Xue Tao, who has a big nose, has a deeper understanding of the characters in the undergraduate room than Fang Ziye.

After Fang Ziye went out of the operating room where Cao Zhen was, when he found the operating room where Zhong Xuegao and Guang Shiqing, the two old attending brothers, were located, the two had already cooperated to open the stage and went far away.

Seeing that the hematoma cleaning operation was almost completed, and both of them were seriously looking for the bleeding point.

It's just that Fang Ziye's sudden break-into of the operating room made them wonder.

Zhong Xuegao lost his usual comic demeanor: "Ziye, can't you find the operating room?" Do you want me to call Xue Tao? ”

In normal times, Zhong Xuegao probably doesn't know how to make a joke, such as not being able to find the door, not finding the hole, such a car talk......

"No, Mr. Zhong, I'm just coming over to take a look!"

"If there's already someone here, I'll go back and help. Brother Tao is afraid that there is no one here. Fang Ziye casually found a reason.

Fortunately, Zhang Mingcan is the director, and there are many people in the group, even if Li Yuanhong goes out to study, the old director has one more than the other two directors, so Zhong Xuegao can temporarily leave his duty to poor Guo Yunlei to take over.

"If you find it, you'll find it." Zhong Xuegao said this vaguely.

Fang Ziye left silently.

Since Guang Shiqing and Zhong Xuegao are both on stage, this patient's hemostasis does not need him to waste more time.

turned around and returned to the operating room where Xue Tao was, and after washing his hands and dressing on stage, he found that Xue Tao at this time, because there was no one to help and the instrument nurse did not understand it, he had not even finished the simple hematoma cleaning operation.

However, Xue Tao was not in a hurry, but after Fang Ziye approached the operating table, he asked again: "Hasn't the stage opened over there yet?" ”

Fang Ziye went out to come back, but it took more than ten minutes, so it is estimated that he went over to take a look and returned the same way, right?

This is the third time Fang Ziye has put on a sterile surgical gown, and he feels that his hands have a strong smell of disinfectant water.

However, he still put the sterile gloves on his hands seriously, and said calmly when he got closer: "Brother Tao, the hemostasis on Dr. Cao Zhen's side has been dealt with, and in the other operating room, it is Zhong Xuegao and Guang Shiqing who are operating on the operation, and the hematoma has also been treated." ”

"There's nothing else to do."

Fang Ziye didn't know Cao Zhen's true strength, but he vaguely remembered that Huang Kai said that Cao Zhen had no problem completing the ordinary open reduction and internal fixation.

And when Fang Ziye left, he also helped Cao Zhen to reduce the most difficult technique in fracture surgery, presumably later, Cao Zhen only needed to complete the temporary fixation of the K-wire needle, and then put on the steel plate screws.

This is hematoma incision and fracture internal fixation, so there is no need to pursue intramedullary nail internal fixation with a relatively small incision.

After approaching the operating table, Xue Tao just finished the hematoma cleaning operation, and said: "I'll let go of the blood vessel first to see where the bleeding point is. ”

Fang Ziye swept around the field, and there were still a small number of clots in the muscle layer inside, which had not been thoroughly taken care of, and lacked a step of rinsing.

But even so, Fang Ziye still caught the shape of the anterior tibial artery at a glance.

After probably matching the broken end of the fracture, Fang Ziye picked up the vascular clamp, made a blunt separation of a small part of the muscle, and then pulled out a semi-continuous artery, and said, "Brother Tao, it should be it." ”

This blood vessel is like a half-broken water pipe, because it is drained by blood, so there is no blood oozing from the stump.

But Xue Tao said depressedly: "I have just explored the anterior tibial artery, and the proximal and distal traction is active, I thought it was not the anterior tibial artery rupture." ”

This is a small operation of continuity exploration, which is equivalent to if you pull the proximal end, and the distal end will move together, basically the continuity of the artery is good.

The same is true for pulling the distal end and moving the proximal end.

However, Xue Tao never expected that Fang Ziye's broken blood vessels were only half broken, and this kind of depth control was a bit too incredible.

It can be called within the theory, outside the operation.

That is, theoretically achievable, but operational is never achievable.

