medical simulator

Yang Yifeng has helped so much, it is unreasonable not to let him come during the official operation.

Yang Yifeng took two steps back, shook his head and said with a smile, "I believe that Professor Zhong and Teacher Cai will be able to complete the follow-up operations, so I'll take a look in the audience."

"I haven't touched manual reset before, so I can't help you much."

After finishing speaking, he reached out to pick up the collar, which was regarded as a violation of the principle of asepsis, and he stepped down passively.

Cai Dongfan didn't dare to pull anymore.

Zhang Zhengquan frowned, as if he couldn't understand Yang Yifeng.

It's not just Zhang Zhengquan, Zhou Cheng can't understand it either.

Zhong Hua and Cai Dongfan saw that Yang Yifeng was full of personality, so they stopped persuading him.

The manual reduction of fractures is actually similar to the manual reduction of joint dislocations.

First of all, it must be fully tracted. The prerequisite for sufficient traction is to have two back tensions. Otherwise, the patient will be pulled off the operating table directly.

Therefore, an assistant is needed to fix it, and the operator performs traction operations. This patient is special, so many helpers are needed.

But this patient can't start to reset directly, and his fracture type is also special, so you have to check the position of the fracture end first——

Zhong Hua immediately said to Cai Dongfan: "Director Cai, you may be a little faster in doing the investigation."

"Okay, Professor Zhong." Cai Dongfan also nodded, and after asking the equipment nurse for a round knife, he immediately cut two 4cm long incisions at the two broken ends, and then broke the skin and skin layer by layer inside. subcutaneous tissue.

With the number of manipulations by Cai Dongfan, he found the proximal end of the fracture about 4 minutes later.

Cai Dongfan replied: "Sure enough, it is inserted into the muscle group, but it is the bone intermediary muscle. I checked it, and there are no blood vessels around it!"

"Then look at the far end." Cai Dongfan immediately began to investigate the broken end of the far end.

Then I saw that the fracture site was only 0.5 cm away from the rear femoral artery, and the sharp bone edge was only 0.4 cm away from the femoral artery!This is because the muscles are deformed, so the fracture ends are pulled out of the way.

His complexion changed immediately!

"Professor Zhong, come and see!"

Zhong Hua is naturally also a surgeon. If a person in the department of orthopedics does not perform surgery, then he must be fine. Could it be that the patients in the surgical indications will not be cured?

When he saw this artery, the expression on his face immediately froze!

His forehead began to be covered with fine sweat.

The reset before Yang Yifeng did not apply cutaneous nerve block was simply too dangerous. If he didn't pay attention, he succeeded in 'killing' directly.

Yes, before Yang Yifeng came to supplement the anesthesia, he and Cai Dongfan had already tried a reset, but the patient suffered too much pain during the operation and the level of anesthesia was not ideal.

So the operation was called off halfway, and Yang Yifeng added cutaneous nerve block anesthesia.

"This? Can it be reset?" Cai Dongfan asked.

Zhong Hua's eyes were very tangled, he turned his head and signaled Cai Dongfan to go away with his eyes, and then the two stayed in the corner of the operating room.

Zhong Huacai said: "Director Cai, let's forget about it. In this case, there can be no deviation at all."

"And in the process of traction and reduction, no one can guarantee that the distal end of the fracture will not slip. The patient's heart function is not good. If the artery is broken, heart failure and insufficient circulating blood will basically appear soon. Happening."

"Go and talk to the patient's family." Zhong Hua wanted to stop the operation.

When Luo Yun and Du Yanjun saw this scene, their hearts sank.

It seems that this patient has really stayed in the department for a long time.

I can't move at all!

"Okay!" Cai Dongfan's face changed for a while, and he went straight out of the operating room. He wanted to talk to his family members. The current situation is the most complicated and dangerous one.

After about 5 minutes, Cai Dongfan walked in again.

Said: "Professor Zhong, I talked with my brother-in-law just now. He is quite an open-minded person. He thinks that if you take a risk and fight for it, the quality of life in the future will be greatly improved. Otherwise, the life behind his father will be completely lost. quality."

Zhong Hua asked: "Ah? Are you sure? Make up your mind!"

Cai Dongfan took a deep breath and said, "I'm sure!"

Although it is better to be alive than dead, but if you can't even move, and you are lying down, you are enduring endless pain.

That such a survival!

It really lost too much meaning, just to live and live.It is estimated that the old man talked with his children and wife after he found out about his situation.

"Alright then." Zhong Hua also took a deep breath.

"Luo Yun, Xiao Du, you two are responsible for fixing the pelvis. Let's try one last time. There is only one last chance." Zhong Hua said.

Four people took their seats one after another.

Zhong Hua squeezed his hands, and then said: "You two need to fix it firmly, the fracture of the femur will take a long time to continue traction. And we don't have much time left."

"To completely relax the muscles!"

"Just four people?" Zhong Hua frowned slightly. There were not many opportunities. To antagonize the thigh muscles, only he and Cai Dongfan took the initiative to pull them, which might not be enough.

Luo Yun understood, and immediately said: "Zhou Cheng, wash your hands and go to the stage to help."

Zhou Cheng nodded, turned around and left. Since Luo Yun had called his name, he would not retreat.

