Chapter 271： : Stealing division skills!

At the level of a doctor, you can see it from the first time he sees the patient!

After seeing the patient's condition, Yan Anjun immediately began to run at high speed, constantly thinking about the best treatment plan.

For the condition of the patient, I quickly learned about it.

The first thing to do now is to reset the palm of the hand.

情况 The patient's condition is mainly dislocation between the metacarpophalangeal joints and fractures of the phalanges.

Tan Zhonglin is very good at handling such joints, and An Yanjun is not bad either.

But ...

At this time, the two involuntarily staggered the position of the main knife, silently preparing to take auxiliary equipment.

Tan Zhonglin looked at Chen Cang: "Little Chen, come on!"

沧 Cang Cang was dumbfounded and said awkwardly: "Director, come on, I ... Orthopedics is not very good."

Tan Zhonglin was surprised, what a good young man, to give me face like this, but he sighed: "Xiao Chen, this is not the time to be modest, you come!"

Chen Cang was mistaken: "Director, I really don't know much."

At this moment, even Tan Zhonglin and An Yanjun were dumbfounded.

And Chen Cang won't?

Tan Zhonglin glanced at Chen Cang, seeing that Chen Cang didn't seem to be joking, and then asked tentatively: "Really? You don't need to take care of our two faces, we are not outsiders!"

沧 Cang Cang couldn't laugh or cry: "Really, director, I really don't. You reset the fracture. I'll deal with tendon nerves and blood vessels. We have a clear division of labor, shall we?"

Tan Zhonglin heard Chen Cang's words, but his heart was loose, and he could not help but breathe out.

That's right!

You're only 27 years old, OK, no matter how good your talent is, there must be a limit.

How could anything be possible?

Thinking of this, Tan Zhonglin thought of his original thoughts and couldn't help laughing.

Everyone is a human. How could this be so big!

I can only say that there is a specialty in surgery!

Besides, the long-term work experience and orthopedic accumulation required by orthopedics, Xiao Chen is good at tendon and blood vessel sutures, which may be because he has been on the front line for a long time and has more contacts with trauma patients.

Suddenly, Tan Zhonglin felt much relieved.

"Director An, come, let's come."

During the conversation, Chen Cang observed carefully. Clinical work requires no short learning. If you don't study, how can you progress.

If the metatarsal phalanx fracture has not been displaced, it is generally mainly based on manual reduction, this Canghui will.

Now Chen Cang suddenly felt how powerful the resetting method learned from Director Wang Xiangjun at that time!

这种 However, this open fracture requires incision and internal fixation. For example, at this time Tan Zhonglin's Kirschner wire fixation, this method is firm and reliable. It is also commonly used in clinical practice.

Cang Cang handed over the equipment, but he could see clearly!

Tan Zhonglin watched Chen Cang study seriously while there was a little pride in his heart!

Young people should learn more!

After all, fixed surgery for open fractures of the phalanx is often the operation that is often needed in hand surgery. This kind of surgery has been done for a lifetime, and is experienced and skilled. Occasionally, I can get hands and feet at the annual meeting, and there is applause. .

Therefore, Tan Zhonglin is quite confident.

In fact, surgery is the same as playing ball and singing. It needs a state. The doctor's mental appearance is better, and the operation can't be worse.

Tan Zhonglin found that when Chen Cang was on the sidelines, this kind of self-confidence was too full.

Thinking of this, Tan Zhonglin couldn't help showing an operation, causing An Yanjun's eyelids to jump aside, and when he looked at Tan Zhonglin with a little respect, he was indeed Director Tan!

Smashing!

Cang Cang also had to admit that Jiang Hao is old and spicy, and Director Tan has done a good phalanx operation!

【Ding! Congratulations, the skill of stealing the teacher with the title attribute of 5% is triggered: Gain Tan Zhonglin skills: phalanx fracture surgery: master. 】

【Knuckle fracture surgery: Including phalangeal reduction, phalangeal fixation, etc., master level; special effects: 1, accurate reduction; 2, firm fixation;]

Chen Cang looks happy!

