Chapter 13 Replantation of a severed finger in an infant
After checking the room in the morning, you can take a rest in the afternoon.
Because Zhang Lin got off the night shift yesterday and according to his schedule, today is a day off. Yang Ping is on duty with Zhang Lin, so naturally he is also taking a day off.
There is rest on the schedule, but for doctors, rest is just for people to see and has no actual meaning.
I was busy until after three o'clock in the afternoon, so I had lunch. I really wanted to take a rest. When I got back to my house, my buttocks were still hot, and the phone rang again.
Emergency surgery to amputate a finger. Director Han designated Yang Ping to participate in the surgery.
Why are there so many severed fingers? It’s not Double Eleven.
Yang Ping walked quickly across the overpass, got off the overpass, and passed through a small square, which is the emergency department.
At the door, two security guards, wearing helmets, protective clothing, batons and shields, guarded the door like door gods.
The spacious emergency room is bustling with trembling figures. Doctors, nurses, and patients are all here in a hurry.
Even, some lives pass away in a hurry.
It was a mess, and Yang Ping's head was buzzing. Fighters, car accidents, drunkenness, curses, noises, and crying were mixed together. Without a certain psychological quality, you really can't stay in this kind of place.
"Believe it or not, I will kill you. My head is bleeding. Wait, wait, when will I die here before you save me?" A scarred man in his forties pointed at the nurse with a bulging belly and scolded him.
Tao.
"I'm sorry, you have to wait in line. The doctor is doing first aid now, so you have to wait a moment." The pregnant nurse almost begged.
Scarface slapped the nurse's desk in the emergency hall: "Wait a minute, look, this isn't your blood, is it?"
If the marble nurse's desk hadn't been built high and wide, this palm would have hit the nurse's forehead.
Yang Ping just wanted to go over and help persuade Scarface.
"Hey, what are you doing? Pay attention to the order." The two security guards came over in leather boots with batons hanging on their waists. The scarred faces were timid and no longer showed their teeth.
The security of this hospital is pretty good, Yang Ping sighed.
This bastard, the nurse has actually done a simple bandage on him to stop the bleeding, but there is a little blood seeping on the gauze. He is probably waiting for the doctor to debridement and suturing.
Yang Ping shook his head. He was used to this kind of thing. It is said that in some hospitals, the emergency doctor's clinics are all located near the window, with the window open.
Why? Because there is a thick soft mat on the ground behind the window.
It's for emergency doctors to escape. When they encounter a fucked-up person who beats the doctor, he immediately jumps out of the window and escapes. It's protected by a cushion so he won't get hurt.
After passing through the emergency hall, Yang Ping turned right into the surgical emergency room.
Swipe the access card and push and pull the explosion-proof door to open. The central circular island is the workstation of doctors and nurses, with computers and telephones evenly distributed around it. Dozens of emergency beds are distributed in a ring around the emergency room, separated by curtains.
"Heart has stopped, cardiopulmonary resuscitation, defibrillator!" A bed is being rescued, and the doctor is sweating profusely and is pressing on the heart.
"Closed chest drainage, tension hemopneumothorax, emergency consultation in thoracic surgery." Another bed is being disinfected in preparation for closed chest drainage.
"20% mannitol, rapid intravenous infusion."
"Tracheotomy."
"Get on a ventilator."
——
The emergency department, especially the first aid room, is a battlefield without smoke, and doctors and nurses are warriors fighting against death.
Several phones are ringing non-stop.
The nurse on duty was speaking loudly with the receiver pressed to her ear. Her hand had already picked up another receiver, and her eyes were staring at another receiver that had just started ringing.
Several earphones are exchanged between hands and ears like juggling.
"Bed 3!" Although Yang Ping is new here, the nurse has good eyesight. She just glanced at Yang Ping's nameplate from a distance and knew that the orthopedic doctor was pointing to one side.
The doctor on duty was talking to Song Zimo: "More than one month old, baby girl, all five fingers on her left hand are broken--".
A little baby was lying on the bed, with her left hand wrapped in a dressing. Maybe the baby was not sensitive to pain, but she didn't cry, and her eyes moved as if she was looking for something.
"Where's the broken finger?" Song Zimo asked.
The nurse took out a transparent film bag from the small refrigerator with the severed finger inside.
So small? Nonsense!
How big can a two-month-old baby's hands be?
A woman in her thirties was crying nearby, and a man was supporting her and comforting her.
