Chapter 295: Black silk wristband

295 Black Silk Wristband
The first successful operation of the reattachment of the upper end of the wrist joint was performed by the Chinese people under extremely poor environments and conditions. One of the doctors was related to Qiu Lao. Think about it that year, it made people bloody, the United States blocked China with every aspect of the younger brothers, and the Soviets had chicken belly.
In that kind of hostile environment, even under the premise of not having a more advanced microscope, the medical bulls of the year still made the world number one. Then, there is no more. After taking money as the boss, this discipline is shrinking rapidly in China. This is also a typical time when all disciplines are surpassing the pace of the world, but it is shrinking sharply.
After Xiao Congcong was pushed in the operating room, the doctors nervously began to prepare for the operation and correct the shock. Xiao Congcong, who was already very weak, was even more weak this time.
I didn't even have the strength to cry. My pale face looked at a group of weirdoes in green clothes and blue hats and blue masks. The nervous and scared little doll curled up like a little wolf without a mother. . Try to shrink yourself together as if to feel secure.
Rehydration, symptomatic treatment, and then Xiao Congcong went to sleep under the sedative hypnosis. The broken little hand was preparing anesthesia for Xiao Congcong, and Zhang Fan and Li Liang had already done the preliminary treatment.
"Preparing Kirschner wire and intramedullary nails, this operation cannot use steel plates!" Zhang Fan said to the surgical nurse while handling the broken little hand.
"Director Zhang, why don't you use a steel plate?" Li Liang didn't understand a little. After the old Chen explained, Li Liang no longer called Zhang Fan in the unit.
"If it is fixed with a steel plate, it will cause severe damage to the periosteum, especially in young children, as far as possible, without periosteal damage." Zhang Fan explained. The advantages of steel plates are many, but the biggest disadvantage is the damage to the periosteum.
The periosteum on the surface of the bone contains a large number of blood vessels and running nerves. Once damaged, it can no longer be formed, especially this nerve. Once it is damaged, it is too difficult to repair.
Steel plates are the products of large industrialization. When used, it is necessary to ensure that the steel plate and bone are adhered. If not, the steel plate is broken or the fracture end is not fixed firmly.
To adhere, you must first destroy this layer of periosteum with a bone knife. The Kirschner wire is much simpler. It is like a steel braid of a knitted sweater. Two crossed straight lines fix a plane. This is the principle. But why is there less surgery now? Simple, because it's cheap!
Brush the broken little hand. After disinfection, Zhang Fan said to Li Liang, "Li Liang, punch in the heparin saline." Zhang Fan grasped the small hand and let the broken end face face Li Liang. The washed little hand was especially like a small one. The trotters, especially the skin color, are exactly the same as the trotters after washing.
Heparin flushing of cross-section blood vessels is to prevent residual blood from coagulating in the blood vessels. The key to the success of replantation of the limb is whether the blood vessels are connected with high-quality sutures and whether the blood vessels are unblocked. .
While rinsing, Zhang Fan tied the blood vessels and nerves with black silk threads, which was remarked. This operation should not waste a little time.
After the severed hand was handled, anesthesia was also prepared, and Zhang Fan and Li Liang started surgery. The instruments used in hand and foot surgery are similar to those in vascular surgery and ophthalmology. The instruments used are very fine and not like orthopedics.
The instruments used in orthopedic surgery are particularly similar to those used by carpenters: hammers, saws, bone files, bone knives, electric drills! Remove a bone word, these tools are definitely familiar to carpenters!
Everyone has three friends and four friends, and Xiao Congcong's uncle's family is also in the farm. Cong Cong's uncle is a small cadre of the Rural Power Plant, while Cong Cong's parents are ordinary employees. The uncle is a good person, but this aunt loves to play tricks.
"Oh! What do you think of the children? The children are not sensible, do you not sensible? The family age is almost two hundred years old, and a four-year-old doll is not good enough." , The strange voice has arrived, this is really heartbreaking!
When the two old men who were already guilty heard it, their hearts were almost broken, their grandson was distressed, and annoyed, but what else can they say at this time, the two old men even have no qualification to cry, and they are sinners! It's really uncomfortable.
"Just a few words, and then you go home!" Uncle was anxious. Growled at his wife.
"The money is not enough. I brought my bank card. I must let the doctor use the best medicine and the best equipment. It is too late now. You should give the doctor a red envelope before the operation. Such a big thing. Hey! "I walked in front of my brother, whispered a few words, and then asked," Where is the person in charge of the hospital? I'll do something. "
Before the words were over, Lao Chen prepared the operation signature and came over: "Come on, the parents of the children come to the office to sign a letter."
Cong Cong's father helped Cong Cong's mother to walk into the doctor's office, and the uncle followed. Aunt Cong Cong also quickly followed, and she was worried that her old man would give money!
Cong Cong's grandmother was like a puppet who had been threaded, and she stared blankly at the green light at the door of the operating room.
"Here, here. The difficulty and danger of the operation, you all know the sequelae after the operation. Sign it!" Lao Chen pointed out the place to sign to his family after explaining the condition.
For the Cong Cong family, now they are the pigs on the chopping block. What do doctors say about them, let alone rebellion, they dare not even have any objections! Now they are afraid that the doctor will have something unexpected.
"Remember to pay the fee."
