"Huh? Broken needle? In the femoral vein? Fang Ziye's first reaction after receiving the call was shock, and after listening, he replied: "Okay, I'll come right away." ”

A young man who was brought in by the police came to the emergency department, and the needle was broken in the femoral vein.

This position is actually very dangerous, because the femoral vein and femoral artery are very close to each other, even many trauma surgeons do not dare to play puncture here at will, these guys are really "ruthless", dare to play anywhere.

"Brother Fang, you can help check the first four items of blood transfusion, this kind of lack of blood transfusion of the first four items, I don't dare to operate it at will." Fang Ziye invited on the side.

The first four items of blood transfusion include screening for infectious diseases, and if the patient has a history of metallurgy or poisoning, it is inevitable to do it.

Although it is said that after doing it, it is still necessary to deal with and operate it for him, but the degree of protection is completely different.

And inside is a broken needle, and the broken needle is easy to puncture the operator's gloves or even pierce the skin, no matter how careful you are.

After arriving at the emergency department, Fang Ziye saw the patient and the patient's 'special guardian'.

"How long has this needle been broken? What is the current state of your skin? Fang Ziye asked.

"You'd better tell the truth, this has greatly affected your treatment, and the hospital that took you to before didn't dare to take it for you!" An uncle's voice was stern and expressionless.

"Three, three days. It hurts a little. "The patient was a thin young man, almost skinny, with a standard yellow wax face, and he was weak in his speech, his Adam's apple gurgled up and down, and he lay flat on the examination table with his eyes blank.

Fang Ziye tried his best to restrain his 'colored' gaze: "Do you have symptoms now?" ”

Fang Ziye began to take the sterile surgical gloves, intending to give him a physical examination.

The pants are loose, and after Fang Ziye closed the curtain, he did not let the police avoid it, and of course, the broken needle in the femoral vein will not expose his private parts.

During the physical examination, Fang Ziye was extremely careful, for fear that he would accidentally press it in.

There is an induration in it, which is thought to be a local soft tissue hyperplasia caused by a broken needle foreign body.

"Did he take an X-ray or a CT scan? This allows for the best view of the angle at which the needle breaks. Fang Ziye asked.

His eyes suddenly froze, and his tone was stunned: "You have broken more than one needle?" Also have broken needles in the arteries? ”

Saying that, Fang Ziye was stunned and had to withdraw his hand!

Today's young people are really violent, and they dare to do anything in pursuit of excitement!

The arterial injection dared to operate by itself, and the needle was broken and did not deal with it.

If you don't deal with it, it's not that you don't want to, but you don't dare.

"I didn't shoot it, do you want to shoot one of this?" When the police heard that there were other broken needles, they frowned for no reason.

"It's necessary, he's definitely more than a broken needle." Fang Ziye took off his gloves and continued: "Let's go down and take a film first, it just so happens that you have a foreign body removal operation, and you still need to wait for the preoperative examination of the operation." ”

Next to him, Fang Songlin, who was on duty, quickly opened the checklist into the electronic doctor's order, printed out the barcode, and said: "This can be scanned to pay or paid outside, and it can also be reimbursed if there is medical insurance." ”

The police smiled helplessly: "They generally don't have medical insurance, just scan the code......

I took the phone and started scanning the code by myself. Because I didn't have any money, but at this time, I needed them to pay in advance, and then I was sent to the X-ray examination room......

After the person left, Fang Songlin asked: "This situation, is it your management or the vascular surgery department, if you can throw it out." ”

"I don't know about this, I've never seen it before, I'll ask my master......" Fang Ziye said, and quickly sent a voice message to his teacher, explaining succinctly.

If he has a treatment requirement, the operation must be done, but it may not be done by Fang Ziye.

Soon, Yuan Weihong replied: "You have also met this kind of person, then you had better be careful, you should be especially cautious in the removal of needles in large blood vessels." ”

"You are still two, so you have to pay more attention!"

Yuan Weihong did not go back to other departments to deal with it, which means that this does belong to the trauma surgery tube. Generally, this kind of injection is in the superficial part of the blood vessels, and the most direct contact is the blood vessels of the limbs.

"Yes, Master." When Fang Ziye heard this, he also frowned.

This operation, if it is replaced by a large opening surgery, there is nothing wrong with it, it doesn't matter if you cut off the whole lump of meat directly, many open surgeries are more than him.

"By the way, Brother Fang, have you checked the blood coagulation function?" Fang Ziye asked cautiously.

"That's for sure, I've had my blood drawn in an emergency during the routine preoperative checkups."

"That is, he has arteriovenous arteries and veins together, you want to take two, how to do compressions to stop the bleeding? If it's one, after pulling it out, it can be quickly pressed to stop the bleeding. Fang Songlin's brows furrowed.

If it is a single pinhole, even if the operation is over, the hole of the arterial puncture is much larger than the pinhole, and it can be compressed and bandaged for a few days.

But two, you can't press to stop the bleeding after taking one, otherwise the other needle will go in.

"Let's see when the time comes, find a few assistants, first detect all the pins, and then take two at the same time, so you must know what is the direction of the radial line of these two broken needles." Fang Ziye said, also feeling quite helpless.

Having a headache for this kind of inconsequential, non-sick emergency is actually very nerve-wracking and not worth it.

After the X-ray results came out, Fang Ziye said to the police and the patient himself: "Your situation is more troublesome now!" ”

The young man's infectious disease test results were confirmed to be negative, but he apparently concealed his medical history. The needle in his vein must have been broken for a long time, because he already had a small number of calcifications, at least more than three months.

Moreover, he had broken needles not only on one side of the side he said, but also on the other side. I really don't know how he did it, it broke one after another.

"There were three broken needles, two on the left and one on the right. The left artery and vein are present, and the right side is only in the vein. ”

At this time, the police heard other information: "I know that he is not a novice who made a broken needle, nor is he a new criminal, and this should be retried." ”

"With so many drug histories, there must be many upstream sellers ......"

With that, the policeman went to make a call......

Seeing this, Fang Ziye hesitated and said, "Then he can't take this needle?" If you want to pick it up, you have to go to the main operating room. ”

"Doctor Fang, I'm sorry, is his needle temporarily life-threatening in his body? If he doesn't take the needle, and there is no threat to his life in the short term, he may not be able to take the needle casually! So the police said.

"Well, I can only say that it must be taken, or even taken as soon as possible, intravascular needle breaking is not only a conventional foreign body in the body, which is not conducive to physical health, if you are careful due to local pressure and other reasons, it may penetrate deeper, or even in a state of penetrating the blood vessels, and it will be more troublesome to take it again at that time." Fang Ziye cannot express his position as another identity, but can only express his position from the perspective of a doctor.

"Doctor, I want to take it, it hurts." The young man remembered at this time and took the initiative to ask.

"Why did you go earlier?" The policeman who was handcuffed to him glared at him.

(End of chapter)