Chapter 544

Department of orthopaedic trauma, Affiliated Hospital of Dongda University.

There are a large number of patients with orthopedic diseases, such as joint trauma, fracture, arthroscopy, joint replacement, deformity correction and so on. It is the leading trauma orthopedic department in Dongzhou. There are more than 30 doctors, and many of them are masters and doctoral tutors of Dongda medical college.

Amputation is a common occurrence in the operating room here. Most of the time it is emergency, sometimes it is pathological changes.

Chief physician Chen Yunping is preparing to stage a right upper limb amputation. This operation is not special. The patient is 36 years old, male. The affected limb was severely burned in a large area due to an accident in the workshop. Before he was transferred here, he was treated in a town hospital. Because the wound inflammation could not be effectively controlled, and there was no condition for skin transplantation, tissue necrosis and suppuration occurred The blood flow is not smooth, and debridement is not applicable. Now, amputation is the only way.

Such a case, Chen Yunping is not the first time to face, the right forearm amputation, surgery is difficult, but grasp the big, generally no accident.

However, at the pre operation meeting, their operation team was suddenly told that the medical department of the Tianji bureau had sent someone to observe the operation.

Now in Dongzhou University and the Affiliated Hospital of Dongzhou University, Gu Jun is a celebrity and the pride of Dongda.

If it was not for the confidential treatment of the information, the small nurses in the Department would have taken out the signature pen excitedly.

Chen Yunping, anesthesiologist Ji Quan, and other people, such as Yizhu and Erzhu, did not understand the purpose of Tianji personnel's trip.

"It's not because of this operation, it's because people need to watch a right limb amputation," said the medical department. We didn't tell us the reason. We can't take care of the Tianji Bureau. You can do your own operation as usual. You should also be prepared for any abnormal situation that may happen. You can tell us what you think is strange. If something happens, you will take over the accident. "

Gu Jun with a team of more than 10 medical staff, it is said that they can go to the operating table at any time.

In addition, there are a group of fully armed personnel, but they are not wearing white coats. They should be personnel of other departments.

It was in this pre operation meeting that Chen Yunping met with Gu Jun and others and communicated about the patient's condition and surgical plan.

"Director Chen, it's us who are interrupting." Gu Jun is very modest and does not have the airs of a hero. Although Chen Yunping is not a professor, he is also a doctoral student from Dongda medical college. He is Gu Jun's predecessor. Now he really feels the respect from the other side.

"Don't, we understand. It's important for you Chen Yunping replied, really feel so, according to the rules did not ask.

Gu Jun nodded, "something happened, but the environment here is still safe, director Chen, you can rest assured to do it."

At present, five patients with forehand syndrome were admitted to the emergency department and orthopedic outpatient department of the Affiliated Hospital of Dongda.

however, Chen Yunping and others are not clear. Even the doctors on duty who know the situation are also told that they should be BIID patients.

The number of patients with forehand disease is still increasing. The medical department base has carried out artificial coma on Zhou Yibao and other patients. The vital signs of the patients in the coma are stable. This move can alleviate the pain temporarily. But their right hand is still moving, struggling and deteriorating.

Now, the burn and amputation patient has been waiting in the operating room. Without delay, the party immediately went to the dressing room outside the operating room and put on the air tight protective clothing brought by the Tianji team to prevent possible accidents. This will naturally have a little impact on the flexibility of the body, but Chen Yunping took over with confidence.

Gu Jun didn't go into the orthopedic operating room for a period of time. The light of shadowless lamp, operating bed, anesthesia machine, monitor

The patient who had been anesthetized was lying on the dark brown operating table in the supine position. The nurse put the trunk edge of the sick side as close as possible to the edge of the operating table, with the diseased limb outstretched and placed on another small operating table. The upper arm was equipped with an inflatable tourniquet, and the vital signs were stable.

Gu Jun saw that only a small part of the upper arm was still in good condition. In addition, from the upper arm to the elbow, the whole forearm, wrist and palm had black, red, swollen and swollen skin, and pus was everywhere on the wound

Even though he was used to seeing filthy things and had just dissected the even more strange leg of sheep,

he still had a palpitation that had not existed for a long time, because there was a human face and a sleepy face on the body connected with this limb.

An ordinary middle-aged man, and he never met.

But the illusion came again, from the anatomy of black goat cubs

Bang PA, Pa Pa PA.

He seemed to hear something falling.

"Director Chen, you start." Gu Jun saw Chen Yunping and they looked at him and said again, "don't worry about us."

He and uncle egg, Zhang Huo gang and other people, all went to one side.

Chen Yunping and others went to the small operating table with the affected limb. It was a fake to say that suddenly there was a heavenly chance team watching, but the pressure did not increase. They calmed down their mood, focused their attention, picked up the equipment, and took out their own ability and experience.This is a forearm amputation. The osteotomy plane is located at 13 places in the middle of the upper arm. This position is ideal. The blood supply of the flap is good, and the prosthesis is is also suitable for the postoperative assembly.

The first step in the operation is to make an incision.

At present, according to the predetermined preoperative plan, Chen Yunping designed the equal length skin flap before and after the predetermined osteotomy plane, then took the scalpel to cut the skin, subcutaneous tissue and deep fascia along the incision line, and then moved to the upper part of the osteotomy plane to the proximal end. At the same time, the first assistant, the second assistant, the instrument nurse and others were busy.

Gu Jun stood not far away, not only did not hinder their surgery, but also saw the situation of the operation area clearly.

Although the arm that already suppurative infection has done debridement, still gush pus water, mix with blood together.

Chen Yunping's hand strength is very stable, which is not affected by the air tight protective clothing. Under his leadership, the operation team cut off blood vessels in the operation area of the affected limb, and then separated and cut off the radial nerve, median nerve and ulnar nerve

It was quiet in the operating room, and everyone was focused on the operation.

However, Gu Jun heard more and more crackling, which seemed to fall on his heart and hit him one by one.

There was a sudden flash in his eyes. What kind of scene flashed by

This is what he came here to observe the operation. It seems that he can trigger the illusion

In the blurred and broken scene, there is a child figure patting a ball Bang PA, Pa Pa Pa, it's the sound of the ball landing No, it's not that kid, it's another kid next to me, standing not far from the basketball stand, watching.

The child, without hands, was empty under the exposed shoulders of the short sleeve T-shirt.

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