Chapter 0047 The table is still there

"The femoral artery is broken, and there are three large pieces of glass around it." Song Zimo turned his head to look at the CT on the reading lamp.

Yang Ping was looking for the second piece and said, "The IQ is good, and I can see that there are three pieces." ”

Song Zimo said: "Don't be scared, the newborn guinea pig with brittle blood vessels is broken and renewed, I am already much faster, and I will be able to catch up with you soon." ”

Song Zimo said that the hook on his hand could be adjusted at any time. Indeed, he is very smart and can predict where Yang Ping will look next, and makes adjustments in advance, so that Yang Ping always has the best vision.

In fact, don't look at the retractor, pulling well is a technique, so that the surgeon does not feel the existence of the retractor, and the best surgical vision can be obtained at any time.

"Lights, shine in?" The itinerant nurse asked.

Song Zimo said: "No. ”

At this time, relying on the positioning ability, spatial imagination, and the feeling of the vascular clamp on the hand, the precise spatial positioning is made according to the image before the operation, and the metal touching the glass is completely different from the feeling of touching the soft tissue.

At this time, the instrument is an extension of the doctor's finger.

"Your face is full of acne, look so close, wait for the blood to spray--" Xiao Wu handed over a face shield.

was so frightened that Zhang Lin immediately distanced himself from the operating table, and involuntarily remembered a story from his internship. During my previous internship, a classmate was in the emergency department, rescuing a trauma patient, and blood sprayed on his face.

Immediately report the occupational exposure, and then take a blood test, take AIDS-blocking drugs, take the drug for 4 weeks, and take the blood test at intervals, which should last for half a year. In just half a year, that classmate's weight dropped from more than 80 kilograms to more than 80 kilograms. Later, it was confirmed that he was okay and returned to his normal life.

Thinking about it, Zhang Lin took a few steps back and put on the face shield handed by Xiao Wu.

The second piece was probed, but I didn't dare to pull it out, because it was adjacent to the vascular nerve, and once it was pulled, it would damage the surrounding vascular nerves.

"Lights!" Song Zimo, as an assistant, is absolutely perfect.

He didn't need Yang Ping's reminder, he pulled the hook with one hand and held the sterile handle on the surgical lamp with the other, and the light shone in at the best angle.

The suction device reached in and sucked the blood away, Yang Ping wanted to move the hook, but his hand just touched, Song Zimo gently let go, and Yang Ping put the hook back in.

As soon as the hand is stretched out, the scissors are already in the hand, and the tissue scissors are used to sharpen the tissue around the glass, and the glass is completely exposed.

Sure enough, next to the glass was an arterial branch, and Yang Ping carefully took out the glass, which was still the green beer bottle fragment.

"What a hatred this is, the groin is all punctured, and the glass of the beer bottle is broken in a few pieces." Zhang Lin sighed.

Xiao Wu said: "In the nightclub to fight for women, the two gangs of people boldly shot. ”

Zhang Lin corrected: "It's not two gangs, I heard that he fought ten at a time." ”

What is going on is a matter for the police, and the doctors are only responsible for treating the sick and saving people.

Su Yixuan stopped them from talking: "Keep quiet." ”

Other nurses can still say a few words, but Su Yixuan, they don't dare, Xiao Wu made a silent action, and Zhang Lin didn't dare to say it again.

"There's another piece, this one is in the pelvis." Song Zimo adjusted the lights again.

The local anatomy of this part is already familiar to the mind, and with your eyes closed, you can create a three-dimensional image in your mind. In the previous rescue of patients with ruptured external iliac arteries, the anatomical knowledge obtained through hundreds of attempts was even clear.

Dissecting retrograde along the vascular nerve, the retroperitoneal space of the pelvis, the third piece is exposed, easily removed, and the peritoneum is not broken.

A large amount of saline irrigated the operation area, and once again carefully explored, the femoral artery and femoral vein were broken, and the femoral nerve was fine, but a small opening in the adventitia was cut, and there was no problem with the nerve bundle inside.

"Needlework!"

Su Yixuan put the needle and thread in the curved plate and delivered it over, so that the possibility of accidental injury was the least likely to be injured by mistake by using the curved plate for transfer. Yang Ping picked up the needle and thread, held the needle in his right hand, and had toothless tweezers in his left hand.

This vascular anastomosis is simply not too simple for him.

In just over a minute, the blood vessels were trimmed, the arteries were anastomosed, and the veins were ligated.

