What kind of feeling does it feel for Wu Guonan, the director, to be trained by his subordinates, Li Junfeng feels very hard, but he, the director of joint surgery, doesn't like to be trained by the military, he just wants to engage in joints.

All four limbs are injured, and the lower limbs are heavier, if the lower limbs are saved in the end, if the upper limbs are amputated.

It's uncomfortable for birds.

Although it can be forcibly explained, the symptoms and degree of injury in each department are different, and the explanation is reasonable, and I am not afraid of lawsuits, mainly because my face is not good-looking.

And even if there is responsibility, it is Wu Guonan who is responsible.

Rather than looking bad in front of the patient's family, it is better to put down the face first and go first as respect.

"Good work, Director Li." Wu Guonan couldn't keep Li Junfeng anymore, even if they were allowed to stay, it wouldn't take more than two people to help, and it would not play a key role.

……

After Li Junfeng and Wang Liangan stepped down and left.

Fang Ziye then came to the right side, and the bearded Wang Zhongxing, who was still doing debridement, cooperated with the vasotomy thrombosis of the right lower limb, and similarly, Fang Ziye also found that the thrombus in the posterior tibial artery would be more and more slender than that in the anterior tibial artery.

And the number of blood clots on the right side is more than in the left lower extremity -

Fang Ziye used the needle of the syringe again to determine the distal blood transport, and then said, "Teacher Nie, it should be about the same." ”

Nie Mingxian didn't speak, he knew his identity, and it was not very good to participate in the surgical guidance of clinicians.

It's just that when he saw that Fang Ziye was about to turn to the direction of the upper limbs.

Then he asked, "Do you know anything about the upper limbs?" ”

These words suddenly made Wu Guonan and Xue Tao's expressions tighten!

To say that the type of trauma surgery is the same, this is true, but the position is different, then the anatomy is different.

Anyone who dares to say that the surgery on the upper limbs is exactly the same as the surgery on the lower limbs will definitely be scolded to death.

Can the muscles of the upper limbs be the same as the muscles of the lower limbs?

Blood vessels are out of shape, there is an analogy?

Can Fang Ziye take it?

When Fang Ziye heard this, he didn't show off, and said in a low voice: "You can give it a try." ”

"Wang Zhongxing, you follow Ziye, and we'll talk about the debridement later, stop the bleeding first and ensure the blood flow of the limbs." Wu Guonan continued to find a small helper for Fang Ziye.

The layman looks at the bustle, and the insider looks at the doorway.

Wang Zhongxing could only be a tool man at this time, and followed Fang Ziye all the way to the upper limbs.

Although the brachial artery does not branch in the upper arm, it is not easy to locate the brachial artery so easily.

The brachial artery is not branched, that's right!

But it's out of shape.

It's going to spin......

Li Junfeng and Wang Liangan only prepared for amputation, so they only found the subclavian part and clamped it to stop the bleeding.

Moreover, because of the anatomical structure, there are three segments of the transition between the brachial artery and the axillary artery alone, which must be separated separately.

However, none of these stumped the mouth and said that it was just a trial of Fang Ziye.

Basic anatomy and surgical anatomy are quite familiar, and structures such as the brachial artery are also one of the most important key structures in orthopedics, and it is not difficult to remember the anatomical position.

And the level of Fang Ziye's incision and vasotomy is high enough.

Therefore, even if it is going around and around, it can be accurately found by Fang Ziye.

Nie Mingxian watched all the way, occasionally wanting to speak and stopping, but still didn't interject.

If you don't operate it yourself, you don't need to talk more to interfere with the main knife's train of thought.

It's just that when Nie Mingxian was thinking about whether he could keep up with the rhythm of his surgery, he found that maybe, because of his unfamiliar skills, he might not be able to reach the proficiency of Fang Ziye.

"The upper arm artery, even if there is a small thrombus in the ulnar-radial artery, can be ignored directly during the operation, and the postoperative impact can be sufficient."

"Because the ulnar-radial artery runs from side to side, not front to back, and the distal end communicates, you just need to take out the thrombus in the brachial artery and see that the distal blood circulation is good, you can leave it alone." When Nie Mingxian thought to himself, he couldn't give Fang Ziye any guidance, so he could only control Fang Ziye in the direction.

"Okay!" Fang Ziye nodded yes.

It's just that Fang Ziye conquered the blood vessels of the brachial artery all the way to the middle of the humerus, and after feeling the pulse of the elbow artery, he performed acupuncture on the finger to take blood, and the effect was not very obvious.

