Chapter 0253 - Pondering Extremely Frightened
The iliac bone block was implanted, occupying the position of the 9th thoracic vertebrae, restoring the sequence of the spine and correcting kyphotic deformity.
In the future, the 8th thoracic vertebrae, the 10th thoracic vertebrae, together with this iliac block, will heal together and become a fixed whole.
This completes the second and third missions of spine surgery, orthopedics and stabilization.
The anterior side side steel plate was fixed, the surgical area was flushed, the drainage tube was placed, the surgical incision was sutured in layers, and the thoracic cavity was closed.
"The skin you sewed last time, and you're going to sew it again this time?"
"This is my patient!"
"Do you talk about martial arts?"
"Sew together, divide your half, right?"
"Don't argue, in the future, whoever is the patient will sew the skin, and two people will sew at the same time, and it is easy to accidentally injure each other." Yang Ping reprimanded them.
Zhang Lin began to sew the skin proudly, holding the needle holder in his hand, using the force of his wrist, the wrist turned slightly, the corner needle entered the vertical skin, and the vertical skin came out.
"Tie the knot!" Zhang Lin urged.
Xiao Wu was unwilling, put the needle holder back into the sharps, turned the disc, and began to tie the knot.
Yang Ping's surgery, he doesn't like to use a stapler to sew the skin, he likes to suture it manually.
Song Zimo recalled the operation just now, and was extremely frightened when he thought about it, if it weren't for Yang Ping's careful exploration just now.
This patient can only use a wheelchair for the rest of his life, and such a small operation can change a person's fate.
Doctor, it's really walking on thin ice, how important it is to be serious.
Seriousness comes from a high sense of responsibility and awe of one's profession.
Although, this condition, after the surgery is done, the nerve function is not restored, and it is also considered normal.
Decompression only creates conditions for nerve recovery, and does not guarantee that it will recover, for example, if there is an embolization of the anterior spinal artery, the nerve function cannot be restored and becomes a permanent damage.
However, it is very difficult to explore the anterior spinal artery, which requires experience in both spine surgery and finger replantation, and in fact, there are very few such doctors.
Professor Zhang Zongshun appeared in the operating room, and he would personally inquire about the patients he admitted to the outpatient clinic, whether their conditions were serious or complicated.
"Professor Zhang!" Everyone greeted respectfully.
Professor Zhang nodded, walked to the reading lamp to watch the film, and asked Yang Ping: "Xiao Yang, how is the situation during the operation?"
"About 2,000 milliliters of pus were suctioned, the spinal cord was severely compressed, the compressive material in the spinal canal was removed, the compressive material in the spinal canal was removed, the thoracic 9 vertebrae were removed, the iliac bone was implanted, and the anterior steel plate was fixed." Yang Ping respectfully reported the operation.
Professor Zhang lifted his glasses: "There is no sign of embolism on the MRI, it should be embolized after the MRI, you explored the anterior spinal artery?"
"Detective." Yang Ping was next to Professor Zhang.
Professor Zhang pondered for a moment: "Very good, remember, the greater the ability, the greater the responsibility, every operation must be done to the best, for you is an operation, for the patient is the whole life-"
"Elder Zhang, I remember." Yang Ping said respectfully.
"Tuberculosis, which was once thought to be far away from us, is not, it has the signs of a comeback."
"The struggle between pathogenic microorganisms such as bacteria and human beings has never stopped, and human beings have studied various drugs to eliminate them, and they have done everything they can to resist these drugs and avoid human punishment, and this confrontation is endless, and superbugs are born in this struggle."
Professor Zhang has always been able to look at problems from perspectives other than medicine, such as philosophy.
In 1882, the German biologist Robert Koch discovered the Mycobacterium tuberculosis, and mankind began to embark on a journey to conquer tuberculosis.
Later, inspired by cowpox, during the First World War, French bacteriologist Albert Camette and his assistant Jean Jielan developed the BCG vaccine for the prevention and treatment of tuberculosis, and since then humans have been able to prevent the disease.
In 1943, Ukrainian-American scientist Waxman developed the anti-tuberculosis drug streptomycin, so that tuberculosis could be treated.
You know, before that, tuberculosis was also an incurable disease and was regarded as the "number one killer of mankind".
It can be both prevented and treated, and only then can mankind truly conquer the monster of tuberculosis.
