"The femoral artery is broken, and there are three large pieces of glass around it." Song Zimo turned to look at the CT on the reading light.
Yang Ping was looking for the second piece and said: "I have a good IQ. I can see that there are three pieces."
Song Zimo said: "Don't be so arrogant. The tail of a newborn mouse with brittle blood vessels has been cut off and spliced. I am already much faster and can catch up with you soon."
Song Zimo said while adjusting the retractor on his hand at any time. Indeed, he was very smart and could predict where Yang Ping would look next, and made adjustments in advance so that Yang Ping always had the best view.
In fact, don’t look at the retractor. Pulling it well is a technique that allows the surgeon not to feel the presence of the retractor and to obtain the best surgical field of view at any time.
"Light, shine it in?" the circulating nurse asked.
Song Zimo said: "No need."
At this time, we rely on positioning ability, spatial imagination, and the feeling of blood vessel clamps in our hands. We can make precise spatial positioning based on the images before the operation, and follow the positioning during the operation. The feeling of metal touching glass is completely different from that of touching soft tissue.
of.
At this time, the instrument is an extension of the doctor’s fingers.
"Your face is full of acne. If you look at it so close, the blood will spurt out -" Xiao Wu handed over a visor.
Zhang Lin was so frightened that he immediately distanced himself from the operating table. He couldn't help but think of a story from his internship. During his previous internship, a classmate was rescuing trauma patients in the emergency department, and blood spurted onto his face. This classmate happened to have a cloth on his face.
He was full of acne, and after the rescue, he found out he was an AIDS patient.
Immediately report occupational exposure, then take blood tests, take AIDS-blocking drugs for 4 weeks, and take blood tests at intervals, which will last for half a year. In just half a year, the classmate's weight dropped from more than 80 kilograms to 80
I weighed a lot. After I confirmed that everything was fine, I resumed my normal life.
After thinking about it, Zhang Lin took a few steps back and put on the visor Xiaowu handed him.
The second piece was found, but I didn't dare to pull it out because it was adjacent to blood vessels and nerves. If it was pulled out, it would damage the surrounding blood vessels and nerves.
"Lamp!" Song Zimo is absolutely perfect as an assistant.
He didn't need Yang Ping to remind him. He pulled the hook with one hand and held the sterile handle on the operating light with the other hand. The light shined in at the best angle.
The suction device went in and sucked away the blood. Yang Ping wanted to move the retractor, but just as his hand touched it, Song Zimo gently released it, and Yang Ping re-inserted the retractor.
As soon as he stretched out his hand, the scissors were already in his hands. He used the tissue scissors to sharply separate the tissue around the glass, completely exposing the glass.
Sure enough, there was an artery branch next to the glass. Yang Ping carefully took out the glass and found the green beer bottle fragments.
"There is so much hatred, the groin is bruised, and the glass of the beer bottle is broken into pieces." Zhang Lin sighed.
Xiao Wu said: "When fighting for a woman in a nightclub, two groups boldly took action."
Zhang Lin corrected: "It's not two gangs. I heard he beat ten of them one by one."
What is going on is a matter for the police. Doctors only treat illnesses and save people.
Su Yixuan stopped them from talking: "Keep quiet."
Other nurses could still say a few words, but Su Yixuan, they didn't dare. Xiao Wu made a silent gesture, and Zhang Lin didn't dare to speak anymore.
"There is one more piece left, and this piece has entered the pelvic cavity." Song Zimo adjusted the light again.
I have become familiar with the local anatomy of this part by heart. If I close my eyes, I can create a three-dimensional image in my mind. The anatomical knowledge gained through hundreds of attempts to rescue patients with external iliac artery rupture has made even the variations clear.<
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Following the retrograde dissection along the blood vessels and nerves, the third piece of the retroperitoneal space in the pelvic cavity was exposed. It was easily removed and the surrounding area was checked. The peritoneum was not broken.
The surgical area was flushed with a large amount of normal saline, and after careful exploration again, the femoral artery and femoral vein were severed. The femoral nerve was fine, but a small opening was cut in the outer membrane, and the nerve bundle inside was fine.
"Needle and thread!"
Su Yixuan put the needle and thread in the bending plate and delivered it so that the bending plate would be used as a transfer, minimizing the possibility of accidental injury. Yang Ping picked up the needle and thread, holding the needle tool in his right hand and long toothless tweezers in his left hand.
This kind of vascular anastomosis is not too simple for him.
