No one’s skin can withstand close inspection, and every beautiful woman’s figure cannot withstand medical analysis.

As a doctor, Lu Cheng quickly suppressed this discomfort.

It was only three o'clock and almost four o'clock now, but no one had time to have lunch, so considering that Cao Xiaohe and Lu Cheng were both boys, they finally ordered four dishes and one soup.

Lu Cheng and Cao Xiaohe devoured the modest portions of the dishes. When they were about to pay the bill, Lu Cheng was about to say that he was here to treat them.

He was pinned down by Cao Xiaohe on his seat, and then said: "Xiao Lu, please stop messing around. Junior Sister Fang should pay for this meal. Don't rob it with her."

Lu Cheng felt that Cao Xiaohe's words didn't make sense. Seeing how Cao Xiaohe felt at ease, he didn't think it was too nice or too pretentious. They would spend a lot of time together in the future.

It's just that Cao Xiaohe has only been in the Second Affiliated School for a few months, so how did he acquire the temperament he has now?

You still need money from your junior sister to eat. Is this because the world has become unfamiliar to you?

After several people had eaten, they rushed directly to the central operating room in the surgical building. There are many operating rooms in the central operating room, and it is a relatively advanced laminar flow operating room. The level of sterility inside is not comparable to that of the emergency operating room.

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For major surgeries, you can always find a suitable operating room here.

I had already called to inquire about the operation and was temporarily placed in room 34. When Lu Cheng and three others arrived, Li Dongshan, Yu Youlin and Zou Qian had already started the operation. At a glance, the three of them should be dividing blood vessels and blood vessels.

nerve.

Li Dongshan kept asking: "Does this patient really need limb salvage? In this case, it would be easier to just ampute the limb? Isn't it possible that limb salvage will be successful?"

Zou Qian hurriedly replied: "I've told you, I've told you many times, originally my family members had to have their limbs amputated because they had no money. At the critical moment, we had money again, so we prepared 200,000 yuan in the early stage. The only requirement was to save the limbs and lives.

The specific function of the limb after salvage can only depend on God’s will.”

"It has been signed, and the power of attorney has been stamped with fingerprints." Zou Qian described his procedures.

Before the patient became comatose, the emergency department staff had already asked the patient to press his thumbprint and sign the power of attorney. The patient was still conscious at the time, and he authorized his wife to make all decisions on his behalf.

Then the wife's signature will be completely legal. Otherwise, the patient will be unconscious when he comes in. Even if the patient's wife signs, there is no power of attorney, or the patient himself does not know about it at all, then he still has to ask the hospital's general manager for instructions.

Surgery can only be performed under the witness of the general on duty.

This rule and process cannot be wrong, and it is also for self-protection.

"Oh, okay, let's call the chief resident of the vascular surgery department and ask her to come over and take a look. I'll probably end up calling the superior of the vascular surgery department to come on stage."

"In addition to the tour, you can go and see if the microsurgical instruments are available. We need to use them here. If they are available, bring them over. If not, then bring a portable magnifying glass." Li Dongshan continued to order.

Cao Xiao and Wen Yan immediately called.

The tour leader said: "Professor Li, I've asked you about this a long time ago. The first ward of the Department of Orthopedics is still doing tendon and nerve transposition surgery, and a pedicled skin flap transplant is also being done. I guess I have to step down."

I went there early in the morning and the microsuture machine was not available."

"There are a few sets of head-mounted magnifying glasses, but not many. The first ward of the Orthopedics Department is also divided into separate stations. A few sets were taken over. Do you think they are?" Xianyou asked cautiously.

You can't blame her. For this kind of equipment, the trauma surgery department has already allocated it every day. Unless it is on weekends, it may be free. Others have already made arrangements. How can it be transferred to other departments and emergency surgeries?

Li Dongshan could only say helplessly: "Okay, how many sets can there be?"

Then Li Dongshan was about to call someone on stage to help. He saw that apart from Cao Xiaohe who was on the phone, Lu Cheng and Fang Nixin had already gone to wash their hands and put on clothes. After looking at it, he continued to move his eyes to the stage.

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He said: "For the tour, bring us a set of debridement kits, a pack of cutting threads, a round knife, a set of sharp blades, and two syringes of five to twenty milliliters, each with needles."

"This patient's condition is more complicated than imagined. We have to do it separately to buy time."

After Yu Youlin heard this, he immediately said: "Professor Li, then I will dissect from the popliteal area downwards?"

Li Dongshan said: "No, you continue the incision I am making now to the position of the popliteal artery. The blood vessels and nerves below are more complicated. I will do it. After you finish it, you can almost eat. Then we will leave it to the blood vessels.

The surgeon will come and open the blood vessels."

"Zou Qian, have you told the patient that once all the blood clots in the blood vessels cannot be removed, is it possible that the limb will need to be amputated in the end?"

"I've said it, I've said it all. The attitude of the patient's family is still very firm. He has a younger brother who is not short of money." Zou Qian replied with a bitter face, because this patient wanted to have a limb salvage, which made Li Dongshan's mentality worse.

It was a little bad, so he asked such low-level questions too many times in a row.

But it is true that this patient's current situation has too many hurdles to overcome.

First, if there is a blood clot or break in the blood vessel, even if it can be opened and sutured, can he bear the reperfusion injury?

Second, the unilateral lower limb muscles are severely squeezed. A complication of the squeeze syndrome is rhabdomyolysis. Whether necrosis will occur is one issue, and whether dialysis can survive is another issue.

Open fracture is one level, skin defect is another level, and whether there is nerve damage is another level.

Even if these are all good, are you feeling infected, can you keep up with postoperative nutrition, and can patients with traumatic hyperthermia survive?

Will severe dehydration and electrolyte imbalance kill him? Will he be able to afford to stay in the ICU for several days after that?

It's too difficult.

Finally, Lu Cheng and Fang Nixin came on stage soon.

Cao Xiaohe also finished the call and said, "Professor Li, the chief resident of the vascular surgery department has spoken. She said that Professor Zu from their department will come in person. She is still on stage now."

Li Dongshan did not raise his head and just said: "If Professor Zu can come, the patient's blood vessel survival can be increased by at least 50%. It is also considered his luck. There are many disasters. If we can provide the best medical skills, we will provide the best

Please help."

"Contact Professor Zhou Xuanqing from the Department of Orthopedics and ask him if he is on stage and would like to help suture the tendons and nerves. With such a serious injury, I am afraid that only his intervention can maximize the survival rate of the tendons and nerves."

"Okay. I'll fight." Cao Xiaohe was stunned when he heard this and said immediately.

After hearing this, Yu Youlin also looked at Li Dongshan a lot and said to himself, in so many years, Li Dongshan has encountered so many things and so many difficulties, but he has never bowed his head to people in orthopedics. When will he ever think about starting from orthopedics?

Orthopedics came to ask for backup?

Why are you calling Professor Zhou Xuanqing to come to the stage now? What is going on?
Chapter completed!