Chapter 746: Playing cards out of common sense

Seeing that Chu Tianyu ignored himself and went in angrily, Sun Jianguo shouted at the back of his voice: "Little Wang Balamb, we can make up our minds, if you can't do it, let Lao Tzu get out of the army." ”

Chu Tianyu didn't pay attention to Sun Jianguo, but just raised his arm behind his back and gave Sun Jianguo a middle finger, everyone who saw this scene was instantly dumbfounded, this kid is too bold, he dared to give Sun Jianguo the middle finger, don't you know how big this old man is?

Sun Jianguo was stunned for a moment when he saw Chu Tianyu raising his middle finger at him, and then he jumped like thunder in the next second: "You little Wang Balamb is tired of living, isn't it? "I'm going to rush forward.

An expert from the anesthesiology department hurriedly stopped him, and this one told him: "Old Sun is angry, don't be like a stunned young man." The one said, "Anyway, that little rabbit cub will get out of the army soon, so don't make you angry, don't bother him now." ”

In short, the operating room was a mess, and Sun Jianguo was furious, scolding Chu Tianyu, a bastard, for not being a thing.

Chu Tianyu didn't care what the mess was like here, he went directly to the operating room, and when he entered, the anesthesiologist was already anesthetizing, and the instrument nurse and the recovery nurse were also preparing the corresponding surgical instruments, to Chu Tianyu's surprise, Tian Manxi, the annoying dead woman, was also there, and he immediately frowned and said, "What are you doing here?"

Tian Manxi sat on the chair in a surgical gown and knocked on Erlang's leg, one leg swayed, and after slanting a glance at Chu Tianyu, he said in a weird manner: "What do you say I'm here for?" Of course, I want to observe the operation of your medical genius, just I want to come to observe, and they will come after a while, everyone wants to see how you, a genius, can operate on a patient, so that his hand function can recover to more than 80% after surgery." ”

Chu Tianyu snorted coldly and said, "Just look at it." Speaking of this, Chu Tianyu didn't care about Tian Manxi and said directly to the anesthesiologist: "Teacher, the operation I did today is different from the previous amputated limb replantation, I will not immediately take out the severed hand after opening the flap, I need to operate in the flap for half an hour, and then it will be amputated limb replantation." ”

As soon as the voice fell, everyone was stunned, so there is such a surgical method? Generally, the surgeon begins to free the position of the severed limb, and the corresponding blood vessels and nerves are free as soon as possible, and the assistant takes out the amputated limb from under the flap, does simple free work, and then hands the severed limb to the surgeon for the final replantation, I have never heard of the operation under the flap for half an hour, and then perform the amputated limb replantation, this surgical method is unprecedented.

Tian Manxi frowned and said, "Chu Tianyu, what the hell are you doing?"

Chu Tianyu ignored him at all, and continued to say to the anesthesiologist, "Teacher, I am the chief surgeon, do what I say." ”

Chu Tianyu didn't know the anesthesiologist, he didn't even know his name, so he called someone a teacher out of respect.

The anesthesiologist is called Ji Xuekun, in his forties, he is also an old doctor, and he is also the chief physician, he does not dare to say that he has reached the peak in Chinese anesthesiology, but he can definitely rank in the top 50, and his skills and experience are quite good.

Ji Xuekun had never heard of such a technique, and looked at Chu Tianyu in surprise and said, "Young man, it seems that you don't follow the rules by doing this. ”

Chu Tianyu looked at Ji Xuekun and said: "If the teacher wants to restore the patient's hand function to eighty percent, he must use such an operation, you can rest assured that I will not mess around, I will always remember that the patient's life is above all else." ”

Ji Xuekun looked directly into Chu Tianyu's eyes, and saw confidence and decisiveness in them, this look seemed to give Ji Xuekun a reason to believe him, so he said, "Okay, young man, don't let me down." ”

Chu Tianyu nodded heavily and then went out to brush his hands, when he brushed his hands and came in to pass the surgical gown, Sun Jianguo and Tian Manxi also brushed their hands and came in, and the two of them "hummed" in unison, neither of them gave Chu Tianyu a good face, of course, they were wearing masks, hats and goggles, Chu Tianyu couldn't see what their faces were.

Chu Tianyu didn't pay attention to them, he came directly to the position of the chief knife and exhaled without speaking, and directly stretched out his hand, not to mention the doctors in a super large tertiary hospital like the military president, even the medical literacy of the nurses is quite high, and there is no need for the surgeon to speak, the instrument nurse can know what instruments they need, so when Chu Tianyu stretched out his hand, the instrument nurse immediately handed the thread scissors to Chu Tianyu.

