Chapter 96

Chapter 96 fasciotomy

Huang Haitao, with a group of doctors, ran into the ward outside the three rooms in front of him. He saw a female patient in her thirties, crying: "my leg! My leg

Two nurses nearby are holding the patient down to prevent her from picking up the thermos and throwing it at her thigh.

"Relax, relax, here comes the doctor. How did it happen? "

"She said early in the morning that her legs hurt so much that she couldn't take morphine for long. It was only yesterday that the quality inspector of the freezer was sent. Because the electronic lock was out of control, he was locked in the freezer at minus 20 ℃ for 30 minutes before rescuing the person. "

While the nurse handed the medical record to Huang Haitao, who came for the triage ward round, she wiped the sweat on the patient's forehead and comforted her: "Dr. Huang is the best doctor in the emergency room. He will cure your legs."

When Chen Qun saw that Qi Hong, with big eyes, was wearing sterile gloves and pressing and pinching the patient's legs, he gave a diagnosis at the first glance.

"The patient's legs are stiff. It should be a typical compartment syndrome. His legs must be frozen in the cold storage."

Qi Hong raised her head in confusion and looked at Huang Haitao. "Dr. Huang, I can't touch the patient's thigh artery. It should be that her lower limb blood pressure is very low. Give me a syringe. We need to raise the patient's blood pressure. "

Huang Haitao made a quick decision and shook his head. "It's too late. We must release the pressure of her lower limbs immediately, otherwise she can't keep her legs. First, inject 100 μ l fentanyl to stabilize the patient. I'll give you 30 seconds to think about what else to do. "

"Whole blood count."

"Electrolyte test."

"Creatine phosphokinase."

"A fasciotomy is needed!"

Four mouths immediately open from the side, Chen Qun instantly found himself a heretic, others are talking about the inspection project, but he is talking about surgery.

This is the same story.

This boy and a group of Xueba mix together, is still so eye-catching, no wonder the boss will treat him differently, specially assigned him to himself.

However, Huang Haitao remembered that this guy had saved seven or eight lives from the death line, all of which were completed in a flash. Don't give the other four rookie doctors a chance to die.

"Prepare two injections of ketamine, 70 mg each, and two midazolam! Contact the operating room immediately and send the patient over. "

Qi Hong was stunned for a moment, and quickly exclaimed, "Dr. Huang, don't you intubate the patient and hold her breath?"

Huang Haitao took the syringe and pointed to Chen Qun, "who, why don't you have to intubate?"

"Who" looked at Qi Hong, who was staring at her eyes, and said weakly, "deep anesthesia can relieve the pain of patients. Intubation is the same without intubation."

"All six operating rooms are in use."

The nurse said a word to Huang Haitao with a embarrassed face.

"Surgery on the spot, the new one. Have you ever had a fasciotomy?"

The newcomer shook his head.

"It doesn't matter. Just follow my style. One person is responsible for one foot. "

Qi Hong once again weak raised his hand, "Dr. Huang, ketamine support not so long, the risk is too big."

"That's why I need to be quick and have a fasciotomy on my legs at the same time. Say it when you're ready. "

In a hurry, Chen Qun put on his surgical clothes and gloves and nodded, "ready."

Huang Haitao pointed to the four Xueba doctors in front of him who had not yet entered the state, "two on one side, responsible for pressing the patient's lower limbs. Is the anesthesia ready? "

After that, the patient's legs stopped and he lost consciousness.

Huang Haitao picked up the scalpel and made a long cut in the patient's left ankle. With the skin splitting, the bloody calf muscles inside were exposed. On the outside of the calf muscle, a layer of milky white tendinous membrane wrapped inside the muscle, looks like a small balloon like some swelling.

"Blood pressure 124 / 85, heart rate 113, oxygen saturation 98%."

"OK, deal with the fascia compartment, cut the fascia, and then stop the bleeding for the patient!"

Huang Haitao seems to say minimally invasive surgery in general, to guide a few students.

Chen Qun took a look, but he didn't want to use the treasure chest. This small wound was common to him. The treatment of patients with systemic fractures is countless times more difficult than before.He just looked at it twice and knew that the operation was too simple for him. You're welcome. I picked up the scalpel and made a cut in the patient's other leg.

However, the gap is one third shorter than Huang Haitao's knee position. Chen Qun's next knife was even faster. He took the knife off his hand and opened a hole in the tendon membrane. Originally, scissors should be used in this step, but if the scalpel can achieve the same effect, there is no need to change the surgical tools again.

"Hemostatic forceps!"

There was a lot of blood flowing out of the fascia of the drum, and the blood vessels exposed inside were torn. At the moment when the nurse handed over the hemostatic forceps, Chen Qun clamped the forceps tightly on the top of the small blood vessels to stop the bleeding. It's as if you've practiced it a thousand times.

The two Xueba, who are responsible for pressing their legs, are staring at the new comer, and an idea emerges in their mind. Why is he so skilled?

"Scissors, needle forceps, 7-0 stitches!"

Chen Qun naturally issued a series of instructions and began to sew the patient's blood vessel by hand. Qi Hong, who was going to find fault, watched Chen Qun go through the needle and thread like flowing water. His movements were as skillful as the textbook version in the video. Almost in a few breaths, he sewed up the blood vessels.

This is the beginning of suture fascia, jumping needle tip, as if with spirituality, showing a line of beautiful stitches.

Huang Haitao, who had just stopped a few small bleeding points for the patient with an electric knife, turned around and found that a freshman who started later than him had already cleaned the patient's wound and began to suture the fascia.

I can't help being in a trance. It's like he's just a novice. No wonder he is more powerful than the high-precision robot arm. Gangcheng Xiufu named him to be the master of surgery, which is the skillful hands of his natural top surgical doctors.

These hands should be developed in the heart and brain, which is the highest achievement.

"Well, who, when you finish stitching the fascia, stop and let Xiao Qi finish the following steps. As for my side, whoever has good stitching technique will come forward to take over. "

Huang Haitao casually glanced at Chen Qun's stitches and decided not to sew any organization in front of him in the future teaching, so as not to lose all his confidence.