This more than 1,000 points of knowledge is actually not very correct.

Because Fang Ziye evaluated according to the previous probability, if he simply did two fracture surgeries, at most, he would only have more than 100 knowledge points, and he would penetrate the whole field, and that's all.

However, before the operation, Fang Ziye made a hematoma through manual reduction in the emergency department, and while his condition deteriorated, Fang Ziye completed the bleeding hemostasis operation, and the knowledge points obtained were not of the same nature.

A broken bone doesn't kill you.

Active hematoma is a fatal disease, and the knowledge of vascular suturing and hemostasis is not low.

Therefore, the hemostasis of two surgeries, one vascular suture, and two manual reduction of fractures allowed Fang Ziye to earn more than 900 knowledge points, plus the previous storage, the balance reached 1233.7!

Such a result is in line with Fang Ziye's previous speculation and secret calculation.

That is, since the situation of the disease is different, then in the medical behavior, deliberately concealing the medical history or other small actions to aggravate the patient's condition, and then diagnose and treat it, it will definitely maximize the benefits of the knowledge point.

Fang Ziye is not stupid, he has long had such a way of thinking and speculation.

It's just that this path is not right, and Fang Ziye has never wanted to develop in this aspect in the past.

If it weren't for the fact that he met these people in the emergency department who were not right, he didn't want them to prolong the time he was taken away by Shu Huang through the hospital, and Director Zhang Mingcan and others also gave hints, Fang Ziye would not have done this.

Naturally, Fang Ziye will not be high.

If you feel that the knowledge point is not right, you don't need to press the bottom of the box, and the bottom of the box is the truth.

1,200 points of knowledge, if it can play a role in Huang Kai's operation, Fang Ziye will not hesitate, and all the warehouses can be cleared!

After Fang Ziye spoke, Director Hong Du and Zhang Mingcan, who were standing in the onlookers, moved their positions and gave Fang Ziye to Deng Yong and Professor Duan Hong.

"What do you mix?" Deng Yong's eyes immediately sharpened.

I feel that Fang Ziye is completely idle now.

But Fang Ziye just suggested at this time, Deng Yong didn't lose his temper, and his tone was okay.

Moreover, after seeing that it was Fang Ziye who spoke, even Professor Duan Hong swallowed a mouthful of saliva, and after the Adam's apple rolled up and down on the chubby neck twice.

"Ziye, the current situation is quite complicated, if it is not handled well, it will make the condition worse." ”

When Fang Ziye heard this, he slightly avoided the admonishing gaze of Master Professor Deng Yong, glanced at Wu Xuanqi with a very steady look, and said in a low voice: "Master, Master Duan, I think my technique of repositioning should be almost the same as Senior Brother Wu. ”

"A rotation reset should not delay for a long time, so I want to try it, and it should not cause irreparable results, at most, it is to repeat the operation that Senior Brother Wu just did."

"Of course, it may be that I think too highly of myself and misassess the strength of Senior Brother Wu's technique reset, but I think that there is an opportunity, and on the premise of ensuring that there are no big mistakes, I can still try it."

Fang Ziye did not step on the high and low, and directly stepped on Wu Xuanqi to take the position, but he pulled him out as soon as possible to make a foreshadowing.

Because time cannot be wasted, the sooner you convince, the sooner you operate, and the sooner you follow up.

Time is precious, and at this moment, only by pulling Wu Xuanqi out can it be more convincing.

Of course, Fang Ziye didn't want Wu Xuanqi to be angry because of this.

Wu Xuanqi immediately said: "Master, Senior Brother Fang's technique of reducing the position should be better than mine." ”

"At least in theory."

"In terms of operation, it is worthwhile to waste a few minutes of time without causing secondary injuries and more serious injuries, and trying to protect the function of the patient's urinary system and reproductive system."

Wu Xuanqi aggravated the four words of the reproductive system very seriously.

It means, Master, don't forget, this lying Teacher Huang, he is now gone.

If he is rescued, he may be in pain for a period of time because of the pain of losing his wife and daughter in a short period of time, but if he still has a certain hope of living, then.

In fact, it is very important to have reproductive function.

If he is no longer able to have children, and he does not have his wife and daughter, how should he live, he may only live for his parents.

Wu Xuanqi didn't convince Duan Hong first, but Professor Deng Yong tilted his head at Fang Ziye and ordered: "Wash your hands and go on stage!" ”

"Good!" Fang Ziye immediately pulled out his legs and left.

