319 Manipulation reset
Xu Leyu looked at the operation area and didn't know what to say.
The clavicle plate in Ji Xiang's hand is in a good position, and he only needs to punch the hole and put the screws down.
This operation was done easily, but it made Xu Leyu feel very unreal.
He didn't find fault to show how high he is. It's not that Xu Leyu doesn't want to, but there's really nothing to say.
If you deliberately find fault for the sake of finding fault, you will fall behind.
It's just that the operation seems to be taking Zhao Tianjiao by himself, and at this moment he is the one who is being taken.
This feeling was extremely strange, and Xu Leyu was a little difficult to accept for a while.
He calmed down again, drilled holes, made screws, and then looked for bleeding spots, and began to suture them layer by layer when he saw no active bleeding.
Because of Zhao Tianjiao's presence, Xu Leyu didn't want Dean Zhao's son to be stimulated, and he knew that Ji Xiang's knotting was his forte, so he even came to tie the knot himself.
Ji Xiang does not fight or grab, and the scissors of each knot will arrive immediately.
Xu Leyu noticed that the movement of the thread scissors in Ji Xiang's hand was extremely standard, pressing down the suture line, lifting 0.5cm up to the position of the thread knot, and cutting the suture slightly off.
Alas, this level is really high! Xu Leyu sighed in his heart.
The surgery was done very quickly, and the surgery that I thought might not be able to be done in 1 hour was already awakened in 22 minutes.
The patient woke up with no abnormal vital signs, and several people carried her into a flat car and sent her down.
"Mr. Xu, that Dr. Xiao Ji has had surgery before?" The anesthesiologist and Mr. Xu went down together, chatting as they walked.
"I don't know, anyway, I heard he did a good job in urology." Xu Leyu was also puzzled, and he replied in a muffled voice.
"How do I have the feeling that Dr. Koji can already do internal fixation of clavicle fractures on his own?" The anesthesiologist was also a little incredulous.
"That's what I thought too." Xu Leyu said confusedly, "Basic skills are basic skills, surgery is surgery, and the operation just now ...... How so? If I were to be my assistant, the surgeon was our director, and it would not have been possible to do it so quickly. ”
"So that's what you think!" The anesthesiologist was surprised, "I thought I was wrong, and it was." ”
"Strange." Xu Leyu frowned, and subconsciously stroked his hair with his hand.
"Take a look at the two surgeries, I heard that Dr. Xiao Ji's interventional surgery and urological surgery are doing well." The anesthesiologist said kindly, "Mr. Xu, do you really say you are a genius?" ”
"How do I know, when I come to the emergency room again, I'll observe it again." Xu Leyu is also full of curiosity about this question.
Back in the ward, the two glanced at the patient, the anesthesiologist returned to the operating room, and Mr. Xu explained the precautions to the patient's family.
As soon as I got out of the ward, I saw several strong men coming over. The person in the center is on his side, his right arm hanging in front of him.
Shoulder dislocation, Xu Leyu saw the patient's walking posture and knew what was wrong.
"Tianjiao!"
"I'm here, Mr. Xu." Zhao Tianjiao ran over.
"The patient should be a shoulder dislocation, I'll take a look, and then you go for reduction."
Zhao Tianjiao is very skilled in this work, and Xu Leyu is also relieved to let him do it. And there is another reason - Zhao Tianjiao's fighting spirit Xu Leyu noticed it just now, and appropriately let Zhao Tianjiao show off to avoid greater contradictions in the future.
"Okay."
He didn't have surgery just now, Zhao Tianjiao felt aggrieved, just in time for a patient with a shoulder dislocation, Zhao Tianjiao suddenly became excited.
Mr. Xu took the patient to the disposal room.
On the way, the patient was working on the construction site, and when he was about to call it a day, he accidentally fell and could not move his right arm.
I went to the emergency department, and the doctor in the emergency department examined the body and thought it was a shoulder dislocation, so I was sent to the inpatient department.
Xu Leyu first examined the patient.
The patient has swelling and pain in the injured shoulder, limited active and passive movement; The affected limb is elastically fixed in a mild outer position, often with the healthy hand supporting the affected arm, and the head and trunk tilted toward the affected side.
The detoid muscle of the shoulder is collapsed, showing a square shoulder deformity, the displaced humeral head is palpable in the axilla, under the coracoid process, or under the clavicle, and the glenoid is empty.
The shoulder test is positive, and the palm of the affected hand cannot rest on the opposite shoulder when the affected hand is close to the chest.
"It's a shoulder dislocation, let's reduce it." After Xu Leyu finished speaking, he turned around and left.
Zhao Tianjiao glanced at Ji Xiang and Lu Kai beside him, as if he was condescending, silently showing his "level".
"Lu Kai, go move a chair, it's that one." Zhao Tianjiao instructed Lu Kai.
Lu Kai was indispensable, he didn't care about Zhao Tianjiao's domineering attitude at all, he went to move the chair over with a smile.
"Sit down." Zhao Tianjiao asked the patient to sit on a chair with the affected limb resting on the back of the chair.
He holds the patient's wrist with one hand and flexes the elbow to 90 degrees to relax the biceps brachii, while holding the elbow with the other hand and continues traction, gently abducting, and gradually externalizes the upper arm.
But the sound of "click" did not appear.
Zhao Tianjiao was not flustered, and the Koch method was not a panacea.
Hold the patient's right arm and pull it down against the back of the chair.
"Ah~~~"
A scream echoed through the disposal room.
Zhao Tianjiao was stunned for a moment.
Probably shouldn't! I have done more than 20 cases of shoulder dislocation, and each time I either use the Coriolis method or pull down to solve the problem.
I just did it myself, nothing was wrong.
But in the end, I heard the patient's screams, but there was no "click" sound.
"Does it hurt?" Zhao Tianjiao asked a little flustered.
"It hurts." The strong man's forehead had begun to sweat, and he endured the pain and said.
Zhao Tianjiao checked.
Normally, the shoulder will return to its normal shape of blunt fullness after reduction, and the dislocated humeral head will no longer be felt in the axilla, under the coracoid process, or under the clavicle, and the shoulder test will be negative.
However, there was no change in the patient's right shoulder.
What the hell is going on! Zhao Tianjiao was stunned.
"Your dislocation is severe, try again." Zhao Tianjiao quickly reacted and explained to the patient.
"Hmm."
"You're in good shape, your muscles are strong, try to relax a little bit, otherwise it will be difficult for me to do it." Zhao Tianjiao said.
Try it again with the back of your chair? Zhao Tianjiao hesitated, but the patient's screams just now made him a little scared.
If it doesn't work, use that trick! Zhao Tianjiao thought in his heart.
"Come, lie down." Zhao Tianjiao guided the patient to lie on the consultation bed, with the affected limb on the outside.
He positions the patient and begins to take off his shoes.
"Doctor, what are you going to do!" The patient's family didn't understand and asked cautiously.
"With your feet, you can have more strength." Zhao Tianjiao replied, "Otherwise, his health is too good, and I will pull down with my arm and I can't pull it." ”
Patients and their families are confused.
"We call it the foot pedal." Zhao Tianjiao was also a little panicked, for fear that the patient and the patient's family would not understand, so he first explained the content of the foot pedaling method.