Chapter 154: Broken Wrist Joint

Xia Xingran and his party followed the steps of the firefighters and cautiously entered the flames. Even wearing fireproof clothing, Xia Xingran clearly felt a strong burning sensation, and was quickly wrapping her in a fully enveloping way. Thinking of the previous cold storage experience, it really responds to the old saying that ice and fire are two-world.

Her lungs had just been frostbitten from low temperatures, and before she could recover, she was immediately exposed to high temperatures, dust, and toxic and harmful gases. I couldn't help but bend down and cough violently.

"Doctor Xia, it's okay. Or you'll stop here." The captain immediately turned around and returned to Xia Xingran's side and said with concern.

Xia Xingran hurriedly waved his hand, and forced himself to say between coughs, "It's okay, I'm fine. You are busy with you, and don't let me delay you."

"Captain, don't worry, my sister has me." Han Chenluo knew Xia Xingran, and was busy urging the captain to fight the fire and search and rescue, and leave them alone.

The captain nodded, glanced at Xia Xingran again, and disappeared into the gray-white smoke in a moment.

Xia Xingran took a few breaths, grabbed Han Chenluo's arm and said to Xie Yangnian and the others, "Let's go too."

Not long after they entered the core area, Xia Xingran's keen professional instinct immediately caused Xia Xingran to hear a faint cry for help. She immediately stopped, closed her eyes and stood still, searching for the source of the sound.

"It's three o'clock!"

After a while, Xia Xingran opened his eyes firmly, and then rushed straight away.

Rao is Xia Xingran, who has been following Xia Qing and his family as a doctor for many years, still had a trace of strangeness in his chest when he saw the firefighter in front of him.

The surviving firefighter in front of him is no longer a person from his appearance, he is more like charred charcoal.

Xie Yangnian knew that Xia Xingran was not in good health, so he immediately conducted an examination first, and then breathed a sigh of relief: "Fortunately, the black on his body is ashes, not burns."

"Not good." Xia Xingran shook his head. With her extraordinary professional ability, she was stunned by the smell of burnt and other pungent smells, and smelled a strong smell of blood and rotten flesh.

She immediately turned on the emergency light, which lit up the soldier's right hand with the smell of blood. I saw that the flesh and blood on his right wrist were really blurred, and it was already black with severe ischemia, and a huge chemical tank fell from the wrist.

Obviously, this soldier was unfortunately hit in the wrist by the tank in the process of extinguishing the fire, but perhaps because of this, he escaped and did not go deep into the core area of the inner area, saving his life.

Xie Yangnian immediately took out the walkie-talkie and summoned the firefighters who had just come in with them. In this interval, Xia Xingran was holding his breath, touching the soldier's injured wrist with his hand.

The captain soon arrived. After some inquiry, it was learned that this wounded soldier was the first batch to enter just now, the commander of the fifth team, and the only survivor of the fifth team.

"Doctor Xia, please save him!" The captain Sha was hoarse, almost pleading with Xia Xingran. "He's the only one who knows the truth, and we can't let Team Five's brothers die without knowing it!"

Xia Xingran naturally knows the importance, even if it is not for the truth, it is her nature to save people.

"I can't find my pulse." After Xia Xingran changed his position several times, he said to Xie Yangnian in a heavy tone.

Xie Yang took out the scalpel and alcohol from the first aid kit.

"Hold him down!" Xia Xingran said to the surrounding fire fighters.

The unknown firefighter immediately obediently pressed the commander's body.

Xia Xingran first quickly rinsed the commander's injured part with alcohol, and the violent stimulation made him can't help but scream in pain. Then Xia Xingran disinfected the scalpel with alcohol. Look at the book

Then she took a deep breath, her eyes were full of perseverance and courage, she held down the commander's palm with one hand, raised the other hand high, and only heard a cracking sound of "click", the commander's wrist was cut off by Xia Xingransheng, and the commander instantly broke out into a terrible wail.

Before Xia Xingran could take the next step, the captain grabbed Xia Xingran's fireproof suit and lifted her from the ground, and shouted angrily at her crazy shaking, "Are you crazy, you

Do you want to die?"

Xia Xingran only felt a pain on his face, his body flew into the air lightly, and a second later, there was a pain in his back that was almost broken. After two serious injuries, she had almost lost the ability to stand up.

