For this kind of thing, a hundred Sun Lien together can not play as much of a role as one fart. The only person who can determine the success of limb salvage is the orthopedic surgeon who performs the surgery.

Zheng Guoyou rushed to the scene with the backbone doctors in the department, and then began an emergency assessment. And Liu Tangchun took Zhou Jun to organize the rescue. After a little exchange of opinions, Vice President Liu and Zheng Guoyou looked embarrassed.

"The area of the damage is too large. Zheng Guoyou is most worried about the risk of forced limb salvage surgery, "According to past experience, it takes more than two hours to debride and suture the foot and calf damage, and this time the knee and femur...... Even if you don't deal with a dislocated femur, the surgery will likely take more than six hours. For such a long time, the tissue may die—his femoral nerve will also be broken, and once this nerve is broken, it will be useless to take it back. ”

Six to eight hours is the upper limit of the time it takes to connect severed nerves and blood vessels. Beyond this time, the severed nerves and blood vessels of the patient will be irreversibly deprived of oxygen and even necrosis. The operation lasted six hours, which meant that during the operation, Tan Junni's entire right leg would be in a state of continuous lack of blood perfusion and hypoxia. The irreversible hypoxic damage will continue to cause Tan Junni's leg to continue to lose function. Even if gangrene had not formed due to necrosis, after a long and painful treatment, it was possible that all that remained in his body was a useless tissue that "looked like a leg".

Liu Tangchun's opinion is even more extreme, "He is still bleeding too much now...... The pressure of the hemostatic air bag is already almost 60 kPa, and this bleeding is still too fast. The hip joint must be freed as soon as possible and the blood vessel must be closed, otherwise the person will bleed to death. ”

Neither director recommended limb-salvage surgery. But Song Wen was stubborn like a cow, "Active treatment, priority limb saving!"

As the dean, Song Wen has no problem making medical decisions for Tan Junni here, but she is obviously a little irrational now. After Liu Tangchun and Zheng Guoyou glanced at each other, Liu Tangchun walked over stubbornly.

"Dean Song, you calm down first. Liu Tangchun said in a low voice, "Otherwise, you might as well contact the family first, at least listen to their opinions......

"What can they say?" Song Wen glared at Liu Tangchun, "He is injured at work, and the treatment expenses are all covered in the hospital." Do you do everything you can, do you understand?"

Although Liu Tangchun still insisted that Song Wen contact the family first, the family on the other end of the phone could not clearly express their opinions - Tan Junni's mother is a schizophrenia patient and does not have the capacity for civil conduct. And Tan Junni's father is a high paraplegic and can no longer speak. It was Tan Junni's second uncle who answered the phone, and he gave his opinion very directly, "We listen to the leader for everything." ”

Song Wen received a clear mandate, and with her facilitation, the treatment process was rapidly unfolding. Even if Zheng Guoyou and Dean Song discussed it for a long time, they couldn't change her mind. Sun Lien stood aside, and could only watch Tan Junni being sent to the operating room.

"Dean Song......" Song Wen and Sun Lien stood outside the operating room together, he thought about it, and felt that he still had to make his words clear, "It is unlikely that his leg can be saved." ”

"I know. Seeing that Tan Junni entered the operating room, Song Wen sat on the waiting seat as if he had lost all motivation. She stared at the door of the operating room and sighed, and talked about a completely different topic, "When the school was recruiting, he couldn't get in. ”

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After graduating from university, Tan Junni, like many other classmates, was busy looking for a job. He applied for several companies in the IT industry, but because a lot of overtime took up Tan Junni's usual volunteer time, he didn't choose any well-paid company in the end. Instead, he turned his head and applied for a position at Ningyuan Medical College.

Among all the applicants, Tan Junni has the lowest academic qualifications, the most worn clothes, and the least relevant work experience. But in comparison, his major is the most suitable for recruitment, with the longest volunteer service experience and the largest blood donation record.

And coincidentally, during the application process this time, Song Wen attended the interview event. And you can see the difference at a glance. After communicating with the personnel department and the information department, Tan Junni successfully entered the information department of the medical school and became an operation manager.

The reason why Dean Song has such a big reaction now is also related to this. Although it is difficult to say whether Tan Junni's employment is directly related to Song Wen's tendencies, she will feel that there is something in her heart.

A large part of Song Wen's decision was emotional, while a small part was based on rational considerations.

As a school worker, Tan Junni thinks about the work of the school and the hospital, in order to save scientific research funds and protect the safety of national property. Participated in the transportation and handling of equipment during non-working hours and was seriously injured as a result. Such selflessness should be positively stimulated. This is true both in terms of the cost of treatment and other aspects.

