Five hundred and sixtieth eight chapters live up to expectations
Looking at it now, it seems that the patient’s life has really been saved!
However, this is not the case, and his situation is still not optimistic.
First of all, although the damaged artery in his leg was found and the bleeding was stopped, this does not mean that it can be repaired. If it cannot be repaired, the blood supply to the calf cannot be restored. If the calf does not receive blood supply for a long time, then it will
Avascular necrosis will occur, and amputation will eventually be necessary. So even if we really save his life, we may not be able to save his legs!
Secondly, his other leg was still pressed under the masonry, and the extent of the injury was unclear. But judging from the marks on the leg pressed against the door frame, there was no doubt that the injury was serious. At least the tibia and fibula were fractured, so he could not run away.
Whether there will be other fatal injuries, no one can say!
It is precisely because of these reasons that Lin Hao's brows are always furrowed and his expression is very suspicious. The operation is not over here, on the contrary, it has just begun!
Ren Junqi was relieved at first, but after seeing Lin Hao's expression, she realized the seriousness of the problem after thinking about it for a moment. At the same time, she also remembered what Lin Hao had just said. He claimed that not only did he want to find this
The damaged vein needs to be repaired and anastomotic!
Under such conditions of lack of medical treatment and lack of medicine, Ren Junqi asked herself that she did not have the ability, and she was convinced that not only she, but also other surgical experts and professors would also find it difficult to make a living without rice!
So, what method does Lin Hao have to repair the anastomosis of this artery in this completely impossible situation?
If it had been anyone else, Ren Junqi wouldn't have expected it, because it was impossible! But she was full of expectations for Lin Hao!
Straw emergency treatment for delayed pneumothorax, incredible suturing methods, fantasy acupuncture anesthesia, finding bleeding arteries while blindfolded... etc., etc., in just one day, Lin Hao had already made her witness several
An impossible miracle!
Now, she hopes that another miracle can happen, even if this miracle is as slim as winning the first prize of Shuangseqiu!
It’s a long story, but actually it only lasted a moment!
After Lin Hao stopped the bleeding, he did not rush to the next step, but asked: "What's your blood pressure?"
Ren Junqi checked it and said: "80/50!"
Lin Hao said: "Stabilize his blood pressure, and never let it drop again!"
Ren Junqi didn't like his attitude and muttered in his heart: You are my student, why are you shouting at me? Do you have any respect for teachers? Even if you don't, at least you know how to respect the elderly and love the young.
?
In fact, not only was she depressed, but the family members nearby who were holding canvases to shield them from the wind and rain so that they could perform the operation at ease were also wondering, who is the real talker here?
Lin Hao waited for a long time but still didn't see Ren Junqi carrying out his doctor's orders. He couldn't help but asked: "Can't you hear me?"
Ren Junqi was absolutely unhappy in his heart, but when he came into contact with Lin Hao's sharp and intimidating eyes, his heart froze, as if he had fallen into an ice cave, and he quickly ordered Peng Xiaojie: "Adrenaline 3mg,
Once every five minutes! Monitor blood pressure at all times! Pay attention to all vital signs.”
Peng Xiaojie agreed, quickly took the medicine, and injected it into Liao Daxin.
Lin Hao looked at the wound, took a deep breath and said, "Now, it can be said that we have saved his life! Then, let us save his legs!"
Ren Junqi originally had no confidence at all, but with the mysterious and powerful Lin Hao in front of her, she was not afraid of anything anymore and nodded in response: "Okay!"
Seeing that she agreed so simply, Lin Hao asked, "Do you know what to do?"
Ren Junqi was embarrassed by the question and muttered: "...I don't know!"
Lin Hao was a bit dumbfounded and said without any mercy: "I wonder if you still dare to speak so loudly?"
Ren Junqi: "..."
"Concentrate and cooperate with me!" Lin Hao handed her the hemostatic forceps that always clamped one end of the broken artery and warned: "Hold it firmly!"
Ren Junqi hurriedly took the hemostatic forceps. Seeing him rummaging around in the wound, he asked in confusion: "What are you looking for?"
"This artery is completely broken!" Lin Hao said without raising his head: "We have only found one end, and the other one has not yet been found. We can only repair it when both ends are found!"