His ears were pricked up, waiting for orders.

At this time, there is no room for quarrels.

If either Duan Hong or Deng Yong still disagreed with his suggestion, he wouldn't waste time again.

Because time is too precious to be wasted.

Fang Ziye then walked out of the door of the operating room, washed his hands for the fourth time, and then walked into the operating room and put on the surgical gown for the fourth time.

At this time, Fang Ziye's hands were slightly red, which was stimulated by the disinfectant.

In a short period of time, a large amount of disinfectant is soaked, which will cause the skin and fat layer of the hands to fall off and become thinner, and if there is irritation, the skin will become rosy and even slightly painful.

However, at this time, not only did Fang Ziye himself not have the time to pay attention to it, but others did not.

During the period of dressing and wearing gloves, the people on the stage were not idle, but moved on to other non-critical operations.

After Fang Ziye emptied his knowledge points, the Technique Reset Technique came to Level 4 3521.4/5000 in an instant! 's horror proficiency.

You know, from level 3 to level 4, you need less than 600 knowledge points!

Three thousand five hundred points is enough for Fang Ziye to add about six level 4 skills.

Proficiency is not in vain, the higher the proficiency, the more proficient it is, which Fang Ziye is convinced of.

In my heart, I secretly said, Kai Ye, I have done my best, and I haven't even wasted any additional knowledge points, but fortunately, in order for Pang Hong to enter early, I also added some techniques to reset.

If this is the case, and you can't save your arteries, then this is providence.

I'm still young, and that's all I can do.

After getting on the operating table, after Wu Xuanqi gave way to Fang Ziye, Fang Ziye had time to see clearly the location of Huang Kai's pelvis, lower abdomen, and the terrifying wound on his right lower limb!

It is not an exaggeration to describe it as a mess, dripping with flesh and blood, and a large piece of flesh separated from flesh and bones.

Of course, in fact, the flesh and blood are fine, but the most important thing now is that after the comminuted fracture of the pelvis, some bone pieces are inlaid and escaped into other tissues.

While the pelvis needs to be rebuilt, other tissues, such as blood vessels and nerves, also need to be saved.

The complexity and difficulty of this operation are even higher than the most difficult surgery Fang Ziye has seen in Zhongnan Hospital in the past few years.

None of them.

Damaged injuries, osteotomy and orthopedics, neurovascular injuries, pelvic and lower limb reconstruction, any of which are currently the top diseases in trauma surgery.

When they are mixed, even if top experts like Professor Deng Yong and Professor Duan Hong are combined, it will not help.

Because once some diseases are mixed, it is not something that can be solved by your multiple doctors working together.

Now it is a piece of the iliac bone that needs to be displaced.

This iliac bone, inserted directly into the pelvis, the edge is sharp, the root is compressed, part of it is squeezed together by the sacrum and left bone, and part of it is just embedded in the muscle, cutting the muscle.

The plane of the sharp edge happens to pass by multiple blood vessels, and there are even some sharp edges, which just cut the blood vessels, and at present, because the arteries and the near and far ends of the blood vessels are clamped, so that blood will not be sprayed inside.

There are many similar bone blocks.

Now the point is to take it out of the bone compression and at the same time out of the muscle.

Fang Ziye's master, Deng Yong, succinctly described the task: "At present, the muscles in the layer can be left alone, but the most important thing is to break the ischial and sacrum through the hands and in an appropriate way, with force, little by little. ”

"And the curvature can't be too big, you can look at the position of the sacrum and ischium."

"It must be strictly controlled within the range of 6mm, and the force cannot be large, but it cannot be small, because once the strength is not enough, the rebound force will break this ilium fragment!"

"Eject it out, and that's probably the end of it."

"So, even at the end of the day, it can only be unloaded slowly, can you be sure?"

Not a good start.

And once you start, it's hard to stop.

Fang Ziye put on a pair of gloves again to ensure the absolute principle of sterility, but two pairs of gloves will make Fang Ziye's sense of touch even more sluggish.

Fang Ziye took a deep breath: "You can give it a try, if I can't hold on, I will take the initiative to explain." ”

At this moment, Fang Ziye knew why Wu Xuanqi was so anxious and neat when he stopped before.

This reset or displacement is not only a matter of repositioning and exerting force, but also the control of strength and amplitude, which must be very good.