"Brother Tao, why don't you stitch it up first, and then open the blood vessel for examination. Anyway, it has to be stitched up after all. Fang Ziye didn't say anything to death.

"I'll be an assistant." Xue Tao already understood in his heart.

Fang Ziye, a doctor, just doesn't show his strength, it doesn't mean that he doesn't have strength.

Fang Ziye's qualifications are so good, Xue Tao has been with Fang Ziye for nearly a month, and he has a deep understanding.

On one point, Fang Ziye's osteotomy made even Shen Tao of the Hubei Provincial People's Hospital, who had the same name and different surname as him, feel extremely admired.

Fang Ziye's qualifications are good, not ordinarily good.

Then, the Fang Ziye he came into contact with was the last month, and Fang Ziye was definitely not qualified in the last month.

The three-year graduate career, even in the practice room of Zhongnan Hospital, is enough for Fang Ziye to operate and practice to a very profound level, so it is understandable that Fang Ziye has super high ability in some small operations.

After all, when Xue Tao studied before, he had heard that Professor Du Xinzhan, the current director of the Department of Orthopedics of Zhongnan Hospital, that is, the director of the Department of Joint Surgery, had surpassed many attending officers and even comparable to associate professors in some small operations when he was young.

It's just that the level of surgery mastered is low, and once the age is reached, it is a big killing, which can be called a hegemon.

Among the many professors in Zhongnan Hospital, a few of them have reached the position of director and professor without relying on scientific research, and have become professional and technical personnel at the director level of the current orthopedic university.

But Fang Ziye is even more vigorous than him, because Fang Ziye's scientific research is not comparable to ordinary people.

The two have a bit of a tacit understanding.

Fang Ziye stitched, and Xue Tao cut the thread.

The anterior tibial artery is a medium-sized artery.

In the case of a relatively large artery, the difficulty of suturing will actually decrease, unless it is a large artery such as the aorta, and the difficulty of suturing will increase again.

Fang Ziye can ensure that there is no lateral leakage in the operation of the suture of the broken tail artery in mice, and the vascular patency rate is extremely high, and it is also easy to deal with such an ordinary medium-sized artery semi-injury.

After Xue Tao let go of the clamped vascular clamp, he looked at the surgical field again, and there was still no bleeding, so he was relieved: "Then we can basically declare this operation over." ”

Fang Ziye's manual reduction, in dealing with fractures, was killed casually.

The reason why some fractures cannot be treated by manual closed reduction and plaster external fixation is not that Fang Ziye cannot be reduced, but that the effect of fixation cannot be achieved.

Reduction and fixation are the principles of fracture treatment.

Therefore, at the time of open reduction, temporary fixation of the K-wire will be added.

"Electric drill with K-wire." After Xue Tao finished speaking, he didn't look at how Fang Ziye was reset, and directly prepared for the backhand.

And Fang Ziye did not disappoint Xue Tao, after seeing the shape of the fracture under direct vision, the patient was under anesthesia and did not need to think about the pain at all.

It's just that after traction, after moving a few times, the fracture line is tightly closed, and it is almost impossible to check.

The time when the instrument nurse handed over the electric drill with a K-wire was a little slower.

But it doesn't hurt.

After the temporary fixation, Xue Tao, for the sake of prudence, still worked hard for the itinerant nurse and asked her to help push the C-arm machine and do an intraoperative fluoroscopy to ensure that nothing went wrong.

If the fixation and reduction are done well, he can also work with Fang Ziye, follow the example of Professor Deng Yong and Professor Duan Hong, and say to the 'Shu Xiao' outside: "You can take this patient away, as long as you ensure that the wound is not wet and you are on crutches, you can get out of bed and walk tomorrow." ”

Fixed and reset are well done, and Xue Tao also has such confidence.

And this time, it was a really relieving operation.

If you want to stay in the hospital, don't even think about it, although these people are just minions in the equipment company, and they are definitely not important people.

But as long as you participate, you have to accept the consequences and accept the punishment of the law as soon as possible, instead of thinking about delaying time and evading.

The follow-up operation is even less difficult.

After temporary fixation, the steel plate screws are directly fixed for the second time, which can be said to be stuck and tied tightly.

Even Xue Tao followed Professor Deng Yong's example and broke the patient's fracture section a few times, without any signs of loosening!

"It's the best."

