I Spent Those Years In the Operating Room Fighting Monsters

　　 Lu Cheng just got started, because it's April, so the child doesn't wear much, and he doesn't need to stretch his sleeves to touch the bones.

　　 Zhou Yi had already stabilized the mother of the patient from the beginning, Lu Chenglai never thought of taking action.

　　 It's just that if he doesn't show up again, Zhou Yi's situation will be embarrassed by the intern classmate.

　　 I know it myself, so I can’t ignore it.

　　Lu Cheng works in the orthopedics department. In fact, he has encountered this situation many times. Generally, the subluxation of the radial head is only encountered in the outpatient or emergency department.

　　Even the pathogenesis and medical history of this disease are generally more typical and have been mentioned many times in textbooks. The little girl didn't make a mistake on this point, and she has a certain solid foundation.

　　 But I mentioned it many times, but it doesn't mean that many people know it. At least Zhou Yi didn’t mention it before.

　　 Moreover, people who know it may not be able to diagnose it. In fact, subluxation of the radial head may be a rare disease in orthopedics, and imaging examinations are not very useful.

　　 Lu Cheng only then dared to step forward to check it himself.

　　 Even if Lu Cheng felt that he already had some accomplishments in orthopedics, he still didn't dare to be careless.

　　Western medicine is a discipline that pays attention to evidence.

　　Inquiry for evidence from evidence, medical history and evidence from a specialist physical examination.

　　 Lu Cheng is naturally not sure that it is subluxation of the radial head, so he can only pinch it slowly upwards from his fingers.

　　 While pinching, he asked: "My kid, if it hurts when uncle pinches, you can tell uncle, OK?"

　　 In the case that the fracture cannot be ruled out, and there is no film, the first thing to do is to locate it.

　　The best way to position is to be tender.

　　 After identifying the pain points first.

　　 Then it can be qualitative.

　　 "Okay," the little boy let out his fat little hand a little bit.

　　 Lu Cheng went all the way up and asked, "Does it hurt here? Does it hurt here?"

　　...

　　 At this time, besides the crowd of onlookers, there was another middle-aged man who was about forty years old. He saw that Lu Cheng was quite proficient in his movements, so he didn't walk up again.

　　 Finally, when Lu Cheng squeezed the boy's elbow, the child shook his left hand, presumably the muscle contraction caused by the pain.

　　 Lu Cheng quickly let go, then supported his elbow with his left hand, and said, "I'm sorry, kid, my uncle just used a lot of force. Now I hold this place gently, it doesn't hurt at all, right?"

　　 is positioned at the elbow joint, that's right.

　　 What is needed next is qualitative.

　　And the two most important qualitative conditions for subluxation of the radial head:

　　 1. The triangular relationship behind the elbow joint is clear, which proves that it is not a dislocation of the elbow joint.

　　 2. There is no bone friction sound, bone friction sensation and abnormal deformity, and fractures are excluded.

　　 Abnormal deformities can be seen with the naked eye, but fractures in joints do not necessarily show abnormal deformities.

　　 Therefore, Lu Cheng can only hold the elbow joint with one hand, and hold the palm with the other hand, and slightly shake left and right. If in the process, he hears bone friction and feels bone friction.

　　 Then why should I go? Just endure the pain, the manual reset may no longer be applicable.

　　 Fractures in the joints must be photographed, and 90% of them may be operated on. Lu Cheng dare not engage in manual reduction for a patient who may have a fracture but no X-ray.

　　 Just in time, Lu Cheng's left hand clearly felt the relationship between the triangle behind the elbow, and he did not feel the bone friction. Moreover, this series of movements were all natural.

　　 These are the basic operations that can be learned in the textbook, plus Lu Cheng's current reset method, which is very particular.

　　 Next, Lu Chengcai said to the mother of the child: "The possibility of the child's fracture is not high, it is very likely that it is subluxation of the radial head. I will try to reposition him now, which may be unsuccessful."

"However, it will not cause much damage to him. Moreover, according to the current situation, there is basically no nerve damage. Even if there is an occult fracture, a slight reduction action will not cause the movement of the fractured end. The patient caused irreversible harm,

　　 "But there is also the possibility of aggravating the hidden fracture, dare you let me try to reset it?"

　　 The pros and cons must also be made clear.

　　 Otherwise, it will be troublesome afterwards. It is natural for doctors to do good things, but it must be a prerequisite to protect yourself, otherwise a little carelessness will ruin your life.

　　 If the mother of the child refuses, Lu Cheng will immediately let go.

　　 "Maybe it's unsuccessful? What should I do if it is unsuccessful? Is there no way to be sure that it is a fracture?" The mother of the child just wanted to make her son not hurt, so she asked.

　　 Lu Cheng didn't blame her for such an unprofessional question.

"Then there is nothing for the time being. After all, the conditions are limited. There is no way to do 100% investigation. You can only reset it after the photo is diagnosed. If you are willing to let me try, I can help you. If you don’t want to If it does, I have no other choice."

　　 "We are all human eyes. With the naked eye, we cannot directly see the skeletal muscles and nerves through the skin and flesh, nor can we see fractures."

　　Doctor can't get it up with his mind and dislocation of his mouth. Of course, Lu Cheng tells the truth.

　　 "Mom, I hurt. I don't want to pinch anymore, okay?" The little guy looked at her mother again at this time.

　　 "Doctor Lu, please reset it, thank you." The mother of the child hesitated for a while before nodding slowly.

　　 If I don’t deal with it, my son will always be in pain.

　　 I will also feel distressed.

　　 Lu Cheng heard this, his left hand immediately pinched the underside of Xiao Nan's elbow, just a little harder, and then said to the kid, "My kid, your hand is already healed? You try to lift it up?"

"Really?"

　　 "Really." Lu Cheng encouraged him.

　　 While encouraging the little boy, he assisted in raising his left hand forcefully. In fact, this was only to distract the little boy, thinking that Lu Cheng was helping him raise his hand. uukanshu.com instead of treating him.

　　 Next, the little boy's left hand could actually be raised slowly.

　　 Seeing this, the middle-aged man onlookers smiled and turned and left.

　　 When the elbow flexion reached almost 30 degrees, Lu Cheng said again, "Look, Uncle didn't lie to you, right? Did he lift it up?"

　　 "Will you slow down and take a look?"

　　 In fact, the radial head is subluxed. When the elbow can be bent to 30 degrees, it has been reset involuntarily, and because the bones of children are very brittle and tender, they may not hear the sound.

　　 The little boy really slowly let go. Although the pain before it has not completely disappeared, it has slowed down a lot.

　　 When the pain continues, the pain is slightly reduced, which is a kind of enjoyment.

　　 So he put it down in surprise.

　　 really put it down.

　　 "You lift it up and try again?" Lu Cheng continued.

　　 The little boy really lifted it up slowly, and then quickly told his mother: "Mom, my hand can move."

　　 There is no way to hide the clarity and surprise in his eyes.

　　 "Really, the baby will show his mother to see, OK?" The mother of the patient saw that the son could really lift it up, so she asked him to do it again.

　　 This scene was naturally seen by all the passengers around.

　　 In private, the other side pointed and pointed,

　　 "This young doctor, although he may not seem very old, is really powerful. All of a sudden, the child doesn't have any pain."

　　 "Yeah, I don't cry anymore. The medical skills must be very high."

　　 "Maybe they are the doctors in the province. This train is for Shashi."

　　"..."