Sensorimotor dissociation is colloquially described.

The meaning expressed by Du Yuanmi actually comes from a clinical disease: dissociative motor and sensory disorders.

Dissociative motor and sensory disorders, a neurological disorder characterized by loss or impairment of motor or sensory function, cannot be explained by physiological and anatomical principles. The disorder may result from damage to the brainstem, spinal cord, and peripheral nerves.

This disease inspired people in anesthesiology, so in the process of research progress, dissociative anesthesia and dissociative block were produced.

"Dissociative anesthesia" has no special clinical applicability and lacks clinical practical value.

"Dissociative block" refers to the change in the sensitivity of the local anesthetic with the axial diameter of the nerve fiber, the presence or absence of myelination, nerve function, and the basal discharge frequency, and even the separation of motor and sensory nerves, the most common being "ambulatory epidural analgesia", in addition to the widespread peripheral nerve block.

This is an extremely high-end technology in anesthesiology at present.

Somatic nervous system of the peripheral nervous system, somsomatic sensory nerves and somatic motor nerves!

When Mi Qi moved to the "limit" that Fang Ziye thought, he was stopped: "Stop, it's good to be here, and then go back to the ward for rehabilitation training." ”

"I'm not for my sister...!" As soon as Lan Tianluo said this, anesthesia shut up.

Ni Yaoping's breathing was short for a while, and his voice was low: "Ziye, Huanglong, come to our hand surgery, this is another peak ......"

"If the damage can retain 30 percent of its function, it is a new mountain."

Any disturbance of the operation of the surgeon is shameful and not allowed.

Sensorimotor separation under local anesthesia, this topic, this research direction, is too TM fascinating, okay......

Lan Tianluo gave Du Yuanmian a pit, Du Yuanmian definitely didn't dare to jump.

However, the most deeply studied cutting-edge anesthesia modalities in anesthesiology are epidural and large nerve blocks, as for sensorimotor separation under local anesthesia???

Theoretically, it exists, but where is the anesthesiologist so familiar with the anatomy?

Then he smiled like a flower, narrowed the corners of his eyes, and said in a voice like an old bustard: "Classmate, are you interested in coming to our anesthesiology department for development?" You have a very high level of anaesthesiology-related talent. ”

Naturally, such a technique, in epidural analgesia, Du Yuanmian can also be operated, because this is a manifestation and demonstration of the anesthesiologist's skills.

"I..." Du Yuanmian was stunned at that time.

However, the moment Lan Tianluo finished saying this, he looked at Fang Ziye and found that Fang Ziye had turned his head to look at him, and instantly slapped his face.

"Keep moving! Pay attention to the amplitude of movement, do not use force, it is not cost-effective to break the sutures. ~"Fang Ziye finished stitching and said to Miqi.

Under local anesthesia, it is not only necessary to be particularly familiar with the shape and anatomy of the nerve, but also to reach the key position of the puncture needle, and then anesthetize the sensation to preserve the motor function.

"Good! ~To give! "Du Yuanmi is a professor, a senior professor of anesthesiology, and he is naturally qualified.

Liu Huanglong asked: "Ziye, do you think that the top layer of tendon sutures, extreme sutures, is this what you are?" ”

"Two more tendons can be sewn up!"

Not a system anyway!

Although Lan Tianluo is awesome in data processing, if Fang Ziye can be pulled into the team of the anesthesiology department, the anesthesiology department of Zhongnan Hospital will definitely explode!

In this way, Mizzy can complete the 'conversation' with the surgeon without pain, communicate in real time, observe the motor function in real time, and see if the sutures are good in real time.

Fang Ziye just glanced at Du Yuanmi, ignored him, and stared at him for three seconds, after bringing out the warning to shut up.

Then he looked at Du Yuanmian again: "Local anesthetic, thank you." Mr. Du! ”

Fang Ziye nodded when he heard this, and then let Liu Huanglong and Professor Ni Yaoping also have a sense of participation.

Du Yuanmian was so frightened that he was suspicious.

In terms of distribution, nerves are divided into the central nervous system and the peripheral nervous system.

Lan Tianluo shook his head, tilted his head, and whispered: "Teacher, why should I make fun of you?" I have no grudge against the anesthesiology department and the teacher, and I am telling the truth. ”

Second, it trauma surgery, in the hospital, the highest incidence of medical disputes, but the safest department, a group of tall strong men muscles, can't beat!

If Fang Ziye is offstage, it is no problem to discuss with Du Yuanmi for an hour, but now Fang Ziye is the main knife, and the main knife is the main person in charge of the battlefield, please shut up if you have nothing to do with it!

After Fang Ziye finished the last stitch of the tendon suture, Fang Ziye did not wait for his mouth to ask Mi Qi to move his fingers.

Du Yuanmi's face stiffened when he heard this, and he became angry: "Hey, if you dare to say it, I will dare to give it." ”

"If we say that our half-amputated palm suture can preserve the patient's hand function to 90 percent, no, only 80 percent ......."

"Or is it? OK? ”

He lowered his head and knocked on Michi's elbow: "It's okay, don't move!" ~Functional rehabilitation should be gradual. ”

If it weren't for what Fang Ziye did that shocked him too much, he wouldn't be able to help but bother.

looked at Du Yuanmi with annoyance: "What do I study about you?" ”

Lan Tianluo is a dick now, glanced at Du Yuanmi, and said nonchalantly: "You can't afford the price." ”

Professor, it's not like I haven't 'done' before.