"Director, about how much it is." Cong Cong's parents are like zombies, what to do, even a little normal thinking, only Uncle Cong Cong came forward to speak.
"About 20,000!"
"Okay, I'm going to pay now." Then, Uncle Cong Cong was going to pay, Aunt Cong Cong was a little anxious, and secretly pulled his husband's placket to let go.
Uncle Cong Cong didn't talk much, pushed his wife's hand away with his hands, and then went out to pay. At this time, my aunt was as keen as a knife, and 20,000 is a big number for ordinary people. Hey!
At this time, the three people were like zombies, and they stiffly walked out of the office door. Suddenly, the aunt seemed to be alive: "You too, the children are not good, what bad hospital to look for, why not go to a public hospital! "
Cong Cong's parents are like deaf! As a result, Lao Chen heard this, "Hey! Sister. That ’s not the case, rotten hospital? Go and inquire, the whole Chasu City, this kind of replantation surgery, as long as our hospital can't help it, other hospitals are even more unnecessary Think of it, we are this for the replanting of the broken limb in Chasu City! "
proud! Can he be surprised? The doctors in a county hospital couldn't get out of the way. Now the public top three hospitals can't be parried. Can't he please? Can't you be proud!
In the operating room, Zhang Fan and Li Liang were nervous and quickly undergoing surgery. "Children's surgery, we must consider the future development, especially the bone marrow line, do not touch if you can not touch." Zhang Fan while undergoing surgery , While explaining to Li Liang.
Song Bing stood on the side as a roving nurse. As long as Zhang Fan went to the surgery, Li Liang and Song Bing were either assistants or roving nurses. They would never miss this opportunity to observe!
Debridement, the first step of traumatic surgery, is also a very important step. An excellent debridement is to lay a solid foundation for replantation.
Three to four hours after the muscle loses blood, the general stimulation is relatively slow. Fortunately, the time sent by Cong Cong is relatively short, and the situation is not bad.
The retention of the limbs is one for sound physique and one for limb function. The premise of maintaining the integrity is to be able to fix the fracture and repair the blood vessels, especially the blood vessels, and we must ensure high-quality sutures.
The protection of limb function is nerve repair. Simply put, the more the centrifugal section is replanted, the greater the chance, because the farther away, the blood vessel lumen and nerves become smaller. In popular terms, the larger the more difficult it is to repair and the harder it is to survive!
Rinse, Zhang Fan quickly flushed the blood vessels with heparin saline, and Li Liang's cooperation now can barely follow Zhang Fan. During this time, Li Liang also suffered a bitter liver.
At the end of debridement, he began to fix the fracture. The children's bones were as white as ivory and jade, and as thin as chopsticks. "Ah! Such a small child has suffered such a great crime." Li Liang did not know how many limbs were replanted. Now, I can't help feeling a little sad when I see these hands of the baby doll.
The fracture was fixed. Press the Kirschner wire for the surgical electric drill, the ulna and radius, and tilt it slightly to an angle of thirty. Under the high-speed rotation of the electric drill, it penetrated the bone gently. This straight broken end is the easiest to fix.
Crossing left and right, Zhang Fan fixed a plane. The plane of a fracture is fixed very accurately, without a trace of hesitation, without a trace of gesture, it is so proficient and so accurate. Because Li Liang was an assistant, he could not understand it.
And Song Bing, who was on the tour, looked at Zhang Fan ’s operation, and kept screaming: "Rely! Rely! Rely! It was originally done this way, oh! Why do you want to do this!" Stop alternately, it is estimated that he will have another night of liver after surgery!
After the fractures and tendons are fixed, it is the blood vessels. At this time, you need to bring a microscope. The key to the success or failure of the operation comes, but for Zhang Fan, it is not difficult.
Step by step, once surgery, Zhang Fan is like a robot. The muscles that have been livered countless times in the system have long formed memories, and their priorities are very standard.
Nerve suture, skin suture, step by step, "OK!" After the operation, Zhang Fan said gently. As soon as he spoke, the operating room was like a world of ice and snow, and everyone was resurrected.
"Director, I'm not tired. I'll open a bottle of glucose for you!" Song Bing said to Zhang Fan, pleased.
"It's okay. You have to remember that at this time don't relax, don't take care, be sure to observe the replanted limbs for changes in skin and temperature."
"Um." Li Liang and Song Bing nodded at the same time and agreed.
At this time, Cong Cong's broken little hand had been connected to the arm, but the colors on both sides were distinct.
The severed skin was pale, like an artificial limb. As the tourniquet opens, the skin visible to the naked eye slowly changes color. Severe limbs from near to far became colored.
In ten seconds, the skin of the little hand became normal, only the cut off part had a circle of black line, like a black ribbon bracelet, embroidered on the little arm! It ’s really cute and really looks good. This black ribbon is really bloody, and the bones look so good!
"After the operation, pay close attention, especially within 24 hours after the operation, you must not neglect."
OK, Li Liang and Song Bing nodded at the same time.
The operation is over! The rescue was successful, and more than three hours have passed.
Three chapters, three chapters, Lao Zang is a liver!
Do you have the heart to not give tickets?
By the way, two books, the pharmaceutical tycoon, "My playlist is too amazing."
You can take a look at the book shortage!
(End of this chapter)