There are only six treatment rooms in the emergency department, which have long been occupied by other doctors.

For this kind of emergency, the head nurse was prepared and arranged for three people to come to an office.

Pull open the partition curtain and leak out the observation bed inside, which has already been laid with disposable sterile pads.

Tang Yi washed his hands and checked the instruments and medicines needed during the stitching in the tray

With the help of Lin Yayun, Zhao Huanhuan sat on the observation bed, looking at the wound on his thigh that was still bleeding slightly, "Doctor, there is very little blood flow, so you won't stitch it up, right?" ”

Wearing sterile gloves, Tang Yi lowered his head and gently pressed his fingers on the wound, "The bleeding has been significantly reduced, but it doesn't mean that there is no need for sutures." ”

Zhao Huanhuan was a little unhappy, "Isn't the purpose of stitching to stop bleeding?" ”

It is generally believed that the amount of bleeding is reduced, or even no bleeding, regardless of the depth of the wound, and there should be no need for sutures.

Tang Yi, who has made preoperative preparations, raised his hands flat, "Stopping bleeding is only one of the purposes of suturing, if the wound is deep and irregular, the skin tension at the wound is large and needs to be sutured, simple bandaging is easy to leave a deep scar, and there is that the bacteria from the outside world communicate with the wound, which will cause the bacteria from the outside to enter the wound, causing serious infection in the wound and delaying wound healing. ”

When it comes to scars, Zhao Huanhuan's face is not very good, "Is it that after stitching, the scar will be much smaller?" ”

"It can be understood that after the wound is sutured, due to the tight alignment of the incision, the granulation tissue grows faster, and the incision can achieve clinical healing in a shorter time. Wound recovery and growth are fast, and scarring is not easy to form during tissue recovery. "Such a perfect leg, if it leaves a hideous scar, Tang Yi feels sorry for Zhao Huanhuan.

Zhao Huanhuan's appearance is average, but these long legs make countless women envious, jealous and hateful, looking at the wound wrapped under the black silk, "Doctor, there will definitely be a scar left in my case, but please try to make the scar as shallow, if it looks better when stitched!" ”

Lin Yayun, who was preparing for suturing, couldn't help but roll her eyes when she heard this.

The depth of the scar has a certain relationship with the doctor who sutures it, but it depends on the depth of the wound and the individual's physique. If it is a scar constitution, no matter how superb the doctor's suturing techniques are, it should be kept.

Tang Yi nodded with a polite smile, "Don't worry, my suturing skills are professional compared to ordinary doctors." ”

Zhao Huanhuan looked at the young doctor in front of him and gritted his teeth helplessly, "I'm sorry for you." ”

Tang Yi squatted down, "Normal saline!" ”

The blood part of the wound has been scabbed over by thirst, and simply tearing the stockings will cause the wound to bleed twice.

The normal saline soaked the stockings, and Tang Yi carefully used scissors to cut the stockings at the wound, leaking out the white thighs inside.

The wound was only three or four centimeters long, but it was very deep, and the surrounding skin was slightly upturned, but fortunately, the wound was quite regular, and there was no need to use a knife to trim the irregular skin edges.

"Use Line 4!"

There are seven types of threads commonly used in surgery according to the thickness, strength, and tension, with No. 1 being the thinnest and No. 7 being the thickest.

Epidermal sutures often consider line 4 or line 7, and then choose one between the two according to the different positions.

"Isn't Line 4 too thin?" The movements in Lin Yayun's hands stagnated slightly, "The patient injured the outer thigh, the muscles were tight when walking, and the sutures were likely to be broken, causing the wound to crack for the second time." ”

Lin Yayun has been in the emergency room for almost ten years, and she has some experience in the treatment of many traumatic injuries.

Don't underestimate nurses, some nurses have been working for a long time and know more than many doctors.

While disinfecting the wound, Tang Yi replied, "No matter the thickness of the surgical line, if the patient does not pay attention, there will be a possibility of tasturing." Believe me, I don't know how many stitches have been sutured up on this muscle wound, sprinkle with water! ”

Lin Yayun wanted to refute Tang Yi, but the patient was next to her, so she could only swallow the words that came to her mouth raw.

Tang Yi finished injecting anesthetic around the wound, "Needle and thread!" ”

Put the needle and thread in Tang Yi's hand, Lin Yayun stood behind Tang Yi, "Use line 4 on the outside of the thigh, I'm really not afraid of accidents!" If the patient's line is broken after a while, see how you cry! ’

Zhao Huanhuan was lying on the observation bed, and when he heard Tang Yi asking for needles and threads, he couldn't help but get nervous when he knew that the stitches were about to start.

Tang Yi, who was about to get an injection, looked at the tense thighs in front of him, "Don't be nervous, take it easy, don't let the leg muscles be tight, this is not conducive to the needle, and it may hurt the muscles!" ”

Zhao Huanhuan closed her eyes tightly and breathed heavily, so that she would not be blind.

As the muscles relaxed, Tang Yi began to suture the patient's wound.

Wound suturing is divided into seven suture techniques: simple suture, varus suture, valgus suture, tension reduction suture, intradermal suture, constriction suture, and tendon suture.

Surgical skin sutures are often done using a simple suture method. Don't believe what is written in the novel, the effect of stitching is like a flower, it is a tattoo, not a wound.

Under the premise of suturing to ensure hemostasis and wound tightness, the fewer needle holes, the less scarring will be left.

