In fact, everyone felt that Du Yanjun's call to Zhou Cheng was completely unnecessary, but no one told him not to call him.
For adults to be able to hide their emotions, the other three are even more airtight than Du Yanjun...
Zhou Cheng immediately answered the call from Du Yanjun and heard what Du Yanjun wanted to say.
Zhou Cheng also expressed his surprise very cooperatively: "Thank you, Yan Jun, I will be in the operating room soon."
Not long after hanging up the phone, Zhou Chengcheng entered the operating room, greeted Cai Dongfan and Luo Yun, and then made preparations for the surgical reduction.
Although Zhou Cheng actually didn't need to do too much preparation work, in order to make Cai Dongfan and Luo Yun feel a little more at ease, he decided to watch the film for half a minute more, and then invited Luo Yun to be his assistant...
And just after Cai Dongfan suddenly stopped Du Yanjun's actions such as disinfecting and draping, An Ruo had just finished the anesthesia and saw that the patient's vital signs were still stable.
He moved the smooth iron stool next to the leather sofa where Zeng Yi was sitting, and whispered: "Teacher, what are these orthopedic surgeons doing?"
"Isn't it the first surgery that was temporarily added to perform manual reduction? The surgery notice for this surgery says that it is intramedullary nailing and internal fixation."
An Ruo is not a very nosy girl, so after she came in, she didn't ask her teacher about what happened during the first operation.
And since Yang Yifeng was here, she was even more lazy to inquire.
Because although Yang Yifeng has a very annoying personality, it is indeed easy to attract the likes of old men and old ladies...
Zeng Yi used his head to control his neck and rotate it in a circle. After fully relaxing his cervical spine, he said: "This should be an extra act on the spot."
"The reason why the surgical reduction technique in the previous surgery was successful is not only related to Yang Yifeng, but also to this little guide."
"Anyway, I don't understand those things in orthopedics, so I just thought about cutaneous nerve branch block anesthesia."
After Zeng Yi's neck rotated around the axis, he raised his head and concluded: "It should be this Guipei named Zhou Cheng who helped a lot during the manual reduction. I still have the details.
I didn’t have time to ask.”
"Anyway, Cai Dongfan and Professor Zhong took a C-arm fluoroscopy on the way and didn't come back."
If Zhong Hua hears this, he will be a loyal fan of Zeng Yi——
right!
Just like that, Cai Dongfan kicked me out directly, can you believe it?
"Don't worry about them. As long as the delay is not too long, everyone will take the students with them." Zeng Yi said.
"Oh." An Ruo nodded, expressing strong agreement.
My qualifications are not good either. When Zeng Yi taught me how to give anesthesia, I was at a loss.
It also made other surgeons wait for a long time.
When An Ruo was thinking this, she slowly lowered her head. Her own qualifications and talents were actually not very good!
The undergraduate degree is just an ordinary second-level undergraduate course, not even 985/211, but my college entrance examination score is actually enough to get into the second-level undergraduate course.
During the postgraduate examination, her score was not very high, and she still did not get into the Shonan University Affiliated Hospital of her dreams. She sternly rejected the idea of finding connections in her family to get her in, and resolutely chose to transfer and came to Shashi Ba Hospital.
Hospital.
But he didn't refuse his parents' proposal to find him a director as a teacher.
But Anruo worked hard enough, but her qualifications were not enough, so she had to rely on talent. And maybe she was unwilling to admit that her talent was not good enough during her undergraduate period, so she wanted to express herself in the National College Student Medical Competition and spent a lot of time preparing.
Still failed to make it to the quarterfinals and won the second prize.
Although this was the best result she had ever obtained in undergraduate school, Anruo still felt unconvinced.
After the competition was over, I looked back and found that I didn't have enough time to prepare for the graduate entrance examination of Shonan University, but An Ruo still worked overtime and signed up for some relatively high-quality training courses...
but?
"Click!"
An Ruo's mind was still immersed in the gap between her and Yang Yifeng's medical talents.
A rather crisp sound directly interrupted her thoughts, and the sudden sound even made her erector spinae and paraspinal muscles suddenly tremble, and then a cold feeling began to spread from a certain point on her back from the top to the top.
It started running around.
He immediately started to turn his head to see the source of the sound.
It turned out that Cai Dongfan, Luo Yun and others were calmly surrounding the operating table.
