured man's upper arm and observed how the bleeding was......
There is schadenfreude in that eye, sympathy in that eye, and disdain for watching stupid birds fall into the net...... it!
Xiao Huang never knew that a man's eyes could express such rich emotions.
*Under the instructions of Director Wang, Xiao Huang carefully peeled off the gauze that was always wrapped in the emergency room for orthopedic hospitalization.The layers of gauze peeled off to reveal the forearm that had lost blood.Chen Wenqiang walked over to take a look, and the situation was really the same as he imagined before.The section is seriously polluted, the tissue is seriously damaged, the muscle is seriously bruised, the ulna and flexure bone are comminuted fractures, and the tendons, nerves, and blood vessels are all withdrawn from the proximal end and are defected in large sections.Here, Director Wang held the curved disc and began to disinfect the distal end of the severed limb."
Lao Chen, what do you think is the possibility of such a stump being successful?""
100 percent."
Chen Wenqiang answered as a matter of course."
Huh?"
Director Wang was a little surprised."
It's hard to say 100% survive when a severed finger is replanted, this is a broken arm!"
Director Wang glanced at Chen Wenqiang and pointed at the wound with the Alice pliers in his hand."
What you just asked about is matching, not survival.""!
Can you succeed if you don't survive?
”Dr.
Wang, the chief of the orthopedic department there, with the assistance of Zhang Zhengjie, began to disinfect the proximal end of the amputated limb.But he honestly stopped the iodine tincture cotton ball in his hand 5 centimeters away from the wound - he told the director that if he was not allowed to touch the wound, he could not touch it, otherwise he would tear himself apart.Director Xiang came back with his hands raised.Seeing a little yellow carrying a stump in there, he glanced at it and didn't see it.Chen Wenqiang told him his decision after thinking about it: "Lao Xiang, Lao Liang, we have to prepare to remove the saphenous vein vascular graft of the lower limb." ”Director Xiang nodded, he thought the same thing in his heart after seeing the severed hand just now.Director Liang just said that it would be divided into three groups, which is also what he meant."
Then I'm going to brush my hands.Xiao Li and I were in charge of the blood vessel collection group. ”Chen Wenqiang greeted Director Liang."
Okay."
Director Liang agreed.Seeing that Chen Wenqiang had gone out, he said to Xiao Huang, who had just placed his severed hand on the operating table next door and on the disposal table, "You will help Dean Chen's group of anti-thighs for a while." ”Xiao Huang, who was kneading his sour, stiff fingers, was stunned for a moment.What the hell are you doing here?
It was precisely because of the shoulder lift that Zhang Zhengjie, who was so tired that his fingers began to stiffen, smiled imperceptibly.Good!
I have someone to share most of my work.Li Min came in with a three-legged round stool.Xiang turned on the taunt mode to the director and rushed at Li Min: "Are you willing to come back?"
”"Huh?"
Li Min's mouth shape with her mouth half-open was visible under the mask."
Xiao Li, you brush your hands."
Director Liang spoke."
You and Dean Chen are responsible for taking the blood vessels of the saphenous vein, and we will use them for transplantation in a while.""
Yes."
Li Min put down the round stool to brush his hands.…… Moments later, three battlefields opened up in the operating room.One is the debridement of the proximal end of the amputated limb in charge of Director Xiang, Zhang Zhengjie and Dr.
Wang, the chief inpatient of the orthopedic department; One is the debridement of the distal amputation of the amputated limb in charge of Director Liang and Director Wang of the Department of Orthopedics; The other is the part that Chen Wenqiang and Li Min are responsible for taking the saphenous vein blood vessels for transplantation.After all three parts were completed, they also underwent internal fixation of comminuted ulnar flexure fractures of the broken arm; flexor and extensor tendon suture repair; venous vascular debridement + vascular graft anastomosis; arterial vascular debridement + vascular graft anastomosis; and anastomosis of the forearm nerve.The most important part is the anastomosis of the blood vessels.The quality of the vascular anastomosis determines the success or failure of the operation.The debridement of blood vessels determines whether blood vessels are prone to thrombosis and whether blood flow is smooth after anastomosis.Director Xiang was full of confidence, and he successfully took dozens of cases of broken fingers.Today, he is going to use the broken arm replantation surgery to prove that he is irreplaceable in orthopedics; He asked Director Li's two proud apprentices to take a good look at what height they are now.At the beginning of ※※※※※※※※※※※※※※※※※※※※, the five consecutive days of 10,000 words were finally completed, and I was tired () a little far away