Since 1981 Health School

  As soon as he heard that he could be saved, Director Tan became excited, and when he was excited, he talked too much, and held Chen Qi tightly:

"It's fine, it's fine, as long as we can pick up the job, as long as we don't become disabled, we will be satisfied. Dean Chen, please save Master Zheng. It doesn't matter how much it costs. Tell me what medicine you want, and we'll go buy it right away. "

  Chen Qi took a deep breath: "If you keep talking nonsense, the patient will be in more danger. Please let me go."

   Factory Manager Tan blushed and stepped aside quickly.

  If another doctor dared to say that, Director Tan would definitely lose his temper, but for a capable doctor, Director Tan resolutely admits he is cowardly.

  Dean Mao flashed out from the side: "Director Tan, why don't you go to my office first?"

  Factory director Tan is a deputy department-level director, but he is still a bit reserved towards this deputy department-level dean. He just shook his head: "I'll just wait here."

   Let Dean Mao make a fuss.

In the operating room, all the medical staff are in place, because the fourth hospital has never performed replantation of amputated limbs in history, so everyone is very nervous. You must know that outside the operating room, the three directors and the leader of the machinery factory are waiting. .

   Chen Qi took over the command of the operating room:

  "Anaesthetist, continuous brachial plexus anesthesia was performed for this operation, with 10ml of 0.3% caine plus 10ml of 2% lidocaine.

  The anesthesiologist nodded: "Got it, do you need to add some epinephrine routinely?"

   "No, adrenaline will cause continuous spasm of blood vessels, not this time."

"OK!"

   "Director Li from the Department of Internal Medicine, help me keep an eye on the patient's vital signs. In addition, the patient is already in hemorrhagic shock. I will leave it to you to expand the capacity."

   "Vice Chen received!"

  Chen Qi said to Director Bian again: "Old Bian, help me clean your upper limbs and then disinfect them. I will handle the broken palm myself."

"OK!"

   Under Chen Qi's command, everyone began to act in an orderly manner, with a clear division of labor.

Chen Qi took the patient's severed palm in his hand, rinsed it repeatedly with a large amount of saline, and then began to wash the edge of the wound with a sterile brush and soapy water. Sanitize twice.

  If it was just this step, Chen Qi wouldn't do it himself, any little doctor would be able to do debridement and disinfection.

   "Nurse, prepare 250ML heparinized isotonic saline and an 18-gauge flat needle for me."

  The nurse quickly prepared the things Chen Qi needed and handed them to him.

  Director Bian was carefully observing Chen Qi's steps while debridement. This is valuable clinical experience. Maybe he will use it next time. Of course, if you don't understand, you have to ask.

   "Deputy Chen, what is the use of you preparing heparin?"

  "I'm going to flush the vascular bed now, so I can know whether the integrity of the blood vessels of the severed limb is damaged? If I inject heparin and it leaks everywhere like a sieve, then the palm of my hand will be hard to handle.

In addition, if the severed limb tissue has no blood supply for a long time, it will definitely accumulate a lot of toxic metabolites, and there will be a lot of blood clots in the small blood vessels, so washing it can reduce the body's absorption of toxic substances and provide unobstructed blood vessels for the reconstruction of blood circulation. Time to lay a good foundation. "

  While the dean was listening, he was memorizing in his heart.

  Yan Shifan and Bianmeng were also preparing for the operation, while stealing lessons from others.

  After Chen Qi finished all the preparations and the operation was about to start, Chen Qi looked back at Ma Shouli, the director of orthopedics department, and said:

"Director Ma, now the first step is to fix the bones and joints. The effect I need is to bite the ends of the bones into a relative ladder shape and fix them with 1-2 screws. You are an expert in orthopedics. You are the surgeon in this step. .”

   After all, Chen Qi is not a professional hand surgeon, and his treatment of bones is definitely not as good as a specialist, so he can only ask for foreign aid. This is also the benefit of multidisciplinary surgery, which can give full play to the strengths of each doctor.

  When Director Ma heard this, his tail went up to the sky:

   "Don't worry, Ms. Chen, it's right to entrust me with the orthopedics, and I promise to complete the task."

  The orthopedic work is done by stupid big people. This is sawing and punching. After working for a long time, the broken palm and arm are roughly connected.

  Chen Qi couldn't say anything, and immediately sat on the stool, adjusted the microscope to a suitable angle, and said softly:

   "Now suture blood vessels immediately, small side, take out all the tools used in microsurgery, Lao Yan, you prepare the needle and thread."

  Vascular anastomosis to rebuild blood circulation, which is a key step in replantation of severed limbs.

  Without blood vessel anastomosis, the blood supply cannot be restored. In the state of long-term ischemia, tissue cells will be irreversibly damaged.

   Therefore, judging whether the limb replantation operation is successful or not, whether it is reincarnated, whether the blood supply is restored, and whether the blood circulation is established, these are the criteria for one-vote veto.

At the same time, this step is the most complicated and most technically challenging. The blood vessels are so thin that you have to suture them one by one. The larger blood vessels under the microscope are fine, but those small blood vessels can only be more careful. One can imagine this The difficulty is great.

