The Godfather of Surgery
Chapter 13 Replantation of a severed finger in an infant
After checking the room in the morning, you can rest in the afternoon.
Because Zhang Lin got off the night shift yesterday, according to the schedule, today is a rest. Yang Ping followed Zhang Lin on duty and naturally rested.
There is rest on the schedule, but for doctors, rest is just for people to see and has no practical significance.
I was busy until more than three o'clock in the afternoon, and I didn't eat lunch. I really wanted to rest. Back at my house, the phone rang again before my butt was hot.
Emergency surgery, severed finger, Director Han designated Yang Ping to participate in the operation.
Why so many broken fingers, it's not Double Eleven.
Yang Ping walked quickly across the overpass, got off the overpass, and crossed a small square, which was the emergency department.
At the door, two security guards, wearing helmets, wearing protective clothing, holding batons and shields, guard the door like a door god.
In the spacious emergency hall, the shadows trembled and it was very lively. Whether it was doctors, nurses, or patients, they were all in a hurry.
Even, some lives passed away in a hurry.
In a mess, Yang Ping's head was buzzing. Fighting, car accident, drunk, scolding, noisy, crying mixed together, without a certain psychological quality, this kind of place really can't stay.
"Believe it or not, I killed you, I'm bleeding all over my head, wait, wait, when will I die here before you save me." A forty-year-old with a scarred face pointed at a nurse with a bulging belly and scolded road.
"I'm sorry, you have to wait in line, the doctor is in emergency now, you have to wait." The pregnant nurse almost begged.
Scar's face slapped on the nurse's desk in the emergency hall: "Wait for your size, look, it's not your blood, is it?"
If it weren't for the tall and wide marble nurse's desk, this palm would have hit the nurse's forehead.
Yang Ping just wanted to go over to help persuade Scarface.
"Hey, what are you doing, pay attention to the order." The two security guards came over with batons hanging from their waists, stepping on leather boots, and the scarred face was cowardly, and they stopped showing their teeth and claws.
The security of this hospital is not bad, Yang Ping sighed.
This bastard, in fact, the nurse has already done a simple bandage for him to stop the bleeding, but there is a little blood seeping on the gauze, it is estimated that he is waiting for the doctor to debride and suture.
Yang Ping shook his head, he was used to this kind of thing. It is said that in some hospitals, the emergency doctor's clinics are all by the windows, and the windows are open.
Why? Because the floor behind the window is covered with a thick soft cushion.
That is for emergency doctors to escape. As soon as they encounter a fucking person, they beat the doctor and immediately jump out of the window to escape. There is a cushion to protect them from falling.
Passing through the emergency hall, Yang Ping turned right into the surgical emergency room.
Swipe the access card, push and pull the explosion-proof door to open. The central roundabout is the workstation for doctors and nurses, with computer phones evenly distributed in a circle. Dozens of emergency beds are distributed in a ring around the emergency room, separated by curtains.
"Heart stopped, CPR, defibrillator!" A bed was being rescued, and the doctor was sweating and pressing the heart.
"Closed thoracic drainage, tension hemopneumothorax, emergency thoracic surgery consultation." Another bed is being disinfected, preparing for closed thoracic drainage.
"20% mannitol, fast intravenous drip."
"A tracheotomy."
"Get on a ventilator."
——
The emergency department, especially the rescue room, is a battlefield without gunpowder smoke, and doctors and nurses are soldiers who fight against death.
Several phones kept ringing.
The nurse on duty was talking loudly with the receiver pressed against her ear, her hand had already grabbed the other receiver, and she was staring at another receiver that just rang.
Several earpieces are juggled in hand and ear.
"3 beds!" Although Yang Ping is new here, the nurse has good eyesight, just glanced at Yang Ping's badge from a distance, and knew that it was an orthopedic doctor, with one finger on one side.
The doctor on duty was explaining the injury to Song Zimo: "More than a month old, baby girl, all five fingers of her left hand are broken--".
The baby was lying on the bed, her left hand was bandaged with a dressing. Maybe the baby was insensitive to pain, but she didn't cry. She rolled her eyes as if she was looking for something.
"Where's the broken finger?" Song Zimo asked.
The nurse took out a transparent film bag from the small refrigerator, which contained the severed fingers.
A two-month-old baby with very small hands.
