medical road high rise

Chapter 8 Unconstrained Ideas

Chapter 8 Unconstrained thinking

This is not a good thing, as if you are penetrated by a sharp object, the surface of the sharp object covers the cut surface of the blood vessel, so that the blood in the blood vessel does not overflow a lot.

However, this can lead to septic shock. Part of the venous blood that cannot pass through the systemic circulation enters the neck system, which will slowly lead to weakness in the shoulders around the neck and gradual loss of sensation.

Now in this operation, if you want to do a reduction, you must first solve the vein problem. It is not difficult to remove the bone spur. Dr. Deng can clamp the bone spur with tweezers and take it out.

The difficulty is what to do after the bone spur is removed?Venous hemostasis is not an easy task, and after the venous hemostasis, it is necessary to consider whether the closed reduction operation can be continued.

"Old Deng, can the surgery still be done?" Lu Ming asked, "Why don't you call the Circulatory Department to see if there is any free interventional doctor there."

The location of this bone spur is really tricky, even if Lu Ming is going to deal with the hemostasis, he is not sure. If it is an interventional operation, it depends on the level of the interventional doctor.

"Difficult." Dr. Deng spat out a word, and his eyes never left the bone spur, the position was too tricky.

Time passed by, Qin Feng watched from the sidelines, regarding the treatment of the jugular vein, Qin Feng has not yet reached that point, now Qin Feng can only guarantee 100% certainty in the hemostasis of the abdomen.

"This vein belongs to the jugular vein. If it is not obtained, the patient will be paralyzed." Doctor Deng clenched his fists tightly. The doctor was most afraid of encountering such an unknown problem, which was completely beyond their ability to handle.

Qin Feng carefully looked at the dissected tendon tissue. A milky yellow bone spur was stuck in the middle of a blood vessel, and strands of blood were still spreading around the bone spur.

Suddenly, a picture flashed in Qin Feng's mind, which was about abdominal trauma surgery. That surgery was the most difficult surgery Qin Feng had ever done. The patient was injured by multiple arteries and veins because steel bars penetrated the abdomen from the lower body. If the arteries and veins are repaired and blocked, the steel bars must be removed first.

It was similar to the current operation, except that the steel bars were replaced by bone spurs, and the abdomen was replaced by shoulder blades.

"Director Lu, can you provide me with microsurgical equipment?" Qin Feng suddenly had an impulsive thought in his mind.

The operative field space of the scapula cannot be compared with the operative field space of the abdominal cavity. Compared with the two, scapular surgery is similar to microsurgery. Qin Feng wants to use the method of dealing with arterial bleeding caused by foreign body puncture in the abdominal cavity to deal with this bone spur puncture Surgery, the idea was impulsive.

"You don't want to do hemostasis surgery, do you? Director Lu, let me tell you, I can agree with him if it is a closed reduction surgery to stop the bleeding, but you are not sure about the success of this bone spur puncture surgery, even Director Lu. ." Dr. Deng refused directly.

Doctor Qi, who was standing in the position of third assistant, also looked at Qin Feng with disgust. He hated this kind of interns and junior doctors the most. He thought he was very skilled in surgery. He knew everything at a glance and had thoroughly absorbed the knowledge in the books. He is a professor-level surgeon.

In fact, mistakes are made as soon as they are on stage, which is why the Health Bureau has announced that major hospitals do not allow interns to participate in surgery.

Although medicine is a behavioral science, there are living lives under the scalpel. This is no joke.

Dr. Lu Ming fell into silence and did not directly answer Qin Feng's words.

"Director Lu, don't be confused. We can ask the orthopedic professors and interventional professors in the province to solve the patient's situation. There is no need to do it for ourselves." Dr. Qi said, "The patient's condition has not yet arrived. It's a very dangerous situation, it's okay to wait a few days, Qin Yang is just a small intern, he can't stand this kind of surgery."

Lu Ming and Qin Feng looked at each other, and Lu Ming found the eagerness in Qin Feng's eyes, just like the legend of the emergency department back then.

"I asked people to prepare the microsurgical equipment and prepare to continue the operation. If something goes wrong, I will take full responsibility." Lu Ming said.

Dr. Deng and Dr. Qi looked at Lu Ming in shock. They never expected that Lu Ming would be willing to bear the result of a medical accident for an intern. You must know that any medical accident is enough to destroy a doctor, no matter how good your doctor is. Forced, the profession of a doctor is to dance on the edge of a knife. You can only succeed, and you are not allowed to fail.

"Director Lu, I think you need to think it over carefully, I'm afraid you can't bear the consequences." Dr. Qi said.

"Well, you go and call the people from the medical office, and I'll go find the microsurgical equipment." Lu Ming said directly in order to avoid the worries of Dr. Qi and Dr. Deng.

Hearing what Lu Ming said, Dr. Deng had no choice but to go to this point. Anyway, someone took the blame. This operation was done, and he was rewarded. The failure has nothing to do with him, and he added a wave of surgical experience. , he is definitely not at a loss.

Dr. Deng directly asked his assistant to go to the medical office and ask them to bring the camera equipment. This is an explanation to the hospital and also to the family members.

Ten minutes later, Lu Ming came over with the microsurgical equipment, and the staff from the medical office also set up the camera equipment, and the operation continued.

"I'm going to start pulling out the thorn." Dr. Deng reminded.

"Ok!"

Dr. Deng used tweezers to gently pull out the bone spurs to prevent touching other arteries or capillaries during the pulling out process. With the bone spurs pulled out, blood gushed out from the veins.

"Sufentanil 20ug, propofol 5mg/kg/h intravenously." Qin Feng shouted, this is intravenous anesthesia, and indirectly additional rocuronium bromide.

After finishing all this, Qin Feng took the blood vessel blocking forceps, looked at the bright red surgical field, stuffed the small forceps in with one hand, and closed the forceps.

"Caught it?"

Dr. Deng and Lu Ming watched from the side. Dr. Deng stared wide-eyed. If he knew the situation of the loss of the surgical field and could accurately clamp it, Dr. Deng had a different view of Qin Feng in this wave of hemostasis.

Lu Ming stared at the surgical field, and there were no more red bubbles rising from the blood-red surgical field, which proved that the damaged vein was indeed clamped.

This scene was exactly the same as the operation he performed at noon. It also clamped the necessary arteries and veins without an operation field. Lu Ming had a bold idea in his mind, if it was really what he thought In that case, then this intern's talent is a bit too enchanting.

"Director Lu, can you help me take a small piece of the patient's scalp?" Qin Feng asked.

Hearing Qin Feng's request, Lu Ming quickly started to move, and finally understood the reason why Qin Feng needed microsurgical equipment, it was to rebuild the venous channel!
Not only Lu Ming saw it, but Dr. Deng also saw it, and was equally shocked by Qin Feng's unconstrained thinking.

We must know that there are almost no reconstruction of venous access at the shoulder blade. Where did this intern get the courage?
(End of this chapter)