Great doctor starts with adding points
Chapter 152 You cheated me again (first update, please subscribe)
In fact, only a few people know this kind of thing, that is, when I was with the teacher before, Long Yuan was considered to be the only one in Professor Duan's school, and few other people can compare with Long Yuan and have a sense of crisis.
It wasn't until Wu Xie's arrival that Professor Duan finally found someone who could check and balance Longyuan. He walked around teaching between the two of them as if playing a game, teaching you a little trick today and teaching him a little tomorrow.
Eh, and when the two of them communicate with each other, they will both find——
Long Yuan felt that my senior brother was about to surpass me, and it was hard to save my senior brother's face.
Wu Xie would feel, um, my brother has learned much more than me, so I still dare not be proud and complacent, and continue to work hard.
In this way, you come and go, like a game of cat and mouse, which is quite interesting, and it can be regarded as a kind of fun after work and study.
Of course, Long Yuan also has an evil taste, that is, after bringing Wu Xie up, Wu Xie finds that there is still a long way to go with him. That kind of expression is also what Long Yuan likes to see...
Soon, Lu Junyin washed his hands and walked in. The roving nurse and instrument nurse are already in place, and they have prepared oval forceps and curved plates for disinfection for Lu Junyin, and there is enough complex iodine gauze inside.
Wu Xie also cooperated very well. After putting on the sterile gloves, he began to lift his legs.
Long Yuan didn't put on airs either. He quickly went out to wash his hands and helped spread the towels, as if he was anxious to make Wu Xie more knowledgeable, because since Wu Xie lost his memory, it was difficult for him to find that sense of pride.
It is meaningless to compete with the existing juniors. I am like a child in front of the master, and I don't have the sense of accomplishment as a senior at all.
Longyuan's work and life have lost a lot of color...
After the disinfection, draping and preoperative preparations were all done, Long Yuan whispered in Wu Xie's ear, "Xiao Wu, you can do this later..."
After finishing speaking, Longyuan raised his voice slightly: "I will be responsible for immobilizing the patient's thigh and providing anti-traction force. Before the operation officially starts, we will do our best to reset it."
"This can speed up our operation to a certain extent." Long Yuan's tone was firm.
Luo Wei's expression flickered immediately when he heard the words. After arriving in Shazhen, he became rather taciturn. He stood in a suitable position and just asked again: "Doctor Long, we really want to do it before the operation is opened." Did you do the reset in advance?"
The reason why the patient chooses open reduction for fracture is that manual reduction cannot meet the reduction requirements. Otherwise, wouldn't it be good to directly close the reduction and put a plaster on it?
The reason why it is so judged to need surgery is because it is difficult and difficult to reset.
As a member of the team, Lowe felt the need to remind him a little.
Hearing Luo Wei's words, Dong Chun, the anesthesiologist, and the itinerant and equipment nurses were afraid to speak.
It seems that in the current operating room, the person who is most qualified to talk to Long Yuan is Luo Wei who came down from Xuan County People's Hospital to support him. If Luo Wei can't convince Long Yuan, then there is no point in talking to them.
It's just that Luo Wei, as a professional doctor, has such a statement, so it must be beneficial to the treatment of the disease.
Lu Junyin didn't speak on the spot, his eyes remained the same!
Long Yuan heard the words and explained a little: "Wei Ge, whether it is open reduction or manual reduction, they are both methods of reduction, and external fixation and internal fixation are just different methods of fixation."
In fact, many people have not figured out one thing, that is, what is the essential difference between surgical adaptation syndrome and manipulation reduction adaptation syndrome, and they just simply remember the surgical adaptation syndrome.
The reason for surgery is that under normal circumstances, manual reduction is difficult, or external fixation with plaster is difficult to achieve the effect of fixation, so internal fixation such as plates and screws is selected.
In fact, only a small number of patients have fracture types that are difficult to succeed in manual reduction.
Besides, if Wu Xie didn't try to reset the technique, how would I know how he was doing?