As a doctor, Song Wen understands the challenges and difficulties of limb salvage surgery. But she also knows very well that the main reason why some primary hospitals prefer amputation over limb salvage is not because of fear of failed surgery, fear that patients will not be able to pay for treatment, or ...... I think the limb salvage treatment is too cumbersome and hard. Doctors are primarily responsible for the patient's life, and damaged tissues release large amounts of potassium, myoglobin and other toxic substances. A lot of hospitals don't have the capacity to deal with this crush syndrome-like condition. In this case, the leg is not even a "lump of meat that looks like a leg" - it's a ticking time bomb.

However, although Song Wen was very clear about Zheng Guoguo's reasons for refusing limb-sparing surgery. She still forcibly demanded that the limb be salvaged first, on the one hand, because she believed in the orthopedic skills and abilities of the Fourth Hospital—she was sure that Zheng Guoguo would make the right decision, and on the other hand, it was also to put the Fourth Hospital in a favorable position in the future in possible public opinion disputes—we attached great importance to Tan Junni's situation and exhausted all the best means we could use.

She is not only a handsome middle-aged and elderly woman, but also the director of a hospital and a medical school. The triple identity allows Song Wen to consider three aspects before making any decision.

Even if it's this ...... The same is true of what seems to be almost hysterical.

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In the operating room, Zheng Guoyou is deploying personnel to perform surgery.

Foot damage involves the most bones and nerves, and also has the greatest impact on the patient's subsequent recovery. In this area, Zheng Guoguo chose his youngest deputy chief surgeon — an area where the operation is expected to take about four hours. You can't keep an eye on it without a good physique.

The femur part is the responsibility of the young orthopaedic surgeon. This area, while critical, is larger in diameter and nerve than in the foot. It was not difficult to perform the stitches, and it was a valuable experience for him.

And Zheng Guo has ...... After a heart attack, he doesn't go straight to the operating table very much. In this operation, he was more of a technical guide and a pinning of the sea's acupuncture.

"Priority is given to repairing blood vessels and nerves, leaving the flaps and bones in the back – if tendon sutures are too late to be done, they can be left for the second stage to be done. Zheng Guoyou assigns work in the operating room, using the usual tone of "the farmer shouts at the dog". "Be careful when stitching, don't be sloppy in sewing because you're in a hurry - Dean Song can wait outside, who dares to hold back, then wait to be peeled and stuffed by Dean Song and hung at the gate of the hospital!"

Although Zheng Guoguo told a joke, none of the doctors present could laugh. Tan Junni's injuries were so serious that they were even a little scared.

To sew this puddle of rotten flesh into a leg again...... The difficulty is really not something that can be easily overcome by the phrase "peeling the skin and filling the grass".

"Lao Zheng. Liu Tangchun, who had put on a surgical gown, also appeared in the operating room, although this time it was operated on by multiple surgeons at the same time, but after all, it was different from the previous Shenwai-orthopedic multidisciplinary joint surgery, strictly speaking, this should be the home of orthopedics. Liu Tangchun came here not to direct and coordinate multidisciplinary treatment, but to make decisions for his old friend, "I think Dean Song is a little ...... Not calm enough. ”

"Do you still need to tell me this?" Zheng Guoyou glared at his old classmate, "If you have a fart, I'm in a hurry to get on fire here." ”

"Try to choose the shortest time for the technique, you must understand this truth. Liu Tangchun said in a low voice, "Don't make a mistake about the bones, there's no need to waste time playing puzzles there - replace them if you can." ”

Zheng Guoyou glanced at Liu Tangchun, "Is there any fart?"

"Hey...... Lao Tzu is kind enough to come over to you...... Forget it. Liu Tangchun's eyes widened, and then he became kind again. "It doesn't matter if you work a little the joints, but the overall time is right. Anyway, the medical school pays for it, and there is no need to save for the college. ”

"I'm not stupid, you can think of this kind of thing as a deputy president, can I understand it? Don't get in the way here, get out of here." After Zheng Guoyou blasted Liu Tangchun out in a low voice, he stood at the door, crossed his waist to look at the scene, and then cleared his throat and said, "Don't listen to that mentally retarded Hu command, I really think that if I become a vice president, I can stretch my hand to me?

The orthopedic surgeons finally let out a knowing laugh. But Zheng Guoyou didn't laugh. He turned to look behind him, and shook his head after making sure that the entire operating room was his orthopedic surgeon except for anesthesia and nurses.

"Alright, put the knife down. Zheng Guoguo sighed, "Ready for hip relief...... I'll take the lead. ”