I can see the status bar
Chapter 540 Choice
Chapter 540 Choice
The diagnosis given by Sun Lien was damage to the right arm.This diagnosis is generally only seen in patients who are about to undergo amputation.
Zheng Xin's right arm was obviously twisted into some kind of rotating mechanism, and it was not a sharp instrument like a meat grinder.Judging from the large number of skin defects and stains on the scars, Sun Lien felt that his right arm was more like being twisted into some kind of heavy-duty press machine—such as a large machine with a feed tooth roller press .The arm has almost no restorative value.
Not to mention that the patient will inevitably bleed continuously during the repair process, and eventually die due to excessive blood loss.Even if the blood bank of the fourth hospital is connected to a four-dimensional space, which can provide unlimited blood products, massive blood loss followed by massive blood transfusion, DIC, acidosis, electrolyte imbalance and other difficulties are still waiting.
Even if all the above problems can be solved, repairing such an arm is still an extremely difficult project.
If it is really necessary to repair Zheng Xin's right arm, the biggest difficulty is not the small radial head defect and the 40% skin defect.It's the damage of those four nerves.
The defect of blood vessel can be supplemented by transplanting other parts of blood vessel or artificial blood vessel.But there is no way to repair nerve damage. Modern medicine can't even create a usable ligament, let alone a nerve that can be directly connected to it?If the defect is not too long, you can actually pull the nerves at both ends a little, and then try to connect the two ends under a microscope to "see the effect".It may work, it may not work, and it may cause severe pain and other sequelae.But at least there is a way to "try it out".
But all four nerves were damaged... It didn't even make sense to try.If you ignore the nerves and only repair the broken and damaged muscles, blood vessels and skin, what the patient will get in the end is just a prosthesis that can heat itself.This will not improve his quality of life in any way, while costing him a lot of money and buying him a long, painful and pointless recovery period.
Instead of this, it would be safer to simply amputate the limb.Based on visual inspection, Sun Lien estimated that the amputation would save at least four to five centimeters of the humerus stump of Zheng Xin's right upper arm.The remaining part of the stump, combined with suitable prosthetics, should allow Zheng Xin to recover to the level of self-care ability within a month or two.
Sun Lien's judgment was straightforward, and Dr. Cao Yanhua who came later also agreed with Sun Lien's judgment.
"This can only be amputated, and it must be done as soon as possible." Dr. Cao Yanhua, with wet hair and pale face, lowered his head to check Zheng Xin's wound, then shook his head regretfully, "It is impossible to save the limb, this kind of If you want to save your limbs, you have to pay for his life.”
It was his wife who arrived at the hospital with Zheng Xin.When Sun Lien took the notice to talk with his family members, he heard the cause and effect of the accident.
Zheng Xin is a young man from a poor family but willing to work hard. At the age of 16, Zheng Xin started working outside the home, and Zheng Xin has engaged in various occupations in factories all over the country.At the age of 20, after saving 10 yuan of funds, he decided to fight for his dream. With the 10 yuan of capital and the support of his parents and father-in-law, he opened a family Small metal processing plant.
His own factory is very small, and Zheng Xin belongs to that kind of rare talent—he is not highly educated, but skilled.With the advantages of being diligent and sweet-talking, he has quickly mastered many advanced skills in metal processing during his working career in the past four years.
Large-scale metal processing factories have relatively high requirements for orders, and unless the quantity reaches a certain level, no one is interested in connecting orders.However, Zheng Xin has a great foresight to lower the business requirements to the standard of five pieces.Although the single-piece charge is much more expensive than that of large-scale processing factories, this business model still brings a very considerable number of orders to his small factory.
And this production accident is also the direct consequence of this business model.
Small factories mean that it is impossible to support too many technical backbones, and for small factories, a large number of orders not only means income, but also means delivery pressure-most of these processing contracts are signed with compensation clauses.If it can't be delivered in time, the compensation clause alone can directly crush this small processing factory that has just started on the right track.
Since entering June, Zheng Xin's sleep time has been reduced to less than three hours a day.And today was the last day of delivery. After finishing the processing of the last component, his vision went dark and he fell down at the feed inlet of the rolling mill.