"Stitch! ~”

"Traveling teacher, you go to the door and communicate with a police officer Zhao at the door, whether this patient is sent directly to the ward, or whether he takes it to the detention center or something......" At the end of the operation, Xue Tao turned around and said to the itinerant nurse with confidence.

"Okay." The itinerant nurse nodded immediately and trotted out the door.

At the same time, the anesthesiologist stood up and asked, "Can you wake up to anesthesia?" If the surgery is almost over, I'll start waking up. ”

"Okay, teacher, it should be a matter of ten minutes, let's evaluate the depth of anesthesia and the time of extubation." Xue Tao said.

If the patient wants to turn around, the anesthesia must wake up.

When the anesthesiologist heard this, he said, "It's okay, you said that this operation was fast, I didn't intubate him, and I could wake up in a while." ”

……

Fang Ziye and Xue Tao operated very fast. In a short time, the suturing and bandaging operations were all done.

After the patient woke up, there was basically no chance to resist, so he was directly escorted to the door of the operating room by Xue Tao, and then docked with Officer Zhao outside.

Looking at the plaster cast and gauze on the patient's feet, he could indeed confirm that he had undergone surgery, so he asked, "Director Xue, are you sure that you can turn out as soon as this operation is over?" ”

"After the surgery, do I need no additional treatment?"

He is not a doctor, so he doesn't understand it at all, and he thinks that after the operation, he will have to be hospitalized for a period of time.

"There's an infirmary in the detention center, right? As long as you can complete the ordinary infusion and dressing change, there is no problem. Xue Tao replied firmly.

Hearing this, the patient's family said, "Hey, why do you talk like that, a doctor?" So what if you get infected? ”

"Didn't you say what if? In his case, he didn't need antibiotics for a long time after surgery, at most once or twice. ”

"It's the same everywhere, and the surgery in our hospital is actually not as good as the doctors in the detention center, but mainly to provide surgical techniques." Xue Tao said to the patient's family.

"You can't do this, you, this?"

"It's inhumane to have surgery and go straight to the detention center?"

"In the infirmary in the detention center, there are hospital beds, you can also visit, it won't affect the ......" Officer Zhao saw Xue Tao, who had always been cautious, and said so at this moment, and also understood what Xue Tao meant.

Without hesitation, he took the patient with him and turned away.

The detention center, unlike the prison, has a hospital, and the detention center only has an infirmary, although there are beds, but the medical equipment inside is actually very rudimentary.

Therefore, if Pang Hong wanted to transfer away as soon as possible, he could only go to the hospital, because Pang Hong's injury was even greater, and it was an open fracture, and the delay was long.

Otherwise, what's the point of bringing back a corpse or an infected person and going into detention?

However, if the patient does not have an open fracture, he can be admitted to the detention center.

Suspects won't be allowed to wander outside unless it's particularly necessary!

Xue Tao personally went over to complete the handover.

Although the patient's family members were making noise outside, at this moment, the police were waiting outside, so how could they allow him to get close.

Because even if the patient's family scolds, or even the family calls the patient's child to carry out moral kidnapping, moral kidnapping in front of the violation of the law is of no substantive significance.

……

Fang Ziye did not go with Xue Tao, mainly because Fang Ziye's current identity is a student, and Xue Tao is a physician in this hospital and also a deputy chief physician, and his position and representativeness are completely different.

Therefore, after Fang Ziye completed the sutures, he finally came to the operating room where Huang Kai was.

In the operating room, there were many onlookers, but most of them sat against the wall.

These people are not young, they are all in their forties and close to fifty years old, and they should be the directors of various departments, at least deputy directors, and they have both medical and surgical departments.

For example, the director of the ICU, Huang Qiaoshan, the director of the anesthesiology department, and Professor Feng from the anesthesiology department of Union Medical College Hospital are discussing Huang Kai's vital signs.

"At present, there should be no risk for the time being, but it still depends on the progress of the operation, I see vascular surgery and general surgery, and it seems that the progress is not smooth." Professor Feng said.

The operating table was full of people, at least a dozen, and there was no vision at all.

However, only the head of the anesthesiology department is an absolute no-man's land, and it can only be the people of the anesthesiology department, who are guarding here and belong to the guardian saint of the patient's life during surgery.

