Chapter 385: Fingers and Toes Who Matter
The doctors at home were called.
Yan Shifan, the "first assistant of the inner house", went back to his hometown in Huangtan, and the "second assistant of the inner country" of the Bian League came with his uncle Director Bian Pengfei, and at the same time there was also director Ma Shouli of the Department of Orthopedics.
Lu Mingqiu and He Chengxuan, who are focused on orthopedics, and Yang Tihao, Zhang Xingshun, Wang Yuelei and other young doctors who are focused on surgery also appeared in the surgical rescue room in the shortest possible time.
In fact, these young doctors were lying in the dormitory and did not go home for the Chinese New Year, because they knew that today was the day when Dean Chen was on duty.
This is the manifestation of high emotional intelligence, although Chen Qi has never said what they are going to do, but it is quite gratifying to see that the little doctors below are so consciously eager to learn.
Of course, he may have forgotten that he is only 24 years old in the New Year.
The trolley of the Yuegang Mill arrived soon, Zhu Shuijin's two hands were wrapped in gauze, and he was helped out of the car by his father Zhu Zhirong, followed by many workers.
The characteristics of large enterprises, whether the workers are for business or private reasons, the factory will try its best to save and contribute.
The group of people immediately began to shout: "Doctor, doctor, save people~~~"
Yang Tihao had been waiting in the courtyard for a long time, and as soon as he saw the arrival of the people, he immediately shouted: "This way, this way, quickly, we are all ready." ”
in the surgical rescue room
Chen Qi, Director Bian, and Director Ma all shook their heads when they looked at the two hands that were blown to the flesh and blood.
Especially when I saw the two fingers that were blown off, my heart was even more cold.
I saw that although the patient's right thumb and left index finger were brought, they were placed in an enamel bowl.
Let's put it this way, from the skin to the muscles to the bones, it has been broken into an unknown number of pieces.
Even if the doctor has the skills of a god, he will have no book to take such a pile of minced meat.
"Doctor, doctor, save my son, he is a steelworker, he has only been working for a month, he is only 18 years old, he can't be a cripple~~"
Zhu Zhirong is also a good person, and when he saw the expressions of the doctors, he instantly understood that his son's finger might not be saved, after all, he also saw that finger, and he knew in his heart, that is, two rotten meats.
But as a father, dozens of kilometers rushed to Keqiao Town, and there was always hope in his heart, even if there was only a glimmer of hope.
Chen Qi didn't say a word, his mind was rapidly rotating the possibility of amputated limb replantation, as a doctor, especially a director of the Foreign Society of Hand Surgery, Chen Qi's first choice was definitely not amputation.
As long as there is a glimmer of hope, he will not give up.
When he gently pinched the thumb in the enamel plate and wanted to take a closer look, the flesh on his hand fell directly because of the crumbling of the flesh.
The meat is still in the hand.
This scene made everyone on the scene feel cold, but Chen Qi already understood that these two fingers were completely useless.
"The patient goes for an X-ray first."
After the patient's family members hurried out, Chen Qi pulled all the doctors up, and everyone began to discuss the treatment plan.
Director Bian smacked his lips:
"The wound is seriously polluted, the severed finger is shattered, and the blood vessels alone have been broken into several pieces, and the possibility of replantation has been lost."
Wang Yuelei raised his hand: "If there is no chance of replantation now, can we do allogeneic foster care surgery in the first phase like last time, and then wait for the second phase to recover before transplanting?" ”
Director Ma shook his head, and went over and directly took the two severed fingers:
"Come, you all put on your gloves and feel it yourself, look here, and here, yes, the distal and middle segments of the thumb have been broken into countless pieces, and this index finger, you see this metacarpal body is jagged, from an orthopedic point of view, it is very difficult to take the work."
Several little doctors took turns to check it, but they could only shake their heads, and everyone looked at Dean Chen.
Chen Qi can create miracles from time to time, and everyone wants to see what other tricks this Dean Chen has to keep his fingers in such an extreme situation.
Chen Qi glared at everyone:
"Look, you can't transplant my finger to a patient, can you? Besides, you also have to consider rejection for an allogeneic transplant. ”
Yang Tihao was also happy when he heard it: "Then he also has to have his own finger to transplant, this is not a leek, cut off a stubble and regenerate it by himself." ”
Several of the doctors smiled wryly.
Suddenly, as if Chen Qi had caught some inspiration, his brain was like a supercomputer, and he quickly ran at the fastest speed.
"Your own fingers, your own fingers?"
Chen Qi spread out his palms and thought repeatedly, the patient's key left thumb and right index finger are gone, so can the middle finger and ring finger next to him be transplanted?
Each person has five fingers, and in terms of their respective functions:
The thumb is helpful for holding, pinching, gripping, taking, and fixing;
The index finger and middle finger are finger to complete the finger movement with the thumb to complete the action of removing objects.
The ring finger and little finger are generally only used as fingers to assist and control the direction and cushion, such as the posture of clenching a fist, pulling and pulling, with the thumb fixed, the index finger and middle finger to assist in force, and the ring finger and little finger to assist in orientation.
