Auto chess in the operating room

Chapter 280 Candidate for Chief Surgeon (Part [-])
When Tanglou saw the patient, Du Sanduo was lying on the hospital bed. He had already undergone preliminary first aid, but his vital signs were still very unstable.

Du San was mostly comatose and half awake. When Tang Lou and the others surrounded him, he became more sober. The young man looked very immature, but the first thing he said when he woke up was: "Captain, is the female student alright? "

Seeing Du Sanduo's reaction, Huang Youming held back his emotions, nodded, and forced a smile: "It's okay, I've been rescued."

"Ah That's good."

Du Sanduo smiled, but the wound was involved, his brows twitched instinctively, and he grinned.

But he immediately restrained himself, felt his body, and Sanduo looked at Tang Lou again, "Doctor, am I going to die?"

Due to the fracture of the thoracolumbar spine and the compression of the nerves, Du Sanduo could no longer feel the existence of his lower body.

"But the task is completed, and I'm worth it."

"What nonsense, Sanduo, the captain will definitely let them cure you. I'm still waiting for our next training session. If you don't perform well, I'll kick you." Only halfway through the sentence, Captain Huang stopped. After that oil factory, Du Sanduo was the most desperate every time, so he didn't need to supervise himself.

Although it is still the same, it is no longer that of an ordinary teenager.

Thinking of this, Captain Huang felt even more uncomfortable.

On the side of Tang Lou is also a direct diagnosis:

[Patient: Du Sanduo, male, 18 years old

Symptoms: thoracolumbar fracture with incomplete paralysis, and there is clear compression in front of the dura mater.

Diagnosis: Burst fracture, flexion compression fracture third degree.

Suggestion: Treating thoracolumbar fractures through the paraspinal muscle space approach can effectively avoid the peeling damage to the axial muscles and reduce the damage to the nerves and blood vessels in the operation area. Internal fixation and bone graft fusion.

Note: It must be upgraded to three-star thoracolumbar fractures with anterior decompression and internal fixation for phalangeal fusion]

[Ding, new task, use a three-star surgical technique to perform an operation on Du Sanduo to make him 100% recover. 】

Naturally, Tang Lou directly refreshed the card library. It was important to save lives, and sold the flashy and space-consuming ones like the big U resection.

After exchanging and upgrading the three-star thoracolumbar fracture pre-decompression and internal fixation phalangeal fusion, the balance of gold coins accumulated by Tang Lou before was only 31 gold coins.

After the examination, Tang Lou directly said to Captain Huang: "Du Sanduo has a fracture of the thoracolumbar spine and needs immediate surgery. Arrange preoperative preparations immediately."

Tang Lou looked at Tian Linsheng who was on the side: "Call Dr. Ma over immediately, and arrange for Du Sanduo to conduct a systemic examination of the whole body to rule out injuries and diseases of important organs, make routine preparations before major operations, and avoid chest complications. and postoperative flatulence."

Tang Lou looked at Nurse A at the side again, and calmly gave instructions: "There is enough blood preparation before the operation, and antibiotics should be used to prevent infection before the operation."

Nurse A naturally made arrangements immediately.

Tang Lou looked at another nurse B again very seriously: "You go and prepare surgical instruments. Since the patient has a thoracolumbar fracture, it is very dangerous. In order to increase the success rate, the approach through the paraspinal muscle space is required. The instruments required are relatively complicated. , you remember: Kirschner wires, positioning pins, gags, pathfinding cones, probes, pedicle screws, connecting rods, spreaders, screw end caps, drainage tubes”

Nurse B was holding the phone, Tang Lou was talking, and the nurse was recording.

Tanglou continued to describe: ".Z-plate"

"Doctor Tang, what kind of device is this?"

Nurse B is a little unfamiliar. After all, there are many kinds of anterior internal fixation devices for thoracolumbar fractures. The most commonly used device in the No. [-] City Hospital is the Kaneda device. She doesn't know much about the Z-plate.

