The circulating nurse is very quick with her hands and feet. In addition to packing up the equipment, she also cleans up all kinds of debris on the floor and then piles them in the cleaning channel. .
The cleaners had been waiting for a long time and quickly cleaned up the blood-stained sheets and other items.
Zhao Yuan took a short rest, then began to wash his hands and prepare for the next operation.
There are strict requirements for doctors to wash their hands, just like there are standard movements for shooting basketball, which must be strictly regulated.
You must wash it up to your elbows, then place your hands with the tips of your hands facing upwards and your arms flat in the air. At first glance, it looks like a robot.
This is to keep washed hands from touching other places as much as possible and maintain sterility.
A surgeon takes better care of his hands than a pianist.
Accessories such as rings and watches are unlikely to appear in the operating room.
Mainly because I'm worried about hurting my hands.
Once the doctor's hand is injured, he is absolutely not allowed to perform surgery.
The patient is already lying on the operating table,
Generally speaking, the patient's body is covered with a four-centimeter thick sheet, covering the entire body. Only the site where the surgery is performed is exposed, and other locations cannot be seen.
However, the patient's body in front of him was exposed a lot, which meant that he had multiple injuries that needed to be dealt with.
"The patient is a female. She is 26 years old. She suffered a head impact and is suspected of intracranial hemorrhage. In addition, the femur is fractured. Director Xie just discussed with the orthopedics department to treat the head injury first and rescue the fractured part. After that, a second operation will be performed.”
Zhao Yuan studied the film and said softly, "Wait for me for ten minutes."
Everyone was surprised.
Zhao Yuan left the operating room and went to find Xie Changtian.
"Director Xie, what is the orthopedic department's assessment of my patient?"
Xie Changtian waved to a middle-aged doctor next to him, "Old Yao, come here and talk to Zhao Yuan about the patient with a fractured femur."
The middle-aged doctor is the chief physician of the Department of Orthopedics. His name is Yao Qiang. He is not tall but has a big frame and walks with a wind.
He was discussing patient treatment plans with another doctor. When he saw Xie Changtian calling him, he came over.
Yao Qiang spoke very directly, "You are responsible for protecting your life, and leave the rest to us."
Zhao Yuandao: "Can you know the follow-up orthopedic treatment plan?"
Yao Qiang had a certain understanding of Zhao Yuan and knew that he was quite accomplished in the field of cardiac surgery. He had also studied the soup method in hand surgery and had also performed a ligament tear repair surgery.
However, in the final analysis, these surgeries are different from serious injuries such as femur fractures.
In addition to emergency surgery, the busiest department in this car accident was the orthopedics department.
Yao Qiang's tone became a little impatient, and he said in a deep voice: "The situation is not optimistic! Angiography showed that there was spasm in the femoral artery at the fracture end, the passage was slow, and the femoral blood vessel was damaged. Preliminary judgment shows that the damage has reached the level of amputation. Of course. , we have to wait until the first-stage surgical repair before further evaluation.
Again, what you urgently need to deal with is the head injury, let people survive first, and transfer the bone injuries to orthopedics for treatment. "
You can't blame Yao Qiang for his bad attitude.
At this critical moment, life-saving is the first priority of emergency surgery.
Zhao Yuan was not angry because of Yao Qiang's harsh tone.
From his standpoint, he seemed to be looking for trouble.
"Director Yao, would it be better to deal with the fracture now?"
Yao Qiang was slightly startled, his face as dark as water, "Well, I can't say for sure."
No one can guarantee 100% success before any surgical operation is performed.
Zhao Yuan continued: "It is now less than five hours since the injury. If treated in time, there is still a great chance to avoid amputation."
Yao Qiang frowned, "You mean to perform orthopedic surgery on the patient immediately, but I am short of manpower and cannot dispatch personnel."
The patient is only in her twenties. If the leg is amputated, it will seriously affect her future.
Although Xie Changtian and Deng Yunlun now delegate various powers to themselves,
The process that Zhao Yuan should go through must be followed.
Controversial surgeries must still be reported to the director in advance.
Otherwise, even if people are cured, they will still be criticized.
