Chapter 141： Break off

noon.

Full of food and drink, sitting on a chair in the office, Ling Ran opened, and the whole person lay down looking out the window, staring at the corner of the building in front of him, lost in thought.

The sun was shining on the ground, warm.

On his left, a cup of lemon kumquat passion fruit tea from the nurse station was added with ice cubes, misty and cool. On his right-hand side, there are snacks from three patients' families.

Although red envelopes are not allowed, food for patients and their families is still allowed. But most of the patients and their families send fruit or snacks to the owner of the department to give instructions to a certain doctor, that is, only after Ling Ran came.

"Are you full?" Huo Congjun returned to the office and saw Ling Ran's energy-saving look, and nodded with satisfaction.

Ling Ran said "En" and asked, "Are the patients here?"

"Wang Haiyang is looking at the data and hasn't decided yet." Huo Congjun asked, "Do you buy chocolate?"

"I bought one." Ling Ran showed a large piece of Dove chocolate, which he bought in the vending machine.

"Not enough." Huo Congjun looked at him and said, "Maybe the operation time for the replantation of the broken finger may be too long. What do you do when you get hungry?"

"I haven't heard of other doctors eating in the operating room."

Huo Congjun shook his mouth and said, "They are them. Our secretaries in the emergency department do not share secrets, that is, to drink and eat well before the war, and to eat and drink well in the middle of the war. Take two snickers to Ling Ran. "

A laxative doctor delivered a snickers.

Ling Ran had to put it away and presented a small snack.

Huo Congjun then nodded: "Listen to Wang Haiyang first, Director Wang, he asked you to take over, then you take over. Although it is microsurgery, replantation of broken fingers is not the same."

"Quack, quack."

Ling Ran didn't say anything, the chair beside him made a strange noise.

Huo Congjun and Ling Ran naturally looked over and saw that Lu Wenbin couldn't stop shaking in his chair, and couldn't stop trying to stop.

Lu Wenbin was embarrassed by the look, and stood up sharply, smirking: "I'm just a bit excited."

He is the second candidate for internal help and the first time to participate in replantation of broken fingers.

Huo Congjun said unhappy: "Why didn't you get excited when I called you to rescue the patient?"

Is this jealous? Lu Wenbin said happily and nervously: "I was also excited, even more excited, because I didn't have time to shake at the time, I didn't realize it."

Huo Congjun said "En" and said to Ling Ran: "Don't go too far, and enter the operating room at any time."

After thinking about it, Huo Congjun left the office.

Lu Wenbin's tense legs trembled: "Did I say something wrong? What does Director Huo mean?"

He subconsciously looked at Ling Ran, but saw that Ling Ranmu was in the sun, and his face was about to shine.

It was the fingers of his two hands that moved fast.

Ling Ran was apparently simulating the process of stitching broken fingers. Compared with tang suture, the focus of broken finger suture is changed from tendon to blood vessel. The flexor tendon of the finger has the thickness of two or three rubber bands, and the blood vessels are usually within 0.5 mm, which is the thickness of the tip of a fountain pen. It is self-evident that the suture is self-evident.

Breaking the tube can also cause blood clots.

Thrombosis is extremely dangerous and can be said to be a major cause of hospital mortality and disability. In order to prevent blood clots, nurses will continue to cut the wound to use heparin during the nursing process after the broken finger suture.

The premise of using heparin requires the surgeon's needle to be stable.

Only the blood vessels that have been sutured, but the blood vessels that cannot be stably sutured, are not so obvious in other parts of the body, but are absolutely not allowed in the replantation of broken fingers in hand surgery.

It can be said that stable suture under the microscope is the biggest difficulty in replanting severed fingers. Yunyi's hand surgery costs millions of yuan to practice the practice room, and the annual expenditure is millions of yuan, which is to train the payees' suture techniques.

In other departments, everyone operated directly on the patient, who would happily go to play with the mouse's tail after work.

However, hand surgery does not do this, and the accident rate is so high that in recent years, hospitals have built their own practice rooms.

Lu Wenbin knew that Ling Ran had completed the graduation-level operation of the hand surgery practice room when he first started his internship, so he stared at Ling Ran's fingers and wanted to see the main points of his operation.

