medical road high rise

Chapter 382 The Falling Worker ([-])
Chapter 384 The Fallen Worker ([-])
The flat car must not be used at this time, because the ground is grass and uneven. The patient originally fell from a high altitude. If you flatten the car back and forth twice, the patient will definitely die on the spot.

Qin Feng said a few words to the hospital manager, and the hospital manager went back to continue presiding over the order, and handed it over to Qin Feng directly.

After checking it, pull it directly to check.

A simple physical examination can only confirm that the patient's ribs and other fractures have been broken, and internal organs have also been damaged.

After a while, the young man rushed down.

"Uncle Ying, I'm sorry for you, it's all my fault." The young man knelt on the ground.

Qin Feng hurriedly asked someone to take the young man away. At this time, delaying the patient's examination, isn't it just killing the patient?

After the young man was pulled away, the patient's examination results also came out. The lumbar spine was compressed and caused internal bleeding, which was still a large amount.

Fortunately, the damage to the internal organs was not serious, and the blood vessels only needed to be repaired. This was the only good news.

The patient was quickly sent to the operating room, connected to a ventilator, ECG monitor, and intravenous access for rehydration.

The nurses also started dispensing medicines, giving injections, and intravenous drips.

"The position is in a prone position, the patient's head is turned to one side, and the upper limbs are on the side of the head."

"Anesthesia."

The anesthetist administers general anesthesia to the patient.

On the other hand, because of the falling incident in the hospital, it has aroused the attention of the hospital's top management and the society.

The dean is on a business trip. After receiving the call, he quickly informed the public relations department to be ready at any time, and any bad remarks must be eliminated quickly.

When he learned that Qin Feng was under treatment, the dean breathed a sigh of relief.

However, the video of the falling building was filmed and posted on the Internet by someone with a heart.

As the vice president, Zhao Guoping rushed to the operating room quickly, and asked as soon as he stepped into the operating room: "How is the patient's condition now?"

"Doctor Qin is resuscitating." The hospital manager said.

Zhao Guoping is now thinking very complicatedly, that is, if the patient dies, then Ruijin Hospital will face an invisible pressure. As the existence of TOP1 in the magic city, it can't even save a single person. It is conceivable that the Internet will How much public opinion has been caused to Ruijin Hospital.

But if it is rescued, the pressure of public opinion will not be so great, and it is still a good opportunity for publicity.

Zhao Guoping did not blindly enter the operating table, but stayed in the operating room.

Qin Feng in front of the operating table was thinking about what to do next.

At present, the patient has a comminuted compression fracture of the lumbar spine, and the bone is beyond repair. The solution is bone transfer.

One is autologous bone transfer, and the other is artificial bone transfer.

Autologous bone transplantation is to take normal bone tissue from other parts of the patient's body to help the nonunion site to heal. Because the site is superficial and contains a large number of osteoblasts and growth factors, autologous bone is the most commonly used bone graft. .

But it is also a disadvantage. At the cost of sacrificing the normal bone tissue of the body, it will cause side damage such as pain, structure, and dysfunction to the bone harvesting site, and the limited amount of bone cannot be used unlimitedly. It is not suitable for the elderly with osteoporosis. and children with skeletal hypoplasia.

Artificial bone transplantation is suitable for elderly patients and children.

But this time the patient was a middle-aged man, so Qin Feng decided to use autologous bone transplantation, and the part taken was the patient's ilium.

This bone is one of the largest bones in the human body. After removing a part, it will not have much impact on the body, and the importance will not be that strong.

After identifying the bones, Qin Feng started the surgery directly.

First fix the patient's lumbar spine, then open the incision with a scalpel in hand, insert the opener into it, and use a probe to pass through the opener to check the trend of the screw channel in the pedicle.

Insert the Kirschner wire, place the previously placed standard screw, repeat three times, and transplant all three screws into the patient's lumbar spine.

"Stick holder."

Qin Feng took the instrument, implanted a steel rod of the required length into it, tightened the nut, and then implanted the horizontal connecting pipe to completely lock and fix the steel rod.

This is just the completion of the first step. Qin Feng paused for a while and continued to carry out the second step.

Open the view of the lumbar spine, use a scalpel to cut the epidermis and muscle tissue, start to peel off the paraspinal muscles, fully expose the fracture, fill the upper and lower vertebral segments with sterile gauze, press to stop bleeding, electrocoagulate to stop bleeding, find the bleeding port, and quickly ligate stop bleeding.

Then the third step is to clean up the broken bones.

Because the patient's lumbar spine landed first, there are many bone fragments in the waist. If not cleaned up, the patient will be very painful later and may even suffer secondary injuries.

Qin Feng held the rongeur and crushed the patient's fractured lumbar spine, and slowly took out the broken bone with the forceps and placed it on the tray.

When encountering a bleeding point, Qin Feng used double-click electrocoagulation to burn the bleeding point to stop the bleeding.

After a while, Director Lu from the Department of Orthopedics rushed over and was relieved to see that it was Qin Feng who was performing the operation.

"Where is the surgery done now?" Director Lu asked.

"Look for yourself." Director Zhao said coldly.

Director Lu looked through the results of plain CT scans and tomographic scans. After reading them, Director Lu also breathed a sigh of relief.

"The operation is not difficult. Is Qin Feng using artificial bones now?"

"No, what Qin Feng used was the material from the patient's lumbar intervertebral disc for autologous bone transplantation." Zhao Guoping said.

"hiss!"

Autologous bone transplantation is an operation that not many orthopedic surgeons in Ruijin Hospital can and dare to do.

If it is not done well, the east wall will be demolished but the west wall will not be repaired, and neither side will be pleased. This risk is also very high.

Lu Yunguo suddenly felt itchy, and asked Zhao Guoping to replace the kid above him.

Originally, Wang Xiong was still immersed in Qin Feng's wonderful surgery, but found that his position had been robbed.

How could he bear it, he was about to raise his head to scold him, but found out that it was Director Lu Yunguo of the orthopedics department, he was a big boss, and Wang Xiong couldn't afford to mess with him.

He could only endure everything silently, retreated to the position of Sansuke, and the best viewing position was taken by Lu Yunguo.

Qin Feng turned his head and saw Lu Yunguo just in time. He was a little surprised and said, "Director Lu?"

"Are you going to use the iliac bone autograft?" Lu Yunguo glanced at the part where Qin Feng took the bone and asked.

"Yes, that's right. The patient's body is thinner and the ilium is more spit out. Taking a part of the ilium will not affect the patient." Qin Feng said.

"That's right, I'll be your assistant." Lu Yunguo said.

"it is good."

It is also a feast to enjoy if you have a director-level assistant. You don't need to remind yourself too much. The assistant can accurately predict what position you need.

Soon, with the help of Lu Yunguo, Qin Feng cleaned up those lumbar bone fragments. The patient lost a total of 4 lumbar vertebrae and 5 lumbar discs.

The next step is a more important one.

(End of this chapter)