However, this is not over, the angry captain immediately took out his pistol, eager to explode Xia Xingran's head in the next second, and at the last moment, Han Chenluo knocked the captain away, and the bullet missed, grazing Xia Xingran's cheek.

"Please calm down!" Han Chenluo immediately hugged the frantic captain and prevented him from hurting Xia Xingran further.

"How can you calm me down, you let me go, or I'll kill you together!" After all, Han Chenluo was only a 19-year-old boy, and the captain easily broke free in three or two strokes.

Seeing that the captain was about to fire a second shot at Xia Xingran, Xie Yangnian immediately stopped in front of Xia Xingran, grabbed the captain's gun hand and shouted, "Don't you want to save the commander's hand!"

The captain was stunned for a moment, and continued to roar, "What nonsense are you talking about, the commander's hand has been cut off by her, how can you take it!"

"That's how you can pick it up again!" Xie Yangnian shouted angrily.

"Re-...... Take it back?" The captain gasped, his eyes full of sadness filled with disbelief.

"You have to cut it off before you can catch it. If the joint is performed in a partially connected state, necrosis symptoms will occur due to the inability of blood supply, and once the cells die, they will be hopeless."

Xie Yangnian explained, while cooperating with the doctors and nurses next to him, quickly wrapped the severed limb in a sterile bag and put it in a low-temperature box.

Xia Xingran was also helped up by Han Chenluo at this moment, he walked up to the captain, his eyes were firm and full of strength: "Captain, I promise you, if I can cut it, I will definitely be able to pick it up!"

The captain carried the commander out, and Han Chenluo carried Xia Xingran on his back and ran to the ambulance together.

However, because of the explosion just now, the surrounding roads have been completely destroyed, and the road surface is full of deep pits and debris left behind by the explosion, as well as the glass of the surrounding buildings, and the fire trucks and ambulances that arrived cannot move forward at all.

It is more than 100 kilometers away from the Union Hospital of North City. If you don't have a car to arrive, it's like a dream.

Xia Xingran urgently contacted all the surrounding hospitals, but far water could not quench his thirst. At the moment, any means of transportation other than walking is in vain. The time for the severed limb to be reconnected must be within six hours, otherwise there is no possibility of reconnection.

Xia Xingran glanced at the commander who was lying on the stretcher and wailing in pain and the captain who had high hopes for her, and made an unprecedented decision.

Perform amputated limb joint surgery in the ambulance!

"Teacher, there are a lot of ambulances parked outside, please help me consolidate the existing medicines and equipment. I'll do the preparations."

Although Xie Yangnian felt that it was very inappropriate to do such a difficult operation in the ambulance, there was no better way to do it. Besides, the main swordsman is Xia Xingran, and he has absolute confidence.

Doctors in other hospitals learned that Xia Xingran had to perform such a difficult anastomosis operation in such a simple environment as an ambulance. In addition to admiration and admiration, they are inevitably a little curious, but also implicitly have some doubts, and they all want to take a look.

Xia Xingran checked all the necessities of the operation again and again, and after confirming that it was correct, he asked the nurse to give him a shot of adrenaline to support the energy necessary for this operation.

"Teacher, let's get started."

When the nurse put on Xia Xingran's microscope, Xia Xingran took a deep breath and said to Xie Yangnian.

What Xia Xingran didn't know was that a doctor in a hospital secretly put the camera in the ambulance because he wanted to study, and accidentally turned on the live broadcast mode in a panic.

When everyone was paying attention to the explosion at the port (mouth), a live broadcast of the operation suddenly attracted everyone's attention.

In the live broadcast, Xia Xingran first disposed of the excess soft tissue at the broken end, and then fixed it from the bone.

"Scalpel."

Xie Yangnian skillfully handed it to Xia Xingran.

Xia Xingran dealt with the surrounding soft tissues in five minutes, and said to Xie Yangnian, "Drill."

Because Xia Xingran's neat hand rose and fell, the commander's severed end

The fracture line is well aligned. After Xia Xingran drilled the hole, Xie Yangnian handed her the steel nails.

"No nails, no wires, this can protect his nerves and blood vessels to the greatest extent, and can also eliminate infection and rejection to the greatest extent

.. phenomenon, and it will be good for his recovery." Xia Xingran glanced at the steel nails and made a new arrangement.

Xie Yangnian suspected that he had misheard, so he asked again, and after confirming, he was a little worried, "Will the steel wire be too time-consuming? The nails will be ready soon."

