medical road high rise

Chapter 28 It's All Made by Little Doctors

Chapter 28 It's All Made by Little Doctors

Director Jin saw the end of the dagger held in Director Dong's hand at a glance, and the smile on his face couldn't be suppressed, but outsiders couldn't see Director Jin's expression clearly through a sterile mask.

"Old Dong, what's the matter? How did I hear that when you took out the dagger, you stuck the dagger in the patient's bone?" Director Jin scolded.

Qin Feng glanced at Director Dong, and Director Dong looked at the itinerant nurse.

The itinerant nurse quickly waved her hand and said, "I didn't say that."

"Old Dong, I met Lao Luo in the locker room, and Lao Luo told me." Director Jin said proudly, and now he finally got a handle on Director Dong.

Zhao Qi has been paying attention to the wound. It seems that the anatomical tissue at the wound did not overflow with blood, and the veins and arteries inside are running well without any problems.

This seems to be different from what Director Jin said, but the dagger was indeed not taken out. What's going on?

Suddenly, Zhao Qi thought of plasma proteinization, which is a kind of false hemostasis created by the formation of thrombus and blockage of blood vessels.

Although blood vessel blockage stops the bleeding, the blood cannot successfully form the systemic circulation and be transported to nearby organs, resulting in insufficient blood saturation and even blood poisoning, which is caused by insufficient blood filtration.

Each organ of the human body accepts blood cells and plasma to a different extent. The body circulation of the human body is that every organ is in operation, and both are indispensable, just like every link in an assembly line factory. The lack of any link will lead to substandard products.

Zhao Qi told Director Jin about his discovery, and after listening to Director Jin, he looked at the place Zhao Qi pointed at, and it was exactly as Zhao Qi said.

"Although we didn't expect the dagger to get stuck in the bone, the patient's hemostasis operation was very successful, and the blood transfusion function of the patient's right arm has returned to normal," Director Dong said.

"Old Dong, at this time, you are still thinking of sophistry." Director Jin shook his head and said, this Director Dong really does not cry when he sees the coffin.

Director Jin stepped forward, pointed at the blood vessel damage caused by the dagger, and said, "It is obvious that the blood plasma protein has formed a 'thrombus' and created the illusion of hemostasis. Once the suture is performed, the patient's arm will be scrapped sooner or later."

Director Dong hugged his shoulders and looked at Director Jin's smooth talk, with a faint sneer on the corner of his mouth.

Pretending to be mysterious!

This is Director Jin's view on Director Dong. When many operations are questioned, most of the surgeons will yell and scold, while a small number will be like Director Dong, indifferent and flat.

Zhang Qinke looked at the dagger on his comrade-in-arms, and his expression was a bit unkind. He doesn't understand medicine, so he can only judge by vision and his own senses.

This time, he was on Director Jin's side.

"Director Dong, I think I'll check the patient to confirm the integrity of the operation. There should be no problem, right?" Director Jin bit the word director very hard.

Director Dong cast his eyes on Qin Feng. The operation was performed by Qin Feng, and Qin Feng had the right to speak.

"Director Dong, let them check." Qin Feng took off the sterile gloves and threw them into the contamination bucket, then took a new set of sterile gloves from the equipment nurse and put them on.

Qin Feng has already finished the hemostasis of the blood vessels, and the rest is the suturing operation after the dagger is taken out, whether it is Director Dong or Qin Feng.

Director Dong took a step back to give Director Jin enough space.

After Director Jin took the equipment, he began to check. The first thing to check was the permeability of blood vessels to see if there was any bleeding.

Orthopedic doctor Luo also changed his clothes and came in. Seeing the operating room as if facing a formidable enemy, he pulled the roving nurse and asked in a low voice. After learning the situation, he stood aside and watched.

A few minutes later, Director Jin angrily patted the instruments on the tray, turned and left the operating room without saying a word.

Zhang Qinke looked at Director Jin's back in puzzlement, but as a policeman, he also noticed an unusual smell. After thinking for a while, he decided to wait and see what happened.

Director Dong and Dr. He exchanged pleasantries, and Dr. Luo finished brushing his hands and began to go to the operating table.

After receiving the orthopedic surgery kit handed over by the itinerant nurse, Dr. Luo observed the incision first. Since the blood supply of the skin and soft tissue of the right arm is provided by the perforator of the radial artery, what Dr. Luo had to consider was to open a new one around the dagger. Make an incision, fix the radius and take out the dagger.

Dr. He negotiated with Director Dong, and Qin Feng proposed to make a two-way incision directly opposite the incision he opened, cut deep, reach the bone surface, fix the radius, and take out the dagger.

During this process, the tendon sheath and radial nerve need to be considered. Dr. Luo was also very careful when making the incision.

This cutting method has higher requirements for suturing in the later stage, but it is still very effective in orthopedic surgery, avoiding the one-size-fits-all failure to reach the bone surface accurately, and correcting the direction step by step by means of breakpoints.

When it touched the bone surface and was fixed, the dagger was pulled out before Dr. He could react. When Dr. He fixed the radius, he was shocked when he saw the dagger move.

In the operation, the most taboo is the skip operation, that is, the previous step is not finished, and the next step is performed directly. The operation needs to pay attention to gradual progress.

You must know that taking out the sharp object directly will cause blood vessels to rupture and bleed. Dr. He took two steps back, turned his head and asked angrily, "What are you doing?"

"Old He, don't be nervous, you carefully look at the blood vessels under the dagger." Seeing Dr. Luo's appearance, Director Dong smiled.

Dr. He took a look at the incision, and there seemed to be no major bleeding except for the tendon and fat layer rendered bloody through the capillaries.

Dr. He stepped forward, and when he saw the radial artery under the dagger, he was stunned. He looked back at Director Dong and said, "Old Dong, you did this? Awesome! It is possible to cut the knife when the sharp instrument is not taken out. , directly sutured."

"No, no, I don't have this kind of technology. It was done by the little doctor next to me." Director Dong pointed at Qin Feng.

"He did it?" Doctor He looked disbelieving.

This kind of vascular suturing with a sharp instrument is not an ordinary suture. It is in a semi-operative state. It requires a sufficient understanding of the patient's vascular damage caused by a sharp instrument and a sufficient understanding of the anatomy of the arm. This Is it something a little doctor can do?
"Old He, I know you think he is young, but he also performed a patient with abdominal bleeding due to a car accident in the first hospital. He performed the hemostasis operation by himself, and it took just over an hour." Director Dong said.

Dr. He's eyes widened slowly. If Director Dong hadn't lied to him, then this young man's achievements in blood vessels would be limitless in the future!
(End of this chapter)