Therefore, Fang Ziye still began the incision and exploration of the ulnar-radial artery.

The opening of this operation is a bit wide.

But there is no way, since there is a blood clot and the blood flow is not smooth, it proves that both arteries are blocked, and they still have to be taken out.

At this time, Wu Guonan's right lower limb had already been stitched up, and he was not very worried about Fang Ziye's side, so he ran to the side to suppress the formation.

Quietly watching Fang Ziye complete the tedious task of finding blood vessels, suturing blood vessels, and then touching the pulse of the arteries......

This is like the work of an assembly line, and seeing the fine sweat on Fang Ziye's forehead!

Wu Guonan was also a little distressed, turned around and shouted: "Tour, help Doctor Fang wipe his sweat!" ~”

"Xiao Fangling wants to say it."

In fact, at this time, neither Fang Ziye nor Nie Mingxian had time to manage the sweat on their foreheads, and they just wanted the operation to end quickly.

The itinerant nurse rushed to help.

Peng Yuanming also raised his head when he heard the voice at this moment, the debridement of his liver and the lobectomy of the liver have not yet been completely landed, but Fang Ziye is here, and the limb salvage is almost finished.

Looking at the operation time, it was only more than three hours!

In more than three hours, the limb salvage of three limbs was completed.

I also admire Fang Ziye.

One is to admire Fang Ziye's speed, and the other is to admire his dedication.

It's non-stop, real non-stop!

The kind of non-stop that doesn't have anyone to help.

After the blood circulation of the left upper limb was almost recovered, the time had come to more than six o'clock, close to seven o'clock. Wang Zhongxing began to stitch up the opening of his left upper limb on the spot.

Because the damage to the left upper limb is relatively small, only a small debridement and suture are required, and there is no need to be as big as the lower limb, so it is simple.

Wu Guonan sent Xue Tao to deal with his right lower limb, and followed Fang Ziye by himself: "Ziye, the rhythm can be slowed down a little." ”

"If you're tired, it's okay to take a break. After all, we've saved three limbs. It has already exceeded the task. ”

Fang Ziye raised his head and said, "Director Wu, there is still one last tremor left, after I take out the blood clot in my left upper limb, will I rest for a while?" ”

"Director Wu, Teacher Xue, are you tired? Would you like to take a break? ”

Fang Ziye also asked rhetorically.

The key to surgery is actually hemostasis and limb salvage, the most important thing is to stop bleeding, and then the vascular patency in limb salvage.

After the task is clear, the others can be taken slowly, suspended for an hour and then debrided and sutured, and the end of the operation, the impact on the patient is not very great.

Xue Tao shook his head and said with a smile: "It's okay, I can still bear it." ”

Wu Guonan had no intention of stepping down at all, and kept following Fang Ziye's side.

It is estimated that he felt that Nie Mingxian had nothing to say to Fang Ziye, and Peng Yuanming next to him asked, "Doctor Nie, how do you say I have this gallbladder artery here?" Is it better to prick it straight out, or to stitch it up? Does the gallbladder need to be removed directly? ”

"I don't know the surgical indications for gallbladder removal, I used to be in emergency surgery, and the main surgical direction was vascular surgery and trauma surgery."

"If the gallbladder artery is single, if you want to save the gallbladder treatment, you must provide unobstructed blood circulation, and if you cut the gallbladder directly, it doesn't matter." Nie Mingxian said it, which is equivalent to not saying it, and completely adheres to the principle that if you don't understand, you don't understand.

Another general surgeon asked, "What about the mesenteric arteries?" ”

"General loop resection, mesenteric artery, is fan-shaped. Sector segment excision is sufficient. "It seems that Nie Mingxian still knows something.

"Director Zhou, you have done an excellent job, I can't give any advice." After Nie Mingxian finished speaking, he slowly walked to the anesthetized position.

At this time, the door of the operating room was stepped open, and then someone replied: "Director Huang, Director Nie, the blood pressure of the patient opposite is unstable again." ”

"Director Nie, do you want to come and have a look?" He called two people, but only called Nie Mingxian over, it was obvious whose skill made him more credible.

"What's going on?"

"This patient's condition is not particularly complicated, it is a knife cut on the limbs, and it does not hurt important blood vessels and nerves, but the blood pressure is very unstable, and it is considered that there may be occult bleeding."

"Director Huang of the orthopedic department over there considered that there might be a hematoma in the pelvis. Director Hong Du was on his way to the hospital. The anesthesiologist reported the situation.

"The patient's family is still the same person outside."

"But the key to his inquiry is the people in this operating room." The short anesthesiologist opposite, replied.

