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Director Tan got excited when he heard that he was saved. He talked a lot when he was excited, and held on to Chen Qi tightly:

"It's okay. As long as we can take over the job and don't become disabled, we'll be satisfied. Dean Chen, please save Master Zheng. No matter how much it costs, it doesn't matter. Tell us what medicine you want, and we'll buy it right away.

”

Chen Qi took a deep breath: "If you keep talking nonsense, the patient will be in more danger. Please give in."

Elder Tan Chang blushed and quickly got out of the way.

If any other doctor had dared to say this, Director Tan would definitely lose his temper. But for a capable doctor, Director Tan decisively gave in.

Dean Mao then stepped out from the side and said, "Director Tan, why don't you go to my office first?"

Factory Director Tan is a deputy department-level director, so he is a bit reserved towards the deputy department-level dean. He just shook his head: "I'll just wait here."

It makes Dean Mao very unhappy.

In the operating room, all medical staff were in place. Because the Fourth Hospital had never performed replantation of amputated limbs in its history, everyone was very nervous. You must know that outside the operating room, three deans and the leaders of the machinery factory were waiting.

.

Chen Qi took over the command of the operating room:

"Anesthesiologist, this operation is performed with continuous brachial plexus anesthesia, using 10ml of 0.3% caine and 10ml of 2% lidocaine.

The anesthesiologist nodded: "Copy that, do you need to add some epinephrine regularly?"

"No, adrenaline will cause continued spasm of blood vessels, so don't use it this time."

"Okay!"

"Director Li from the Department of Internal Medicine, please help me pay close attention to the patient's vital signs. In addition, the patient is already in hemorrhagic shock. I leave it to you to determine how to expand the volume."

"Received Deputy Chen!"

Chen Qi said to Director Bian again: "Old Bian, please help clean your upper limbs and then help disinfect them. I will handle the severed hands myself."

"Okay!"

Under the command of Chen Qi, everyone began to act in an orderly manner, with a clear division of labor.

Chen Qi took the patient's severed palm into his hand and rinsed it repeatedly with plenty of salt water. Then he began to scrub the wound edge with a sterile brush and soapy water. When the wound was almost clean, he used 3% iodine tincture and 75% ethanol to clean the entire limb.

Disinfect twice.

If it were just this step, Chen Qi wouldn't do it himself. Any little doctor can do debridement and disinfection.

"Nurse, prepare 250ML heparin isotonic saline and an 18-gauge flat-head needle for me."

The nurse quickly prepared the things Chen Qi needed and handed them into his hands.

While debriding, Director Bian was also carefully observing Chen Qi's steps. These are valuable clinical experiences that he may use next time. Of course, if you don't understand, you should ask questions.

"Mr. Chen, what is the purpose of preparing heparin?"

"Now I need to flush the vascular bed, so that I can know whether the integrity of the blood vessels in the amputated limb is damaged? If the heparin leaks everywhere like a sieve when I put it in, it will be difficult for the palm to work.

On the other hand, if the amputated limb tissue has no blood supply for a long time, it will definitely accumulate a lot of toxic metabolites, and there are also many clots in the small blood vessels, so flushing can reduce the body's absorption of toxic substances and provide smooth blood vessels for rebuilding blood circulation.

It’s time to lay a solid foundation.”

Dean Bian listened and memorized it in his mind.

Yan Shifan and Bian Meng were also preparing for the operation while learning from their teachers.

After Chen Qi finished all the preparations and the operation was about to begin, Chen Qi turned back to look at Ma Shouli, the director of the Department of Orthopedics, and said:

"Director Ma, now the first step is to fix the bone joints. The effect I want is to bite the bone ends into a relatively stepped shape, and use 1 to 2 screws to penetrate and fix it. You are an expert in orthopedics, and you will do this step.

."

After all, Chen Qi is not a professional hand surgeon, and his treatment of bones is definitely not as good as that of a specialist, so he can only hire foreign aid. This is also the benefit of multi-disciplinary surgery, which can give full play to the expertise of each doctor.

When Director Ma heard this, his tail was raised to the sky:

"Don't worry, Deputy Chen, you're right to leave the orthopedics stuff to me. I guarantee that the task will be completed."

Orthopedics are all done by stupid people. They saw and drill holes. After working for a long time, the broken palm and the arm were connected with rough steps.

Without saying a word, Chen Qi immediately sat down on the stool, adjusted the microscope to a suitable angle, and said softly:

"Now we will suture the blood vessels immediately. Take out all the tools for microsurgery on the small side. Lao Yan, prepare the needle and thread."

Vascular anastomosis to reestablish blood circulation is a key step in replanting a severed limb.

Without anastomosis of blood vessels, the blood supply cannot be restored. In a state of long-term ischemia, irreversible damage will occur to tissue cells.

Therefore, to judge whether the limb replantation operation is successful or not, whether it is resuscitated, whether the blood supply is restored, and whether the blood circulation is established, these are the criteria for one-vote veto.

At the same time, this step is the most complicated and technically challenging. The blood vessels are so thin that you have to sew them up one by one. The larger blood vessels under the microscope are fine, but you can only be careful with the small blood vessels. You can imagine this

It’s extremely difficult.