Moreover, the forces should be evenly distributed.

My master, another meaning in Deng Yong's words is that you can't break the ischial fragment and the sacrum fragment.

If it is broken, the fragments of the iliac bone are squeezed and ruptured and bounce out, resulting in damage to multiple blood vessels, which is a reason.

The pressure can't be said to be no, but Fang Ziye feels that he can still give it a try!

Wu Xuanqi and Fu Qianqian, who came to the stage to help, both gave up their positions to Fang Ziye.

Fang Ziye was standing beside his "uncle" Duan Hong, and after taking a deep breath, he carefully stretched out his hand, slowly touched it, and probed the content of the field.

This is an intraoperative physical examination, which is the use of the more specialized content of the physical examination.

Sometimes, during the operation, any auxiliary examinations such as MRI and CT cannot provide the content, and can only be collected by physical examination.

"It is an irregular fracture, the thickness of the fracture fragment is not enough, it is a very thin and sharp piece, and the pressure and reverse force that can withstand it are not very large."

"So be more careful!" Deng Yong said.

Fang Ziye didn't reply, just seriously did a simple physical examination and exploration, but did not move slightly, feeling the shape and organizational structure, but not deeply.

This is how good a level 4 physical examination is.

It might have been better if you could have done without gloves, but this is not possible.

Forty seconds later, Fang Ziye raised his head, put his hands between the ischial bones and the contralateral sacrum, and said, "Master, Professor Duan, I'm going to start exerting force, when you take out the iliac fragment, try to lean towards the pubic area, and exert force in the direction of the opposite knee joint, or you can easily remove the fragment from the muscle." ”

"In the meantime, Master, you may need to stop the bleeding in your direction." Fang Ziye couldn't determine whether the fragment had cut an artery in the anterior abdominal wall or an artery in the muscle, so he reminded him.

"Let's get started!"

"Wu Xuanqi, you are ready to take over at any time." Deng Yong said to Wu Xuanqi.

Still not worried about his students, but if it weren't for the reason that Wu Xuanqi explained, he would have ousted Fang Ziye from power immediately, at your age, you don't need to worry about these things.

You are not like Wu Xuanqi, you belong to an older doctor.

"It's okay, there's a vascular surgery teacher here." Wu Xuanqi said.

At this time, Fang Ziye noticed that Nie Mingxian, who had said that he could not come to power, had already come to power in violation of regulations at this moment.

Although he didn't say a word, in the position of the assistant, Fang Ziye still noticed him.

Fang Ziye saw this scene, and his heart sank, but he didn't dare to say it.

It's impossible to even say that Wu Xuanqi didn't name him, why shouldn't he be a fool?

As for why Nie Mingxian didn't go to Zhang Yu's surgery before, and now he has Huang Kai's surgery, the reason for this, Fang Ziye doesn't want to pursue it much.

Soon, Fang Ziye began to exert himself.

From shallow to deep, take your time.

The speed of strength increase should not be too large, because the strength difference will make the bone may be broken, causing irreversible damage, so the continuous strength difference must not change quickly!

"Steady. Steady. Steady. Fang Ziye secretly explained in his heart.

In the stage of subtle control of power, what is needed is stability.

Seek progress in stability, seek stability first, and don't advance.

Everyone in the orthopedic department held their breath, but the general surgery was still continuing, but they also tried to give up a larger position to the orthopedic people.

That is, Wu Xuanqi.

Next to Wu Xuanqi, Professor Duan Hong, pushed his ass back and put his abdomen away to avoid pushing against Fang Ziye's elbow.

His abdomen was five centimeters away from Fang Ziye's elbow, but his upper body, his hands, and the bone-holding weapon in his hand still maintained their proper position.

Such subtle movements are also very laborious to maintain.

However, at this time, there was no one who could help him, so he could only rely on Professor Duan Hong to maintain himself.

And at this moment, between the lightning and flint!

Duan Hong and Deng Yong both saw that in Fang Ziye's hands, the stump of the ischial bone and the sacrum were separated, and the clamped iliac bone suddenly lost its support, and one end slipped down slightly, continuing to be stuck.

Seeing this, when Professor Duan Hong wanted to make a move, the bone holder moved down two centimeters and stopped.

Because Fang Ziye hadn't said that he could take bones, even if he judged that he could take bones, he couldn't do it!

Stopping the exercise in time is also a kind of psychological quality, surgical quality.