Hookman can do it without a brain, but Lu Wenbin wants to learn with his brain.

Look at

Look at

Lu Wenbin fell asleep quietly, the sun was shining on his cheeks, it was refreshing and itchy.

"The patient is coming." Ling Ran's cell phone rang and it was WeChat of Director Wang Haiyang.

Ling Ran opened his eyes fiercely, tearing off the packaging of the chocolate and eating a piece of chocolate cleanly.

Then he hurried to the operating floor and entered the operating room. Ling Ran saw Wang Haiyang with a strong complexion.

"Operation plug." Wang Haiyang saw Ling Ran, panting, "I just prepared to send you a message, go back to rest."

"what happened?"

Wang Haiyang hummed twice without speaking.

The old nurse next to him was equally angry and said, "The patient's family members are smart, they first use tobacco shreds and incense to stop the bleeding of the palms, and soak the broken fingers in ice cubes. As a result, the ice cubes thaw, which is equivalent to soaking in water!"

Ling Ran was stunned. Incense ash affects debridement. Nicotine contained in tobacco shreds constricts blood vessels, which is naturally no problem for small wounds. It is a big problem for broken finger replantation. As for the broken finger in water, it will cause secondary damage to the tissue. .

"Can't meet the suture standards?" Ling Ran was still a little reconciled.

Wang Haiyang said with gratitude, "There is no need for stitching, it's rotten."

The domestic index of broken finger sutures is very low, so it cannot be achieved, it can be said that it is indeed impossible to sew.

Ling Ran reluctantly said, "Don't the rescuers in the ambulance understand?"

If Wang Haiyang chooses a warehouse, he can only choose from the ambulance in the emergency center to know the condition of the patient.

Wang Haiyang pulled off his gloves and said, "Fingers were sent by the patient's family members. The patient's fingers were simply bandaged. The people on the ambulance recognized the incense ash and didn't know there was tobacco."

The equipment nurse also sat down and said, "Perishable thief is perfect."

"Wait a minute, I'll find another one." Wang Haiyang was a little embarrassed in the face of Ling Ran. Everyone played in a team, but the BOSS was gone. The captain had to stand up and say something.

Ling Ran can only pat his belly. He now misses Shao a bit.

If Mr. Shao's finger is broken, he will definitely come to the hospital properly.

I did the disinfection myself ~ www.novelhall.com ~ Ling Ran sighed, "I'll wait in the lounge then."

The operating room was very tense and he knew it well.

Sitting in the operating room, Ling Ran opened the glory of the king, and after three rounds, he waited for another patient.

"The patient was 23 years old. He was chopped by an adulterer when he was arrested. His index finger and **** were not completely cut off, and he was contaminated with a lot of food." The visiting nurses introduced while the three doctors changed clothes.

Wang Haiyang listened to a joy: "This is good, not completely separated, thank you for the difficulty."

As he said, he grabbed the patient's finger and looked at it, only slightly frowning, and said, "The connected flesh tissue has no blood vessels. After this debridement, the effect is not great. It is better than nothing."

Ling Ran looked silently.

He has done hundreds of tang methods, but he has no experience in replanting broken fingers.

Wang Haiyang stood at the operating table, and when he saw the patient, he was in a good mood. He smiled at Ling Ran: "The first operation, I will do it first, and the next operation, let's discuss it, okay?"

"Okay." Ling Ran answered easily.

"Then we started, the general sequence of replantation of broken fingers, first debridement of the cross section, then bone grafting, then suture the tendon, then anastomosis the nerve, then anastomosis the blood vessel, and finally stitch the skin. Ling Ran, have you not done bone grafting? "Wang Haiyang said with a smile, like a superior doctor who is a good teacher.

"Yes, I haven't taken off the broken bones." Ling Ran was doing a helping job, and Jing Ye gave Wang Haiyang's helper and accompanied him.

"Then we will talk about bones in a while, I will talk more." Wang Haiyang's surgery felt quite good.

At the same time, Lu Wenbin ran in the corridor, while running, and chanting: finished, finished, how could I sleep over.

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