Chapter 51: Most of them are point-three-eight
####ๅ ๅผไปฌ, Tiannan is a newcomer on the homepage weekly push list, and the others are gods, it's really not easy, but the opponent has stepped on Tiannan by a slight advantage every time, Tiannan is unwilling, please help Tiannan, help Tiannan vote a few more votes, let Tiannan keep, Tiannan is here first, thank you everyone####
The last thing to be sutured in Fang Wei's abdomen is the superficial skin layer, which is the easiest to sew, but it is the most difficult to sew. If you are not careful, it is easy to cause the wound to fail to fit smoothly after suturing.
Ye Nan handed the needle holder in his hand to the nurse on the side, and explained: "Change the skin needle, the No. 1 ordinary suture!" Surgical needles are generally divided into round needles and diamond-shaped needles, round needles are mainly used to suture organs or muscles and other tissues that are easy to penetrate;
This nurse is also a veteran, and she has already prepared another needle holder and skin needle, and after listening to Ye Nan's instructions, she neatly replaced the needle holder with a skin needle and the seventh line and handed it over.
Ye Nan took the tweezers, carefully clamped the skin on both sides of the incision, and then took the needle holder handed over by the nurse, and used the toothed forceps to clamp the skin with his left hand, and the needle holder in his right hand did not dare to slack off, the arc needle carefully penetrated the skin, emerged from the inside of the incision, and then carefully passed through the skin on the opposite side, and the needle tip reached the skin surface, and then used the needle holder to loosen the needle tail tightly, clamped the needle tip again, and laboriously pulled out the needle.
In this way, the threads are formally passed through the skin on both sides of the incision, connecting the two sides together, and then the threads are tightened and the surgical knot is started. This time, Dr. Huang began to pay attention when he cut the thread, leaving a small tail of about 5 mm at the end of the thread. This little tail is very important, because this thread is inabsorbable by the human body, and all the threads must be removed in the future, and this thread is used to pull the thread when the thread is removed.
After completing the first stitch, Ye Nan carefully sewed down stitch by stitch at a distance of five millimeters, and it took sixteen stitches to complete the incision. After completing it, take the toothed forceps and carefully turn out the two sides of the sewn incision so that the two sides are aligned, only then can the wound grow smoothly and reduce the scarring that may be left!
After everything is done, wipe it again with saline, cover it with gauze and apply duct tape.
Dr. Huang was very satisfied with the whole process of Ye Nan's temporary assistant, he never thought that an internist could do all this perfectly!
Seeing that the first operation had been completed, the nurse was about to take off the gloves to replace the blood bags and infusion bottles that were not much left, and Peter next to him saw that the nurse needed to take off the gloves, and then had to replace them with a new pair of gloves, so he stopped with a standard Chinese smile: "Beautiful lady, I'll do this for me!"
The nurse hesitated for a moment and looked at Ye Nan, she also knew that Ye Nan had to decide this matter, Ye Nan looked at Peter, although he still didn't know exactly what Peter came from, but looking at the confidence on Peter's face, he nodded lightly and motioned for Peter to deal with it.
With Ye Nan's acquiescence, Peter walked to the dispensing table, took care of himself and found a bottle of 500ml of glucose solution, and then turned out a few injections from the shelf, after disinfecting the mouth of the bottle, he added the injections to it with a syringe, carried it over, and said with a smile: "Add 3g of hemostatic sensitivity, it's appropriate!" and then hung it on the infusion stand, skillfully replacing the empty bottle. After doing this, he lifted another bag of plasma and replaced it with the bag of blood that was about to be transfused on the infusion stand.
Doctor Huang looked at Ye Nan in surprise and said secretly: "I didn't expect that among these three people, there are really a lot of people in the industry!" But when he looked at Ye Nan, he found that Ye Nan was also surprised, and realized that maybe Ye Nan didn't know that this foreign kid had such a ability!
Since the medicine has been successfully changed, the three of them continued to start the operation, the first laparotomy took more than an hour, and it is already four o'clock in the morning, this is not a safe place, and all the treatment must be completed as soon as possible.
The place of this operation was the left shoulder, and the position of the bullet hole was just below the collarbone, Ye Nan was shocked and asked, "Doctor Huang, his bullet will not enter the chest cavity, right?"
Dr. Huang smiled affirmatively: "No, if the warhead enters the chest cavity, then there will be a pneumothorax in the left chest cavity, I have already checked it first, the breath sound in the lungs is normal, so you don't have to worry!"
"That's good!" Ye Nan heard that Dr. Huang said that there was no problem, so he relieved his heart and said secretly: "It's okay, otherwise if the warhead really falls into the chest cavity, it will be really troublesome! If you need open heart surgery, then I'm afraid you will have to go to the hospital!"
Dr. Huang carefully opened the wound that had been bandaged earlier, re-disinfected it twice with a cotton swab, replaced the scalpel with a sharp blade, gently cut through some slightly red and swollen wounds, and slowly cut through the muscle layer little by little. At this time, Dr. Huang was very careful, because this area is extremely rich in blood vessels, and there are many small arteries passing through, so he can only carefully cut down one by one to avoid accidentally injuring the large blood vessels.
After a dozen or so cuts, the wound had been enlarged a lot, Dr. Huang put down the scalpel, picked up the needle-nose forceps, inserted it into the wound, and gently pushed it inside, and it was obvious that the hard substance was touched inside. Dr. Huang stretched open the needle-nose forceps, stretched the wound a little wider, squeezed the forceps into it hard, pushed the muscles on the edge of the warhead, carefully clamped the warhead, took a light breath, and neatly pulled the warhead out.
Dr. Huang put the bullet in front of his eyes and looked at it, and chuckled: "Sure enough, it is a ...... of 38 caliber" After saying that, he threw it on the plate, rinsed the inside of the wound with a syringe, inserted a piece of Vaseline gauze, took the needle holder, and gently sewed two stitches on the wound, and then covered it with gauze.
At this time, seeing that it was almost cleaned up, Ye Nan glanced at the warhead in the plate, and finally asked curiously: "Doctor Huang, how do you know that the bullet is a 38 caliber?"
Doctor Huang has been in contact with Ye Nan for so long, and at this time, he also saw that Ye Nan was not the kind of person who was extremely vicious, and he no longer doubted his safety, so he smiled and said: "Now the most on Hong Kong Island is a 38 caliber pistol, your friend should be the person the Tianyuan Gang is looking for recently!"
Ye Nan smiled and said, "I don't know if it's or not, but it's true that he is being hunted down by many people now!"
"That's right, someone from the Tian Yuan Gang came to the door yesterday and said that if someone comes to treat the gunshot wound, I must notify them!" Doctor Huang couldn't help but laugh when he said this.
ps: Tiannan still has a lot of essence, if you want a brother, please go to the book review area, hehehe
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