After Liao Daxin was admitted to the Department of Orthopedics and Traumatology, in view of the seriousness of his injury, director Ding Yongzhong did not dare to neglect and immediately asked Yuan Fang to carry out inspection work.
After a series of examinations, the first result was undoubtedly the X-ray. However, when Ding Yongzhong and Yuan Fang saw the patient’s X-ray photos, they were dumbfounded almost at the same time!
Ren Junqi's diagnosis was correct. The patient did suffer from a fracture of the tibia and fibula, and it was an extremely severe comminuted fracture. Swelling and ecchymosis were visible on the limbs. X-ray photos also showed obvious fracture lines and bone fragments, which just made them feel incredible.
What's amazing is that the fracture has not been rotated or dislocated, and the bone fragments have not become loose. It still maintains its original physiological and anatomical position completely, and it looks like a complete... puzzle piece!
Yes, the word "jigsaw puzzle" can best describe their feelings at the moment!
It is impossible for such a severe comminuted fracture to remain in such a good condition under normal circumstances!
After looking at it for a while, director Ding Yongzhong asked Yuan Fang next to him, "Yuan Fang, what do you think?"
Yuan Fang responded subconsciously: "I can only say that this patient is very lucky!"
Ding Yongzhong frowned and asked, "Luck?"
Yuan Fang said: "The fracture is so serious, but it can still maintain its anatomical position. Isn't it good luck?"
"You!" Ding Yongzhong shook his head and sighed, and said to him unceremoniously: "You are really ignorant!"
Yuan Fang was accused for no reason and said aggrievedly: "Uncle..."
Ding Yongzhong interrupted him angrily: "Didn't I tell you? Call me the director in the hospital!"
Yuan Fang had no choice but to change his words: "Director!"
Ding Yongzhong was angry and scolded him for not arguing: "This fracture has been put back into place manually, but you can't even see it, and you even said you were lucky. What do you mean you are not ignorant and incompetent?"
"Reset by technique?" Yuan Fang said in astonishment: "How... is this possible?"
Ding Yongzhong pointed to the X-ray photo and said: "Look at the soft tissue at the fracture junction. There are scars interspersed by the fracture. What does that prove? It proves that the fracture is very serious. Not only is there dislocation, rotation, but also incarceration!"
"
Yuan Fang hurriedly went over to take a closer look, and then had to agree with Ding Yongzhong's opinion, but he was even more puzzled and asked: "If the fracture is really so serious, who reset it? And it can be reset so beautifully.
The alignment and positioning are as neat as before, and even the bone fragments have been embedded back into their original positions. Ren Junqi shouldn’t have this ability, right?”
Ding Yongzhong shook his head and said: "Let alone the emergency department, even our orthopedics department can't find it!"
Yuan Fang asked: "Even uncle... no, director you can't do it either?"
Ding Yongzhong sighed and said: "If it is an operation for internal fixation, I can definitely do it. But for external fixation that is invisible and intangible, I don't think I have the ability!"
Yuan Fang asked in confusion: "What the hell is that? Who did this external fixation?"
Ding Yongzhong pondered for a moment and asked: "Are there any new experts and professors invited to the emergency department?"
Yuan Fang is Ren Junqi's admirer. Although he doesn't have the courage to pursue her, he always pays attention to the trends in the emergency department, so he is well aware of the personnel changes in the emergency department, so he hurriedly shook his head and said: "I haven't heard of it!"
Ding Yongzhong asked again: "There are no new doctors?"
Yuan Fang shook his head again, "No, but...it seems that there are two new training doctors!"
Could it be that these two training doctors did it? Ding Yongzhong thought for a while and asked: "Where are the patient's family members?"
Yuan Fang said: "Outside!"
Ding Yongzhong said: "Ask him to come in!"
Yuan Fang hurriedly called in Liao Daxin's son Liao Xichuan. After asking about the situation in detail, the two couldn't help but were dumbfounded again!
Judging from the situation described by Liao Xichuan, it can be completely confirmed that this is indeed a complex and serious comminuted fracture, because at that time, the limbs not only had swelling, ecchymosis, but also deformity and obvious bone fricative! It also confirmed that this fracture was indeed caused by
People have used manual methods to reduce the fracture! But what they never expected was that the person who reset the fracture was just a training doctor under the age of twenty!
After the two looked at each other for a while, Yuan Fang opened his mouth and asked, "Mr. Liao, are you sure that's just a student?"
Liao Xichuan nodded and said: "Yes, the nurse who went to the emergency room told me personally. Because of this, they argued for a long time, and I struggled with screaming for a long time!"
Ding Yongzhong asked again: "Do you know his name?"
"My name is Lin Hao!" Liao Xichuan remembered Lin Hao's life-saving grace for his father, so he naturally kept his name in mind and asked after answering: "Doctor, is there something wrong?"
Ding Yongzhong shook his head and said: "No, we just want to understand the situation! Okay, you go out first. After the test results come out later, if there are no problems, we will perform an operation on your father!"
Liao Xichuan nodded and walked out!
Yuan Fang asked: "Uncle...director, since this comminuted fracture has been treated so perfectly, what other operations do we need to do?"
Ding Yongzhong glared at him and said, "This fracture does not require surgery, but what about the broken femoral artery?"
Yuan Fang suddenly realized, "Oh, yes, there is still something like this! We will amputate the patient's limb later, and I will go and communicate with the family first!"
