Although the shape of blood vessels is fixed to a certain extent, it is not as easy to perform blood vessel exploration on a living body as it is on a cadaver.

Blood vessels generally run between muscles, between bones, and on the surface of the periosteum. They are deep anatomical parts, and it is not as simple as performing surgery to expose a fixed field of view.

In surgical operations, exposure of the surgical field and control of anatomical structures are very important.

Conventional surgery is a fixed approach, with just a few positions and several layers of the same structure. Only by doing it every day and looking at it every day can you achieve the state of taking it easy.

For surgeries in unfamiliar areas, you still need to be cautious during the surgery.

Lu Cheng wanted to do a blood vessel exploration, and he said it so easily, which was a bit strange. But this was actually the best way for Lu Cheng to prove that the blood vessels he saw were ruptured.

Moreover, it is one of the principles to explore blood vessels and nerves in trauma patients, so it can be explained clearly.

Zou Qian thought for a while, then nodded and said, "Okay, just slow down and don't be reckless!"

Lu Cheng also said that he used blunt dissection for blood vessel exploration instead of using a scalpel. Otherwise, even with Zou Qian's courage, Lu Cheng would not dare to try it.

If Lu Cheng cuts off the blood vessels and nerves, who will he ask to reason? He is the chief physician here, so the responsibility is still his.

Blunt separation, unless Lu Cheng tears it apart extremely violently, otherwise our blood vessels and nerves are not that fragile.

However, when Zou Qian was doing debridement and exploration, one person needed to rinse, and another person needed to assist the field of vision and use a suction device to suck up the blood, liquid and necrotic tissue in the field of vision, so no one helped Lu Cheng.

The three of us had done debridement and suturing before, so they cooperated fairly well.

Cao Xiaohe held the tweezers in his left hand in conjunction with Zou Qian's sharp knife, and his right hand constantly attracted the diagonal lower part of Zou Qian's scalpel, not blocking his operating space and ensuring that the surgical field was clear.

The trauma was severe, so Fang Nixin was carefully holding tweezers and cooperating with Zou Qian to detect whether the tissue was necrotic.

Although the presence of a blood-driving tape makes it difficult to identify necrotic tissue, the blood-driving tape is only a blood-driving tape after all, and it is impossible to completely block the artery.

When there is still a certain amount of blood flowing inside the artery, there will still be traces of blood seeping out at the end, and the blood seeping out is even more than when Lu Cheng used his technique to stop the bleeding.

The effect of a blood-draining belt is weaker than manual compression, and the effect of manual hemostasis is slightly weaker than that of a tourniquet.

It's just that at this time, the three of them didn't pay too much attention to Lu Cheng's work below. Lu Cheng just held a blood vessel clamp and moved it between the muscles. Then when he saw something, he removed the blood vessel in his hand.

The forceps were clamped into the tissue.

However, three or four minutes later, Lu Cheng had already picked up five handfuls, and it seemed that this was the last one.

Zou Qian frowned slightly and said, "Xiao Lu, the vascular clamp cannot clamp muscles and nerves, otherwise the muscle tissue will liquefy where it is clamped. Did you know?"

The reason why Zou Qian agreed to Lu Cheng to do his own surgery was firstly because Lu Cheng had just come to the emergency department and Li Dongshan had high hopes for him. Secondly, Lu Cheng's compression to stop the bleeding just now was really amazing, and he wanted Lu Cheng to play anatomy by himself.

Learn knowledge.

After all, at such an old age, how much clinical experience does Lu Cheng have?

I'm afraid it's just that I want to accumulate more anatomy knowledge. The exploratory anatomy of a living person is quite different from the anatomy of an anatomy teacher.

Both learning experiences are extremely important and precious.

Lu Chengcheng raised his head and said, "I know, Mr. Zou."

"I am clamping the upper and lower edges of the scratched blood vessels, but the severity is not as serious as I imagined. This patient has slits in both the ulnar and radial arteries. There is one ulnar artery and two radial arteries."

"It's not yet certain whether the branch of the artery is broken, but even if it is, it can't be ignored."

"Mr. Zou, these are simple wounds. Should we sew them up ourselves or call the vascular surgery department to sew them up?"

After Lu Cheng finished speaking, Zou Qian immediately looked over with a stiff expression on his face. Through the gap between the muscles squeezed out by the blood vessel clamp, he could see the rupture of the blood vessel poking his head through the gap.

Because both ends of the breach were clamped, the blood vessels in the breach were deflated, but Lu Cheng only turned it over slightly and showed the breach to the slightly petrified crowd.

This is simply something incredible.

Is there anyone who can really use a vascular forceps to make the radial and ulnar artery in the forearm become out of shape, and also find the tear?

It seems that to the knowledge of Zou Qian and the others, no professor has ever done such a fucking thing. Of course, it may be because professors never need to go to the emergency room. At most, the emergency surgery will be terminated after the associate professor comes to the rescue.

A paragraph is over.

So they are ignorant.

However, combined with the complicated shape of the ulnar and radial arteries, we can see the current reality.

Is this a blood vessel exploration or a living blood vessel anatomy teaching?

Why did I think about debriding the patient just now? Such a good opportunity was missed.

Zou Qian was stunned for only two or three seconds, and then said quickly: "Call the chief resident of the vascular surgery department and tell him that a blood vessel breach was found on the stage and needs to be sutured."

Orthopedics does not deal with breaches of large blood vessels. Even microsurgery only deals with the anastomosis of small blood vessels. This is a matter of principle.

The emergency surgery department is not qualified to perform vascular surgery suturing operations until it has applied for surgical authority from the vascular specialist department, and has to call the chief resident of the vascular surgery department to come to the rescue.

It's just that Zou Qian was a little depressed. According to his ideas and the design of the surgery, he didn't regard Lu Cheng, Cao Xiaohe or even Fang Nixin as people who could normally help him operate the surgery. They were just the understudy.

people.

He planned to use the hemostatic effect of the blood-draining tape to complete the debridement and then explore the blood vessels. After all, in normal times, there is no emergency surgery that has the luxury of having two doctors who can perform the surgery at the same time. Even in Xiang

Ya Er Hospital would not be so extravagant.

Zou Qian was able to perform vascular exploration on his own. After all, Zou Qian had been treating patients for several years, but no one from the emergency department had come to pick him up as the chief resident, so he had to continue to be the chief resident.

But even so, it is necessary to bluntly separate the blood vessels so quickly, and to be able to separate them to the level of Lu Cheng.

Zou Qian is self-aware, but this is impossible.

The shape of blood vessels probably follows the anatomical structure, but normal doctors do not have so much experience in vivisection, and the experience in autopsy is not completely applicable to normal operations.

That's why I ended up like this, being caught off guard and having to call the Chief Vascular Surgery Department directly.

Vivisection can be done at Lu Cheng's level. How many people have you performed in the hospital below?
Chapter completed!