A large part of the current rise in tuberculosis is due to the emergence of drug-resistant tuberculosis bacteria.
Superbugs are the toughest of drug-resistant bacteria.
Many people are contributing to the birth of superbugs.
When you have a cold, you don't choose to take anti-inflammatory drugs, you make a difference.
Antibiotic management is now very strict, and a doctor's prescription is required to buy medicine at a pharmacy.
In the past, any pharmacy could buy antibiotics casually, as long as you have a cold, you have to take a few anti-inflammatory drugs to become a consensus, in fact, colds, the scientific name of acute upper respiratory tract infection, the vast majority of them are caused by viral infections, and no antibiotics are needed.
"There are still patients waiting in my outpatient clinic, I went down first, this patient's neurological symptoms will recover more slowly, and the recovery process will be parabolic, first aggravated, and then slowly reduced, explain clearly to the patient."
After speaking, Professor Zhang looked at Fang Xiaoyun's monitoring data again, asked the fat man a few words, and walked out of the operating room with his back hand.
Yang Ping is also thinking about this, after the compression is lifted, the spinal cord will have edema, and the nerve symptoms will be aggravated, and the nerve symptoms will slowly recover when the edema subsides.
After the skin was sutured, Zhang Lin disinfected the surgical incision again with alcohol gauze.
"Fifth brother, it's okay, this level?" Zhang Lin is very satisfied with his work.
"It's still a little hot, I'll sew it for you next time." Little Five didn't buy it.
The incision was covered with a dressing and the surgery was successfully completed.
The anesthesia resuscitation is very fast, and the fat man's estimation of the operation time and the control of the amount of anesthetic are very accurate.
"Fang Xiaoyun, wake up, the operation is done."
The fat man shouted at Fang Xiaoyun, the suction device cleared the secretions of the airway, and the tracheal intubation was successfully pulled out.
"Doctor, will I be paralyzed?" Fang Xiaoyun woke up and said the first thing.
Not only her, but everyone is afraid, as long as they lie on this bed, there is nothing they are not worried about, and some people will worry about whether they can wake up if they lie down.
"The surgery went well, so let's recover slowly." Yang Ping comforted Fang Xiaoyun.
"After the operation, she was given standardized anti-tuberculosis treatment."
"The infectious disease department has been asked to consult and give a plan."
Fang Xiaoyun pushed out of the operating room, and her good colleagues had been waiting.
"Doctor, how was the surgery?"
"It went very well!"
"Thank you!"
The colleague carried a backpack and followed the cart: "You don't have to think about anything, rest assured, I took a few days off to take care of you." ”
This sister is really good, and she doesn't have many friends, but her true feelings.
"You sisters are good, what unit do you work in?" Zhang Lin gossiped and asked Fang Xiaoyun's colleagues.
The girl immediately blushed, as if she was embarrassed to speak, and hesitated for a moment before saying, "A foot bath center, very formal, not that kind of-"
She could have made one up to avoid other people's speculation, but she didn't.
They are the ones who wash the feet of the guests, they are the ones who live at the bottom, they also have their own dignity, their own lives, their own friendships.
"It's good, foot bath actually requires a lot of knowledge, and you need to know the foot acupuncture points, right?" Yang Ping helped her resolve the embarrassment.
"Yes, regular massage of foot acupuncture points can play a role in health care, especially for people with sub-health conditions." The girl said confidently.
Fang Xiaoyun didn't join the chat because of his lack of energy after the operation.
"A few days after the operation, the symptoms of numbness and weakness in the lower limbs will worsen, and then slowly decrease, so there is no need to worry too much." Yang Ping said to Fang Xiaoyun and her colleagues.
I explained it before the operation, and I emphasize it now so as not to cause panic.
I had two surgeries today, which was very good, and after the bed, everyone went back to the doctor's office.
"Do you want to get together on the weekend? It's been a long time since we've gotten together. Song Zimo proposed.
yes, it's been a long time since the brothers have sat down to drink something together, even if they don't drink, drinks are fine.
"You arrange the location." Yang Ping is not familiar with these.
Song Zimo proposed: "Recently, there is a bar in the city, called Nianfeng, I heard that it is very popular, and I haven't been to it either, let's go and have a look." ”
"I haven't been there, so I'm going to try it, I've heard of it." Xiao Wu has also heard of this bar.
"Just go here, I'll be the east, everyone has worked hard lately." Yang Ping decided on the spot.