When he heard this, Fang Ziye raised his head and added: "Director Huang, Teacher Nie, that Director Liu outside is the real family member of the patient in the operating room next door, the kind of family member, not the family of the superior." ”

Buzz.

Hearing this, almost everyone in the operating room was excited, as if their souls were violently shaken by a cool meaning in an instant.

Huang Qiaoshan and Nie Mingxian turned back at the same time, and Nie Mingxian asked even more puzzled: "Are you sure?" ”

"The patients in the operating room opposite before were in shock and had no heartbeat, what kind of leader is that outside, and it is this person who makes us absolutely rescue?"

Although it is said that in China, there is a saying called righteousness and awe-inspiring.

Righteousness comes first.

But what I really encountered was that most of the people who let their own sons go and didn't save them and did just things were in TV dramas, and under normal circumstances, the situation of giving up a small family for everyone is a trivial matter.

It's really a matter of life and death, and people are selfish.

"When I go to talk and sign, if the other party is not lying, I can still be sure."

"But even if we know that, all we can do is do our best." After Fang Ziye explained, he buried his head and began to work hard.

His hands were a little weak, and he was a little dizzy.

To be honest, in a short period of time, Fang Ziye still felt a little overwhelmed by such a large operation with high intensity.

The main thing is that there is no one to take over their jobs.

The small limb salvage of the last limb must go down slowly and methodically, and it doesn't matter if the speed is slow, but it must be of good quality.

……

Nie Mingxian and Director Huang Qiaoshan rushed to the opposite side at the same time.

In any case, the father outside was ready to sacrifice himself, even if it was a scene, they had to be prepared to make his scene unsuccessful.

Do all in one's power.

In fact, if you look up the name, you can also know.

Liu Linjie, Liu Chaodong, plus Fang Ziye's mention, it is not difficult to guess the identity!

Not a son, even a nephew.

Then Liu Chaodong's heart is also ruthless enough.

At the same time, Wu Guonan breathed a sigh of relief and said to Xue Tao: "Xue Tao, you go out first, now the blood circulation of the patient's lower limbs and left upper limbs is still good, you can report to the family with a little confidence, and you can look forward to the conclusion of limb salvage." ”

Xue Tao nodded and said yes.

"Ask him, the specific identity of that Liu Linjie, if it is true, we will not let him succeed in 'selling his reputation', he is an admirable person." Wu Guonan confessed.

Xue Tao was silent for a moment, turned around and walked outside the operating room.

Hearing this, another deputy director of the anesthesiology department hurriedly said, "Hey, wait, I'll go with you." ”

"On my side, my vital signs have basically stabilized. The patient's family was not really a family member, and he was also old, so he was told to go to rest early. Zeng Fanyi deliberately found a reason to go out with Xue Tao.

Out of the operating room, Zeng Fanyi asked: "Director Xue, your department's prescription is very interesting?" ”

Xue Tao nodded, and suddenly remembered Nie Mingxian again.

smiled and said, "Director Zeng thinks so too, right?" I think it may be similar to Director Nie Mingxian of your department. ”

Zeng Fanyi is also the deputy chief physician, and his title is the same as Nie Mingxian's.

It's just that if you want to be better than anyone, Zeng Fanyi also knows that there is a certain distance gap between himself and Nie Mingxian.

It's just that Zeng Fanyi knows that Nie Mingxian will still go to surgery whenever he has the opportunity, and will not stay in the anesthesiology department all the time.

Zeng Fanyi didn't see through Xue Tao's deep thoughts, but just smiled and said, "Yes, Director Wu said the same thing." I want to scan it to you, this Fang Ziye, what kind of person is he usually? ”

"Actually, Director Xue, I have a cousin...... Zeng Fanyi actually began to knock on the side to ask Fang Ziye how this person got up.

It is estimated that I also feel that Fang Ziye has a bright future in the future.

This question stopped Xue Tao, because he hadn't paid much attention to Fang Ziye before, how did he know this?

He replied: "I don't know this very well, maybe there is, or maybe not." I think it's more likely. ”

"You see, he is handsome, writes a lot of articles, has good surgeries, and is quite mature in his speech and deeds. It is estimated that some bold girls have already made a move. ”

"So that's the question you asked?"

Zeng Fanyi understood, Fang Ziye, he was not familiar with Xue Tao at all, and it seemed that he still had to go and listen to Wu Guonan.

……

After Zeng Fanyi acted as a matchmaker in front of Xue Tao for a short time, he came to the communication room of the operating room and met Liu Chaodong and others again.