·
·
·
Zheng Xin's wife collapsed the moment she learned that her husband was about to amputate.
She herself is not someone who has seen big scenes, and she met Zheng Xin in a metal processing factory in Shandong - Zheng Xin was a worker in the thermal processing workshop at that time, and she was a helper in the cafeteria.Later, Zheng Xin started to buy up the current property little by little, but she didn't really contribute much in it. Zheng Xin is a somewhat special "male chauvinist".He insisted that suffering should be a man's prerogative.No matter how busy he was at work, he still prevented his wife from playing.
At four o'clock in the morning, Zheng Xin was dying in the emergency room, almost bleeding from his body.However, his medical decision-making agent, his wife, was still unable to make a decision to "agree to amputation".She even cried and posted voices in the WeChat group, but she couldn't give Sun Lien a clear answer directly-are you going to risk your husband's death to save the limb, or put his life first and give priority to decisive amputation.
Seeing the weeping faces of the family members, Sun Lien was also very anxious.The results of Zheng Xin's quick blood type test have come out, and now he is undergoing rewarming and pressurized blood transfusion in the emergency room - the two warmers in the emergency room are not enough, in order to rewarm the blood bag as soon as possible, Almost all the doctors and nurses who are free at hand have participated.Each person put two blood bags in their armpits and palms and desperately pre-warmed—this can reduce the working time of the warmer a little bit.And beside Zheng Xin's bed, three nurses were holding blood bags in their hands, and they were squeezing the rewarmed blood into Zheng Xin's body through the venous channel.On the ground beside him, blood bags that had already been transfused were scattered in a mess.
In less than 10 minutes after being admitted to the hospital, the Fourth Hospital had transfused 135 milliliters of blood into Zheng Xin.But his heart rate remained at [-].
It's not an option to go on like this.Sun Lien anxiously asked Zheng Xin's wife again, but she still hesitated and said, "Ask my family again."
Sun Li'en stamped his feet anxiously, but he couldn't get angry at the patient's family.After thinking about it, he still sighed, tried to calm himself down and persuaded, "Do you want a living husband, or a corpse with arms?"
(End of this chapter)
The diagnosis given by Sun Lien was damage to the right arm.This diagnosis is generally only seen in patients who are about to undergo amputation.
Zheng Xin's right arm was obviously twisted into some kind of rotating mechanism, and it was not a sharp instrument like a meat grinder.Judging from the large number of skin defects and stains on the scars, Sun Lien felt that his right arm was more like being twisted into some kind of heavy-duty press machine—such as a large machine with a feed tooth roller press .The arm has almost no restorative value.
Not to mention that the patient will inevitably bleed continuously during the repair process, and eventually die due to excessive blood loss.Even if the blood bank of the fourth hospital is connected to a four-dimensional space, which can provide unlimited blood products, massive blood loss followed by massive blood transfusion, DIC, acidosis, electrolyte imbalance and other difficulties are still waiting.
Even if all the above problems can be solved, repairing such an arm is still an extremely difficult project.
If it is really necessary to repair Zheng Xin's right arm, the biggest difficulty is not the small radial head defect and the 40% skin defect.It's the damage of those four nerves.
The defect of blood vessel can be supplemented by transplanting other parts of blood vessel or artificial blood vessel.But there is no way to repair nerve damage. Modern medicine can't even create a usable ligament, let alone a nerve that can be directly connected to it?If the defect is not too long, you can actually pull the nerves at both ends a little, and then try to connect the two ends under a microscope to "see the effect".It may work, it may not work, and it may cause severe pain and other sequelae.But at least there is a way to "try it out".
But all four nerves were damaged... It didn't even make sense to try.If you ignore the nerves and only repair the broken and damaged muscles, blood vessels and skin, what the patient will get in the end is just a prosthesis that can heat itself.This will not improve his quality of life in any way, while costing him a lot of money and buying him a long, painful and pointless recovery period.
Instead of this, it would be safer to simply amputate the limb.Based on visual inspection, Sun Lien estimated that the amputation would save at least four to five centimeters of the humerus stump of Zheng Xin's right upper arm.The remaining part of the stump, combined with suitable prosthetics, should allow Zheng Xin to recover to the level of self-care ability within a month or two.
