As soon as he heard that there was help, Director Tan was excited, and when he was excited, he talked a lot, and held Chen Qi tightly:

"It's okay, it's okay, as long as we can take the job, as long as we don't become disabled, we will be satisfied, Dean Chen, please save Master Zheng, no matter how much it costs, no matter how much it costs, what medicine you want, you say, we will buy it immediately."

Chen Qi took a deep breath: "If you continue to talk nonsense, the patient will be more dangerous, please let it go." ”

Elder Tan turned red and hurriedly got out of the way.

If another doctor dares to say this, Director Tan's temper will definitely go crazy, but for a capable doctor, Director Tan decisively admits it.

Dean Mao flashed out from the side: "Director Tan, do you want to go to my office first?" ”

Director Tan is still a little reserved about this deputy department dean, so he just shook his head: "I'll just wait here." ”

It made Dean Mao bored.

In the operating room, all the medical staff are in place, because the four hospitals have never done amputated limb replantation surgery in the history, so everyone is very nervous, you must know that outside the operating room, the three deans, and the leaders of the machinery factory are waiting.

Chen Qi took over the command of the operating room:

"Anesthesiologist, this surgery performs continuous brachial plexus anesthesia with 10 ml of 0.3% caine plus 10 ml of 2% lidocaine.

The anesthesiologist nodded: "Roger, do you need to add some adrenaline routinely?" ”

"No, adrenaline can cause blood vessels to continue to spasm, not this time."

"Okay!"

"Director Li of the Department of Internal Medicine, you help me pay close attention to the patient's vital signs, and the patient has already suffered hemorrhagic shock, so I will leave the specific expansion to you."

"Received Deputy Chen!"

Chen Qi said to Director Bian again: "Old Bian, you can help clean your upper limbs and then help disinfect them." I'll deal with it myself. ”

"Okay!"

Under Chen Qi's command, everyone began to act in an orderly manner with a clear division of labor.

Chen Qi took the patient's severed palm into his hand, rinsed it repeatedly with a large amount of salt water, and then began to scrub the edge of the wound with a sterile brush and soapy water, and when the wound was almost clean, disinfected the entire limb twice with 3% iodine tincture and 75% ethanol.

If it was just this step, Chen Qi would not do it himself, and any little doctor would be able to debride and disinfect.

"NURSE, PREPARE 250ML OF HEPARIN ISOTONIC SALINE AND AN 18-GAUGE FLAT-TIPPED NEEDLE."

The nurse quickly prepared what Chen Qi needed and handed it to him.

Director Bian is also carefully observing Chen Qi's steps while debridement, which is a valuable clinical experience, maybe he will use it next time, of course, if you don't understand, you have to ask clearly.

"Vice Chen, what is the use of your preparation of heparin?"

"I'm going to do a vascular bed irrigation now, so I can see if the integrity of the blood vessels in the severed limb has been compromised. If my heparin leaks like a sieve everywhere as soon as I punch it in, then it will be difficult for this palm to catch up.

On the other hand, if there is no blood supply to the amputated limb tissue for a long time, there will definitely be a lot of toxic metabolites, and there are also many clots in the small blood vessels, so flushing can reduce the body's absorption of toxic substances and provide unobstructed blood vessels to lay a good foundation for rebuilding blood circulation. ”

Dean Bian listened while silently remembering in his heart.

Yan Shifan and Bian Meng are also preparing for surgery while stealing from teachers.

After Chen Qi finished all the preparations and the operation was about to start, Chen Qi looked back at Ma Shouli, director of the Department of Orthopedics, and said:

"Director Ma, now the first step is to fix the bone joint, the effect I need is to bite the bone end into a relative step, with 1~2 screws through the fixation, you are an expert in orthopedics, you will be the main knife in this step."

After all, Chen Qi is not a professional hand surgeon, and his treatment of bones is definitely not as good as that of a specialist, so he can only ask for external assistance, which is also the benefit of multidisciplinary joint surgery, which can give full play to the expertise of each doctor.

When Director Ma heard this, his tail went to the sky:

"Don't worry, Deputy Chen, it's right to hand over the orthopedic things to me, and I guarantee that the task will be completed."

The work of orthopedics is stupid and big, this is sawing, and punching, busy for a long time, the broken palm and the arm are connected in thick steps.

Chen Qi didn't say a word, immediately sat down on the stool, adjusted the microscope to the appropriate angle, and whispered:

"Now immediately carry out the blood vessel sutures, Xiaobian, take out all the tools used for microsurgery and set aside, Lao Yan, you prepare needles and threads."

Vascular anastomosis, which re-establishes blood circulation, is a critical step in the replantation of the amputated limb.

If the blood vessels are not anastomosed, the blood supply cannot be restored, and in the state of long-term ischemia, the tissue cells will be irreversibly damaged.

Therefore, judging whether the limb replantation operation is successful, whether it is revived, whether the blood supply is restored, and whether the blood circulation is established is the criterion of a veto.

At the same time, this step is the most complex and technical level, the blood vessels are so thin, you still have to suture them one by one, the larger blood vessels under the microscope are fine, those small blood vessels can only be careful and careful, you can imagine how difficult this is.

