Jin Hongzhou was busy but not chaotic, he knew that Luo Tingzhu was a doctor, and his kung fu in the practice room was not weak, and he was more proficient in the basics than Fang Ziye, so what Luo Tingzhu was arranged in the emergency surgery ward was a relatively large trauma, with some muscle injuries that needed to be sutured.

Fang Ziye single-handedly rushed into the orthopedic operating room of the surgical building, and the operation that was about to open was an incision about six centimeters long, and the preoperative conversation was signed, Jin Hongzhou had already arranged for someone to finish it, and Fang Ziye only needed to enter the operating room as an operator.

When Fang Ziye entered the operating room fully armed, only one of the itinerant nurses brought the debridement kit, and after opening the outermost outer package, she hurriedly left: "This is a minor operation, five minutes later, I will come and open the stitches, lidocaine and dilution saline, I have already opened it, on the cart over there." ”

"The sterile syringe is already on the cloth sheet, after you get dressed, pay attention! Had other needs, called me next door. ”

The operation was too small, even the itinerant nurse couldn't look at it, and after dealing with a few things casually, she went to the operating room next door, which should be a relatively large operation, and she could only walk away temporarily.

Although the trauma is small, Fang Ziye does not dislike it.

Such a small debridement suture may be completed after the treatment, and the knowledge points obtained will be three or five points, but it is better than nothing.

The patient was a big brother in his thirties, with a slightly dark complexion, wearing a mask, and his face was slightly flustered.

After completing a simple bandaging in the emergency department, lying on the operating table at this time, I saw Fang Ziye in a green dress, and I couldn't help but arch and flatten my legs alternately left and right, venting my nervousness: "Doctor, I hung out, the doctor below said that I have to go into the operating room for an operation, it's no big deal, right?" ”

"Dr. Kim said that your injury is not serious, as long as you stitch it up, but we still need to look at the small wound first, do irrigation and debridement. When you get a game of anesthesia later, it will be a little painful, and you will be much better if you endure the first injection. Fang Ziye skillfully put on the examination gloves and began to take off the bandaged gauze and absorbent cotton pads.

At the same time, it is also an assessment, it should be a smooth wound caused by a sharp object, which belongs to the staggered edge.

Unlike vertical wounds caused by surgery, the sharp object should be at an angle to the skin, resulting in a staggered cover of the skin break, so there is not much bleeding after temporary bandaging.

"Did you scrape a nail or what?" After Fang Ziye opened it, he wiped the blood stains on the surface with gauze and asked.

"I don't know, doctor, I rode an electric car, passed by an intersection, it looked like there were no steps, and when I ran over, I carried it directly."

"When I stood up, I noticed that my feet were a little wet and painful, and there was blood on them, so I quickly rode an electric car to the nearby hospital. I was injured on that bridge in front of Han Street! ”

"After coming to the hospital, I just called to apply for insurance, but I didn't pay attention to what I scratched." The patient is supposed to be a delivery boy, and he is not very clear about his injury mechanism.

"Well, it's okay, let's rinse it first, make a local anesthesia, and stitch it up."

"The infestation is a bit long, but not deep, and it should only hurt the subcutaneous." After Fang Ziye threw away the gauze cotton pad in his hand, he successively rinsed and disinfected it with normal saline, complexed iodine, and normal saline.

After rinsing, Fang Ziye said: "I'll wash my hands and disinfect first, put on a surgical gown, don't move your foot, even if there is a little blood, it doesn't matter, it won't come out much, after stitching, the bleeding under the skin will stop, and after I get to the hospital, I won't worry about it." ”

"Okay, doctor." Although the takeaway brother listened to Fang Ziye's voice, although he was young, he did not hesitate, and his heart slowly calmed down.

If Fang Ziye came to a slump at this time, how could this be, he was afraid.

This kind of small wound disinfection can not be as wide as elective surgery, and only needs to be more than 20 centimeters up and down near the surgical field.

After wearing a sterile surgical gown and sterile gloves, the itinerant nurse arrived with great experience, opened the sutures, and helped Fang Ziye hold normal saline and lidocaine to aspirate to the syringe, and after pouring the complexed iodine in the sterilized curved tray, she opened the gauze, cotton pads and other materials.

He said, "I'll come back in ten minutes, and call me at any time if you have something." ”

Fang Ziye hurriedly nodded and said thank you.

The other party calculated the time of the corresponding process very accurately, obviously a very sophisticated tour, Fang Ziye did not dare to ask for too much.

……

After the disinfection and laying of towels are completed, the local anesthesia around the wound is also decent. Except for the takeaway brother who always thought he could hold the pain, he was given the first injection of local anesthesia, and the other operations were all unwavering.

After lifting the skin, Fang Ziye said: "The wound is not very deep, the deepest part is only to the fat layer, there is no foreign body in it, it should be scraped something relatively clean." Your pants should be torn, right? ”

"It's a hole." Patient back.

"Well, if you don't know what it is, you still have to treat it as tetanus, otherwise, the mouth is not big, and if you have tetanus, it will not be good, and after the stitches are finished, you go to the emergency department to find a doctor in the emergency surgery department to give a tetanus injection." Fang Ziye began to suture while explaining to the patient.

"The doctor on duty there has already issued a medical order, and you all said that you want to fight, so it must be necessary."

"Doctor, you're not that old, are you?" The patient got bored, looked at the shadowless lamp above his head, and began to chatter.

"I'll be twenty-seven in the next year, and I'll be twenty-eight years old." Fang Ziye returned.

"At such a young age, can you have surgery alone? I used to hear from others that the doctors in Zhongnan Hospital were at least 30 years old. He looked up slightly, surprised.

Eighteen years old to go to university, five years of bachelor's degree, twenty-three years old, three years of master's degree, three years of doctorate, twenty-nine years old, if you are a normal worker, it can be said that you are thirty years old.

"Your surgery is simple, otherwise it won't be our graduate students' turn to do it."

"But don't worry, big brother, I've stitched up such a hole many, many times." Fang Ziye smiled and explained, understanding the meaning of the patient's words.

The other party is afraid that he has no experience and has become a guinea pig.

The patient was a little embarrassed: "You can hear it from the tone of your voice, calm and confident." ”

"It's so much better than when I ran into that doctor once."

"You're a doctor, aren't you?"

"Well, it's alminual, not yet." Fang Ziye replied truthfully......

Seven or eight minutes later, Fang Ziye finished cutting the last stitches. And cover the patient's wound with sterile gauze and cotton pads, and after the adhesive tape is glued, he says, "Okay, the sutures are done, and I will push you to the door with the itinerant nurse later, do you walk back to the emergency department by yourself, or do you have a family member?" ”

"I came here on my own." The takeaway guy is a little embarrassed.

"Remember to go to the emergency department for injections, don't save trouble." Fang Ziye repeated it very patiently......

As he spoke, a hint of +3 knowledge points floated up.