Simple stitching also includes simple intermittent suture, continuous stitching, continuous seam stitching, figure-8 suture, and through-stitching.

The blood on Zhao Huanhuan's legs basically stopped, and Tang Yi chose the simplest and most commonly used simple sewing method.

Simple intermittent sutures, with each stitch tied separately. This method is a bit more time-consuming than other hits, and the benefits are quite obvious. That is, if one of the sutures breaks at the wound, it will not affect the entire wound.

Lin Yayun saw that Tang Yi was knotting the first needle, and she was disdainful, "Still professional?" At this level, it's not as good as an intern. ’

Lin Yayun, who felt bored, began to clean up the medical waste during the stitching period.

Tang Yi finished sewing the last stitch and tying the knot, "Iodine!" ”

As soon as she threw the syringe into the trash, Lin Yayun heard Tang Yi's voice, and when she looked back, the four-centimeter-long wound had been stitched up.

The wound is smooth, without the slightest eversion of the skin. If it weren't for the black sutures on the skin, there would be no injuries at all.

Lin Yayun was a little stunned, and glanced at the trash can next to her, she wasn't lazy just now, right? Is there two minutes from the start to the end of the stitching, and there should be none?

No one responded for a long time, Tang Yi thought that the nurse had gone out, so he picked it up and put it next to him to disinfect the patient's wound for the last time.

Seeing that Tang Yi was doing it himself, Lin Yayun hurriedly prepared the gauze for bandaging.

In order to alleviate the embarrassment just now, Lin Yayun took the initiative to speak, "Your suturing level is good, just this hand, many attending physicians in the hospital can't do it!" ”

I'm playing with the heart and the emergency suture of the Chinese medicine department, are you praising me, or are you hurting me? The corners of Tang Yi's mouth twitched slightly, "Thank you for the compliment!" ”

"Doctor, can I see the wound that was stitched up?" Zhao Huanhuan, who was lying on the observation bed, asked uneasily when he heard the end of the stitching.

Lin Yayun glanced at Tang Yi, saw him nodding, and helped Zhao Huanhuan up, "Look at it, the wound is very well stitched." In this case, as long as you are not a scar constitution, even if you leave a scar, it is a very shallow scar, and you can't see it if you don't look carefully. ”

Looking at the flat sutures, even if Lin Yayun didn't know how to suture, she knew that the wound was well sutured, "Thank you, doctor!" ”

Although wearing a mask, Tang Yi still smiled politely, "Thank you, this is what I should do!" ”

After the bandaging was completed, looking at the back of Lin Yayun leaving, Tang Yi slapped his forehead suddenly, "MD, why were you so honest when you stitched it just now, you have long legs, if you can take the opportunity to touch it when you stitch it, it must feel beautiful!" ”

Tang Yi, who was stunned, tore off his sterile gloves and prepared to return to the observation room, when the door of the office opened from the outside.

Lin Yayun helped a trauma patient in, "The patient has a wound of nearly ten centimeters on his left arm that needs to be stitched. ”

Tang Yi was a little confused, did I say that I want to continue stitching? What do you mean by sending patients to me? If it's a beauty, forget it, this one in front of you isn't even a woman!

Neither of them in the office knew what Tang Yi was thinking at this time, one was holding his arms and grinning and gasping, and the other was laying a sterile mattress on his own.

Patients are coming, so you can't drive people away! Tang Yi sighed and checked the patient's wound, waited until the sterile mattress was laid out, and let the patient go to bed. At first, the sterilization was quite careful, and when it came to stitching, it was not at all like stitching up a patient's wound, but more like sewing up a worthless and dispensable garment.

Tang Yi's speed was so fast that Lin Yayun, who was next to him, was dumbfounded.

I looked down at the time, two minutes and thirty-five seconds. Lin Yayun was stunned, the ten-centimeter wound was completed in less than three minutes, this speed is much faster than Tang Yongming!

It's just that the speed is fast, the interval between each suture point is basically the same, and although the wound is not as smooth as before, it looks very good overall, at least better than the vast majority of attending physicians.

Looking at the patient who was being bandaged, Lin Yayun thought that there were nearly ten patients in the corridor, and without asking Tang Yi's opinion, she went out directly to call the patient.

"After you go back, don't exercise vigorously, don't eat spicy, don't see water in the wound, go to the infusion area and ask the nurse to give you a tetanus injection, and come over to remove the stitches in a week!" Weakly explained a few words to the patient, and Tang Yi slowly stood up in the patient's grateful.

"Doctor, the patient's left lower abdomen is up!"

me, am I the only doctor who can stitch in the entire emergency department? Just this will send two, what does it mean? Can't you let me take a break? Tang Yi really wanted to say, I'm tired, let me rest for a while! But in front of the patient, this could not be said in any way.

The patient was examined, and the left lower abdomen was injured, the wound was about 7 centimeters long, the bandaging effect was not obvious, and there was bleeding.

Just a simple glance, Tang Yi already had a judgment, wound disinfection, continuous lock and seams, and finally disinfection, bandaging a set of work went smoothly without the slightest pause.

"Doctor!"

"Doctor!"

"Doctor!"

……

In the end, Tang Yi heard Lin Yayun's voice, and instinctively picked up the saline or iodophor next to him.

"Doctor!"

Tang Yi's eyes were hollow, holding a medical cotton swab in one hand and iodine in the other, "Where is the patient injured?" Let him lie down and I'll take a look at the situation! ”