"Z-plate was designed by Zdeblick in the United States. It is a titanium alloy plate with two chutes and two screw holes. It is connected by two titanium alloy bolts. The diameter of the bolt is 2mm. It is located at the back of the vertebral body. The diameter of the screw is 7mm. , placed in the front of the vertebral body. The interface between the bolt and the titanium plate is firmly fixed, and the interface between the screw and the titanium plate is semi-restrictively fixed.”

When Tang Lou gave orders to all the medical staff, under the aura of the chief surgeon, Captain Huang was also a little surprised. After all, Tang Lou looked too young, but he still admired the maturity and professionalism shown by Tang Lou. .

"It seems that the level of residents in the city's first hospital is indeed relatively high."

Captain Huang still has some understanding of the hospital's on-duty system. After all, it's impossible for the director to come over immediately at night. With Tang Lou's aura, he certainly doesn't think Tang Lou is an intern. Maybe the attending physician, then the only possibility is the junior resident doctor.

Soon, under the arrangement of Tang Lou, Du Sanduo was pushed to the inspection and preoperative preparation.

Although it is possible to go directly to the operating room under Tang Lou's diagnosis, the hospital still has to go through the normal process.

After the arrangements were made, Tang Lou also bid farewell to Captain Huang for the time being. Tang Lou needed to find a doctor to name himself. After all, he did not have a licensed medical certificate and could not perform the surgery in name.

Tang Lou quickly thought of Guo Cai'er. After all, her foundation is still very solid, she is obedient and sensible, and there is nothing about Guo Cai'er that can't be fixed in one night. If there is, it will be two nights!

In the waiting area, Captain Huang was fidgeting. He looked at the time and found that the preparation for the operation would take a while. Some worries.

Will it be the chief physician or the deputy chief physician?He must be rushing over here, but after all, there are many patients in the city's No. [-] hospital. If they don't ask, they may not be able to arrange the chief physician to perform the surgery.

After sitting for a while, Captain Huang finally took out his mobile phone. To be on the safe side, he directly dialed the number of the leader of the First City Hospital: "Hello, Director Yang? I'm Huang Youming from the fire brigade."

On the opposite side, Yang Xiaodong, the deputy director of the First Municipal Hospital, was very respectful and polite when he heard that it was Captain Huang of the fire brigade.

After a while, Captain Huang briefly told Dean Yang about Du Sanduo's situation.

Captain Huang also expressed his thoughts on the chief surgeon: "President Yang, the doctors in your hospital are still very good. Although the doctor Xiao Tang on duty is very young, he arranges things professionally and calmly. I appreciate the arrangement of your hospital. The chief surgeon is still very trustworthy, but Xiao Du, I must not let him have anything to do, so I would like to ask, can Dean Yang arrange for the most powerful doctor in your hospital to serve Xiao Du as the chief surgeon."

After Yang Xiaodong listened to it, of course he attached great importance to it. For the Municipal First Hospital, being able to complete such a difficult operation for this little hero of the fire brigade is of great social significance and publicity value.

Immediately agreed, and said: "Captain Huang, don't worry, I will contact the director of the orthopedics department, Dr. Liu Shiliang, who is an expert in the treatment of thoracolumbar fractures in our hospital."

Hearing what Dean Yang said, Captain Huang was naturally relieved.

In less than 3 minutes, Dean Yang called back: "Captain Huang, what a coincidence, when I was in contact with Director Liu just now, he happened to be in the Orthopedics Department of the Municipal Military Hospital for consultation on a case. Chen Qilong, director of the orthopedics department, is also there. Director Chen himself is from Jiaxing, and he used to work in the orthopedics department of the city's first hospital. He can be regarded as my old colleague. When I heard about Comrade Du Sanduo's deeds, I was very moved and said that their consultation was completed. Immediately afterwards, Director Liu rushed to the hospital and performed the operation on Du Sanduo himself."

"Really, that would be great."

Director Chen and Captain Huang of the Provincial Military Hospital have also heard about it. When they were still in the First Hospital of Hecheng City, they were already well-known doctors in the medical circle of Hecheng City.

He is very accomplished in bone and joint diseases, arthroscopic techniques, orthopedic trauma, artificial joint replacement, etc. The key is to have decades of clinical experience.

With Director Chen coming to perform the surgery, Captain Huang was completely relieved.

(End of this chapter)