In the office, Chu Tianyu sat in the corner, opposite a laptop, the computer was given to him by Tian Manxi, and Chu Tianyu was using this computer to read the patient's medical records and related auxiliary examinations.

Patient Du Yong, male, 29 years old, from Wusu, was cut off by the cutting and churning machine two days ago, although the workers turned off the cutting and churning machine in time, Du Yong's right hand was also churned and cut to pieces, but fortunately the machine is not a crusher, otherwise the hand will be gone, the workers found all the hand fragments in the machine, until it is complete, and then immediately put it in ice cubes and sent it to the local hospital.

However, because the hand was too broken, the local hospital did not have the technology to carry out amputated hand replantation, so it could only do abdominal subcutaneous foster limb amputation for the patient, that is to say, the broken hand and fingers were treated to a certain extent, a cut was made under the skin of the abdomen, and these pieces of hand fragments and fingers were put under the skin, so as to foster the amputated limb in this way, prevent the necrosis of the amputated limb, and win the opportunity for the patient to replant the severed finger.

Now Du Yong's broken hand is under the skin of his abdomen, and it will be taken out for splicing during the operation, but this operation is simple, but the difficulty is not small, first of all, the entire right hand has been broken into a piece quickly, whether it is blood vessels, bones, nerves, The tendons were greatly damaged, and although the abdominal subcutaneous paracutaneous limb amputation was performed, it was only two blood vessels (one vein and one artery) connecting each fragment of the hand during the operation, and doing this treatment and burying the amputated limb under the skin can indeed prevent necrosis of the amputated limb.

However, with the passage of time, those blood vessels that are not connected must have atrophied, and even the blood vessel walls have been rigidly adhered together, which creates great difficulty for the future amputation replantation, because when doing abdominal subcutaneous parastonic limb replantation, only a simple vascular anastomosis is done, but when doing amputated limb replantation, these anastomosed blood vessels should be temporarily cut off, and then the broken severed hand is doing vascular anastomosis, but at this time, it is not just anastomosis of the previously anastomosed blood vessels, but also other blood vessels, that is, those blood vessels that have atrophied or the blood vessel walls are adhered togetherOtherwise, there is no way to provide sufficient blood supply, and if there is not enough blood supply, necrosis will still occur if the severed limb is not sufficient.

However, it takes a long time for those and the atrophied or adherent blood vessels to do vascular anastomosis, and if these blood vessels cannot be anastomosed within a fixed time, the severed limb will still be necrotic.

There is also the nerve, if the number of blood vessels and nerves that are anastomosed is not sufficiently anastomosed, the replanted hand is equivalent to a prosthesis made of flesh, without any function, and the nerve is the key to innervating the function of the hand.

However, these nerves are also the same as those hand fragments in the abdominal subcutaneous foster surgery, there is no anastomosis, so many days have passed, it must have atrophied into the muscles, it is easy to find one or two, but it is very difficult to find all of them for anastomosis, and it is very difficult to restore the patient's hand function as much as possible.

This kind of surgery can not be done indefinitely, there is a specified time, and the repair of hands and tendons, the anastomosis of blood vessels and nerves cannot be carried out within a fixed time, and necrosis will occur when the limb is severed.

If you want this operation to be successful, Chu Tianyu has to anastomosis as many blood vessels as possible in a limited time to provide enough blood supply for the severed limb, then anastomosis more nerves, and finally tendons, it takes time to anastomosis so many things, but time is limited, Chu Tianyu's hand speed is really fast, but the bad thing is that many blood vessels and nerves need to be found, what about your hand speed of anastomosis blood vessels and nerves? You have to find these things? If you can't find it, it's not in vain.

If Chu Tianyu can't find more blood vessels and nerves in a limited time and then anastomize, even if the operation is successful, the function of the patient's hand will not recover much, and he will still be a waste person in the future.

The patient is only 29 years old this year, and is the main labor force in the family, if he becomes a disabled person, the family will be sad in the future, and it is precisely because only by allowing the patient to recover his ability to work, the family will not be dissolved, so the family took out all their savings, borrowed money from relatives and friends and came to the General Military Hospital, hoping to come to such a large hospital, and the doctors here can treat their relatives well.

Now the problem comes, the operation time is limited, Chu Tianyu's hands are fast, but there is no guarantee that those atrophied blood vessels and nerves will be found in a limited time, if the patient is still a disabled person if the operation is not successful, the replanted hand will not recover much function at all.

Seeing this Chu Tianyu exhale, he knew that Zuo Chunrong was not at ease, and he would definitely give him a problem, the result was that if this was the case, the old man really gave Chu Tianyu a big problem, and now if he wants the operation to be very successful, Chu Tianyu has to find a way to find all the blood vessels and nerves within a certain period of time, but this matter is difficult, because many blood vessels and nerves are obscene, hidden in the flesh and skin, can the whole hand be completely dissected? If this is done, it is not performing amputated limb replantation on the patient, but dissecting, and the patient's hand must be completely useless.