The master is everything.

Even if Fang Ziye is just a student, and now he is the master of the technique reset, then everything has to wait for his arrangement!

Fang Ziye's hands were very steady, and his body was also very steady, and he didn't tremble at all.

There is no room for Fang Ziye to tremble, because this trembling arc may cause bone splitting!

Continue the afterburner.

It can't be too big, and Fang Ziye has also slowed down the speed of increasing his strength again.

Another ten seconds passed.

Finally!

With the naked eye, when the ischial and sacrum are separated by about 3 millimeters and 4 millimeters, the other stump is already close to the blood vessel!

"Take!" Fang Ziye said this very lightly and steadily, with an expressionless face.

Breathing smoothly and without agitation.

Duan Hong and Deng Yong, each holding a bone holder, cooperated with a rather tacit understanding to pull the iliac fragment outward, which was very smooth at first, but after coming out two centimeters, it was slightly stuck!

The two stopped again, operating as one, without any tendency to fight.

"It's still available." Fang Ziye took a look at the whole picture, and his tone was still very stable, without fluctuation, as if it was an ancient well.

"Toward the patella of the contralateral knee." Fang Ziye said one more word.

Deng Yong and Duan Hong really didn't hesitate to add a little strength.

Then!

Finally.

The bone fragment was pulled out of the muscle, and the edge cut through the muscle layer slightly.

But, as soon as the bone fragments come out!

Originally, the muscle stump was good, and there was no abnormal opening, but it slammed the ground and spurted out a column of blood.

The pillar of blood hit Fang Ziye's face right away.

Seeing this, everyone's faces changed suddenly.

This kind of blood column, the impact of Fang Ziye at this moment, will make this operation go to an unknown place. If Fang Ziye was frightened at this time, it would be understandable, after all, everyone has a defensive reaction.

If there is an impact near the eye, it will instinctively retreat desperately.

At this time, if Fang Ziye unloads the force, the rebound of the ischial and sacrum will definitely lead to the fracture of the second irregular bone during the operation, and once the fracture fragments fly out, it can be called a vascular cutter!

The blood vessels in the pelvis are as rich and dense as the mesenteric arteries.

However, Fang Ziye did not do this.

After closing his eyes in time, he did not move.

There was a bloody knife on the mask, half on the eyelids.

But Fang Ziye did not unload his strength in time, but slowly, slackened the strength in his hand, little by little, as if he had been hacked to death by this relatively continuous blood knife!

Deng Yong was a full second late before he had time to stuff the gauze vascular forceps in his hand into the breach in the muscle, blocking the gushing blood column and completing the local tamponade to stop the bleeding.

Many people are looking in the direction of Fang Ziye.

Fang Ziye, on the other hand, was slowly still breathing calmly, until, after a full five seconds, Fang Ziye slowly unloaded all his strength.

Spread your hands in a steady arc to the sides like crabs.

He shouted calmly: "Touring teacher, help me undress and wipe the blood from my eyes!" I'm going to go out and wash my face before I go on stage. ”

The operation on the orthopedic side did not cause any abnormalities elsewhere.

At this time, everyone notices that all they notice is the operation of rushing for their own lives, who cares about the blood column on your side, unless you spray someone else.

"Okay, come right now!"

"Go downstairs and wash your face." Deng Yong saw that Fang Ziye was so calm, his heart was full of relief and appreciation, and he felt that he was a student and would definitely become a great student in the future.

Similarly, in order to avoid Fang Ziye making mistakes in his busy schedule, he washed his face directly at the sink outside later, and explained like this.

"Wash up and go on stage!" Deng Yong followed and ordered again without hesitation.

No one refutes, and no one dares to refute.

Because similar operations, there must be more than this time, and this time is the most critical, after this step is done, the follow-up operation, although it can be done without Fang Ziye, Wu Xuanqi can handle it.

But Fang Ziye has played such a big role, the last operation is not too much.

"Good!" Fang Ziye left.

"Stop the bleeding." Duan Hong's face was expressionless, and he commanded Wu Xuanqi.

The gap that Fang Ziye left was quickly filled by the sterile surgical gowns, and the operation had to continue, and there was still a long ......

I asked for a monthly pass, and the 4000 monthly pass was added and delivered in advance.

Now is the period of double monthly passes, all book friends give a little more effort, vote more, and make the author more motivated.

(End of chapter)