Sun Lien's judgment was straightforward, and Dr. Cao Yanhua who came later also agreed with Sun Lien's judgment.
"This can only be amputated, and it must be done as soon as possible." Dr. Cao Yanhua, with wet hair and pale face, lowered his head to check Zheng Xin's wound, then shook his head regretfully, "It is impossible to save the limb, this kind of If you want to save your limbs, you have to pay for his life.”
It was his wife who arrived at the hospital with Zheng Xin.When Sun Lien took the notice to talk with his family members, he heard the cause and effect of the accident.
Zheng Xin is a young man from a poor family but willing to work hard. At the age of 16, Zheng Xin started working outside the home, and Zheng Xin has engaged in various occupations in factories all over the country.At the age of 20, after saving 10 yuan of funds, he decided to fight for his dream. With the 10 yuan of capital and the support of his parents and father-in-law, he opened a family Small metal processing plant.
His own factory is very small, and Zheng Xin belongs to that kind of rare talent—he is not highly educated, but skilled.With the advantages of being diligent and sweet-talking, he has quickly mastered many advanced skills in metal processing during his working career in the past four years.
Large-scale metal processing factories have relatively high requirements for orders, and unless the quantity reaches a certain level, no one is interested in connecting orders.However, Zheng Xin has a great foresight to lower the business requirements to the standard of five pieces.Although the single-piece charge is much more expensive than that of large-scale processing factories, this business model still brings a very considerable number of orders to his small factory.
And this production accident is also the direct consequence of this business model.
Small factories mean that it is impossible to support too many technical backbones, and for small factories, a large number of orders not only means income, but also means delivery pressure-most of these processing contracts are signed with compensation clauses.If it can't be delivered in time, the compensation clause alone can directly crush this small processing factory that has just started on the right track.
Since entering June, Zheng Xin's sleep time has been reduced to less than three hours a day.And today was the last day of delivery. After finishing the processing of the last component, his vision went dark and he fell down at the feed inlet of the rolling mill.
·
·
·
Zheng Xin's wife collapsed the moment she learned that her husband was about to amputate.
She herself is not someone who has seen big scenes, and she met Zheng Xin in a metal processing factory in Shandong - Zheng Xin was a worker in the thermal processing workshop at that time, and she was a helper in the cafeteria.Later, Zheng Xin started to buy up the current property little by little, but she didn't really contribute much in it. Zheng Xin is a somewhat special "male chauvinist".He insisted that suffering should be a man's prerogative.No matter how busy he was at work, he still prevented his wife from playing.
At four o'clock in the morning, Zheng Xin was dying in the emergency room, almost bleeding from his body.However, his medical decision-making agent, his wife, was still unable to make a decision to "agree to amputation".She even cried and posted voices in the WeChat group, but she couldn't give Sun Lien a clear answer directly-are you going to risk your husband's death to save the limb, or put his life first and give priority to decisive amputation.
Seeing the weeping faces of the family members, Sun Lien was also very anxious.The results of Zheng Xin's quick blood type test have come out, and now he is undergoing rewarming and pressurized blood transfusion in the emergency room - the two warmers in the emergency room are not enough, in order to rewarm the blood bag as soon as possible, Almost all the doctors and nurses who are free at hand have participated.Each person put two blood bags in their armpits and palms and desperately pre-warmed—this can reduce the working time of the warmer a little bit.And beside Zheng Xin's bed, three nurses were holding blood bags in their hands, and they were squeezing the rewarmed blood into Zheng Xin's body through the venous channel.On the ground beside him, blood bags that had already been transfused were scattered in a mess.
In less than 10 minutes after being admitted to the hospital, the Fourth Hospital had transfused 135 milliliters of blood into Zheng Xin.But his heart rate remained at [-].
It's not an option to go on like this.Sun Lien anxiously asked Zheng Xin's wife again, but she still hesitated and said, "Ask my family again."
Sun Li'en stamped his feet anxiously, but he couldn't get angry at the patient's family.After thinking about it, he still sighed, tried to calm himself down and persuaded, "Do you want a living husband, or a corpse with arms?"
(End of this chapter)
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