A young woman in her thirties was crying beside her, and the man beside her supported her and comforted her.
"Can you connect? Doctor, please," the woman asked, her eyes red and puffy.
As soon as I got to know the doctor in the emergency department, the child's mother used a stroller to push the child to go to the supermarket. When she got off the escalator, the mother kept staring at her mobile phone. When it was almost to the end, she didn't pay attention. His hand got stuck in the gap between the elevator and the welcome pedal, and five fingers were crushed. The staff took out the broken fingers after disassembling the elevator.
Director Han is talking to Director Xiong of the emergency department.
The emergency doctor held the informed consent form he had just typed out and talked to the mother of the child in a hoarse voice. The conversation was interrupted several times because of crying.
"Xiao Yang, have you seen the patient? Wait for Song Zimo to take you to do it. Is there any problem with the table?" Director Han waved when Yang Ping arrived.
Director Han planned to let Song Zimo do it. The difficulty of replanting a severed finger of a baby is the highest in the replantation of severed fingers. Because the blood vessels are too thin, it has always been regarded as a restricted area. Song Zimo's microsurgery technology, Director Han, has a good idea of what he can do with 0.1 mm blood vessels.
"No problem, I will do my best to cooperate." Yang Ping was obliged.
"Very good!" Director Han was decisive and able, and immediately arranged on the spot: "Then arrange the operation immediately, we will go to the operating room first. The department has dry food, chocolate, compressed biscuits, you can eat a few pieces as soon as possible, and get to the operating room as soon as possible, we have already I've eaten it. This replantation of a severed finger is rare and very challenging, so keep your spirits up."
"Understood, promise to complete the task." Yang Ping looked serious.
Director Han is like a battle-hardened general, calm and never sloppy.
After speaking, he explained the precautions to the director of the emergency department, Xiong, and rushed to the operating room.
Song Zimo's face was a little unhappy, and he followed Director Han, wanting to say something several times.
"Director, Director, Director—"
"Would you like to let Director Tian come on and let him match the stage? I'm afraid not, it's so difficult." Song Zimo finally expressed his worries.
This worry is certain. Song Zimo is recognized as extremely talented. I don’t know how many simulated artificial blood vessels with a diameter of 0.1 mm or even thinner have been practiced. I have also received an unknown number of tails of newborn mice before I can be sure to make such a baby Replantation of severed fingers.
Director Han stood still and thought for a while: "Director Tian will help you deal with the broken fingers, and you can kiss the blood vessels. He just finished an open pelvic fracture, and his energy can't keep up. Yang Ping's broken finger last time. It only took two hours, so it shouldn't be a big problem to give you a stage, but it really doesn't work, I'll wash my hands and go to the stage."
Director Han made the bottom line so clear that Song Zimo couldn't force it, but he was still a little worried.
Blood routine, blood type, biochemistry, liver and kidney function, coagulation function, four items of infectious diseases, electrocardiogram—.
The doctors and nurses in the emergency department are fighters in war. They look messy, but they go their separate ways, cooperate skillfully, and are extremely efficient.
As soon as the needle hits the blood, it is punctured from the scalp vein, and the blood immediately flows to the tube under negative pressure, one tube after another, and is placed on the slot frame of the cart, and then immediately sent to the fully automatic testing machine in the laboratory department.
The electrocardiograph was pushed to the side, and the leads were placed accurately and quickly.
The paper crunched and spit out with a characteristic wavy line.
"The electrocardiogram is normal." The doctor spread out the paper in his hand.
"The operating room is ready, send the patient." The nurse on Central Island shouted.
The doctor made an OK gesture.
The baby is pushed to the operating room by a flat car, there is a special route, a special elevator.
The child was holding on to the flat car, crying all the time, and refused to let go: "Can I go in and watch?"
"No!" The emergency doctor pushed the car without stopping.
The child's father persuaded several times before the child's mother let go.
"Cry, cry, cry, cry, what are you crying for? Why did you go early? You don't care about children when you take an elevator. Every day is a mobile phone. Your mobile phone will give birth to children and raise children?"
Next to the child's grandfather and grandmother, seeing the doctor and nurse pushing the car away, couldn't help it, and finally broke out and yelled at the child's mother.
"Mom and dad, don't talk about her." The child's father said.
The old man scolded again: "I was born, I can't scold, and you too—"
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