Fang Ziye followed up and looked at Lan Tianluo: "This time it refers to the deep flexor tendon, the diameter of the tendon is about..."

Liu Huanglong didn't reply, but Fang Ziye seemed to have a little spare strength when he was stitching.

When Fang Ziye spoke, Liu Huanglong replied cautiously: "No need to make an appointment, there is a ruler that can measure the circumference of the axis!" ”

"You should have researched it a long time ago, and you have deliberately found a set of formulas."

"Who said that trauma surgery can't study the metabolic rate and metabolic time of anesthetic drugs, and you did? It's useless for you to stipulate it. ”

There are no dumplings and soup, no fruit and noodles.

Ni Yaoping and Liu Huanglong next to him still gasped.

"I'm honestly here, I'm a student of trauma surgery, you're going to joke with me first?"

Lan Tianluo just tapped the keyboard a few times, and then reported the corresponding data back to Fang Ziye, and then said cautiously: "This data is not detailed, if it is only to anesthetize the sensory nerve branch or sensory nerve surface?" ”

It doesn't seem to be!

Du Yuanmian left in a daze, and looked at Lan Tianluo, but Lan Tianluo acted as if nothing happened......

Fang Ziye thought that Lan Tianluo was going to say something else, but when he heard that it was a reverse extrapolation index, he lost interest, and directly started local anesthesia, and then continued to suture......

What the hell, the two of them are so close to the hand surgery, they can join forces, and they can obviously create a peak.

After the two measured the circumference, they also measured the distance between the tendon and the skin, and reported it to Lan Tianluo.

However, soon, Du Yuanmian became curious: "No, classmate, you don't have time to develop in our anesthesiology department, why are you studying so much data?" ”

When Du Yuanmi heard this, he cleaned up his mood, and his tone continued to be like an old bustard: "Give, Doctor Fang." ”

Yes, sensory and motor nerves can have different branches, as long as the sensory nerve branch can be found and anesthetized, the patient's motor function can be preserved, such as "ambulable epidural analgesia".

Mitch did so.

From the perspective of a researcher, the significance of building a mountain and raising a mountain is the same.

Every time he saw Fang Ziye and Liu Huanglong, Ni Yaoping couldn't calm down in his heart!

"A small goal! ~I think about it. Lan Tianluo didn't speak, so as not to disturb Fang Ziye's stitching, and typed it to Du Yuanmiao.

Liu Huanglong nodded, stretched out his hand and signaled: "Ziye, we will talk about this issue later, you sew it first and complete this operation." ”

"Perhaps, in the current situation, patients need to erect an extra mountain instead of raising an existing mountain."

Naturally, in the process of suturing again, Fang Ziye praised: "Mr. Liu, your nerves are sutured so well, presumably the local potential is very active, and the fit is excellent!" ”

But in a sociological sense, what the patient needs is more hope, not more hope within a hope.

If you can have both, it will be more beautiful, and if you can't have both, you can only choose one or the other.

Is there a reference for coping?

"The data is not accurate, and when the time comes, an index can be reversed to come out......"

Fang Ziye and Ni Yaoping cooperated to continue the stitching, Du Yuanmi looked at Mi Qi's vital signs, and slowly began to move in the direction of Lan Tianluo.

After Liu Huanglong finished speaking, he swallowed a mouthful of saliva and looked at Professor Ni Yaoping next door.

Faced with Fang Ziye's refusal, Ni Yaoping's mood also slowly calmed down.

Could it be that Fang Ziye is still going to step down and discuss 800 rounds of academics with you Du Yuanmi, and Mi Qi is lying here waiting?

Is there a small goal for the gross income of the anesthesiology department of Zhongnan Hospital for a year? Lan Tianluo's opening is a small target?

Fang Ziye's tone was stiff, using the most simple language to express the current occasion.

"You're making fun of me?" Du Yuanmi's tone became gloomy.

Because of the high-quality guarantee of the previous tendon suture, Fang Ziye's heart was relieved: "Professor Ni, the pinnacle of hand surgery already exists, but we can't ignore the wasteland because of this. ”

Little by little, time passed.

Ni Yaoping loves talent again.

But that's the research sense.

"Teacher Du, local anesthetic, thank you......" Fang Ziye instructed Du Yuanmi, who had just finished eating.

If he remembered correctly, just before Lan Tianluo came in, Fang Ziye said that this was his junior brother, a student who was studying, and a student was upright?

Oh my God, it's been a long time since this happened in the hospital, and it came to me?

The reason for this ability is mainly dependent on the neuroanatomical composition.

I secretly said in my heart, what's wrong with your professor? I'm scared if you teach me.

There are two reasons, the first is that this is a map cannon, and if you dare to say this, you have to be drowned by the orthopedic and trauma surgery people with spit.

After Lan Tianluo saw Du Yuanmi's face cloudy for a while, Lan Tianluo said again: "It's not that the anesthesiology department is bad, but teacher, you can't say that the anesthesiology department is better than our trauma surgery, right?" ”

Liu Huanglong's suturing skills did not reach that level, so he didn't know if there was a way to continue to improve.

The limit and higher ambition are all expected by Liu Huanglong, he looked at Fang Ziye, his heart beat faster, waiting for the answer......

(End of chapter)