Anyway, in the eyes of the person next to him, Chen Qi's hand was only shaking slightly, and the movement was so small that it couldn't be smaller.

This is also the reason why surgeons do not drink alcohol easily, and if they drink too much, their hands will tremble slightly, and many surgeries cannot be performed, such as laparoscopic surgery, which tests the stability of the hand very much.

Continuous through seam method, intermittent through seam method, nested seam method......

Chen Qi uses different sutures according to different blood vessels, concentrated, the operating room is quiet, everyone is afraid that the slightest noise will make the chief surgeon's hands tremble, and he will not be scolded to death if he fails to shake the operation?

Just when Chen Qi was busy doing vascular anastomosis, the car from the People's Hospital also quickly drove into the Fourth Hospital.

Dean Guo and Zhu Huoyan received a call from Hongqi Machinery Factory and rushed over as quickly as possible.

In fact, the two of them are still a little worried, because their skills in amputated limb replantation surgery are also enough.

Microsurgery was far from widespread in the 80s, and was generally carried out in national or provincial hospitals.

There are not many projects carried out in district-level hospitals, one is that there are few disease sources, there are not many mobile phone exercises, and the second is that the broken palm is not properly preserved, and many patients have no chance to replant.

There is another one, Dean Guo is Director Zhu, both of whom were born in general surgery, and "hand surgery" under the microscope are basically two concepts, which is really interlaced like a mountain.

But after receiving a call for help from the company, the two of them rushed over, and it is one thing for technology to work, and it is another thing for attitude to do so.

When the two of them got out of the car, they walked quickly to the operating room, and when Director Tan and President Mao saw that the president of the People's Hospital was coming, they also greeted them.

Dean Guo shook hands with them and asked eagerly, "Where is the patient?" What's going on now? ”

Dean Mao hurriedly replied, "Dean Guo, the patient is already in operation. ”

Dean Guo and Zhu Huoyan's surprise passed for a moment, and both of them wondered when the four courtyards would be able to replant their limbs?

"Who is the surgeon? Bian Pengfei? ”

Belch......

Dean Mao was a little embarrassed for a while, he didn't know the relationship between Chen Qi and these two big leaders, and he was simply unwilling to recommend it to his competitors.

"Dean Guo, Director Zhu, the chief surgeon is Comrade Chen Qi from our hospital."

"Chen Qi?"

Dean Guo suddenly chuckled, and his expression was visibly relaxed:

"This kid is going to have a limb replantation? Let's go, we'll see. ”

Dean Zhu was also full of question marks, thinking that the replantation and replantation technique had not been carried out in the central part of the country, where did this little apprentice learn?

One of them relaxed, the other confused, and quickly changed into surgical gowns and entered the operating room after eliminating the poison.

Director Bian saw Dean Guo and them coming in, and was about to say hello, but Dean Guo waved his hand and pointed at Chen Qi again.

He had already seen that Chen Qi was facing the microscope with his head in front of him, engrossed in the delicate operation, and the process could not be disturbed.

Surgeons like to joke and chat during surgery, and they are very extroverted anyway, but microsurgery does not allow the slightest distraction.

Although Dean Guo can't do it himself, he has insight and knows how to measure.

Director Zhu was more curious about Chen Qi's clinical skills, so he quietly came to Chen Qi's side, squatted down, and carefully observed how Chen Qi treated his wounds.

Just 2 hours after the operation, Professor Wu Jianlin, who came from the First Affiliated Hospital of the provincial capital, arrived with a full set of microsurgical instruments.

Wu Jianlin was one of the first doctors to carry out hand surgery in Haidong Province, and there is nothing to talk about the technique.

The Fourth Courtyard of Vietnam is only 40 kilometers away from the provincial capital, and when he received a call for help, he did not say a word, and it took more than one hour to arrive quickly.

The capacity of Hongqi Machinery Factory is still very strong.

When Director Tan heard that a doctor was coming from the provincial capital, he ran quickly to meet him.

"Director Wu, you're here, it's great, you can save this worker master of our factory, he is an eighth-level fitter, and there are few treasures in the entire Yuezhong region."

Wu Jianlin didn't talk nonsense, and asked while walking briskly to the operating room:

"How's the patient doing now? The severed limb is intact, right? ”

Dean Mao hurriedly followed, and introduced:

"Director Wu, that's right, the patient was completely cut off from the wrist joint by the machine about 2 and a half hours ago, and was sent to our hospital 10 minutes after the injury, and we carried out rescue 18 minutes after the injury, and are currently undergoing amputated limb replantation surgery."

Director Wu's footsteps suddenly stopped, and he asked incredulously:

"What do you say? Already undergoing amputated limb replantation? Who is the main knife? ”

Dean Mao replied in a weak voice: "It is Comrade Chen Qi from our hospital who is in charge. ”

"Chen Qi? I haven't heard of it, I can't, there are only a few doctors in Haidong Province who can perform replantation surgery, why have I never heard of Chen Qi's name? Where did he learn the technique? Which expert to study with? ”

Dean Mao's eyes rolled: "This Comrade Chen Qi turned out to be a doctor from the Huangtan Health Center below us, and he was just transferred to the Fourth Hospital not long ago. ”

"Huh? Can doctors at health centers do amputated limb replantation? Isn't this nonsense? ”