Plague Doctor
Chapter 544 Right Forearm Amputation [Moon Ticket, Subscription Request]
Dongda Affiliated Hospital, Trauma Osteopathy.
There are a large number of orthopedic patients who are diagnosed and treated daily, joint trauma, fractures, arthroscopy, joint replacement, deformity orthopaedics, etc., the leading trauma and osteosurgery department in Dongzhou, and there are more than thirty doctors, many of them specialists, the master tutor of Dongdae Medical College.
Amputations are common here in the operating room, mostly for emergencies and sometimes for lesions.
Chief Physician Chen Yunping is preparing to go on stage for a right upper limb amputation surgery. This surgery is not special. The patient is 36 years old, male. The affected limb caused a large area of severe burns due to accidental work in the workshop. Before being transferred here, he was treated in a town hospital. Because the inflammation of the wound is not effectively controlled, skin transplant surgery is not yet conditioned, tissue necrosis, sepsis, blood flow is not smooth, and the clearance surgery is not applicable. Now the situation can only be amputated.
This is not the first time Chen Yunping has faced a case like this. Amputation of the right forearm is difficult, but the grip is large, and there are no accidents.
However, just at the preoperative meeting, their surgical team was suddenly told that the medical department of the Sky Machinery Bureau had sent someone to observe the surgery, Gu Jun's head.
Today at Dongzhou University and Dongda Affiliated Hospital, Gu Jun is a celebrity, Dongda's pride.
Had it not been for the confidentiality of this message, the little nurses in the department would have been excited to get the autograph pen out.
Chen Yunping, Anesthesiologist Jiquan, and others such as First Aid and Second Aid do not understand the purpose of the astronomer's trip.
The people at the medical department solemnly said, "It's not because of this surgery, it's because they need to watch a right amputation. Didn't tell us why. The NASA thing, it doesn't matter. Just do your surgery as you normally do. You must also prepare yourselves. Something abnormal may happen. Anyway, if you feel anything strange, say it. Something really is wrong. The astronomer will take over. ”
Gu Jun brought a team of more than 10 medical personnel who are said to be ready to go to the operating table at any time.
There was also a group of heavily armed men, but without a white coat, who were supposed to be astronomers from other departments.
It was at this preoperative meeting that Chen Yunping met with Gu Jun and others to communicate about the patient's condition and the surgical plan.
“Director Chen, we're interrupting.” Gu Jun is very modest, there is no shelf of astronomical heroes. Chen Yunping, although not a professor, is also a PhD student from Dongdae Medical School. He is a senior to Gu Jun, and now he really feels respect from each other.
“No, we understand that your NASA business is important.” Chen Yunping replied, sincerely feeling that, according to the rules, there were no more questions.
Gu Jun nodded. “Something happened, but the environment is still safe here. Director Chen, don't worry about it. ”
Currently, five patients with anomalies are admitted to emergency and orthopaedic clinics at Dongdae Affiliated Hospital.
However, Chen Yun equality was unclear, which was an informed doctor on duty, and the defendant complained that he should be a BIID patient.
The number of patients with ambulatory disorders is still on the rise. The medical department base has carried out an artificial coma on several patients, such as Zhou Yibao, and the patient's vital signs are stable in the coma. This technique can have pain-relieving effect for the time being. But their right hands are still moving, struggling and worsening.
Now, the burn amputee was already waiting in the operating room. It was not too late. A walker immediately went to the dressing room outside the operating room to change the airtight protective clothes brought by the astronomical team to prevent possible accidents. This naturally has a slight effect on the flexibility of the body, but Chen Yunping took the job with confidence.
Gu Jun hasn't walked into the orthopedic operating room in a while. There is no light on the shadow lamp, operating bed, anesthesia machine, monitor...
Patients who had been completely hemorrhagic were lying on a black brown surgical bed on their back, the nurse placed his lateral trunk as close to the edge of the operating table as possible, abducted his limbs, lay flat on another small operating table, and placed an inflatable tourniquet on his upper arm, with stable vital signs.
Gu Jun saw the limb with a large area of burn, only a small amputation of the upper arm was still intact, apart from the upper arm to elbow, the whole small arm, wrist and palm, skin was dark and red, swollen and swollen, there was pus all over the wound...
Even if you're used to filth, even if you've just dissected that lamb leg, it's a hundred times weirder.
He still had an unprecedented palpitation, just because there was a human face, a comatose face, on the body attached to this limb.
A mediocre, middle-aged man who never met him.
But that illusion came back, from dissecting the black goats and cubs...
Boom, boom, boom.
He seemed to hear something landing.
“Director Chen, let's get started.” Gu Jun saw Chen Yunping and they looked over and said again: “Leave us alone. ”
He and Uncle Egg, Zhang and a few others, all walked aside.
And Chen Yunjie walked to the side of the small operating table with the limb, saying that suddenly there was a team of astronomers watching beside him, and the pressure didn't increase. That was a fake. They calmed down their mood, focused their attention, picked up the device, and put out their abilities and experience.
This is a forearm amputation with a truncated bone plane set at 13 points in the upper arm, which is an ideal location with a good blood supply from the flap and a more suitable postoperative prosthetic limb.
The first step in surgery is to make an incision.
At this time, Chen Yunping followed a predetermined preoperative protocol, before and after the predetermined osteotomical plane design, and then took the scalpel to cut the skin, subcutaneous tissue, and deep fascia along the incision line, and then freed proximally above the osteotomical plane. At the same time, First Aid, Second Aid, Device Nurse, etc., are all busy.
Gu Jun stood not far away and looked at the situation in the operating area without hindering them from performing the surgery.
The arm, which has been purulently infected, is still flooded with purulent water, mixed with blood, even though it has undergone debridement.
Chen Yunping's hand strength is very stable and not much affected by airtight protective clothing. Under his leadership, the surgical team went to the limb surgery area to sever the blood vessels, then separate and sever the radial, median and ulnar nerves...
The operating room is quiet and everyone is focused on this operation.
But Gu Jun heard the thumping, thumping, getting heavier and heavier. It seemed to fall on his mind and hit him all at once.
He suddenly swayed in front of him, what was the scene flashing...
This is exactly why he came here to observe the surgery, and it seems to be possible, triggering illusions...
In that blurry, shattered scene, there was a child filming the ball... bang, bang, bang, it was the sound of the ball landing... No, it was not the child, it was another child next to him, standing just outside the basketball rack, looking.
The kid, with no hands, was empty-handed under the shoulders on both sides of the T-shirt.