When a doctor opened a plug-in

The level of a doctor can be seen from the first time he sees the patient!

After An Yanjun saw the patient's condition, his brain immediately began to rotate at high speed, constantly thinking about the best treatment plan.

For the patient's situation, I quickly learned about it.

The first thing to do now is to reset the story.

The patient's condition is mainly the dislocation between the metacarpophalangeal joints and the fracture of the phalanx.

Tan Zhonglin is very good at handling such joints, and An Yanjun is also not bad.

but……

At this time, the two of them involuntarily staggered the position of the main knife, silently preparing to get auxiliary equipment.

Tan Zhonglin looked at Chen Cang: "Xiao Chen, come on!"

Chen Cang was dumbfounded, and said embarrassingly: "Come on, Director, I...I'm not very good at orthopedics."

Tan Zhonglin was taken aback, what a good young man, he gave me face like this, but he sighed: "Xiao Chen, this is not the time for humility, come!"

Chen Cang was shocked: "Director, I really don't know how."

At this moment, even Tan Zhonglin and An Yanjun were dumbfounded.

And Chen Cang can't?

Tan Zhonglin glanced at Chen Cang, saw that Chen Cang didn't seem to be joking, and then asked tentatively: "Really? You don't need to take care of the face of both of us, we are not outsiders!"

Chen Cang couldn't laugh or cry: "Really, Director, I really don't. You have reset the fracture. I will deal with tendon nerves and blood vessels. Let's have a clear division of labor, OK?"

Tan Zhonglin felt relieved when he heard Chen Cang's words, and couldn't help but let out a sigh.

That's right!

You are only 27 years old, OK, no matter how talented you are, there must be a limit.

How can it be anything?

Thinking of this, Tan Zhonglin thought of his first thoughts and couldn't help but laugh.

Everyone is human, how can the gap be so big!

It can only be said that there is a specialization in the art industry!

Besides, the orthopedics department requires long-term work experience and surgical accumulation. Xiao Chen is good at suturing tendons and blood vessels. This may be because he has been in the front line for a long time and has more exposure to trauma patients.

Suddenly, Tan Zhonglin felt a lot easier inside.

"Director An, come, let's come."

While talking, Chen Cang carefully observed from the side that clinical work requires a lot of study. If you don't study, how can you make progress.

If the fracture of the phalanx is not displaced, manual reduction is generally the main method. This Chen Cang will.

Now Chen Cang suddenly felt how powerful the reset technique he learned from Director Wang Xiangjun was!

However, this kind of open fracture requires incision and internal fixation, such as Tan Zhonglin's Kirschner wire fixation at this time. This method is firm and reliable in clinical practice.

Chen Cang handed the equipment to the side, but he could see clearly!

Tan Zhonglin looked at Chen Cang studying hard, and he also had a little pride in his heart!

Young people should learn more!

After all, fixation surgery for open fractures of the phalanx is a frequently performed operation in hand surgery. This kind of surgery, Lao Tan, has done for half a life, is experienced and skilled, and occasionally can try his hands and feet at the annual meeting. .

Therefore, this piece of Tan Zhonglin is still quite confident.

In fact, surgery is the same as playing ball and singing. It requires a state of mind. The doctor's mental outlook is good, and the surgery is not bad.

Tan Zhonglin found that when Chen Cang was in the audience, this sense of confidence was too much.

Thinking of this, Tan Zhonglin couldn't help but show off, causing An Yanjun's eyelids to jump on the side. When he looked at Tan Zhonglin in his eyes, he brought a little respect. It is indeed Director Tan!

Awesome!

Chen Cang also had to admit that Jiang Hao was old and hot, and Director Tan did a good job at this phalanx surgery!

Ding!Congratulations, the skill of stealing 5% of the title attribute triggers: Obtain Tan Zhonglin Skill: Phlegm Fracture Surgery: Master Level.

Phalanx fracture surgery: including phalanx reduction, phalanx fixation, etc., master class; special effects: 1. accurate reduction; 2. firm fixation;

Chen Cang looked happy!

