Calf distal injuries are a relatively rare type of injury. In particular, complete calf dissection is even rarer, and in the eight years of operation of the Fourth Hospital, there are only five cases of complete calf dissection injury. These five surgeries were all handled by Comrade Zheng Guoyou. Four of them recovered, and one had an amputation a month after surgery – overall, Zheng Guoguo's success rate was still high.

After listening to the process, Zheng Guoyou pondered for a moment and said, "This limb replantation, the process may be relatively long, you as a family member must be mentally prepared - have his parents arrived?"

"I'm already rushing this way. Wu Zhong nodded, "Don't worry about the cost, I'll pay." He looked a little anxious, "Can we have surgery now?"

"Not so fast. Zheng Guoyou shook his head, pointed to the severed limb on the side and said, "It needs to be thoroughly debrided and rinsed before suturing, if you sew it back without treating anything, it will die." ”

Before the amputated limb is replanted, the amputated limb needs to be lavaged with a large amount of heparin saline until clear fluid is oozing from the veins and muscle surfaces. At the same time, in order to ensure the success of the replantation, the orthopedic surgeon also needs to trim the wound surface and remove some dead tissue, so as to improve the success rate of the operation.

"After the surgery, his right leg will be slightly shorter than his left. After being silent for a while, Zheng Guoyou said to Wu Zhong, "The specific shortness depends on the operation situation." Generally speaking, in my experience, it will be about two or three centimeters shorter. ”

"Ah?!" Wu Zhong really didn't expect it now, "Then won't he have long and short legs in the future?"

Zheng Guoyou nodded, "This is the inevitable result of surgery." However, we were able to extend the replanted limb a little bit through follow-up surgery – but you have to understand that we can only have room to do it again after we have successfully replanted the leg first. ”

The length of the limbs is not equal, which physically limits the patient's postoperative rehabilitation. To address this issue, orthopedic surgeons recommend a second surgery for the patient about five to eight months after the replantation surgery. At that time, the surgery can be performed in orthopedics or plastic surgery. After fixing the upper and lower ends of the bone to be lengthened in the medulla, the limb lengthening effect is achieved by amputating the bone and slowly lengthening the intramedullary needle during the rehabilitation period.

The permission for surgery still has to wait for Wu Lian's parents to arrive before signing it. In order to stabilize Wu Lian's vital signs, the rescue room still began a series of rescue actions for him, including hemostasis and blood transfusion. Fortunately, Wu Lian's injury time was quite short, and because the limb was completely severed, after the muscles at the fracture were tense and contracted, the amount of bleeding was much less than that of Zheng Xin before.

"Director Zheng, it's only half past four in the morning. Dr. Cao Yanhua rushed back and began to take over the command of the rescue, while Sun Lien and Zheng Guoyou chatted on the side, "You didn't go home tonight?"

"I'm back. Zheng Guoyou showed Sun Lien the mosquito bag on his arm, "There are too many mosquitoes at night, and I can't sleep well." It just so happened that the doctor on duty called me and said that there was an amputation, so I would come over. ”

"The attending doctor can already do amputation independently, right?" Sun Lienqi said, "Why do you have to come over?"

Zheng Guoyou pursed his lips, "It's not the fault of the promotion to the deputy high." ”

Orthopedic surgeons are promoted from attending to deputy senior officers, and generally do not need to go through the training of hospitalization, at least not in the four hospitals. However, similar to the one-year residency requirement of the deputy high school of the emergency department, the orthopedic department also has its own requirements and restrictions. Before an attending physician can be promoted to associate chief physician, 20 amputations must be performed.

The trouble is that this year, there are two attending doctors in the orthopedic department of the Fourth Hospital who are ready to be promoted to deputy high school, and neither of them has done 20 surgeries yet.

The limit on the number of amputation surgeries is a dead line, and Zheng Guoyou is not easy to open up for these two people - even if he can pass, the committee will not allow doctors who do not have enough surgeries to be promoted. Therefore, now the orthopedic department basically entrusts all amputations to these two doctors.

And tonight, it happened that these two doctors were on duty together. encountered this kind of amputation, and both of them wanted to do it, but it was difficult to grab it. The environment and atmosphere inside the orthopedic department are very good, and the two doctors don't want to make the atmosphere too stiff in the future in order to grab an operation. After thinking about it, I can only ask Director Zheng what he means.

"Let Oda do it. Zheng Guoyou made a very decisive decision, "Xiao Tian's child will go to elementary school next year, so come to his side first." ”

Dr. Tian went to have surgery, and Zheng Guoyou put on his own clothes, slipped out of the balcony to the living room, left a note on the door, and wandered to the fourth courtyard. He was going to come and talk to Dr. Chen, who had done the operation, so that he had no pimples in his heart.

It's just that Zheng Guoyou didn't expect that as soon as he arrived at the Fourth Hospital, he received another call from Corey. This call is to ask for help - limb dismemberment and replantation needs to be operated by Lao Zheng.

"So I'm not going to come here. Zheng Guoyou shook his head, "Don't say it, I haven't had emergency surgery for a long time, and I really have itchy hands." ”

What is so good about itchy hands in emergency surgery? Sun Lien really didn't understand it, isn't it fragrant to sleep at home? However, looking at the red mosquito bag on Lao Zheng's arm, he seemed to understand something.

Zheng Guoyou and Dr. Cao Yanhua were making final preparations for Wu Lian's surgery, while Sun Lien turned his head to take care of the previous ...... The poor man who washed Dr. Cao Yanhua's hair, causing Dr. Cao Yanhua to need to wash his hair.

Bacillary dysentery is acute diarrhoea caused by a class of bacilli of the genus Shigella. After passing through the digestive tract, the bacillus begins to invade the intestinal mucosa, causing inflammation and ulceration of the intestinal mucosa. Bacilli attached to the intestinal wall can also release toxins into the patient's bloodstream, causing more severe symptoms of fever and even systemic toxemia.

The main route of transmission of bacillary dysentery is food, especially in summer and autumn. Children and adolescents are at high risk of bacillary dysentery. In general, patients have diarrhea more than a dozen times a day, but the amount excreted each time is not too large. Dehydration is not significant. Symptoms should be predominantly abdominal pain, high fever, and tenesmus - pain in the abdomen that wants to go to the toilet, but does not improve after excretion.

And this bacillary dysentery obviously belongs to the category of severe disease. The patient's lips and facial skin showed obvious signs of dryness, and the eye sockets were deeply sunken, and the dehydration was already very noticeable. And he also had incontinence.