In just over a minute, blood vessels are trimmed, arteries are anastomotic, and veins are ligated.
After loosening the blood vessel clamp of the external iliac artery and vein, there was no bleeding.
Then there is flushing, layered suturing, and drainage tube placement.
Finally, the dressing stickers were put on beautifully.
A window and subtitles appeared in the upper right corner of Yang Ping's field of vision: "Complete a highly dangerous operation with no occupational exposure and a reward of 6,000 points."
The whole process was very smooth, especially the removal of a few pieces of glass, which made Song Zimo fall in admiration.
When it comes to removing foreign objects, it is a small job, but it is not easy to do it well.
How many doctors have stepped on the C-arm X-ray machine for a small foreign object until the soles of their feet are numb, and they can't find the foreign object. Looking at the image on the screen, it is there, but they can't get it. Just kidding.
What can you do.
Dr. Jin in the department, because a foreign object could not be removed, went into seclusion to practice. He studied X-rays, color ultrasound, CT, and MRI of all the foreign objects in the hospital, and drew hundreds of pictures. After a few years, there was something that could not be removed every time.
For foreign objects, look for Lao Jin, he can always take them out easily.
No joke, a great director can perform cervical spine surgery easily, but sometimes a small foreign object cannot be removed. Many long incisions are made, turned over and over, and finally closed in vain.
Foreign objects are so weird sometimes. In order to retrieve the foreign objects, Song Zimo also spent a lot of time consulting Lao Jin and studying the spatial positioning of imaging. In the end, green beat blue and surpassed Lao Jin.
Yang Ping took out these pieces of glass easily.
Song Zimo was even more impressed with Yang Ping. He couldn't figure out where Yang Ping's ceiling was.
When a patient is sent to the ICU, all sterile clothing sheets must be destroyed through special channels, and instruments must also undergo special disinfection procedures.
"How's it going with Director Tian?" Yang Ping wanted to see if there was anything he could help with.
Xiao Wu and Zhang Lin didn't know that they were undergoing an infectious surgery and they couldn't visit at will. If they were discovered by other operating rooms while patrolling, they would be kicked out.
Since no one has been called to deliver the message, there is no need for help. Director Tian has comprehensive skills and can easily perform any surgery. There is no need for Yang Ping to go over and ask, after all, he has just completed the AIDS treatment.
Song Zimo took Xiaowu Zhang Lin to send the patient, and the trauma ICU was notified to be placed in an isolation ward in accordance with body fluid and blood isolation regulations.
Yang Ping took a shower in the bathroom of the locker room and sat down to rest for a while.
Today, I am very familiar with the anatomy of this part. Last time I practiced the wire and needle technique, I gained a certain spatial positioning ability, which made the operation so easy. If I change the part, I may not be able to do it so smoothly.
If you have the opportunity, you must train your ability to pick up foreign objects and spatial positioning in the system.
Open the window and check that your points have reached 14,000 points, and you are one step closer to purchasing training for pelvic fractures.
Only when pelvic fractures are removed can trauma orthopedic technology be perfected.
Close the system window, Xiaowu called.
"Boss, we still have the hot pot. We just took a shower in the department and gathered at the door of the surgical building."
His stomach growled loudly with hunger, and his belly was almost touching his spine. Yang Ping thought, how great it would be if in reality it was the same as in the system, where he could not eat, drink or sleep.
But, that's impossible.
A few people went to the mutton hot pot restaurant again. It was still busy and the tables were really reserved.
The fire has been turned off, but the ingredients are still there.
The waiter saw them coming and quickly helped to light the fire.
The waiter said: "I told the boss that you are doctors from Sanbo Hospital. The boss said that this table must be reserved until dawn."
This boss is as heroic as Chai Jin in ancient times.
Everyone sat down, the soup was not boiling, and ingredients were added into it.
Zhang Lin stuffed raw cabbage directly into his mouth and chewed it with gusto.
What does it mean to be hungry and not choose food? This is it.
"Tell your boss, brothers, thank him. From now on, you can come to me directly without registering." Zhang Lin said.
At this time, the boss came over. He was in his forties, thin, and spoke with a Chaoshan accent: "This table is free of charge, free of charge. Thank you for taking my son's hand."
"Your son?" Yang Ping said, having received so many hands, I really don't know who is your son.
The boss pointed at the hair: "Just that yellow hair, that bastard got angry with me and went to work in Hongda Factory and broke his hand."
It’s just him, he should have said it earlier.
Xiao Wu and Zhang Lin have already filled their glasses with beer.