It's too reckless to say that you, a young man, don't understand the importance of things.
Zhao Yuan and Xie Changtian applied, "Director Xie, can I handle the patient's bone injuries?"
Xie Changtian looked at Zhao Yuan in surprise, "Is it possible to perform multiple surgeries at the same time?"
Zhao Yuan nodded firmly.
Yao Qiang's face was colorless, neither happy nor sad, and he crossed his arms, "Can I hear your plan?"
Yao Qiang and Zhang Zhiyuan are from the same discipline. Originally, they were not separated from each other in orthopedics. They both studied under the name of an orthopedic expert.
Later, Zhang Zhiyuan went to the Department of Hand Surgery, and Yao Qiang took over the Department of Orthopedics.
The two have kept in touch. Zhang Zhiyuan has frequently complained to Yao Qiang recently that the emergency surgery department's hands are too stretched. Yao Qiang also secretly complained about his senior brother.
In his opinion, Xie Changtian is also a junior, and in order to pursue results, he "eats and looks ugly."
Despite the complaints in my heart, at this critical moment, we still have to abandon our prejudices.
He wanted to listen to Zhao Yuan's thoughts.
Orthopedic surgery is not something everyone can do.
"Bone plastic surgery." Zhao Yuan said softly.
Yao Qiang was slightly startled and said calmly: "Then go ahead!"
After finishing speaking, Yao stressed his head and left.
"Osteoplasty" is a very popular concept in orthopedics now.
In Yao Qiang's view, Zhao Yuan was suspected of "jumping into fashion".
It may be a good thing for young people to stumble once.
Xie Changtian patted Zhao Yuan's shoulder twice and encouraged: "Go ahead and do it, I believe in you!"
Xie Changtian immediately communicated the preoperative agreement with the patient’s family.
The patient's family heard that the plan could save the patient's right leg as much as possible and did not express any objection to the plan.
Return to the operating room.
He briefly described the treatment plan.
Everyone was surprised.
"We also perform orthopedic surgeries?" Sun Liang asked in surprise.
Zhao Yuan smiled and said, "You've done a lot of surgeries in no man's land. Are you still afraid of femoral fixation?"
Sun Liang smiled bitterly, "I know the anatomy of the hand very well, but I'm really not familiar with the anatomy of the femur. Of course, you are the chief surgeon, so you have the final say."
Cranial debridement is a first-level neurosurgery procedure.
Femoral fracture is a tertiary orthopedic surgery.
According to Zhao Yuan's idea, skin grafting will also be performed on the legs.
This is a complex, interdisciplinary surgery.
Broken down into four techniques.
One, cranial debridement.
Second, the debridement technology of femoral injury wounds.
Second, minimally invasive fracture internal fixation technology.
Third, skin flap transplantation technology.
Normally, this is done in batches.
Moreover, orthopedic trauma and orthopedic surgeons have to be responsible for different parts.
Now the merger is done at the same time in one operating room.
Not all trained doctors can have this experience.
Dr. Guipei felt that the blood in his body was burning.
However, she didn't know much about Zhao Yuan.
I couldn't help but mutter in my heart, can this be done?
Judging from Zhao Yuan's experience, if the woman was delayed for an hour, the ischemia time would be long, the body would be completely necrotic, and there would be a 90% chance of amputation.
In order to avoid amputation, Zhao Yuan spent an extra ten minutes communicating with Xie Changtian and Yao Qiang.
His experience was based on intuition, and there was no way he could convince Yao Qiang to perform femoral surgery on the patient immediately.
Zhao Yuan couldn't just watch the patient lose a leg!
If the orthopedics department doesn’t provide support, then I’ll do it myself.
Zhao Yuan handed over the problem of intracranial hemorrhage to Sun Liang.
Sun Liang was not ambiguous at all.
First-level surgery is not a problem for him!
Dr. Sun rinsed the wound with normal saline, removed the damaged tissue from the scalp, skull, and dura mater, and then performed a series of sutures, sealing, and repairs.
Zhao Yuan took a deep breath, adjusted his emotions, concentrated his attention, and started racing against time again!
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