I'm dripping obediently.

The task of stealing the division has not been triggered for a long time, and finally came again.

Thinking of this, Chen Cang couldn't help but feel happy, and one of the two special effects is accurate, and the other is solid, both very effective.

Because of the treatment of phalanx fractures, both accurate reduction and firm fixation must be achieved, and functional exercises must be performed as early as possible to restore the flexible movement function of the fingers.

The effect of surgery can be controlled, which is basically accurate reset and firm fixation!

骨折 Surgery The fracture operation soon ended. Tan Zhonglin couldn't help but breathe a sigh of relief, and finally he could show off in front of Chen Cang.

认识 Since I knew Chen Cang, every time I was refreshed by Chen Cang three times, I almost forgot that I was the director of Provincial People's Hand Surgery.

When thinking of this, Tan Zhonglin glanced at Chen Cang.

Lu Anyan Jun came over and said: "Director Tan has done a good job on the operation of fracture of the phalanx! I saw it at the annual meeting last year, but I didn't expect to improve again!"

Tan Zhonglin looked at Chen Cang and said seriously: "I am in good shape today, Xiao Chen, I will leave it to you."

沧 Cang Cang nodded, he understood that the next work is the top priority!

Sacral orthopedic surgery only takes a little time and does not affect the neurovascular surgery of the hand.

Tan Zhonglin and An Yanjun both looked at the back of Guo Zhiyong's hands with anxiety. At this time, even after the debridement, the situation was not good!

Because both the ulnar and radial arteries are completely broken!

This is not a simple matter in a sentence.

Even with all the clinically reported effective data, the survival rate of the hand can still reach about 1/3 of the injured patients with complete rupture of the ulnar artery and radial artery.

But ... is it one-third higher?

Maybe some people think it is very high, in other words, you don't think so.

The probability of surgical failure is as high as two thirds.

The iliac artery was ligated before the operation, and now all we have to do is to staple the damaged blood vessels.

This is also due to the rupture of the arteries of the hand. If it is elsewhere, the chance of recovery may not even reach 10%.

Because the blood supply to the hand is extremely rich, the main sources are the radial and ulnar arteries, in addition to the anterior and posterior interosseous arteries.

Of course, there are also some so-called talented people who look different from others, that is, the so-called "skeleton surprise, martial arts talent". In their hand blood supply, 3.7% of individuals have the median arteries to participate.

In fact, medical statistics are really only for most people. There are too many strange people. People are really talented. Chen Cang's most impressive one is a patient with cerebral infarction.

After a general cerebral infarction ~ www.novelhall.com ~ means that the brain tissue in the back is necrotic due to ischemia and hypoxia. However, when discharged from the hospital, the MRI of the cranial blood vessel was used to find out that the collateral circulation appeared in the place where the infarction originally occurred. Blood vessels restored blood supply to the infarcted area!

Cang Cang was dumbfounded!

This is really a so-called medical miracle.

So, since then, Chen Cang is full of awe for the human body. Seeing those who jump off the building have to go a long way. What if the bones of the family are abnormal and they jump off and run away? Maybe people really find it difficult to climb stairs!

The blood vessels of the hand are in the form of an arterial network or an arterial arch, which constitutes a channel for smooth traffic, ensuring that the hand is in a variety of functional positions such as pinching, holding, grasping, and holding, and has a strong ability to adapt to blood supply.

正是 It is precisely because of the rich anastomosis of the aforementioned blood vessels that they have good compensating ability that even if the radial and ulnar arteries are ruptured in the hand, they have a 30% chance of recovery.

Chen Cang found that his eyes were really good when he was dealing with these delicate operations.

Looking at the name written on it, Chen Cang knew that he must not find the wrong blood vessel!

[Fragmented radial artery] + [Fragmented radial artery] = Intact radial artery.

Hmm, it's that simple, just like the stitching toys in school.

Of course, suture is the top priority of surgery.

Because the suture of the blood vessels around the iliac crest is relatively thin, it is difficult and difficult to operate.