On the weekend, before Li Xiyang arrived at the emergency department, he received a call from Zheng Xiaoyu.

It was said that a patient came from the department and came from River Province.

The patient was injured in a car accident and is currently conscious and bleeding is not large, but both lower limbs have closed fractures and open flap comminuted fractures, respectively.

The hospital diagnosed the lower limb with an open fracture and needed to be amputated, but the family was reluctant and wanted to come to Renhe with the last glimmer of hope.

Originally, he was from the Department of Orthopedics, but was recommended to the emergency department by Deputy Director Xu.

He asked Li Xiyang to do this operation.

So Li Xiyang put down the phone and hurried to the emergency room.

Zheng Xiaoyu had already prepared the inspection report, and as soon as Li Xiyang arrived, he handed it over together.

"Doctor Li, this patient's injury is very troublesome!"

Zheng Xiaoyu's expression was solemn, and he was not optimistic about the patient's injury.

Li Xiyang didn't speak, but first took a closer look at the report.

When he finished flipping through it, Li Xiyang nodded slightly and said, "This patient's injury is indeed the least risky for amputation." ”

But

"If you want not to have an amputation, it's not that you can't do it."

Zheng Xiaoyu pricked up his ears curiously, "What way?" ”

Li Xiyang said, "The patient's injury seems to be very serious, but the area of crushing is not large, only four or five pieces of broken bones are counted, and the damaged area of the vascular bed and muscle tissue is not large, so I have three options to avoid the pain of amputation." ”

Zheng Xiaoyu was shocked, this patient's injury, other orthopedic surgeons were helpless, he actually had three plans.

So he couldn't wait to ask, "Which three?" ”

Li Xiyang stared at the piece in his hand and said slowly, "The first is to take out the patient's shattered bones, sawn them flat, and then re-dock, so that the cured leg may be shortened, but it is better not to have an amputation."

The second solution is internal fracture fixation, which connects all the shattered bone pieces and completely heals the patient's injured leg! ”

Zheng Xiaoyu was taken aback, "Can you really do it?" ”

Li Xiyang nodded, but there was a risk.

The most feared thing during the process is the presence of a thrombus distal to the amputated limb.

Moreover, this kind of surgery is extremely testing of the operator's skills.

The third option is to use fake bones.

Fake bones?

Li Xiyang nodded and said, "But this requires the use of 3D printing technology!" ”

Zheng Xiaoyu was stunned.

She has also heard that several orthopedic hospitals in the imperial capital are studying the latest orthopedic treatment method, 3D printing technology.

It is indeed a scheme.

However, after weighing the pros and cons, it is not difficult to find that the first option has the least risk and the greatest certainty.

"Dr. Li, what do you think of the solution?"

Li Xiyang said, "Let the decision be made by the patient and his family!" ”

Doctors should provide treatment options, and should respect the ideas of patients and their families.

Zheng Xiaoyu nodded, so he went with Li Xiyang to meet the family.

A total of three family members came, namely the patient's wife and parents.

"Doctor, how is my husband?"

"How's my son doing?"

When the family members saw the white coat walking into the ward, they also asked anxiously.

Li Xiyang glanced at the patient who had fallen asleep on the hospital bed, and signaled the family members to calm down first and not disturb the patient's rest.

Outside the hallway.

"Doctor, what is going on with my son, is this leg still saved?"

The old couple supported each other, their faces full of sadness.

The wife also clenched her palms, and her heart was extremely tormented and painful.

Zheng Xiaoyu on the side comforted, "Family, don't worry, we are here this time to discuss the surgical plan with you." ”

"This is Dr. Li Xiyang, and he already has a surgical plan."

The three of them looked at Li Xiyang at the same time, so young?

Obviously, Deputy Director Xu of the Department of Orthopedics said that Dr. Li is the best orthopedic doctor in Renhe, but this is too young.

Earlier they were in River Province, and those old doctors said that they had to amputate their limbs, but this young man really had a way?

"Doctor, we've been running hundreds of kilometers to get here, so you'll have to help us." The patient's father is a typical honest man, he doesn't have that much thought.

When he heard that his son was still saved, his eyes swelled with hope.

Li Xiyang nodded, and then told the three of them one by one.

Include the risk of each option, as well as the pros and cons.

The three of them were silent after hearing this, each weighing the pros and cons in their hearts.

The first option is the safest, but after surgery, it will affect the patient's walking, running and other sports, and will become lame and lame.

The second option has certain risks, because it is very troublesome and time-consuming to reassemble the broken bones, not to mention that if the blood vessels at the distal end of the amputated limb are blocked due to long-term surgery, the operation will be more difficult, and the possibility of amputation during the operation cannot be ruled out.

The third method, 3D printing technology, is feasible, but the risk is the greatest, and the patient's wound is relatively small, if this treatment method is to be used, the staff must enlarge the patient's wound, which will inevitably make the patient suffer again.

After thinking about it for a long time, the patient's parents first gave their own answers, and they unanimously chose the first conservative option.

Although my son may become crippled after surgery, he can be regarded as saving his leg.

But the patient's wife said at this time, "Doctor, I'll choose the second option!" ”

He hopes that her husband's leg will be completely restored.

In the face of the family's differences of opinion, Li Xiyang remained silent.

This kind of thing needs to be dealt with internally.

When she heard that her daughter-in-law was going to choose the second risky treatment, the patient's mother directly reprimanded, "You are crazy, you want to kill my son!" ”

The daughter-in-law shook her head, "Mom, even if the family knows, they will definitely choose the second option." ”

She knew that her husband could recover in case he could, and he didn't want to be crippled.

But as parents, they care more about their son's life.

"I will never agree, in case my son has three longs and two shorts, you can still remarry, but how can we live as an old couple!"

"Mom, what are you talking about!"

The woman looked ashamed.

Even Zheng Xiaoyu on the side frowned, his face was not good-looking.

She empathizes with women, if she is so despised by her in-laws, I am afraid it will be more uncomfortable than being lame.

Zheng Xiaoyu was angry, and was ready to say something for the woman.

But I didn't expect Li Xiyang, who had been silent, to speak first, "Uncle and aunt, this is your family matter, I can't open my mouth, but as a doctor's perspective, I think you can ask the patient's thoughts." ”

The old couple looked at each other and nodded.

The wife agreed.

"Okay, then let's listen to what Jiaming means!"

So the group entered the ward again, and by this time the patient in the bed had already woken up.

"Son..."

As soon as the mother wanted to speak, the son shook his head and said, "Mom, don't say it again, I've already heard it." ”

"Lijuan thinks the same as me, I don't want to be crippled for the rest of my life!"