Ren Junqi was suddenly enlightened and quickly opened his eyes to help search for him in the field.
But she had just concentrated her mind, and before she could sort out the veins of muscles and blood vessels, Lin Hao had already stretched out his hand and said: "Quickly, give me the hemostatic forceps!"
Seeing his nervous expression, Ren Junqi knew that he must have discovered something, so he did not dare to neglect and quickly freed up a hand to hand him a pair of hemostatic forceps.
After Lin Hao took it, he immediately reached into the wound, clamped it in the muscle layer, and then pulled out a broken blood vessel.
Ren Junqi felt ecstatic and extremely ashamed at the same time. He had already found the blood vessel before he could even figure it out!
But, how on earth is he going to repair it?
Vascular repair is a very precise operation. It must be performed in the operating room, under strong light, and with a microscope, using extremely thin special silk threads. Before this, several tedious procedures must be performed on the blood vessels.
It was carefully prepared, but now there is nothing. How to fix it?
When she was confused, Lin Hao finally spoke again: "Cut me a new infusion tube!"
Ren Junqi said confusedly: "Infusion tube?"
Lin Hao said: "Yes!"
Peng Xiaojie asked: "How long will it be?"
Lin Hao said: "It doesn't need to be long, three centimeters is enough!"
Peng Xiaojie hurriedly opened a package of unopened infusion tubes, cut a section from the middle and handed it over.
Lin Hao carefully inserted the infusion tube into the disconnected artery, tied it, and tied the connection tightly with silk thread...
Seeing this, Ren Junqi finally realized that he wanted to use this section of the infusion tube as a bridge to reconnect the two ends of the broken artery.
So simple!
So smart!
So awesome!
While Ren Junqi admired Lin Hao's wisdom, he was also annoyed at his own stupidity. This method has no technical content at all, but it can indeed solve the problem in a timely and effective manner, but why didn't I think of it?
While she was thinking wildly, Lin Hao had already put the infusion tube into the artery that was broken at the other end and tied it tightly with silk thread. He checked both ends to make sure they were tied tightly and there would be no leakage. He said to Ren Junqi:
"Release the hemostat!"
Ren Junqi was uneasy, fearing that once he released the hemostat, blood would spurt out again. Liao Daxin could no longer withstand the blood loss, not even for a second or two. He stepped forward and checked carefully, and confirmed that there was no problem.
, and then finally loosen the hemostat!
As soon as the hemostatic forceps were loosened, bright red blood immediately flowed through the infusion tube and was transported downwards in an endless stream. Ren Junqi couldn't bear it any longer and shouted excitedly: "It's done, it's done, the blood supply has been restored!"
Lin Hao reached out and touched Liao Daxin's calf, and found that the artery was pulsing slightly. He was secretly relieved that the leg was finally saved!
After the blood supply to the leg was restored, Lin Hao did not perform any serious suturing. He just tied the wound together casually with two threads. This was just a way to relieve the urgent need. The infusion tube could only temporarily replace the blood vessel. After arriving at the hospital, he would still have to do it.
Vascular anastomosis!
After he bandaged the wound, the door frame pressing the patient's other leg was finally opened, and the whole person was finally lifted out.
But when Ren Junqi saw his leg again, his beautiful eyebrows couldn't help but frown again.
Although there were several wounds on the leg, they were not as serious as the other leg, and the aorta was not damaged. However, three or four grooves were made on the calf, and the entire calf became deformed.
Both the tibia and fibula were fractured, and they were complex comminuted fractures.
In such a situation, surgery must be performed for internal fixation.
But it doesn't matter. Since the person was rescued, he was immediately sent to the hospital and then transferred to the orthopedic surgery department. Doctors would naturally perform surgery on him.
But when Ren Junqi was about to ask the firefighters to carry the patient out, Lin Hao spoke again, "Ren Junqi, you take care of his wounds, and I'll fix his fractures!"
"Huh?" Ren Junqi looked confused when he heard this, "Are you going to break his fracture?"
Lin Hao nodded and said: "Yes!"