It's just that Zhang Zhengquan, who was standing next to him, was slightly taken aback: Teacher Luo, obviously I came to the operating room first?

I also have great strength.

A little bit wronged.

But Zhang Zhengquan didn't know at all that Zhou Cheng proposed the operation suggestion this time, otherwise there would be no such thing as today.

Yang Yifeng looked at Luo Yun thoughtfully, and began to wonder why Luo Yun called Zhou Cheng to the stage instead of Zhang Zhengquan, who was also Gui Pei. This was an excellent material for him to write in the novel.

The story is taken from reality and higher than reality, which will make readers more sticky...

Cai Dongfan and Zhong Hua waited for a while.

Zhou Cheng finally changed into the surgical gown.

When Zhou Cheng approached, he watched Cai Dongfan and Zhong Hua standing on the left and right sides of the ankle joint, completely grasping the ankle joint with four hands.No place was reserved for him.

I sighed in my heart.

Secret channel: I knew that Zhong Hua would choose a farther away traction position.

The heel is one of the common positions for bone traction, and it is also a good focus point for manual reduction.

But in fact, for femoral fractures, it is better to use more traction from the tibial tubercle. When doing manual reduction, the choice of focus point is the same.

Moreover, the broken end of this patient's femur was more interestingly inserted into two muscles with classic shapes.

If he didn't go on stage, Cai Dongfan and Zhong Hua would exert force from the ankle joint, it would be over, the knee joint would be used as a prying point, and the femoral artery would be in danger!

Cai Dongfan and Zhong Hua were just starting to pull in the longitudinal direction, when Luo Yun and Du Yanjun pressed the pelvis hard to fix it!

I saw Zhou Cheng put his hands behind the tibial tuberosity, and then lifted it up with a little force, just like doing a drawer test.

A force perpendicular to Luo Yun, Du Yanjun, Cai Dongfan and Zhong Hua was exerted.

Immediately, the patient's lower limbs flexed.

This?

What is Zhou Cheng doing?

Seeing this scene, the faces of everyone on the field changed drastically.

What is Zhou Cheng doing this week?

The traction is vertical, and Zhou Cheng suddenly added a vertical force in the air. According to the principle of force synthesis, Zhou Cheng's force has no antagonistic force!

Didn't it happen that Zhou Cheng bent his knees?

What will happen after the knee joint is bent is completely out of the expectations of Zhong Hua, Cai Dongfan and others!

The scalps of the two of them went numb in an instant!

Then the heart seemed to be crushed by an invisible force, followed by the high tension caused by the frightening of all the muscles in the whole body, as if every muscle was being pulled by some invisible force.

Thoughts running wildly——

The femoral artery ruptured!

Heart failure!

The sick died...

Dead bird!

Zhong Hua regretted it very much at this moment.

Chapter 61 You definitely didn't mean that just now!

Zhou Cheng was the one who came to the operating room later!

Why do you say that?

Zhong Hua was able to become an associate professor. Apart from his own strength, another characteristic was caution.

One of the judgments for being promoted to a deputy high school is to see how many medical accidents you have, and you can't just rely on recklessness.

Therefore, the first thing to do when entering the operating room is to explain it in detail with Cai Dongfan and others, including the observers, including the process, principle, what he would do, and what other people should do. Do, under what circumstances, the operation must be stopped halfway...

After more than 20 minutes, Zhong Hua felt that he had opened a small class for the people here.

But not eggs.

At that time, Zhou Cheng hadn't come to the operating room yet, so a single word had nothing to do with him.

So he had no idea what he was going to do and what he had done?

But God is pitiful, how did Zhong Hua know that this unexpected situation would happen to a person Luo Yun casually pointed out?

Zhou Cheng was called by Luo Yun to help with the traction. Luo Yun was a senior doctor. When Yang Yifeng stepped off the stage, he said that the traction might not be strong enough, and his arms could not twist his thighs.

Is there something wrong with Luo Yun calling people?

Luo Yun is the attending physician, so is there something wrong with calling a Gui Peisheng to help?

Zhou Cheng came to the stage to help, is there something wrong?

If people are gone, it has nothing to do with them...

For a moment, Cai Dongfan's heart felt a sense of oppression passing by, followed by an extremely powerful sense of emptiness, as if his whole body was weightless.

It was a sudden feeling of suffocation, mixed with anger...

Luo Yun was chilled from top to bottom, he seemed to be able to imagine that after the operation, Cai Dongfan might be cutting him with a scalpel.

The person was called up by him...

Du Yanjun's mind was blank for a while, as if he was in the desert, lost his way, and had no idea why this happened.

Yang Yifeng's heart skipped a beat, and he thought to himself, oh well.

This week has been tough enough...

But just when everyone has different ideas.

All I saw was that the patient's thigh gradually changed from the previous rhomboid deformity in an extremely silky way.

The muscles on both sides of the thigh bounced crisply at the same time.

The previous rhomboid deformity disappeared.

This bouncing feeling was transmitted to the palms of Zhong Hua and others through muscles and bones...

Let everyone be stunned again.

This is?

The broken end slipped out of the muscle?

How could it slip out so easily?

The high-end nerve block anesthesia done before...

Before everyone could finish thinking, Zhou Cheng loosened the upward force at the tibial tubercle, and then turned the force to the axial direction of the thigh!

Work hard!