What is strange is that Cai Dongfan was far away from the operating table and in the audience, asking Guipei, who seemed to be named Zhou: "Is this okay?"
His tone sounded quite astonished, but unfortunately his back was to An Ruo and Cai Dongfan's expression could not be seen clearly.
However, the other two Xiao Gupei opposite Cai Dongfan had blank expressions on their faces. Looking at their expressions, they looked confused because they didn't understand...
Zhou Cheng and Luo Yun released the patient's lower limbs: "Mr. Cai, the deformity has disappeared now, the force line has basically recovered, and it is almost restored, but the specific evaluation still has to wait for the C-arm review."
The three basic clinical manifestations of fractures are pain and swelling of the affected limb, abnormal movement, and local deformation of the affected limb.
In the case of a fracture, pain and abnormal movement are definitely present regardless of whether it is reduced or not. The definition of a fracture is an interruption in the integrity and continuity of the bone.
However, now that the patient is anesthetized, the pain cannot be assessed.
The only thing that can be seen is that the patient's current affected limb is deformed and disappears. In fact, the lines of force must be seen from X-rays to be precise. Of course, the general view can also be seen a little bit.
Zhou Cheng could only find these pieces of evidence, so naturally he didn't dare to say anything, so it was completely fine.
Cai Dongfan immediately realized that he was too anxious to ask this question, and said: "Director Zeng, anesthesiologist, we are going to do C-arm surgery."
"Oh! Okay!" Zeng Yi and An Ruo jumped up from their stools like rabbits and hurriedly slipped out of the operating room.
It can be said that most doctors in the anesthesiology department are deeply disgusted by the C-arm rays in the operating room. They feel that the existence of orthopedics and spine surgery in the operating room is simply two different things.
After arranging the position of the C-arm machine, the patient's unaffected lower limb was put down on the operating bed, and then Luo Yun also exited the operating room!
When we arrived at the small cubicle of the operating room, there was an operating instrument connected to the C-arm machine placed in the small cubicle again!
The C-arm machine in the operating room is divided into irradiator and operating instruments.
Cai Dongfan asked the circulating nurse to click.
In the black film, the light white tibia and fibula are revealed.
Cai Dongfan and Luo Yun took a look, and sure enough, the fracture line had disappeared!
Look clearly, it has disappeared this time. It is not what the previous patient said, but the gully between the fractures has turned into an ordinary fracture line!
It is basically certain that the fracture has been restored.
However, medicine is not a simple speculation, nor can a simple level explain everything, so for the sake of safety, in addition to taking pictures of the upper and lower anteroposterior planes, we also need to take pictures of the left and right lateral planes!
In the anteroposterior plane, you can only see whether there is lateral displacement of the fracture, and the anterior and posterior displacement will be blocked.
Therefore, lateral planes are needed to supplement.
Why didn’t previous patients have to do it?
Why do you do it? As long as it is an ordinary fracture that can be treated conservatively, it will be fine. If you take a lateral view and it is slightly displaced, do you still want to reduce it to the level of anatomical reduction?
After Cai Dongfan and Luo Yun finished reading, their faces suddenly became confused!
In the past, there were fractures that could be evaluated by X-rays, but now, the fracture lines are perfectly connected. Of course, they definitely exist, and they can definitely be seen by magnifying many, many times.
And there is no displacement, it is a quasi-anatomical reduction.
If you just perform an open reduction of the fracture, this is the final result, right?
If this is the case, should we still do the surgery?
Luo Yun was too lazy to worry about this question, so he turned to look at Cai Dongfan. After Cai Dongfan carefully and carefully read the front and side views, he sighed: "In this situation, it would be a pity to have an operation. Luo Yun, what do you think?
Right?"
Luo Yun nodded, and even Du Yanjun and Zhang Zhengquan nodded.
What they were thinking in their minds was that such a patient can be treated with a plaster and external fixation. If surgery is necessary, it can only be done for the amount of surgery.
Of course, this is not impossible. If Cai Dongfan wants to have surgery, he must do it. The X-ray results of the C arm during the surgery will be deleted.
Looking at orthopedic surgeons across the country for preoperative examination, that is, the plain radiograph that the patient brings from the ward, who dares to say that it is not within the scope of indications for surgery?
"Then get a plaster external fixation and send him back to the ward!"
"Luo Yun, go talk to your family." Cai Dongfan made the final decision and gave Luo Yun a confused gift.
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