If he doesn't fail, how can I show him success?
If the choice of manual reduction is appropriate and safe, and there is no harm to the patient, then it can be done.
After Long Yuan saw that Lu Junyin had made the corresponding fixed preparations, he said to Wu Xie: "Xiao Wu, you just use force in the way I taught you before, and let's do traction and reset together."
"Teacher on tour, help me push the C-arm machine. After we reset it, we will show one first. Thank you for your hard work. There is really no one else to help." Longyuan said politely. In Tongji Hospital, the person who pushed the C-arm machine There are a lot of people, not only staff who specialize in X-rays, but also a large number of students and doctors who are studying on the sidelines, ordering them at will.
It is actually not common for the roving nurse to push the C-arm machine.
"Okay." The itinerant nurse Huang Xi was not surprised and cooperated very well.
Wu Xie took a deep breath, and then thought about the corresponding techniques for the simple femur fracture manipulation, matching and corresponding to Longyuan's teaching, and at the same time began to exert force with his hands.
At this moment, Wu Xie was standing in the direction facing the soles of the patient's feet, and grasped the ankle with both hands. After Wu Xie exerted force, Long Yuan also resisted slightly at the proximal end of the thigh, fully pulling it.
Immediately afterwards, a strange scene happened.
Originally, in the middle of the patient's thigh, after the patient was fractured, the bone end poked the skin, and the existing deformity disappeared without a trace!
Moreover, after the broken end of the fracture visibly returned to its normal position with the naked eye, the proximal and distal ends of the fracture were separated, and then Wu Xie relieved the force a little, and the broken ends of the fracture came together!
The previous deformity, never disappeared again!
Long Yuan immediately looked at Wu Xie in astonishment, while Wu Xie continued to look forward and look at the restoration of the fracture with deep eyes, and cared about the effect of the restoration!
Immediately afterwards, Chu Qingqing put the sterile C-arm machine on.
After the C-arm fluoroscopy, the alignment of the broken ends was excellent. After both the front and the side were taken, it was found that the alignment of the broken ends almost reached anatomical reduction, and the error would never exceed 0.5mm, which is far more than 0.5mm. The function reset of cm is more refined.
This is even a fracture reduction effect that is difficult to achieve with many open surgeries!
"The reset effect is not bad, continue the operation." Long Yuan let out a long sigh of relief, and then explained to Luo Wei, Lu Junyin and others, feeling a little complicated——
Now Wu Xie's method of reset is very effective.
This is even, perhaps, probably, even an effect that I can't make myself.
Is the effect of manual reduction closer to the anatomical level than surgical reduction?
How far did this Wu Xie follow that Xiong Yao?
This skill, if you want to go back, can you still...
Luo Wei thought that Long Yuan was showing him something, and said with a smile: "Doctor Long, teachers like you know better. I have been taught."
Long Yuan took Lu Junyin and Wu Xie on the operating table, and began to operate like thunder and lightning...
The timing panel in the operating room took only 25 minutes from the start of the timing to the final installation of the steel plate and screws by Longyuan.
Long Yuan then threw the instrument directly onto the instrument table and made a crisp clanging sound: "Xiao Wu, suture!"
"Teacher on tour, prepare for a plaster cast. The incisions in this operation are not large, and most of them are small."
"The operation can be stepped down." Long Yuan's voice was not too low at the moment——
Such a fast operation speed made Huang Xi feel a little at a loss, but he also nodded in a daze and said yes, while opening sutures and putting on the operating table, he said: "125*75 plaster..."
Then Long Yuan continued to lower his head to help Wu Xie do the rest of the flushing and suturing operations, and Luo Wei did the same, and asked Long Yuan some questions about reset techniques in a low voice.
Only Lu Junyin stood up at this moment.
Then, Dong Chun, the anesthesiologist, stood behind the anesthesia machine, which covered half of his face, and half of his eyes were flickering in the direction of Lu Junyin, as if to say——
Lu Junyin, you bastard, you tricked me again.
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