"How do you do it?" Ren Junqi said angrily: "He has such a serious and complicated comminuted fracture, and he will definitely need internal fixation!"
To perform internal fixation of a fracture, you must first take an
metal fixtures!
However, there are no inspection instruments or surgical tools here. What can he use to perform internal fixation of fractures?
Ren Junqi was full of questions, but before she could finish asking, Lin Hao had already started to work.
He first quickly inserted five needles five centimeters above the patient's knee, and then reached out to pull the patient's calf, which was so deformed that it could be folded, obviously trying to straighten it!
Ren Junqi was shocked when he saw this. The patient's injuries were so serious that he could not withstand his rough treatment. He would have to die from the pain!
It's just that Lin Hao's movements were too fast. Before she could say "stop", the patient's calf had been completely straightened by him!
However, the strange thing is that the patient had no reaction at all and his vital signs did not change at all!
Ren Junqi was confused. When his eyes fell on the few silver needles on the lower edge of his thigh, he realized again that this was the effect of acupuncture and anesthesia!
After Lin Hao straightened the patient's calf, he stroked it from top to bottom with both hands, and then again, and finally said with an inexplicable smile: "You are lucky. Not only do you not have any large open wounds, but you also don't have too many."
free bone fragments!"
Ren Junqi was speechless again. Just touch it twice and you will know that there are not many free bone fragments. What do you think you are? X-ray?
While she was wondering, Lin Hao had already walked away and started searching among the collapsed debris beside him. After a while, he found several slender and strong bamboo strips!
When he walked back, he saw Ren Junqi still looking at him blankly, and shouted angrily: "What are you doing here? Are you sleepwalking? Why don't you do it yourself!"
Ren Junqi snorted depressedly and started to work!
When she started to treat the small wounds, Lin Hao called two family members over and asked one of them to hold the patient's ankle, the other to hold his knee, and Lin Hao squatted in the middle!
What is this for?
Ren Junqi was very curious and couldn't help but move forward. After a closer look, he discovered that Lin Hao's hands were rubbing up and down the patient's calf fracture, as if he were kneading a ball of noodles!
After a while, he suddenly said to his family members: "Pull!"
The two family members immediately used their strength to pull the patient's legs straight again!
Seeing this, Ren Junqi finally understood that Lin Hao wanted to perform external fixation of the patient's fracture, and he seemed to want to use manual reduction!
She sneered at this because she felt that it was of no use at all!
External fixation of fractures is far less direct and effective than internal fixation. External fixation is performed blindly, and there is no way of knowing whether the fractures inside can be connected. Even if they are connected, the position and alignment must be correct.
The situation is also difficult to neaten. In addition, this kind of fixation method is also prone to displacement, rotation, etc. of the fracture end.
However, no matter whether Lin Hao can reduce the fracture or not, it is beneficial to fix it in this way, at least it will not cause secondary injuries on the way to the hospital.
Seeing that the leg had been straightened, Lin Hao quickly stretched out his hands, holding the calf with one hand and placing the other on the foot. He squeezed the middle with all his strength, and heard a muffled "click" sound.
The sound came from the fractured part. Then he moved to another fractured part, and pressed hard up and down like before, and heard another muffled "click" sound...
After several times in succession, he no longer pressed randomly, but started pushing and pulling up and down, and repeated it for a while. Then he picked up the bamboo strips that had been wrapped in gauze and placed one on each side of his calf.
roots and wrap them with the calves with gauze.
When the external fixation of the fracture was done, Ren Junqi also took care of the small wounds!
Lin Hao checked the patient's vital signs and found that they had improved and were in a relatively stable state. He couldn't help but breathed a sigh of relief and said to the patient's son Liao Xichuan: "Well, your father's life has been saved.
In this way, his legs will be fine!"
After hearing this, a look of ecstasy appeared on Liao Xichuan's face. He stretched out his hands and said, "Doctor, thank you, thank you! I and our whole family will never forget your great kindness!"
Lin Hao did not shake hands with him, but just waved his hand and said: "Now hurry up and send him to the hospital. He still needs some treatment before he will be completely fine!"
Liao Xichuan nodded repeatedly, and then together with the firefighters, he carried his father onto a stretcher...