The vascular clip of the external iliac arteriovenous was loosened and there was no bleeding.

Then there is irrigation, layered sutures, and drainage tube placement.

Finally, the dressing is applied beautifully.

A window and subtitles appeared in the upper right corner of Yang Ping's field of vision: "Mission completed, get 6000 points." ”

The whole process was very smooth, especially the removal of a few pieces of glass, which made Song Zimo's admired five-body body throw to the ground.

When it comes to taking foreign objects, this is a small job, but it is not easy to do a small job.

How many doctors have stepped on the soles of their feet for a small foreign body, C-arm X-ray machine, and they can't find a foreign body. Looking at the image on the screen, it's there, but you just can't get it, and you can't help it.

Dr. Kim, who did not take out a foreign body, went into retreat and practiced, studied X-rays, color ultrasounds, CTs, and MRIs of all foreign bodies in the hospital, and drew hundreds of pictures. A few years later, every time there was a foreign object that he couldn't get out, he could always easily take it out when he looked for Lao Jin.

It's not a joke, a big director can do cervical spine surgery easily, but sometimes a small foreign body can't be removed. Many made long cuts, turned over and over, and finally closed in vain.

Foreign objects, sometimes just so weird. In order to get foreign bodies, Song Zimo also spent a lot of time consulting Lao Jin to study the spatial positioning of imaging, and finally Qingshenglan surpassed Lao Jin.

And these pieces of glass, Yang Ping easily took them out.

Song Zimo was even more impressed by Yang Ping, he couldn't figure out where Yang Ping's ceiling was.

When the patient is sent to the ICU, all the clothes and sterile sheets must be destroyed through special channels, and the instruments are also sterilized through a special process.

"How is Director Tian?" Yang Ping wanted to see if there was anything he needed help with.

Xiao Wu Zhang Lin didn't know that this was an infectious operation, and they couldn't visit the door at will, if they were discovered by other operating rooms, they would be blasted out.

Since there is no one to call over to pass the word, there is no need for help. Director Tian's skills are comprehensive, and any operation can be easily won, and Yang Ping doesn't need to go over to ask, after all, he has just finished AIDS.

Song Zimo took Xiao Wu Zhang Lin to send the patient, and he has been notified to put the trauma ICU in the isolation ward, in accordance with the norms for the isolation of body fluids and blood.

Yang Ping took a shower in the bathroom of the locker room and sat down to rest for a while.

Today, I am very familiar with the anatomy of this part, and the last time I practiced the steel wire needle technique, I gained a certain spatial positioning ability, which made the operation so easy. If you change parts, you may not be able to take it so smoothly.

If you have the opportunity, you must train the ability to pick up foreign objects and spatial localization in the system.

Open the window and check that the points have reached 14,000 points, which is one step closer to buying training for pelvic fractures.

Only when the pelvic fracture is taken down can the trauma orthopedic technique be perfected.

Close the system window, and Xiao Wu called.

"Boss, the hot pot is still left, we just finished taking a shower in the department and gathered at the door of the surgical building."

My stomach was rumbling with hunger, and my belly was almost touching my spine. Yang Ping thought that it would be great if it was the same in reality as in the system, and he could not eat, drink or sleep.

But, that's not possible.

A few people went to the mutton hot pot restaurant again, and it was still lively, and the table was really kept.

The fire has been turned off, and the ingredients are still there.

The waiter saw them coming and hurried to help with the fire.

The waiter said, "I told the boss that you are doctors from Sanbo Hospital. The boss said that the table should be kept until dawn. ”

This boss is arrogant, in ancient times, he was as good as Chai Jin.

Everyone sat down, the soup didn't boil, and the ingredients were poured in.

Zhang Lin directly stuffed the raw cabbage into his mouth and chewed it with relish.

What does it mean to be hungry and hungry, this is.

"Tell your boss, my brother thanked him, and in the future, he will flash to his waist, no need to register, just look for me." Zhang Lin said.

At this time, the boss came over, in his forties, thin, and spoke with a Chaoshan accent: "This table is free of charge, free of charge, thank you for helping to pick up my son's hand." ”

"Your son?" Yang Ping said, after taking so many hands, I really don't know who your son is.

The boss pointed to his hair: "Just that yellow hair, the rabbit cub was angry with me, went to work in the Hongda factory, and broke his hand." ”

Just him, I said it earlier.

Xiao Wu and Zhang Lin had already poured a full amount of beer.