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Chapter 543 Bacillary Dysentery

A broken leg is a relatively rare type of injury.In particular, complete amputation of the lower leg is even rarer. During the eight-year operation of the Fourth Hospital, there were only five cases of complete amputation of the lower leg.And these five operations were all arranged by Comrade Zheng Guoyou.Four of them recovered, and one underwent amputation one month after the operation. Generally speaking, the success rate of Zheng Guoyou's operation is still very high.

After listening to the process, Zheng Guoyou pondered for a moment and said, "The replantation of this limb may take a long time. As family members, you must be mentally prepared - have his parents arrived yet?"

"Already rushing this way." Wu Zhong nodded, "Don't worry about the cost, I will pay." He looked a little anxious, "Can I have the operation now?"

"It's not that fast." Zheng Guoyou shook his head, pointed to the severed limb beside him, "It needs to be thoroughly debrided and washed before suturing, if it is stitched back without any treatment, it will kill people. "

Before replanting the amputated limb, it is necessary to lavage the amputated limb with a large amount of heparinized saline until clear fluid seeps out from the surface of the veins and muscles.At the same time, in order to ensure successful replantation, orthopedic surgeons also need to trim the wound surface and remove some dead tissues, so as to improve the success rate of the operation.

"After the operation, his right leg will be slightly shorter than his left leg." Zheng Guoyou said to Wu Zhong after being silent for a while, "How much shorter depends on the operation situation. Generally speaking, based on my experience, It will be about two or three centimeters shorter."

"Ah?!" Wu Zhong really didn't expect this, "Then he will have short legs in the future?"

Zheng Guo nodded, "This is an inevitable result of the operation. However, we can extend the replanted limbs through follow-up operations-but you have to understand that the legs are successfully reattached first, and then we can replant them." room to operate."

The length of the limbs is not equal, which physically limits the patient's postoperative recovery.To address this, orthopedic surgeons recommend a second surgery about five to eight months after reimplantation.At that time, it can be performed by orthopedics or plastic surgery.After intramedullary fixation of the upper and lower ends of the bone that needs to be lengthened, the bone is amputated and the intramedullary nail is slowly stretched during the rehabilitation period to achieve the effect of limb lengthening.

The operation permission still has to wait for Wu Lian's parents to arrive before signing.In order to stabilize Wu Lian's vital signs, the emergency room began a series of rescue actions including hemostasis and blood transfusion.Fortunately, Wu Lian was injured for a short period of time, and because the limb was completely severed, after the muscle at the fracture was tense and contracted, the amount of bleeding was much less than that of Zheng Xin before.

"Director Zheng, it's only 04:30 in the morning." Dr. Cao Yanhua rushed back and began to direct the rescue, while Sun Lien chatted with Zheng Guoyou, "You didn't go home tonight?"

"I'm back." Zheng Guoyou showed Sun Li'en the mosquito bag on his arm, "There are too many mosquitoes at night, and I can't sleep well. Just in time, the attending doctor on duty called me and said that there was an amputation, so I'll come over right away." gone."

"The attending doctor can do amputation independently, right?" Sun Li'en wondered, "Why do I have to invite you over?"

Zheng Guoyou curled his lips, "It's not the fault of being promoted to deputy high."

Orthopedic surgeons who are promoted from attending to deputy senior do not generally need to go through the general honing of hospitalization, at least not in the fourth hospital.However, similar to the one-year residency requirements of the emergency department, the department of orthopedics also has its own requirements and restrictions.Before an attending doctor can be promoted to deputy chief physician, 20 amputations must be performed.

The trouble is that there are two attending doctors in the orthopedics department of the fourth hospital who are going to be promoted to deputy senior high school this year, and neither of them has done 20 surgeries yet.

The limit on the number of amputation operations is a dead line, and Zheng Guoyou is not good at making room for these two people-even if he can pass, the committee will not promote doctors who do not have enough operations.Therefore, the Department of Orthopedics basically entrusts all amputations to these two doctors.

And tonight, by coincidence, these two doctors happened to be on duty together.When encountering this kind of amputation, both of them want to do it, but neither is easy to grab.The environment and atmosphere inside the orthopedics department are pretty good, and the two doctors don't want to make the atmosphere too stiff in order to compete for a surgery.After thinking about it, I can only ask Director Zheng what he means.

"Let Xiaotian do it." Zheng Guoyou made a decisive decision, "Xiaotian's child will go to elementary school next year, so let him come first."

Dr. Tian went for surgery, Zheng Guoyou put on his own clothes, wandered from the balcony to the living room, left a note on the door, and wandered to the fourth courtyard by himself.He intends to come and talk to the doctor Chen who gave up the operation, so that he doesn't have lumps in his heart.

It's just that Zheng Guo didn't expect that when he arrived at the Fourth Hospital, he received another call from Corey.The call this time was to ask for help - the limb amputation replantation requires Lao Zheng to perform the surgery.

"So I just came here." Zheng Guoyou shook his head, "Don't tell me, I haven't had emergency surgery for a long time, and my hands are really itchy."

What's so good about emergency surgery?Sun Li'en really didn't want to understand, wouldn't it be nice to sleep well at home?However, looking at the red mosquito bag on Old Zheng's arm, he seemed to understand something.

Zheng Guoyou and Dr. Cao Yanhua were making the final preparations for Wu Lian's operation, while Sun Lien turned his head to take care of the poor man who ... washed Dr. Cao Yanhua's hair, causing Dr. Cao Yanhua to wash his hair.

Bacillary dysentery is acute diarrhea caused by a group of bacilli of the genus Shigella.After passing through the digestive tract, the bacilli begin to attack the intestinal mucosa, causing inflammation and ulceration of the intestinal mucosa.And the bacteria attached to the intestinal wall will also release toxins into the patient's blood, causing more severe fever and even systemic toxemia symptoms.

The main route of transmission of bacillary dysentery is food, especially in summer and autumn.Children and adolescents are at high risk of bacillary dysentery.Generally speaking, patients will have diarrhea more than ten times a day, but the amount of excretion each time is not too large.The dehydration was not significant.Symptoms should be mainly abdominal pain, high fever and tenesmus - the pain in the abdomen makes you want to go to the toilet, but the pain does not get better after excretion.

And this case of bacillary dysentery obviously belongs to the severe category.The patient's lips and facial skin showed obvious signs of dryness, and the eye sockets were sunken, and the dehydration was already very obvious.And he also suffered from incontinence.

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(End of this chapter)