"Doctor Liu, what are you looking at?"

After receiving the X-ray number for the dislocation patient, Xu Dan found that Liu Banxia was fine and kept looking at his arm. I really couldn't help it, it seemed that Dr. Liu was a little abnormal, and the girl was a little worried.

"Dandan, are you tired, do you want me to rub your shoulders or something?" asked Liu Banxia with a smile.

He didn't say that it was okay, but when he said this, Xu Dan was scared, and his body rubbed against Zhou Li.

Liu Banxia didn't feel that what he said was a bit excessive, now he was actually a little immersed in his own world, and then sat on the side and pinched his elbows and shoulders.

Director Xu's words just now also reminded him that his current self is not his former self, and he couldn't understand the ordinary orthopedic technique before, but now it's okay, right?

With the addition of agile hands, the tactile feel and stability have been improved a lot. If you are familiar with the condition of the joints, will you be able to understand the work of orthopedics?

Others don't let him get started, so he can only touch his joints to feel it. It's a little bit worse, after all, there will be nerve reflexes in the place where it is touched.

"Sister Li, what's wrong with Doctor Liu?" Xu Dan looked at Liu Banxia who was touching himself and asked curiously.

"Who knows what came to mind, for a while, don't expect to be able to keep up with his train of thought. Zhou Li glanced at it and shook her head.

Xu Dan let out a sigh of relief, he didn't just want to attack himself, he was really startled just now.

"I know that I am lazy, take the patient and wait for the film, and let Dandan rest for a while. Zhou Li walked up to Liu Banxia's side and slapped him.

Liu Banxia, who came back to his senses, nodded with a smile, and then trotted over.

"It's time to make a film, are you still thirsty?" asked Liu Banxia.

"I'm not thirsty, but my legs hurt a little, and both legs hurt. The patient said.

"I'll take a look...... Sister Li, call Dr. Zhang, the nephrology doctor came for consultation, there may be acute kidney failure. As soon as he lifted the blanket and saw that the patient's calves were obviously thickened, Liu Banxia shouted.

Ding! Gain 100 XP and 100 Diagnostics Skill Mastery

This voice was loud enough, and Zhang Yun, who heard his shouting, hurriedly ran over.

"Doctor, what's wrong with me?" the patient was also frightened.

"Rhabdomyolysis, which is caused by excessive exercise, is often accompanied by the failure of the rest of the organs, and the kidneys are the first to be affected. Doctor Zhang, what should I do? Is it too late to call orthopedics?" Liu Banxia asked after explaining.

Zhang Yun frowned and shook his head, "Get dressed, disinfected, take a scalpel." Which of you cooperates with me? I need to cut the fascia immediately to relieve the pressure, otherwise these two legs will not be saved. ”

Qi Wentao and Sun Fengjiao, who came over, were stunned for a moment, knowing that what Zhang Yun was going to do was fasciotomy and decompression. It was actually just a minor orthopedic operation, but it had never been experienced by either of them.

"I'll come. Liu Banxia saw that they didn't respond, and directly began to get dressed.

After putting on the gloves, he also moved his fingers quickly. He also did not have such an operation, and what he could do was to copy Zhang Yun's operation as much as possible.

This allows the fascia to be cut accurately to relieve pressure without causing further damage to the patient's nerves.

"What are you going to do?" the patient panicked as soon as they saw that they had all taken out their scalpels.

"Bear with me, or your leg will be useless. Someone else immobilizes the patient and holds down the leg. Liu Banxia, listen to me. Zhang Yun said quickly.

"Double incision decompression. In the first incision, the incision is inserted in the midline of the fibular and tibial ridges to release pressure in the anterior and lateral compartments. Zhang Yun said and was ready to go under the knife.

Liu Banxia nodded, and followed Zhang Yun's example and put the scalpel in the corresponding position.

"Length 20 cm, cut. After Zhang Yun said another word, the scalpel slowly slashed open.

The same was true for Liu Banxia, as the scalpel slashed, strands of blood came out. This was accompanied by the screams of the patients.

Now the sin suffered by the patient is much more painful than Liu Banxia cutting open the false healing of the anal fistula patient. That is, the people on the side press hard, otherwise they don't want to be able to go down the knife safely.

"The second incision, watch me do it, cut. ”

Liu Banxia's current spirit can be described as highly concentrated, and his hand is very steady, which is an internal incision, which is equal in length to the external incision just now and parallel to the long axis of the tibia.

Gain 300 XP points, 150 Diagnostics skill proficiency points, and 500 fasciotomy decompression skill proficiency points

"Whew...... , well done, the rest is sent to the operating room for the orthopedic and nephrology people to do. After putting down the scalpel, Zhang Yun let out a sigh of relief.

"Dr. Zhang, the patient is fine, I have fainted. Liu Banxia asked.

Zhang Yun shook his head, "It should be fine for the time being, I just fainted in pain." It also depends on whether the results of the examination have kidney failure, and it is troublesome to deal with it. ”

"Your kid is doing well, your hands are very steady, and the effort we just made was at least able to help the patient save both legs. You two have to be a little bolder, and not every surgery will give you enough time to prepare. ”

"Doctor Zhang, I remember, I was really scared just now. Sun Fengjiao hurriedly nodded.

Qi Wentao is much worse than her, even if he didn't dare to do it just now, but he was afraid that he would take responsibility after doing it, but he didn't want to admit it.

"Hey...... , I didn't think of this stubble when I treated him for dislocation. If we had intervened earlier, wouldn't it have been so dangerous?" Liu Banxia said regretfully.

"But it shouldn't be, he's a person who exercises regularly, his physical fitness is very good, and he's stronger than me, why is it that the rhabdomyolysis this time, or two legs." ”

"It's nothing unusual, it's definitely been a hard time to practice. There have been many such cases over the years, and there is no warning before the onset of the disease. Zhang Yun said.

"We are doctors, not gods. The judgment that we can make is after the symptoms have manifested. Okay, let's stop talking about it, let's clean up this place. Zhou Li, inform the laboratory to get the patient's test results out as soon as possible. ”

Zhou Li nodded, and then ran away directly.

As Zhang Yun said, the most critical thing for this patient now is not the legs but the kidneys. There are many cases of acute kidney failure due to rhabdomyolysis, and the mortality rate is very high.

If Liu Banxia just now felt that the orthopedic orthopedic technique was magical, he made an important decision after experiencing this fasciotomy and decompression. We should not only focus on general surgery, but also on minor surgical operations.

Not all illnesses can afford to wait, if it is not almost time for the patient to take an X-ray, if there are more patients to take an X-ray today, the patient's two legs may not be saved.

Even if it can be saved, the prognosis will be much worse, let alone exercise, and normal walking may be laborious.

I don't want to achieve the same level of medical skills as those in orthopedics, at least simple emergency surgery must be mastered. The surgery is not very difficult, but it can play an important role in critical moments.

It affects the patient for a lifetime.