Xia Xingran shook his head while skillfully threading the needle on the bone: "No, I've tried this many times with pig bones, don't worry."

Xie Yangnian watched Xia Xingran take the tweezers and use the steel wire to dance on the commander's ulnar radius and four wrist bones, as if he was doing beautiful embroidery on a paper-thin brocade, and couldn't help but admire again.

After the ulnar and radius bones are connected, it is the most difficult part of this operation - the suture of blood vessels, tendons, and nerves.

Xia Xingran holds the microscopic forceps in his left hand and the needle holder in his right hand, inserts the tip of the forceps into the lumen a little, and uses the needle tip to push the adventitial tissue of the blood vessel to the appropriate part of the distal end of the broken end to the blood vessel wall vertically into the needle, and then uses the forceps to clamp the adventitia of the opposite side of the vessel to turn the tube wall outward and insert the needle from the inside out.

Then use the tip of the forceps to hold the outer wall of the blood vessel, clamp the tip of the needle after the needle penetrates the wall of the tube, pull it out according to the arc of the needle, and use the needle holder and forceps to pick up the suture slightly upward and tie the knot.

Normal blood vessel sutures are required for two people together. Xia Xingran, on the other hand, was alone, and it took less than an hour to stitch up three arteries and four veins.

"It's time to bleed."

Xie Yangnian let go of the vascular clip, and suddenly the red blood was like a child who had been lost for a long time, and finally found the direction of home, dancing happily in the blood vessels that had just been stitched.

The blood flowed normally, which meant that Xia Xingran's vascular suture was a complete success.

This was followed by the suturing of the entire eighteen tendons.

Standing for a long time and microsurgery were extremely taxing on the body, and Xia Xingran felt a little dizzy. She closed her eyes and took a few deep breaths, then shook her head and began to do tendon stitches.

Xia Xingran used a nylon suture with a needle loop, inserted the needle transversely at a distance of about 1c from the section, and the needle was inserted into the loop, and the needle was inserted into the loop, and the needle was pierced longitudinally into the tendon and threaded out in the center of the section after making a collar.

Then the needle is inserted from the center of the contralateral section, the needle is released at a distance of about 1C from the broken end, the suture is pulled to make the section face fit, a thread of the coil is cut, and a needle is crossed next to it with a thread with a needle, and the knot is knotted with the cut strand of thread after the needle is removed, and then the superficial flexor tendon tendon is repaired and the tendon sheath is repaired with a "8" suture.

"It's ...... Town's suture?" Xie Yangnian couldn't help but exclaim.

Xia Xingran smiled lightly, nodded, and was noncommittal: "It's Tang's stitching. The cross-section of the severed end of the tendon after Tong's suture is a triangle that is not easy to deform when subjected to force, and the stability is better."

Of course, Xie Yangnian knew the benefits of Tang's sutures, and he was surprised that Xia Xingran could master such a world-class tendon suture technique so proficiently!

Xie Yangnian hadn't come back to his senses yet, and Xia Xingran had already reconnected and repaired his nerves. In the end, she perfectly fitted the skin at both ends with cosmetic sutures.

The commander's wrist joint looks like a thin line from the outside, and he can't imagine the rough waves under his skin.

Just when everyone thought that the operation was over, Xia Xingran helped Xie Yangnian to sit on the seat of the ambulance and said to the anesthesiologist, "Wake him up."

The anesthesiologist's eyes widened, and he said incredulously, "What...... What?"

"Wake him up."

Xia Xingran clutched Xie Yangnian's shirt tightly, gritted his teeth and repeated it with difficulty. Look at the book

The anesthesiologist had to wake up the commander.

Xia Xingran said softly to the commander, "Move your fingers."

"What?!" Everyone in the ambulance thought Xia Xingran was crazy.

"How is it possible to be able to move just after anastomosis surgery, there has never been a case in the history of medicine. It will take a day at the earliest."

Just ambulance

When all the viewers inside and outside, as well as outside the live broadcast room, felt that it was impossible, the commander's fingers lying on the simple operating table really showed a slight flexion and extension!

Before everyone could react from this medical miracle, they only heard a "bang", and Xia Xingran fell straight down.

"Oh no, Dr. Xia has suffered cardiac arrest!" Xie Yangnian was the first to discover the abnormality and immediately launched first aid for Xia Xingran.