Ding Yongzhong shouted: "Come back!"
Yuan Fang stopped and looked at him doubtfully.
Ding Yongzhong shouted and asked: "When did I say I was going to have my leg amputated?"
Yuan Fang scratched his head and said, "No amputation?"
Although Ding Yongzhong was angry, he didn't rush to get angry. He just asked: "Tell me first, why do you want to amputate?"
Yuan Fang took it for granted: "The femoral artery is completely broken, and the patient will soon die from blood loss. Now that the patient is still alive, it must be Ren Junqi's luck that he found the broken place and tied it to stop the bleeding. But it has been so long.
, the lower limb must have been necrotic, what else can be done without amputation?”
Ding Yongzhong did not judge right or wrong first, but waved his hand and said: "Go and see the patient's legs first, and then come back and tell me!"
Yuan Fang left the office and went to check on the patient.
After a while, he returned to the director's office again, but there was a look of surprise and weirdness on his face.
Ding Yongzhong asked: "How is it?"
Yuan Fang said: "His...that leg is not necrotic!"
Ding Yongzhong then got angry and asked: "Then why do you need to amputate?"
Yuan Fang said in embarrassment: "I thought..."
Ding Yongzhong asked: "When we just handed over the patient, you didn't ask Ren Junqi what treatment he did to the patient?"
Yuan Fang shook his head and said: "No!"
Ding Yongzhong said: "Didn't you go with her and talk for a while? Why didn't you ask?"
Yuan Fang scratched his head in embarrassment and said, "I just asked her if she was tired and hungry, and if she wanted to buy her a midnight snack?"
Ding Yongzhong: "..."
Yuan Fang picked up the phone on the table and said, "I'm going to ask now!"
"No need to ask!" Ding Yongzhong shook his head and said: "Since the patient is here, we will know after checking it!"
Yuan Fang had no choice but to put down the phone and followed Ding Yongzhong to the ward.
When Ding Yongzhong carefully opened the simply bandaged wound, and then used tissue scissors to cut off a suture inside, he finally saw what was inside the wound. Then he and Yuan Fang were completely shocked!
They have seen a lot of arterial and blood vessel ruptures. They have also done a lot of vascular anastomoses. But this is the first time they have seen arteries and blood vessels connected in such a refreshing and refined way!
There is a folk saying: Ten wasps can sting a cow to death!
It can be seen from this that how toxic wasps are, but the patient who was stung by a wasp clearly had more than one sting on his body, a rough count of more than 20 stings!
The stung area not only caused redness, pain, itching, and blisters, but also caused symptoms of systemic poisoning, including fever, vomiting, abdominal pain, and muscle spasms! What was particularly frightening was that the patient was obviously allergic to wasp toxin and was dripping with cold sweat.
, the face is pale, the lips are cyanotic, the larynx has become edema, and symptoms such as sore throat, hoarseness, difficulty breathing and other symptoms appear!
These symptoms of allergies and shock are still getting worse. If not treated in time, he is likely to die. Ren Junqi already has some experience in dealing with bee stings. Although this is the first time such a serious one, she still hurried to the spot.
Give first aid!
"Lie down, in the concave position, with your head sideways, give oxygen! Open double intravenous channels!" Ren Junqi quickly gave the doctor's instructions: "0.5 subcutaneous injection of epinephrine, 40 mg intravenous injection of methylprednisone, and 10% calcium gluconate
20ml plus 5% glucose 20ml bolus, aminophylline 0.25g intravenous infusion, dopamine 40mg plus normal saline 50ml bolus, low molecular weight dextran, Ringer's solution intravenous infusion!"
As she finished a series of medical orders, Peng Xiaojie immediately became busy. Seeing that she was sweating profusely, Lin Hao also came to help as a nurse.
After the medicine was injected into the patient's body in an orderly manner, although other symptoms were alleviated, the difficulty in breathing was still very serious.
Lin Hao noticed that the patient's Adam's apple happened to have a wasp sting and there was obvious swelling. There was laryngeal edema caused by bee venom allergy inside, and there was bee venom sting outside. The trachea was naturally unable to ventilate under the pressure of internal and external troubles.
In such a situation, a tracheotomy must be performed immediately, otherwise the patient will soon die of suffocation and lack of oxygen!
"Ren Junqi, the medicine you used cannot relieve his laryngeal edema. He must do a tracheotomy as soon as possible!" Lin Hao reminded her.
"Huh?" Ren Junqi suddenly became anxious and said, "I, I have never had a tracheotomy!"
Lin Hao was left speechless and said angrily: "You don't even know how to do such a simple minor surgery? How dare you let me call you teacher?"
Ren Junqi's face turned red, and she felt extremely aggrieved. Although there were many emergency rooms in normal times, there were not many patients who needed tracheostomy, and she had never encountered any during the visits!
When Lin Hao saw her looking very ashamed, he stopped scolding her and just said: "Take the bag and let me teach you!"
Hearing this, Ren Junqi was stunned, and Peng Xiaojie on the side was also confused. The priorities were completely reversed, and the student became the teacher!
Lin Hao shouted and asked: "Why are you still standing there? Get the cut bag!"
Ren Junqi subconsciously cut the bag open, but after opening it, he hesitated and said: "I, I can't..."
Lin Hao said angrily: "Ren Junqi, don't let me look down on you. Why don't you say no before you do it?"
Ren Junqi was so stimulated that he reached out and picked up the scalpel...