"Don't run when you step down! ~”

After Fang Xian finished suturing, covered the incision of the patient's abdomen with a sterile dressing, and pushed the patient off the operating table, Professor Hu actually pressed Fang Xian down!

This was the first time Fang Xian had encountered such a thing.

Two days ago, he ran away, but no one stopped him.

Fang Xianyan said: "Teacher Hu, I'm going to 17 operating rooms to sew!" ”

"Let's start stitching in 17 rooms, and the suture team is free to be used by me for 12 incisions! Hu Dajiao. Professor Hu immediately replied in the headphone channel.

Fang Xian: Me?

Can it still be like this? Zou Junzi didn't tell him.

Hu Dajiao is definitely not his real name, but Fang Xian saw the soles of Professor Hu's feet after taking off the sterile surgical gown, it is indeed very big, this must be a forty-six size foot, right?

"Roger! ~" There was a sound from the other party, and then silence began.

Fang Xian was dry-eyed, and could only watch his skill points run away!

Incision, Fang Xian had done it in the trauma center before, there was no proportion of therapeutic damage at all in the incision, and the harvest of skill points was pitiful, who TM wanted to go to the incision group......

"Teacher Hu!" Fang Xian blinked, hoping that Professor Hu would spare him and let him feel at ease and boldly obtain skill points.

"Room 17 is an intestinal perforation patient, currently under anesthesia, you come with me!" Professor Hu ignored Fang Xian.

After pushing Fang Xian out of the operating room, Professor Hu asked, "Has the incision reached the level where you can make an incision?" ”

Fang Xian nodded.

A superficial incision is made at grade 2 of incision, as is the case in trauma surgery.

At grade 3 of the incision, a full-thickness inversion can be made.

That is, Fang Xian is only level 2 in the basic theory of general surgery, but it doesn't matter, Fang Xian can go to level 3 immediately.

From level 2 to level 3, only 50 skill points are needed, and now that the daily income is two or three hundred points, Fang Xian is still willing to 'waste' to add points.

When you learn a skill, it's not a waste.

"That's just right!"

Five minutes later, Fang Xian and Professor Hu took the stage at the same time, and Professor Hu did not wait for the young man in the previous operating room to return, but went directly into the operating room, where there was also a young doctor waiting for Professor Hu to arrive after disinfecting and laying towels.

It may be because Professor Hu has specially confessed before, so he has prepared all the relevant instruments for incision, just waiting for Fang Xian to arrive.

Professor Hu approached the operating table and asked, "Anesthesiology teacher, the patient's vital signs will not fluctuate too much, right?" ”

The anesthesia teacher made an OK gesture, and Fang Xian interpreted it like this.

But Professor Hu nodded and said, "Three hours is not life-threatening, that's definitely enough!" ”

Fang Xian's whole body stiffened, and he straightened his back, what are you doing, can you guarantee that your life will not be in danger for three hours with gastrointestinal perforation?

can see that the other party's sideburns are silver and white, and after the eyebrows are shining, Fang Xian silently lowered his head.

The trauma center of Shonan University Hospital has reduced the mortality rate of emergency patients to less than 1 percent, and there must be something in this data!

This is all the emergency department, counting the aortic dissection with a very high mortality rate!

Perhaps in the operating room of the trauma center, any gastrointestinal perforation was just a minor operation, so Professor Hu temporarily took him to play.

Before going on stage, the young doctor had already drawn the lines of the surgical approach!

"Students in the suture group across the incision group, Fang Xian, 4 sutures." Professor Hu explained this to the young people on the other side.

"Knowing him, Professor Hu, at present, in the operating room of our trauma center, among the younger generation, the level of sutures is the highest, and even Brother Dong owes a little." The young man smiled and had great respect for Professor Hu.

Fang Xian is a little entangled here!

The main thing is to worry about whether it is better to get the incision to level 4 or the basic theory of general surgery to level 3.

can't take it into account, his skill points are currently 523 points, and he can't improve them at the same time.

After thinking about it, add the basic theory of trauma surgery, and give priority to debridement!

How to make a mouth, even if you are not proficient, you can still get guidance, and there are two superiors next to you, a professor who sounds very dicked, what are you afraid of?

Debridement and suturing are the ones that account for the majority of the damage and are the most beneficial to themselves.

Patients don't need to have a level 4 incision on their own to show that the gods are descending!

