Chapter 62 You definitely didn't mean that just now! PS:
Chapter 62 You definitely didn’t mean that just now! (PS: Please collect, recommend and read!)
Zhou Cheng was the one who came to the operating room later!
Why do you say that?
In addition to his own strength, another characteristic of Zhong Hua's ability to become an associate professor is his caution.
One of the criteria for getting promoted to deputy director is to see how many medical accidents you have had, and it is not just about being reckless.
Therefore, the first thing I did when I entered the operating room was to explain it in detail to Cai Dongfan and others, including those who were observing, including the process, principles, what he would do, and what others should do. In any case, the operation must be stopped midway...
For more than twenty minutes, Zhong Hua felt like he had given a small class to the people here.
But there are no eggs.
At that time, Zhou Cheng had not come to the operating room yet, so the word had nothing to do with him.
So he had no idea what he was going to do and what he did?
But for God's sake, how did Zhong Hua know that this unexpected situation would happen to the person Luo Yun casually named?
Zhou Cheng was called by Luo Yun, who was a senior physician, to help with the traction. Just when Yang Yifeng came off the stage, he said that the traction might not be strong enough and his arms could not twist the thigh.
Is there anything wrong with Luo Yun calling people?
Luo Yun is the attending physician. Is there anything wrong with calling a graduate student to help?
Zhou Cheng came on stage to help. Is there something wrong?
If the person is gone, it has nothing to do with them...
For a moment, Cai Dongfan felt a sense of oppression passing through his heart, and then was filled with an extremely powerful sense of despair, as if his whole person had become weightless.
It was a sudden feeling of suffocation and anger...
Luo Yun felt chills from top to bottom. He seemed to be able to imagine that after the operation, Cai Dongfan might cut him with a scalpel.
He was the one who called him here...
Du Yanjun's mind was empty for a moment, as if he was in the desert, lost his way, and had no idea why this was happening.
Yang Yifeng's heart skipped a beat and he thought to himself, Oh no.
Zhou Cheng is quite strong this week...
But just when everyone has different thoughts.
It was then that the patient's thigh slowly changed from the previous rhombus-shaped deformity in an extremely silky way.
The muscles on both sides of the thighs bounced crisply at the same time.
The previous rhomboid deformity actually disappeared.
This bouncing feeling was transmitted to the palms of Zhong Hua and others through muscles and bones...
Everyone was stunned again.
This is?
Did the broken end of the fracture slip out of the muscle?
How could it slip out so easily?
The high-end nerve block anesthesia that was done before...
Before everyone could finish their thoughts, Zhou Cheng released the upward force from the tibial tubercle, and then directed the force toward the axial direction of the thigh!
Use force!
After pulling it out like a carrot, the strength was completely released.
This process sounds complicated, but in fact it only takes seven or eight seconds.
After the whole process was completed, Cai Dongfan, Zhong Hua and others did not come back to their senses. They just stared at the final result in confusion——
The rhombus-shaped deformed thighs are gone.
What replaced it were swollen and straight thighs!
After doing this, Zhou Zhou breathed a long sigh of relief. He once again used his hand to explore the tension of the femoral anterior muscle group and found no excessive tension.
What Yang Yifeng said before was correct. After the broken end of the fracture is inserted into the muscle, there will be a torque, which will increase the tension of the muscle. Now there is no tension in the muscle, which proves that his previous traction was to break the fracture. The broken end was pulled out from the insertion.
Then he took another big breath and shouted: "Tour, push the C-arm machine and see through it!"
"Others get out of the way!"
The tone is a very definite command tone.
But just after he finished speaking, Zhou Cheng saw the others looking at him with strange eyes, with different expressions!
Only then did Zhou Cheng react!
I just used too much force again!
TM's.
I am now a junior doctor, not a superior.
I have entered the role but I haven’t come out yet.
So he quickly changed his words: "Director Cai, Professor Zhong, how about we take a look at the situation first?"
"OK?"
The tone of voice was extremely good. This is the tone a junior doctor should use when asking for instructions from a superior doctor.
But that’s definitely not what you meant just now…
After Cai Dongfan and Zhong Hua were awakened by Zhou Cheng's voice, they dug Zhou Cheng away with their hands almost at the same time, and then squeezed Zhou Cheng away.
Almost at the same time, he went to the incision on the distal end of the thigh that had been made before and started to use his fingers to pull and turn it inside.
C-arm fluoroscopy and the like are completely unimportant.
TM's Zhou Cheng now doesn't matter as long as he doesn't cut the femoral artery or completely cut off the nerves.
At least the patient won't die.
Although the idea is crude, it is a true idea.
As long as people don't die, everything is still possible.
After peeling it open, there was no sign of blood gushing as expected.