  Anyway, Chen Qi's hand was only slightly shaking in the eyes of the bystanders, and the movement was so small that it couldn't be smaller.

  This is also the reason why surgeons don’t drink easily. If they drink too much, their hands will tremble slightly, and many operations cannot be performed. For example, laparoscopic surgery will test the stability of the hand.

  Continuous through suture, intermittent through suture, invaginated suture...

  Chen Qi used different suturing methods according to different blood vessels, concentrating on it, and it was quiet in the operating room. Everyone was afraid that even the slightest noise would make the surgeon's hands tremble.

   While Chen Qi was busy doing blood vessel anastomosis, the car of the People's Hospital also drove into the Fourth Hospital quickly.

  President Guo and Zhu Huoyan received a call from Hongqi Machinery Factory and rushed over as quickly as possible.

  Actually, the two of them are still a little worried, because their skills in replantation of severed limbs are not good enough.

  Microsurgery was far from popular in the 1980s, and it was generally carried out in national or provincial hospitals.

  Regional hospitals don’t carry out much. One is that there are few disease sources, and there are not many opportunities to practice mobile phones. The second is that the severed palms are not properly preserved, and many patients have no chance to replant.

  There is another one. Both Dean Guo and Director Zhu are from general surgery. They are basically two concepts from "hand surgery" under the microscope. This is really interlaced.

  But after receiving a call from the company for help, the two rushed over. Whether the technology is good is one thing, but the attitude is another.

   After the two got out of the car, they walked quickly to the operating room. Director Tan and Dean Mao saw the director of the People's Hospital coming, and they also greeted him.

  President Guo shook hands with them, and asked eagerly, "Where is the patient? How is the situation now?"

  President Mao quickly replied: "President Guo, the patient is already undergoing surgery."

  President Guo and Zhu Huoyan's astonishment passed for a moment, and they both wondered when will the fourth hospital be able to replant limbs?

   "Who is the chief surgeon? Bian Pengfei?"

Uh…

  Dean Mao was a little embarrassed for a while. He didn't know the relationship between Chen Qi and these two big leaders. He simply wanted to recommend it to his competitors and felt unwilling.

   "President Guo, Director Zhu, Comrade Chen Qi from our hospital is the chief surgeon."

   "Chen Qi?"

  Dean Guo suddenly chuckled, and his expression was visibly relaxed:

   "This kid can do limb replantation? Let's go and see."

  Principal Zhu was also full of question marks, thinking that replantation and replantation had not been carried out in the Yuezhong area, where did this little apprentice learn it?

  One of the two relaxed, the other was puzzled. They quickly changed into surgical gowns, sterilized them and entered the operating room.

  Director Bian saw Dean Guo and the others coming in, and just about to say hello, Dean Guo waved his hand and pointed at Chen Qi.

  He has already seen that Chen Qi is facing the microscope, concentrating on the delicate operation, and this process cannot be disturbed.

  Surgeons like to joke and chat during operations, and they are all very extroverted anyway, but microsurgery does not allow the slightest distraction.

  Although Dean Guo does not know how to do it himself, he is knowledgeable and knows how to measure.

   Director Zhu was more curious about Chen Qi's clinical skills, so he quietly came to Chen Qi's side, squatted down, and carefully observed how Chen Qi treated the wound.

   Just two hours into the operation, Professor Wu Jianlin, who came from the First Affiliated Hospital of the provincial capital, arrived with a full set of microsurgical instruments.

  Wu Jianlin was one of the first doctors in Haidong Province to carry out hand surgery, and his skills are nothing to talk about.

  Yuezhong Fourth Hospital is only 40 kilometers away from the provincial capital. When he received a call for help, he didn't say a word, and it took more than an hour to arrive quickly.

  Hongqi Machinery Factory is still very capable.

   When Director Tan heard that a doctor was coming from the provincial capital, he ran to meet him quickly.

   "Director Wu, it's great that you are here. You can save this master worker in our factory. He is an eighth-level fitter. There are not many treasures in the entire Yuezhong area."

  Wu Jianlin didn't talk nonsense, and walked quickly to the operating room while asking:

   "How is the patient's condition now? Is the severed limb well preserved?"

  Dean Mao followed quickly and introduced:

"Director Wu, it's like this. The patient was cut off from the wrist by a machine about 2.5 hours ago. He was sent to our hospital 10 minutes after the injury. We carried out rescue work 18 minutes after the injury. Currently, the amputated limb is being resuscitated. implant surgery."

  Director Wu stopped suddenly and asked in disbelief:

   "What did you say? Replantation of amputated limbs is already underway? Who is the chief surgeon?"

  President Mao replied weakly: "It is Comrade Chen Qi from our hospital who performed the surgery."

"Chen Qi? I haven't heard of it. I can't. There are only a few doctors in Haidong Province who can perform replantation surgery. Why have I never heard of Chen Qi's name? How did he learn the technique? Which expert did you learn from?"

  President Mao rolled his eyes: "This Comrade Chen Qi was originally a doctor from the Huangtan Health Center below us. He was just transferred to the Fourth Hospital not long ago."

   "Huh? Doctors in the health center can do replantation of severed limbs? Isn't this nonsense!"