Chu Tianyu quickly opened the sutures, slowly separated the flap with hemostats, and soon saw the fragments of the hand in the fostering, and the whole hand was simply beaten in the local hospital, but it was not sutured, just pieced together, and then fostered under the flap to ensure that the severed hand would not be necrosis, after such a long time, the color of the severed hand changed, and it was very pale, this was caused by insufficient blood circulation, and there was some yellow mucus on the severed hand, which was formed after the exudate coagulated.

Opposite Chu Tianyu was Sun Jianguo, he raised his head to look at Sun Jianguo, Sun Jianguo immediately said angrily: "What do you think I'm doing?

Chu Tianyu said directly: "Hand the hook puller to Sun Lao, Sun Lao has to pull the hook for me, who made you a helper?"

These words almost didn't make Sun Jianguo very angry, your uncle, do you really call Lao Tzu as your assistant? But in the end, Sun Jianguo forcibly resisted the urge to run wild, took the hook very dissatisfied, and reluctantly stretched the incision open, fully exposing the surgical field, Sun Jianguo wanted to see what ability Chu Tianyu, this bastard boy, had to restore the patient's hand function to more than 80%.

Chu Tianyu looked at the severed hand that was pale and had a lot of yellow mucus under the flap, stretched out his hand, and the instrument nurse immediately handed the hemostat to Chu Tianyu's hand with a "snap".

Under the shadowless lamp, Chu Tianyu gently pressed the severed hand with his left hand, and then used the hemostat of his right hand to slowly separate the severed hand along the scar on the hand. Tendons, as well as splicing bones, also use some orthopedic medical equipment, such as titanium nails, or titanium plates, which are of course prepared according to the patient's condition in advance.

Chu Tianyu's movements are very gentle, but the speed is not slow at all, giving people a sense of extraordinary proficiency in flowing water, being able to do Chu Tianyu's point can only show that he has a considerable understanding of the anatomy of the human body, and he knows all about the nerves and blood vessels in that position, even the smallest nerves and blood vessels He knows very well.

Sun Jianguo did not like Chu Tianyu's little bastard, but at this time, he had to admit that the kid in front of him had very high attainments in anatomy, so high that the most experienced surgeon in a super-large tertiary hospital like Mr. Lian Jun was not as good as him, if it weren't for this, Chu Tianyu's operation would not give people a very comfortable feeling of flowing water.

Tian Manxi also looked at Chu Tianyu unpleasantly, but when he saw his operation, he had to shout to obey, if it was her, he would never be able to do it so skilled, it was really better than people to death, and goods were still better than goods.

Soon Chu Tianyu separated the severed hand, but he did not block the connected blood vessels, and when he got this, Chu Tianyu suddenly said: "Two gastrografin pieces, draw them into a two-milliliter syringe, and after I inject them, I will take an X-ray immediately." ”

Hearing Chu Tianyu's words, Sun Jianguo and Tian Manxi immediately exclaimed, "Chu Tianyu, you want to have an angiogram?"

That's right, Chu Tianyu is going to do angiography, and the contrast agent is gastrografin, which is a contrast agent widely used in medical imaging, but Xu Yong's situation is not suitable for imaging, because the blood vessels in his broken hand have atrophied, and many blood vessels have also appeared adhesions of the blood vessel walls, and the contrast agent cannot pass through at all.

Chu Tianyu didn't pay attention to them at all, and said in a stern tone: "I said to give me two gastrografin, and then prepare the bedside X-ray machine, didn't you hear?"

Although Chu Tianyu only spoke in a slightly stern tone, he still scared the instrument nurse so much that he subconsciously did what he said.

Chu Tianyu directly injected gastrografin into the anastomosed blood vessels, and then left the operating table and said: "Bedside X-ray!" Chu Tianyu still said this sentence Chu Tianyu went directly out of the operating room, and there was radiation to take a film with a bedside X-ray machine, Chu Tianyu didn't want to eat the thread, so he naturally had to hide away.

There is a special bedside X-ray machine in the operating room of a super-large tertiary hospital like the Military Medical University, so there is no need to find someone from the radiology department to take a film, and the bedside X-ray machine here is more advanced, although the film cannot be produced immediately after shooting, it can be seen on the computer.

Sun Jianguo and Tian Manxi both felt that Chu Tianyu was crazy, it didn't make sense for him to do this, it just delayed the operation time, but fortunately, it would not have any impact on the patient's body, so the two of them sneered and didn't stop them, they went out directly, all they had to do now was to wait, wait and see how Chu Tianyu ended.

If Chu Tianyu can't fulfill his promise, he will have to get out of the General Military Hospital, and get out of the distance, this is what Sun Jianguo wants to see, and it is also what Tian Manxi wants to see.