Tian Manxi leaned on the table and looked at Chu Tianyu and said, "How to do this surgery, are you sure? For you, a medical genius, this kind of surgery is definitely not a problem, right? Who made you a genius?" ”

Chu Tianyu glared at Tian Manxi, a woman with a bubble in her brain, she said these words not to compliment Chu Tianyu at all, but to praise him highly, saying that he was a medical genius, so if a medical genius can't do this operation successfully, he is still a bullshit medical genius?

Tian Manxi just let Chu Tianyu climb high, and then fell down and killed him hard, he didn't have a good heart at all.

Chu Tianyu snorted coldly and said, "I really did this operation, and I can ensure that the patient's hand function is restored to more than eighty percent." ”

Tian Manxi pouted and said, "I'll praise you twice, do you really think you're talented?"

Speaking of this, Tian Manxi shouted loudly: "Listen, our medical genius Comrade Chu Tianyu said that he can do Du Yong's surgery, and ensure that Du Yong's hand function will recover more than 80% after surgery. ”

Immediately a surprised voice came: " Chu Tianyu, don't think that you have done a bowel anastomosis operation is amazing, the cowhide is still blowing to the sky, the difficulty of the operation of amputated limb replantation is difficult to find the atrophied blood vessels and nerves quickly, if anyone can overcome this difficulty, then the limb function of the patient who undergoes amputated limb replantation has already recovered to more than 80%, not to mention the hands and feet of our army, even the medical experts and medical teams in those developed countries have not overcome this difficulty, you are good, as soon as the upper lip touches the lower lip, you say that you can overcome this difficulty, you really regard yourself as a medical genius？”

Chu Tianyu lazily took care of these people, looked at Tian Manxi and said, "Why don't we make a bet, if I can do what I say, you will tell me, why are you targeting me, I don't know you, and I don't think that you will target me like this if you have no worries or grievances." ”

Tian Manxi pouted and said, "Okay, I'll make this bet with you, but if you can't do that?"

Chu Tianyu smiled coldly and said, "Then I'll get out of my hands and feet immediately, and I won't be going to the North Tower, how about it?"

Tian Manxi suddenly straightened up, stretched out a slender little white hand and said, "Okay, I'll make this bet with you, I want to see how you turn around and get out of here." ”

Chu Tianyu stretched out his hand and slapped Tian Manxi, this bet is about to take effect, this operation is indeed very tricky, but Chu Tianyu has a countermeasure, the end of the world is not in vain so many times, and the medical technology of the end of the world is far beyond the space he is in, with this plug-in, Chu Tianyu wants to complete the operation that others can't do, it is not too difficult, but you need to make some preparations in advance.

Although the operation video in the conference room shocked the doctors of the Department of Hand and Foot Surgery of the Military General Hospital, it did not prevent them from ignoring Chu Tianyu, geniuses are always easy to attract hatred.

They don't care about Chu Tianyu, and Chu Tianyu won't pay attention to them, he is busy alone, he has to write down the medical records, give medical orders, and give all the preoperative examinations, and only after these things are done can he perform the operation tomorrow or the day after tomorrow.

The day passed like this, Chu Tianyu still had no place to live in the north building, so he could only take the subway home like yesterday, the bad road conditions in the capital had already made Chu Tianyu not want to drive, he would rather go to the subway.

Just like yesterday, the subway was overcrowded, and when he saw so many people, Chu Tianyu couldn't help but think about the very strange foreign woman yesterday - Agatha, he really couldn't understand how this foreigner was so miserable, and would rather steal something to eat than choose to ask the police for help, and let the police help her contact her family, so that she would not live this hungry life.

Chu Tianyu didn't meet Agatha on the subway, and he didn't bother to think about it, after all, he and Agatha could only be regarded as strangers who had met, and Chu Tianyu was really lazy to worry about other people's affairs.

Chu Tianyu came downstairs in his community, and just as he was about to go up, a weak voice came from the side: "Hello, you, you, can you invite me to a meal." ”

Chu Tianyu turned his head to the side and saw Agatha hiding in a corner, looking at him pitifully like a frightened rabbit.

Chu Tianyu couldn't help but smile bitterly, and really applied for that sentence, saying that Cao Cao, Cao Cao will arrive, he was still thinking about Agatha just now, but as soon as he arrived downstairs in his own community, he met her, it was really a life where not to meet.

Chu Tianyu looked at Agatha and said, "It's okay to invite you to dinner, but you have to tell me why you'd rather steal something than ask the police for help?"