No matter how many places you don't have, who would dare to have surgery without anesthesia care?

If the vital signs are not good, the surgery, no matter how well it is done, is meaningless.

So, Fang Ziye still didn't see Huang Kai, but he just saw that above his head, two cold, dazzling shadowless lamps were ordered by the main knife on the stage to move around!

After Fang Ziye heard the professor of anesthesiology say that Huang Kai's current vital signs were fine, he also slowly moved in the direction of his lower limbs, because that was the field of orthopedics.

You can't do general surgery, you can't do it standing on your feet.

When I got closer, I could hear that some people on the stage were holding their breath, as if they were operating some key operation!

About half a minute later.

Fang Ziye heard a familiar stoppage: "Stop!! ”

"No! ~”

"Master, Professor Duan, it's still not good, my current control of power is only maintained at the level of skill borrowing, and it has not yet reached the subtlety stage of Old Doctor Chen's control."

"This pelvic rotation is estimated to have to be done by Dr. Chen." After Wu Xuanqi finished speaking, he gasped for breath, his feet trembled slightly, obviously just a while, he used enough strength, the consumption was too great, and he was a little tired.

The old director of Hong Du did not go to the operating table, but he was wearing clothes, and when he arrived at the sterile area at the foot of the operating table, he replied in a deep voice: "Old Doctor Chen said that he was going to clean the door, after all, this matter involves his son." ”

"In such a situation, it is indeed a bit difficult for him to save people instead of dealing with his own son's problems."

"If it's not easy to deal with, otherwise, just listen to Professor Duan's suggestion and directly cut the internal pudendal artery and bladder artery."

"Even if you lose the function of the genitals and bladder after surgery, it's better than losing the function of the person." After Hong Du finished speaking, he looked in the direction of Duan Hong and Professor Deng Yong.

Immediately afterwards, Fang Ziye heard his teacher's voice again.

"Now the broken edge of this pelvic fracture has cut two arteries, but a local entrapment has formed, and it is not a matter of brutal force to reduce it at this time."

"If you use too much force, it is very easy to cause a second fracture in other parts or damage other arteries."

"This is one of the most difficult barriers to deal with for ultra-complex pelvic osteotomy and orthopedic reconstruction."

"But if we really can't help it, we can only follow our old routine, and cut what needs to be cut."

"To save ...... life"

At this moment, Professor Duan Hong of Tongji Hospital, that is, Wu Xuanqi's teacher, looked at Deng Yong and asked with a little puzzlement: "Professor Deng, didn't you say that you have a certain new breakthrough in manual reduction, isn't this direction?" ”

"I am redefining the classification of fractures, not the height of the operation itself of manual reduction, one is cognitive theory, the other is realistic operation, and the subtle control of force."

"Can this be the same?" When Deng Yong heard this, his forehead darkened slightly.

There is no way, his own students, no matter how heavy and black the pot is, as long as it does not affect any reputation, but certifies that he is excellent, he can only carry it.

No matter how heavy it is, you have to carry it.

"I thought you could?" Duan Hong's tone was not yin and yang, but he felt a little regretful.

"Can you find anyone else?" Duan Hong asked his student Wu Xuanqi.

"Actually, there is another person who can, but he is definitely more difficult to come than Professor Chen. He is the son of Dr. Chen, in fact, Dr. Chen's son, in his thirties, his attainments in traditional Chinese medicine are comparable to those of Dr. Chen in his fifties. ”

"But Mr. Xiao Chen, I like to take the entrepreneurial route, except for the two teachers, maybe I ......"

"Forget it, don't talk about it." Wu Xuanqi no longer continued to brag to himself, and gave the people on the stage any hope.

"Then you have to cut it." Duan Hong hurriedly paved the way for his students.

And at this time, Fang Ziye listened to the crowd, put his hands tightly in front of his abdomen, and took a serious look at the progress bar of his technique reset, as well as the rest, after he had just earned, he had 1,200 more knowledge points.

Thinking of what Wu Xuanqi said again, he said, "Professor Duan, Master, why don't I try it?" ”

"At most, it only wastes a minute, and it doesn't affect the overall progress of the operation." Fang Ziye opened his mouth, and Mao recommended himself.

(End of chapter)