Anyway, to those standing by, it seemed that Chen Qi's hand was shaking slightly, and the movement couldn't be any smaller.

This is also the reason why surgeons do not drink alcohol easily. If you drink too much, your hands will shake slightly, making it impossible to perform many operations. For example, laparoscopic surgery will test the stability of your hands.

Continuous through suture method, interrupted through suture method, telescopic suture method...

Chen Qi used different suturing methods according to different blood vessels. He concentrated on it. The operating room was quiet. Everyone was afraid that the slightest noise would make the surgeon's hands shake. If the operation failed, wouldn't he be scolded to death?

While Chen Qi was busy performing vascular anastomosis, a car from the People's Hospital quickly drove into the Fourth Hospital.

Dean Guo and Zhu Huoyan received a call from Hongqi Machinery Factory and rushed over as quickly as possible.

In fact, the two of them are still a little worried, because their skills in replanting amputated limbs are quite limited.

Microsurgery was far from popular in the 1980s, and was generally carried out only in national or provincial hospitals.

Regional hospitals don't do much. First, there are few sources of disease, and there aren't many opportunities to practice hand skills. Second, the severed palms are not properly preserved, so many patients have no chance of being replanted.

Another thing is that President Guo and Director Zhu are both from general surgery, and they are basically two different concepts from "hand surgery" under the microscope. They are really separated by mountains.

However, after receiving the company's call for help, the two rushed over urgently. Whether the technology is good or not is one thing, but the attitude is another.

As soon as they got off the car, they quickly came to the operating room. Director Tan and Director Mao saw the director of the People's Hospital coming and greeted him.

Dean Guo shook hands with them and asked eagerly: "Where is the patient? How is the situation now?"

Dean Mao quickly replied: "Dean Guo, the patient is already undergoing surgery."

Dean Guo and Zhu Huoyan were surprised for a moment. They both wondered when the fourth hospital would be able to replant amputated limbs?

"Who is the surgeon? Bian Pengfei?"

Uh...

Dean Mao was a little embarrassed for a moment. He didn't know the relationship between Chen Qi and these two big leaders. He just wanted to recommend to his competitors and was unwilling to do so.

"President Guo, Director Zhu, and the surgeon is Comrade Chen Qi from our hospital."

"Chen Qi?"

Dean Guo suddenly chuckled, his expression visibly relaxed:

"This guy knows how to replant amputated limbs? Let's go and have a look."

Dean Zhu was also full of questions. He thought that the technique of replantation and replantation was not practiced in the central region of Yue. Where did this young apprentice learn it?

The two of them, one relaxed and the other confused, quickly put on surgical gowns, disinfected and entered the operating room.

When Director Bian saw Dean Guo and the others coming in, he was about to say hello when Dean Guo waved his hand and pointed at Chen Qi.

He has already seen Chen Qi facing the microscope, concentrating on the delicate surgery. This process cannot be disturbed.

Surgeons like to joke and chat during operations. They are all very outgoing anyway, but microsurgery does not allow the slightest distraction.

Although Dean Guo doesn't know how to do it himself, he is knowledgeable and knows how to do it.

Director Zhu was more curious about Chen Qi's clinical skills, so he quietly came to Chen Qi's side, squatted down, and carefully observed how Chen Qi treated his wounds.

In the second hour of the operation, Professor Wu Jianlin, who came from the First Affiliated Hospital of the Provincial Capital, arrived with a full set of microsurgical instruments.

Wu Jianlin is one of the first doctors to perform hand surgery in Haidong Province, and his skills are beyond words.

The Fourth Hospital of Yuezhong is only 40 kilometers away from the provincial capital. When he received the call for help, he didn’t hesitate and rushed there in more than an hour.

Hongqi Machinery Factory is still very capable.

When Director Tan heard that a doctor was coming from the provincial capital, he ran quickly to greet him.

"Director Wu, it's great that you are here. You have to save this master worker in our factory. He is an eighth-level fitter. There are not many treasures in the entire Vietnam Central region."

Wu Jianlin didn't talk nonsense. He walked quickly to the operating room and asked:

"How is the patient's condition now? Are the severed limbs intact?"

Dean Mao followed quickly and introduced:

"Director Wu, it's like this. The patient was completely severed from the wrist joint by a machine about 2 and a half hours ago. He was sent to our hospital 10 minutes after the injury. We carried out rescue operations 18 minutes after the injury. Currently, the severed limb is being rehabilitated.

Implant surgery."

Director Wu's footsteps suddenly stopped and asked in disbelief:

"What did you say? Replantation of the severed limb is already underway? Who is the chief surgeon?"

Dean Mao replied in a weak voice: "It was Comrade Chen Qi from our hospital who performed the surgery."

"Chen Qi? I've never heard of it. It's impossible. There are only a few doctors in Haidong Province who can perform transplantation and replantation surgeries. Why have I never heard of Chen Qi's name? Where did he learn this technique?

Which expert do you study under?"

Dean Mao rolled his eyes: "This Comrade Chen Qi turns out to be a doctor from Huangtan Health Center below us. He was just transferred to the Fourth Hospital not long ago."

"Ah? Doctors at the health center can replant amputated limbs? Isn't this nonsense!"
Chapter completed!