Chapter 16: The jaw is broken

Just finished getting acquainted with the process.

Suddenly, an emergency patient was brought in outside the entrance of the emergency department!

"Doctor, doctor, quick, she's bleeding profusely in her jaw! Surgery is needed right away! A fat man and a middle-aged man in a white coat shouted as they pushed the cart. How many people are there, who should be the patient's family members?

Hou Quanhai glanced at it from a distance, and the middle-aged man in a white coat had a few small words written on it: 'Charm Plastic Surgery Hospital'.

At this time, some of the other chief surgeons were busy, so Jiang Yan also took the initiative to walk over and ask, "How did it happen?" ”

"I had jaw angle surgery, and then I injured my artery during the operation and bleed profusely,......" explained the middle-aged man in a white coat.

"You did the surgery?" Jiang Yandai asked with a slight frown.

"Yes, I did it, I ......" The middle-aged man in the white coat was pale and bloodless at the moment, and his voice trembled. Obviously, he was also afraid of an accident, because once the bleeding could not be stopped, it might cause death!

"Humph! If you dare to perform this kind of surgery on a patient if your skills are not up to par, you are harming people! Jiang Yan's tone was full of disgust, as a doctor, she was very repulsive to this kind of plastic surgeon!

Many times, this kind of doctor is not to make people beautiful, but to harm people! Because among this group of plastic surgeons, there are too many quacks. You see, this one in front of you must be.

"Alas~ I have been persuading my wife not to have plastic surgery, not to have plastic surgery, but she must not listen! I had my nose in my glasses before, and now I'm going to have my chin in my head, you see, something happened! Tell me that if my wife has any long and two short, I will put your quack doctor in jail! After the fat man finished speaking angrily, he turned to Jiang Yan and said, "Doctor, can my wife be saved?" ”

"Let's take it to the operating room first! You sign it first and get ready for surgery right away. Jiang Yan motioned to Hou Quanhai next to him to take out the surgical consent form and ask the other party to sign it.

"Good, good." The fat man sweated profusely and signed quickly.

At this time, a few people from behind also walked over.

After one of the beauties saw Jiang Yan, she exclaimed, "Jiang Yan, you, why are you a doctor here?" You won't tell me when you come to Wuzhou! ”

"Boss, you came just in time, if something happens to my wife, I will sue you to the bottom of the prison to sit through!" When the fat man saw this summer rain coming, he immediately surrounded him.

After Jiang Yan heard this, he originally wanted to say hello, but his face suddenly turned cold, "Hou Quanhai, you also go in and be my assistant." ”

"Okay." Hou Quanhai nodded. He looked at the Xia Yu over there with some surprise, the other party was the owner of the plastic surgery hospital? Do you still know Jiang Yan?

After entering the operating room.

Surgery is ready to begin.

"Heartbeat, blood pressure?"

"Heartbeat 74, blood pressure 75." The nurse said.

"Well, the patient has difficulty breathing, it should be the bleeding from the lower jaw that causes it to seep into the throat, causing difficulty breathing." Jiang Yan said calmly.

Hou Quanhai knew that this sentence was for him, because these were clinical experiences. It can be regarded as Jiang Yan teaching Hou Quanhai a lesson!

"Then do you need surgery to open your lungs and breathe?" Hou Quanhai asked. If the blood does go down the throat, then it will cause suffocation. So at this time, surgery can be performed to open the lungs and breathe.

"It's a bit hard to breathe at the moment, and it's not the time when you need to have surgery to open your lungs. However, this patient failed to undergo jaw angle plastic surgery, and it seems that the level of the doctor outside is not up to standard at all. Jiang Yan said with a hint of indignation.

There is no doubt that mandibular angle surgery is permanent, after the bone is cut out, no new bone will grow, and the effect is permanent, but mandibular angle surgery belongs to the fourth-level surgery category, and the qualification requirements for hospital doctors are very high!

If you want to make the mandible on both sides smaller, the only trick is to remove the local bones, and there are still many ways to achieve it, such as bone grinding, osteotomy, etc., the old medical instruments are straight saws, swing saws, hole punches, etc., in addition, the mandibular angle plastic surgery process will also involve facial arteriovenous veins, posterior mandibular veins, vascular nerve channels on the mandibular canal, no matter which blood is touched and injured, it will bleed, and even hemorrhage.

Therefore, the mandibular grinding surgery requires very high operating skills of the doctor, and the doctor who does the mandibular angle grinding surgery must be very familiar with the blood vessels and anatomical tissues in the mandibular angle area, and follow certain rules, it is best to use the endoscopic direct vision imaging skills to expand the surgical field, so that the mandibular angle plastic surgery is relatively safe.

"Okay, you learn. The current patient's condition seems to be dangerous, and it is estimated that many doctors will be in a hurry when they encounter it. But you know enough about the patient's situation to find out the bleeding point and come up with the most suitable, easiest and quickest way, which is actually very easy. ”

"For example, this patient has a large artery hemorrhage in the lower jaw, and I chose to use a large needle to suture it percutaneously, and if nothing else, the facial artery was sutured at once, successfully preventing the hemorrhage!" Jiang Yan began to move his hands as he spoke.

A few minutes later.

Stitched up!

"That's it?" Hou Quanhai was dumbfounded.

"Hey, Director, it doesn't seem like the patient is breathing as hard as it used to be." Nurse Xiao Jing exclaimed.

"Well, it seems to have worked. But you have to watch it 24 hours a day. Jiang Yan said with a smile.

"Awesome!" When Hou Quanhai saw this, he secretly said in his heart that this Harvard MD student is really powerful, and he deserves to be a doctor of clinical emergency medicine!

It's all there in three or two clicks!

Get out of the operating room.

"Doctor, how is my wife?" The fat man hurriedly stepped forward.

"The bleeding in the major arteries has stopped, and there is no problem. As a doctor, I advise you or your wife not to do plastic surgery. Because there are more quacks in plastic surgery hospitals these days. Jiang Yan said lightly.

"Yes, yes, she will dare to have plastic surgery in the future, and I will break both of her legs!" The fat man swore by it.

"I, can I go in and visit?"

"Not yet."

After the fat man left, Xia Yu, who was not far away, walked over in high heels.

"Cousin, I didn't expect you to work in this hospital, you didn't say a word when you came back from abroad, and you didn't say a word to me when you came to Wuzhou! It's really ......," Xia Yujiao said with a smile, "By the way, the plastic surgery hospital I opened is nearby, and we can meet often in the future." ”

"How often do you send patients from your plastic surgery hospital to me for first aid?" Jiang Yan said sarcastically. When she heard that her cousin had opened a plastic surgery hospital, she was more resistant.

Because there have been many deaths in plastic surgery hospitals in recent years.