Cai Dongfan and Zhong Hua trembled slowly and let out a breath of air, and then their whole bodies felt a sense of exhaustion similar to that after finishing work.
Although the experience and feelings after finishing the job are completely different from those now, from a physiological point of view, they are all high tension in the whole body or weakness in the whole body after a shiver after stimulation...
Massive bleeding has its own definition, which is when a large amount of blood escapes from the blood vessels, which is called hemorrhage.
The containers that hold blood in the body are the organs, blood vessels and heart.
The blood vessels and organs in the legs have nothing to do with the heart. If an artery is broken, a large amount of blood will definitely flow out in a short period of time.
When an artery is broken, the blood column can reach the ceiling. Even if there is no bleeding, a large amount of blood will be lost. Soon it will gush out from the incision leading to the outside world. More than 1000ml of blood can be lost in a short period of time...
No blood comes out...
According to the definition, the possibility of Zhou Cheng cutting the blood vessel can be ruled out.
With this guarantee, the two of them dared to relax. After all, if the aorta was cut, it would be fatal.
Immortal, let’s talk about the rest slowly!
Cai Dongfan and Zhong Hua looked at each other.
Cai Dongfan said: "Professor Zhong, the artery is not broken."
This statement made everyone in the operating room startled, especially Director Zeng of the anesthesiology department. He was really frightened just now. He is an anesthesiologist and is responsible for the vital signs of the entire operation. He is ready to give general anesthesia at any time.
Then he was transferred to endotracheal intubation.
If an artery is broken, for example, debridement, exploration and blood vessel suturing are required, then it doesn’t matter whether the patient can withstand the consequences of general anesthesia.
But it's okay.
The 'milk' he picked up and put down again...
Zhong Hua also glanced at Cai Dongfan and said to himself: What you can see, I can also see.
Cai Dongfan continued: "Professor Zhong, this Zhou Cheng is a trainee in our group and half of my students. The situation today is due to my lack of discipline."
"But the situation is not bad at the moment, at least the aorta is not broken. It's just that the broken end of the fracture may be displaced again."
"Let's take a look at the specific situation first, shall we?"
"I'm sorry, Professor Zhong, for causing you trouble."
Cai Dongfan had not introduced Zhou Cheng before, so he explained Zhou Cheng's identity.
And of course an apology!
Zhong Hua was invited by him to do the surgical reset and he was a professor of foreign aid.
Then he was frightened by his subordinates in the operating room. As a superior, he naturally had to apologize first.
People belong to themselves. If the rules are not taught well, then you are responsible.
Moreover, with Zhou Cheng's current status, Cai Dongfan can completely understand that Zhong Hua may feel that Zhou Cheng himself has never disciplined him this time. Or maybe it is a trap he left for Zhong Hua. Although Cai Dongfan does not have such thoughts, Zhong Hua
You can totally think so.
One of TM's regular trainees, despite being supported by professors from other colleges, still acted independently. This person either has a brain disease or lacks discipline.
This is still the case even if Zhou Cheng has not listened to Zhong Hua's previous explanation.
Zhong Hua also calmed down after hearing Cai Dongfan explain that there was no arterial damage.
Zhou Cheng's action just now was a bit beyond his expectation.
However, the result was not the worst. Zhong Hua began to look at the patient's legs.
Clinical medicine is an evidence-based discipline.
Fractures are defined and have their own special signs——
There are fracture lines, bone discontinuity, bone friction and bone friction sensation, and limb deformity.
This patient had obvious limb deformities before.
This is caused by fracture displacement.
What manual reduction needs to do is to reduce the displacement. After the displacement is reduced, the deformity will disappear accordingly. Although the bone friction sound and bone friction feeling will exist, no one will try it.
The patient will definitely be in pain, right?
Was the displaced fracture reduction successful?
One of the most obvious and intuitive impressions is that the deformity disappears.
For example, now, this patient's deformity has disappeared.
But the disappearance does not mean a complete reset. This cannot be seen with the naked eye and requires the help of tools, which is the C-arm machine that Zhou Cheng mentioned before.
The C-arm machine is actually a small X-ray equipment. The precision and clarity are not as high as those in the radiology department, but it is enough to see fractures. It is generally available in the operating rooms of orthopedics and spine surgery.
If you can't see it with the naked eye, you need to use it to see it.
Zhong Hua doesn't know what the situation is now, but no matter what, if there is a problem, solve the problem first, and then go to accountability.
Instead of asking for accountability first before solving the problem.
Time is precious.
Moreover, Cai Dongfan is considered a responsible person, and the regular trainees in his group can also be said to be his students, so Zhong Hua can't say much.
He just said: "Let's take a look at the specific situation first!"