But this time, there was one more relative, and when I inquired about my identity, I found out that the person who came, Zhang Yu's grandmother.

Just came from the countryside.

Zhang Yu is the name of the patient they performed limb salvage.

Their expressions were all quite heavy, after Xue Tao arrived.

The old grandmother was supported by Liu Chaodong throughout the whole process, and then she staggered in front of Xue Tao and Zeng Fanyi.

Her face was painful at the moment, and she didn't have any demeanor, so she cried: "My Xiaoyu is just disobedient, just disobedient." ”

"His father, dead, his uncle, dead."

"If he can't survive now, even if I'm dead, how can I explain to his grandfather!"

"Xiaoyu, why are you disobedient."

"Our old Zhang family has only one root."

Her tears slid down the folds of her face, her white hair was messy, and her face was wrinkled, so she couldn't tell if it was pain or old Bunsen.

But these words made everyone couldn't help but be moved.

Peng Yuanming said that Liu Chaodong outside said.

The lying patient Zhang Yu has no aunt.

Both my father and uncle died at the post, and the family received several plaques......

It can be described as a martyr.

Liu Chaodong looked at Xue Tao at this moment and explained: "Two doctors, my aunt's emotions are quite excited, I hope you can be considerate." ”

"My uncle, that is, Zhang Yu's grandfather, never came back after crossing the river......"

Xue Tao and Zeng Fanyi immediately stood up straight, and they were even more solemn.

Xue Tao immediately stretched out his hand and patted the old woman's hand, she is estimated to be at least ninety years old this year, this is considered an advanced age, such an advanced age, for her, every extra day may be a kind of torture.

If it weren't for the fact that her grandson was still there, she wouldn't have had the courage to survive.

I didn't dare to sell anything more, so I hurriedly said: "Mother-in-law (grandma), this family member, both of you have cleaned up your emotions, and the patient's current state has stabilized." ”

"And we didn't have any amputations, we managed to save both hands and feet."

"A finger is not missing."

Xue Tao rubbed his eyes as he spoke.

After Xue Tao finished speaking, the old grandmother instantly stopped crying, then looked at Xue Tao and grabbed it with both hands.

Grabbed Xue Tao's hand extremely hard, and the green tendons on his hand were exposed, like an iron tong, as if he was going to break Xue Tao's hand bones, and I don't know where this old man got so much strength.

She shook her hands and said, "Doctor, don't lie to me. Hands and feet still there? ”

"That and that? What about surgery? ”

There was still a faint white discharge from the corner of the old man's mouth, and saliva splashed out......

Xue Tao didn't shrink his hand, and he didn't dislike the spit on his hand.

Nod.

But he still maintained some sanity, and said: "For the time being, I tried my best to keep it, and if there are no accidents in the future, I should be able to expect no amputation." However, if there are any special circumstances, we will carefully adjust and ponder the treatment plan at that time. ”

Limb salvage surgery is a kind of expectant surgery, and no one is 100% sure whether it can be saved.

Although there is now a 70% chance that the limb will not be amputated, the remaining accidents cannot be completely ruled out.

For example, if the back artery is thrombosed again, it is not good to give the patient's family too much expectation.

But!

That's enough.

Even Liu Chaodong's eyes were blinking at the moment, and his eyes began to sparkle.

In this way, he can be regarded as worthy of his old comrades-in-arms and old friends.

It was only at this time that he had the heart to release all his emotions, crying and laughing, his face full of emotions was indescribable......

The old grandmother also understood Xue Tao's words, so she said: "It's good to pass this level now, it's good to pass it." ”

"Doctor, don't worry, I can see it."

"I waited for my husband, and I waited for ten years before he came back. I accepted. ”

"Later, I waited for my youngest son to come back from Tierekti, but I didn't wait for him to come back, and finally came back with a plaque."

"My son got married late, and I was outside the operating room with Xiaoyu, waiting for his father, waiting for my last son, and I didn't wait for him to come out."

"Later, I hugged Xiaoyu, waited for his mother, and didn't wait to come back."

"But I can wait for someone to come back......"

"It must be that the old man of my family can't bear to see his family extinction, and the ancestors of the Zhang family have manifested their spirits......"

The old woman withdrew her hands, folded them, and closed her eyes reverently.

Although Xue Tao wanted to say at this moment that the Mantian God Buddha did not appear, he didn't know, but if Fang Ziye was not there today, then the amputation would have been done long ago.

However, he didn't break the belief in the old man's heart, it was a life that belonged to her alone, a life of not being greedy......

(End of chapter)