I'm a good boy.

The task of stealing the teacher hasn't been triggered for a long time, and finally came once.

Thinking of this, Chen Cang couldn't help but feel happy in his heart, and the two special effects are accurate and solid, and they are both effective.

Because of the treatment of phalanx fractures, it is necessary to achieve accurate reduction and firm fixation, and to perform functional exercises as early as possible to restore the flexible movement of the fingers.

What the effect of surgery can control is basically accurate reduction and firm fixation!

The operation for the fracture was quickly over. Tan Zhonglin couldn't help but breathe a sigh of relief and was finally able to show off in front of Chen Cang.

Ever since I met Chen Cang, I have been refreshed by Chen Cang again and again every time. I almost forgot that I was the director of the Provincial People's Hand Surgery Department.

Thinking of this, Tan Zhonglin glanced at Chen Cang.

An Yanjun came over with a flattering: "Director Tan did a good job of phalanx fracture surgery! I saw it at the annual meeting last year, and I didn't expect it to improve again!"

Tan Zhonglin looked at Chen Cang and said seriously: "Today is in good condition, Xiao Chen, I will leave it to you next."

Chen Cang nodded, he understood that the next job was the top priority!

Orthopedic surgery only takes a little time and will not affect the neurovascular surgery of the hand.

Tan Zhonglin and An Yanjun both looked at the back of Guo Zhiyong's hand with worry. Even after the debridement, the condition of the back of his hand was not good!

Because the ulnar artery and radial artery have been completely broken!

This is not as simple as a sentence.

Even if all the valid data in clinical reports show that the survival rate of the hand can reach about 13 among the wounded with complete rupture of the ulnar artery and radial artery.

But... is it one-third higher?

Some people may think it is very high, so in other words, you don't think so.

The probability of operation failure is as high as two-thirds.

The artery has been ligated before the operation, and what we need to do now is to anastomose the damaged blood vessel.

This is also due to the rupture of the arteries in the hands. If it is in other places, the chance of recovery may not even reach 10%.

Because the blood supply of the hand is extremely rich, the main source is the radial artery and the ulnar artery, in addition to the anterior interosseous artery and the posterior interosseous artery.

Of course, there are some so-called extraordinary talents who look different from others, that is, the so-called "skeletal wonders, martial arts wizards." In their blood supply, 3.7% of individuals have the median artery to participate.

In fact, the medical statistics are really only the majority of people. There are too many people with strange shapes. They are really talented. The one who impressed Chen Cang most was a patient with cerebral infarction.

Generally, after cerebral infarction, it means that the back of the brain tissue is necrotic due to ischemia and hypoxia. However, when discharged from the hospital, a cranial vascular nuclear magnetic MRA found that collateral circulation appeared in the original infarction area. The blood supply is restored!

At that time Chen Cang was dumbfounded!

This is really the so-called medical miracle.

So, since then, Chen Cang has been in awe of the human body, and when he saw those who jumped off the building, he had to go farther away. What if someone had an abnormal bone quality and jumped down and ran away?Maybe people really find it troublesome to climb stairs!

The blood vessels in the hand are in the form of arterial network or arterial arch, which constitutes a smooth channel for traffic, ensuring that the hand has a strong ability to adapt to the blood supply in the various functional positions of pinching, holding, grasping and grasping.

It is precisely because of the abundant anastomosis of the above-mentioned blood vessels and good compensatory ability that the hand has a more than 30% chance of recovery even if the radial and ulnar arteries are broken.

Chen Cang found that his eyes were really good when dealing with these delicate operations.

Looking at the name written on it, Chen Cang knew that he couldn't find the wrong blood vessel!

[Rectified distal end of radial artery] + [Rectified proximal end of radial artery] = intact radial artery.

Well, it's that simple, just like splicing toys when you were in school.

Of course, suture is the top priority of surgery.

Because the suture of the peripheral blood vessels is relatively thin, it is more difficult and difficult to operate.