Fang Xian then began to make an incision in a decent manner. The medical association has long stipulated that the difficulty of the assessment that can be passed by different levels of incision is different.

[Incision Level 1: Please follow the laser marking, make an arc incision with a length of 10 cm and an incision depth of 0.5 cm! 】

[Incision Level 2: Please follow the laser marking, make an arc incision with a length of 10 cm, and cut the deep subcutaneous fascia!] 】

[Incision Level 3: Please follow the laser markings to expose to the operation field, no time requirement, no incision depth requirement!] 】

[Requirements: No medium-sized arteriovenous injury and no nerve damage from skin incision to exposure to the operation field.] There is no unnecessary incision of muscle injury, and the amount of bleeding is less than 30ml. The incision is not less than 6cm! 】

The first level of incision requires the depth and length control, and the second level requires more exquisite control of the incision depth and length, and there are requirements for accurate arc of the knife.

Level 3 does not have the above special requirements, but has absolute requirements for the whole.

The overall bleeding volume does not exceed 30ml, and what is the concept of 30ml, which is one-eighteenth of the volume of mineral water, this is still continuous bleeding, so the corresponding concept of level 1 and level 2 operation must be strictly enforced.

Otherwise, you don't want to pass the test for the rest of your life, violent incision, a few breaths, and an inconsequential middle artery injury can make the patient lose 50ml of blood!

Fang Xian does not pursue speed, and strictly follows his own standards!

Decent level, level 3 skills in trauma surgery, not particularly bad, in the student generation is considered a leader, but there are very few young people in the operating room of the trauma center, so there is no special shining point.

But!

It's okay too.

After the incision was made, a pungent smell immediately rushed out from the patient's abdominal cavity, which was fresh and originated from the smell of the toilet, which made Fang Xian, who was in the main surgical position, involuntarily frown!

After this, Professor Hu did not ask Fang Xian to continue, but immediately took the instrument in Fang Xian's hand, put the instrument into it and began to investigate.

Fang Xiandu only took a few steps back, and saw that Professor Hu had turned out the position of the perforation, which was not like looking for a needle in a haystack, nor like the difficulty of finding stones in a paddy field, which was easily completed.

After all, the intestines in the abdomen are stacked, and the location is difficult to predict in Fang Xian's eyes, but in Hu Dajiao's eyes, it is like his own home.

When Fang Xian came out of the operating room, he heard the young doctor say there: "Professor Hu, the second opening has also been found?" ”

"Awesome!" Fang Xian could only say this silently.

Compared with ordinary residents like Li Qiu, now he is a cow, and compared with Zou Junzi, he is a loss when he walks in front of him, can he compare to a professor?

Fang Xian felt that he should not be too whimsical!

……

Finally, after completing a complete suture, the skill points finally accumulated to 500 points.

Fang Xian then put all the skill points on the debridement technique, and in an instant, Fang Xian seemed to poke the 'skill ant nest', and with the improvement of the debridement technique, many skills were upgraded at the same time.

Most of them are from level 0 to level 1, and there are a few skills, such as abscess removal, hematoma removal, necrosis removal, schwannoma, lipoma and other relatively simple removal, which are suddenly upgraded to level 2.

Fang Xian counted carefully, there were at least eight or nine of them!

This is the charm of the basic skill jump, a skill to rise, the chicken dog to heaven!

In fact, it is normal, Fang Xian's previous level 3 debridement is easy to deal with lipoma!

Of course, it's a small lipoma, like the kind that is tens of centimeters in diameter, and that's still very difficult.

Even now it's hard and needs to practice a little more, but now, let Fang Xian perform lipoma resection for that 'little sister', Fang Xian can do it like play!

[Debridement Level 4 0/5000 (Curettage)!] 】

Fang Xian knew that this curettage might be a concept in debridement, different concepts, different understandings, which had to be specially investigated by the medical association.

After the addition was completed, Fang Xian carefully examined whether he could deal with the patient with intra-abdominal gastrointestinal perforation in the operating room where Professor Hu was before?

It seems that you can, slowly, you can clean up the '' inside, if you want to clean it quickly, you need time to accumulate, and you can practice intra-abdominal debridement well.

If it is a small wound corresponding to the wound of the limbs, or a large wound, it is all easy, as long as it is not the destruction of the whole leg, the destruction of a single lower limb, Fang Xian feels that he can deal with it!

This is the confidence that strength brings!