"Can you connect me? Doctor, please." the woman asked, her eyes swollen.
I learned from the doctor in the emergency department that the child's mother was pushing her child in a stroller to the supermarket. When she came down the escalator, the mother kept staring at her mobile phone. When she was almost at the end of the escalator, she didn't pay attention. The stroller overturned and the child
His hand got stuck in the gap between the elevator and the welcome pedal, and five fingers were crushed. The staff dismantled the elevator and took out the severed fingers.
Director Han is talking to Director Xiong of the emergency department.
The emergency doctor held the freshly typed informed consent form in his hand and spoke hoarsely to the child's mother. The conversation was interrupted several times because of crying.
"Xiao Yang, have you seen the patient? Song Zimo will take you to do it later. Is it okay to set up the table?" Director Han saw Yang Ping arriving and waved.
Director Han plans to let Song Zimo do it. Replantation of amputated fingers of infants is the most difficult among all replantation of severed fingers. Because the blood vessels are too thin, they have always been considered a restricted area. Director Han knows Song Zimo’s microsurgery skills well, and he is very familiar with 0.1 mm of replantation.
The blood vessels can now be skillfully anastomosed.
"No problem, I will fully cooperate." Yang Ping obliged.
"Very good!" Director Han was decisive and capable, and immediately made arrangements on site: "Then arrange the operation immediately. Let's go to the operating room first. The department has dry food, high-calorie chocolate, and compressed biscuits. You should seize the time to eat a few pieces and get to the operating room as soon as possible.
, we have already eaten it. This replantation of a severed finger is very rare and very challenging, so you should cheer up."
"Understood, I promise to complete the task." Yang Ping looked serious.
Director Han is like a battle-hardened general, calm and composed, never sloppy.
After speaking, he explained the precautions to Director Xiong of the emergency department and rushed to the operating room in a hurry.
Song Zimo looked a little unhappy and followed Director Han, wanting to say something several times.
"Director, director, director——"
"Should we let Director Tian come in and let him provide the stage? I'm afraid not, it's so difficult." Song Zimo finally expressed his worries.
This worry is certain. Song Zimo is recognized as extremely talented. He has practiced countless simulated artificial blood vessels with a diameter of 0.1 mm or even thinner, and connected countless newborn mice's tails before he can confidently do this kind of thing.
Replantation of baby's severed finger.
Director Han stood still and thought for a moment: "Director Tian will help you with the severed finger later. You can kiss the blood vessels. He just finished a surgery for an open pelvic fracture and is very tired. Yang Ping's severed finger last time was only
It took two hours, so setting up a table for you shouldn’t be a big problem, but if it doesn’t work, I’ll wash my hands and get on the stage.”
Director Han had said so and made it clear what he was saying. Song Zimo couldn't force himself anymore, but he still felt a little unhappy.
Blood routine, blood type, biochemistry, liver and kidney function, coagulation function, four infectious diseases, electrocardiogram——.
The doctors and nurses in the emergency department are warriors in a war. They may look messy, but they do their own thing, cooperate skillfully, and are extremely efficient.
Hit the nail on the head, puncture the scalp vein, and the blood immediately flows to the tubes under negative pressure, one tube after another, placed on the trough of the cart, and then immediately sent to the fully automated testing machine of the laboratory department.
The electrocardiograph was pushed to the side, and it clicked, and several leads were placed accurately and quickly.
The paper squeaks and spits out with unique wavy lines.
"The electrocardiogram is normal." The doctor spread the paper in his hand.
"The operating room is ready, send the patient." The nurse on the central island shouted.
The doctor gestured OK.
The baby is pushed to the operating room on a flat car. There is a special route and a special elevator.
The child's mother was holding on to the flat car and kept crying, refusing to let go: "Can I go in and watch?"
"No!" The emergency doctor pushed the cart without stopping.
The child's father persuaded the child's mother several times before he let go.
"Cry, cry, cry, why are you crying? Why did you go there so early? You don't take care of your children when you take the elevator. You use your mobile phone every day. Your mobile phone will give birth to and raise your children."
Next to them may be the child's grandparents, watching the doctor and nurse pushing the cart away. They couldn't bear it anymore, so they broke out and yelled at the child's mother.
"Mom and Dad, please stop talking about her," the child's father said.
The old man scolded me again: "I gave birth to a child, so you can't scold me, and you too-"