Of course, the little finger also has other uses: for example, to make a picking action, which no other finger can do, in short, each finger has its own role.
In terms of function proportion, the thumb accounts for 40% of the function of the finger, which is the most important finger.
If you don't use your thumb to work, it will be very inconvenient, such as eating, holding a pen, writing, brushing your teeth, and holding a toothbrush, which are very common things in life, and it will become very difficult without a thumb.
The index finger and thumb can be used to complete actions such as holding a pen, turning a book, unbuttoning, and tightening screws, so the index finger function also accounts for 20%.
The remaining middle finger also accounts for 20%, and the ring finger and little finger each account for 10% of the function.
In other words, each of the five fingers has its own role and strengths, and it is indispensable both from the perspective of aesthetics and functional recovery.
If your own fingers can't be transplanted, what about your toes?
Chen Qi's eyes looked at his feet again, as if he wanted to pass through leather shoes.
Just when Chen Qi was in a daze, the patient Zhu Shuijin had already returned from the imaging department, and Zhu Zhirong was holding an X-ray film in his hand, sweating profusely in a hurry.
"Doctor, the film has come out."
Several doctors quickly formed a circle around Chen Qi and looked at each other to study the film.
Director Ma is an orthopedic department, so he explained to the little doctor:
"The patient's metacarpal bones are well preserved, and both fingers are from the distal phalanx and the middle phalanx, especially the middle phalanx, you see, this wound is the same as a broken bamboo pole, there is no regularity, and generally this situation can only be done osteotomy and shortening."
Osteotomy and shortening is to completely remove all the missing or badly damaged bones, leaving only the proximal phalanges and then suturing.
For example, the thumb is made up of 3 bones, and the other fingers are made up of 4 small bones.
One less bone, the finger will be shortened, like Zhu Shuijin, only the small half of the thumb and middle finger will be left in the future, which means that these two important fingers will lose their function from then on.
This consequence is unacceptable to the family.
When Zhu Zhirong heard that his son's finger was not saved, he didn't want to kneel down directly:
"Dean Chen, I know that you are a very high-level doctor, and you also operate on foreigners, please save my child, he is only 18 years old, how much medical expenses you say, no matter what it means that our Zhu family can afford it."
Chen Qi was taken aback when he saw it, thinking to himself how could the workers and masters of the Yuegang Mill be like the people in Huangtan Mountain, kneeling down at every turn?
"I can't help it, you get up quickly, let's think of a way?"
At this time, Zhu Shuijin was also in tears on the side, seeing that his father, who was usually strict at home, was kneeling for others, as a son, where could he bear it, and he also burst into tears:
"Dad, I'm sorry, it's me who is playful, I'm sorry for you, I'm sorry for my mom~~~"
"Son~~~"
The father and son hugged their heads in pain, which brought down the tears of several workers next to them.
Seeing that the rescue room was about to cry, and the family was about to be a tragedy, Chen Qi always felt that his heart was in a panic.
Doctors, like men, can't say "no", and suddenly a bold idea pops into his mind.
Chen Qi's eyes unconsciously glanced at the patient's feet, and he went directly to take off Zhu Shuijin's shoes and socks.
Then, under the surprised eyes of everyone, regardless of the smell of the patient's stinky feet, he picked up his feet, up and down, inside and out, and carefully examined them.
The father and son of the Zhu family also forgot to cry, and they were a little confused all of a sudden.
I wonder if there is something wrong with this doctor? He hurt his fingers, why is he looking at his toes?
Director Bian and Director Ma are more experienced, and the two are eye-catching.
Last time, Zhang Xiaodong's palm was broken, and Dean Chen also looked at other people's feet for a long time, and finally came up with an allogeneic foster replantation technique, is there a new idea this time?
Suddenly, Chen Qi beckoned, motioned for everyone to gather around, and then asked a few doctors next to him:
"You say, can we take a piece of this toe off and transplant it to our finger?"
Zhang Xingshun suddenly shouted: "Wonderful, this method is so wonderful, why didn't I think of it?" ”
Everyone gave him a roll of the eyes, and scolded in their hearts: sycophant.
Director Bian's expression was as uncomfortable as constipation:
"You mean, turning toes into fingers? Is this possible? Besides, will this affect the patient's ability to walk, will the gain outweigh the loss? ”
The 5 toes have great flexibility in movement, mainly regulating the relationship between the metatarsal toes and the rest of the foot, and playing a balancing role to adapt to the changes in the foot.
People can stand more steadily with toes, walk more smoothly with grip, and walk without toes to maintain balance.
In ancient times, there was a kind of punishment, in order to prevent prisoners from escaping, the big toe was cut off directly, so that there was no way to run, let alone go to the battlefield to fight or something.
This shows the importance of the five toes.
Using toes instead of fingers, not to mention whether it is technically feasible or not, whether it is worth it or not makes everyone fall into entanglement and contemplation.