Start as an Emergency Physician

"Features?".

Haiyang and Liu Kai were both stunned, and then looked closely.

I saw that the needle forceps were like nothing in Zhou Yuan's hands, and the sutures shuttled quickly under the skin, and quickly knotted them, and they were easy to play.

He Jianyi studied emergency medicine, and it was impossible to use a lot of effort to learn a simple suture, so there was no technique like Zhou Yuan.

However, his eyesight is still extremely sharp, and he can see at a glance the exquisiteness of Zhou Yuan's suturing.

"It's... Is it coherent?" the ocean seemed to see something, and asked carefully.

He Jianyi smiled with satisfaction, "That's right." "

"There are also skills in stitching, which is the same as one drum and then three times and exhaustion. If it's intermittent halfway, this stitch will definitely not be good. "

"Have you learned?" He Jianyi asked again.

"I've learned, I've learned!" Haiyang and Liu Kai nodded like chickens pecking rice.

"Hmm. It's useless to learn it, your hands are unstable, and you can't grasp the position of the needle when stitching, and it's easy to tie people directly into a sieve when they are connected. "He Jianyi.

The corners of the ocean's two mouths twitched, but they had to admit that it was true.

"Go back and practice more with your hands and feet. You can be a little more consistent when you practice. He Jianyi said.

Soon, Zhou Yuan's stitching was also completed.

There was an active bleeding in the middle of the stitches, and Ocean immediately handed over the prepared Priling non-absorbable sutures, which stopped the bleeding well.

"Teacher, the operation is complete. Zhou Yuan took off his mask, revealing a pale face, and gasped slightly

He stood up, his knees were already soaked with sweat, and his lead clothes were also wet, which made people feel distressed when they saw it.

He Jian nodded, "You are the chief knife, you can announce it." "

The ocean and others are envious.

I didn't even touch the scalpel, Zhou Yuan was already able to shout "The operation is complete" in front of He Jianyi!

Zhou Yuan glanced at the time.

The operation took 121 minutes, and if it were someone else, I'm afraid the number would be more than 200.

"The operation is over. "

After this sentence landed, the emotions of everyone in the operating room relaxed a little.

Zhou Yuan followed He Jianyi out of the operating room, but what they didn't expect was that the old man's family had not come until now.

"What's going on?" He Jianyi frowned.

"The patient's daughter and son both said they would rush over as soon as they got off work," Lin Wen explained.

"Come here from work, their mothers are dying, and they are still on a fart shift!" He Jianyi became angry.

Zhou Yuan also frowned, and his impression of the old man's children was extremely bad all of a sudden.

"Now that the operation has been successful, I guess they are even less likely to rush over, let's pay attention to the postoperative maintenance of this old man first, and then talk about the rest. Zhou Yuan thought for a while and said.

Carotid endarterectomy is a major surgery, and not only is the risk during the operation, but also the postoperative maintenance is extremely important.

Patients after decortication need close care from doctors and nurses, because most patients with carotid artery stenosis have had long-term anticoagulation treatment such as oral aspirin and Plavix before surgery, and the first complication that is prone to occur after surgery is postoperative bleeding.

Although the old man was unconscious before he fell into a coma, he also used a lot of anticoagulants, such as heparin.

In the postoperative care of patients, doctors and nurses need to closely observe the patient's neck condition, and if a cervical hematoma is found, doctors and nurses should take immediate measures, including endotracheal intubation, to protect the patient's airway.

At the same time, in an emergency, the incision can be cut open and the hematoma can be released.

With the exception of the urgent complications mentioned above, the other aspects of care are essentially the same as those of general neurosurgery.

In addition, patients after carotid endarterectomy should be routinely injected with heparin sodium or heparin calcium twice a day for 3 days. At the same time, oral aspirin should be taken as soon as possible after surgery, at least for more than 3 months. If the patient also has stenosis in other areas, oral aspirin and Plavix should be treated strictly according to the course of treatment.

Only then can the carotid endarterectomy be truly completed.

A few minutes later, the directors of the neurology department and brain surgery who rushed to hear the news were stunned.

"How is it possible... You've succeeded?".

The director of brain surgery noticed Zhou Yuan's badge: "You are the Zhou Yuan mentioned by Dean Fang??Zhou Yuan who did amputated limb replantation surgery?!".

Zhou Yuan nodded. "It's me. "

"How is this possible! This kind of surgery is done entirely by experience, whoever has good experience will do it well, how can you be an intern with surgical experience!".

He Jianyi was unhappy when he listened to it all the time, and choked up, "He has taken more hands than you have taken feet!".

The brain surgeon was stunned: "I'm in the head, I don't take my feet." "

He Jianyi didn't bother to argue with them, and said to Zhou Yuan: "Take a break, and then go to Dean Fang." "

"I should have told you earlier, but I ran into this surgery on the fly. "

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The end of the fifth watch, the start of the sixth watch, this book does not need to be fattened, the amount is enough, the quality is good, you just give me the data!