Chapter 13 Replantation of severed fingers in infants
After checking the room in the morning, you can take a rest in the afternoon.
Because Zhang Lin got off the night shift yesterday and according to his schedule, today is his day off. Yang Ping was on duty with Zhang Lin, so he naturally took a rest.
There is rest on the schedule, but for doctors, rest is only for people to see and has no actual meaning.
I was busy until about three o'clock in the afternoon before I had lunch. I really wanted to take a rest. When I got back to my house, my butt was still hot, the phone rang again.
Emergency surgery to amputate a finger. Director Han designated Yang Ping to participate in the operation.
Why are there so many severed fingers? It’s not Double Eleven.
Yang Ping walked quickly across the overpass, got off the overpass, and passed through a small square, which was the emergency department.
At the door, two security guards, wearing helmets and protective clothing, holding batons and shields, guarded the door like door gods.
The spacious emergency room was bustling with trembling figures. Doctors, nurses, and patients were all in a hurry here.
Even some lives pass away in a hurry.
It was a mess, and Yang Ping's head was buzzing. There are fights, car accidents, drunkenness, curses, noises, and crying mixed together. If you don't have a certain psychological quality, you really can't stay in this kind of place.
"Believe it or not, I will kill you. My head is bleeding. Wait, wait, when will I die here before you can save me?" A scarred man in his forties pointed at the nurse with a bulging belly and scolded him. road.
"I'm sorry, you have to wait in line. The doctor is doing first aid now, so you have to wait a moment." The pregnant nurse almost begged.
Scarface slapped the nurse's desk in the emergency room with his palm, and said in a thunderous voice: "Wait a minute, I'm so anemic now that I can't even speak. Look, this blood isn't yours, is it?"
If the marble nurse's desk hadn't been built high and wide, this palm would have hit the nurse's forehead.
Yang Ping just wanted to go over and help persuade Scarface.
"Hey, what are you doing? Pay attention to order." The two security guards came over in leather boots with batons hanging on their waists. The scarred faces were timid and no longer showed their teeth.
The security of this hospital is pretty good, Yang Ping sighed.
This bastard, the nurse had actually given him a simple bandage to stop the bleeding, but there was a little blood seeping from the gauze. He was probably waiting for the doctor to debridement and suture him.
Yang Ping shook his head, he was used to this kind of thing. It is said that the emergency doctor clinics in some hospitals are all located near the windows, with the windows open.
Why? Because there is a thick soft mat on the ground behind the window.
That's for emergency doctors to escape. If they encounter someone who fucks up and beats up the doctor, they'll immediately jump out of the window and escape. It's protected by a cushion so they won't get hurt.
After passing through the emergency hall, Yang Ping turned right into the surgical emergency room.
Swipe the access card and push and pull the explosion-proof door to open. The central roundabout is the workstation of doctors and nurses, with computer telephones evenly distributed around it. Dozens of emergency beds are distributed in a ring around the emergency room, separated by curtains.
"Heart has stopped, cardiopulmonary resuscitation, defibrillator!" A bed was rescuing, and the doctor, sweating profusely, was compressing the heart.
"Closed chest drainage, tension hemopneumothorax, emergency consultation in thoracic surgery." Another bed is being disinfected in preparation for chest chest closed drainage.
"20% mannitol, rapid intravenous infusion."
"Tracheotomy."
"Get on the ventilator."
——
The emergency department, especially the first aid room, is a battlefield without smoke, and doctors and nurses are warriors fighting against death.
Several phones were ringing.
The nurse on duty was speaking loudly with the receiver pressed to her ear. Her hand had already grabbed another receiver, and her eyes were fixed on another receiver that had just started ringing.
Several receivers were juggled between hands and ears.
"Bed 3!" Although Yang Ping is new here, the nurse has good eyesight. She just glanced at Yang Ping's badge from a distance and knew it was an orthopedic surgeon, pointing to one side.
The doctor on duty was explaining the injury to Song Zimo: "More than a month old, baby girl, all five fingers on her left hand are broken -".
The baby was lying on the bed with her left hand wrapped in a dressing. Maybe the baby was not sensitive to pain, but she didn't cry. She moved her eyes as if she was looking for something.
"Where's the broken finger?" Song Zimo asked.
The nurse took out a clear film bag from the small refrigerator with the severed finger inside. A two-month-old baby has very small hands.
A young woman about thirty years old was crying next to her. The man next to her supported her and comforted her.
"Can you connect me? Doctor, please." The woman asked, her eyes red and swollen around her eyes.
I learned from the doctor in the emergency department that the child's mother was pushing her child in a stroller to the supermarket. When she came down the escalator, the mother kept staring at her mobile phone. When she was almost at the end of the escalator, she didn't pay attention. The stroller overturned and the child was injured. His hand got stuck in the gap between the elevator and the welcome pedal, and five fingers were crushed. The staff took apart the elevator and took out the severed fingers.
Director Han was talking to Director Xiong of the emergency department.
The emergency doctor held the freshly typed informed consent form in his hand and spoke hoarsely to the child's mother. The conversation was interrupted several times because of crying.
"Xiao Yang, have you seen the patient? Song Zimo will take you to do it later. Is it okay to set up the table?" Director Han saw Yang Ping arriving and waved.
Director Han plans to let Song Zimo do it. Replantation of a baby's severed finger is the most difficult of all replantations because the blood vessels are too thin and have always been considered a restricted area. Director Han was well aware of Song Zimo's microsurgery skills and was already proficient in anastomosis of 0.1 mm blood vessels.
"No problem, I will fully cooperate." Yang Ping obliged.
"Very good!" Director Han was decisive and capable, and immediately made arrangements on the spot: "Then arrange the operation immediately. Let's go to the operating room first. The department has dry food, chocolate, and compressed biscuits. You should seize the time to eat a few pieces and get to the operating room as soon as possible. We have already I’ve had it. Replantation of a severed finger is very rare and very challenging, so be patient.”
"Understood, I promise to complete the task." Yang Ping looked serious.
Director Han is like a battle-hardened general, calm and composed, never sloppy.
After speaking, he explained the precautions to Director Xiong of the emergency department and rushed to the operating room in a hurry.
Song Zimo looked a little unhappy and followed Director Han, wanting to say something several times.
"Director, Director, Director——"
"Should we let Director Tian come on and let him provide the stage? I'm afraid not, it's so difficult." Song Zimo finally expressed his worries.
This worry is certain. Song Zimo is recognized as extremely talented. He has practiced countless simulated artificial blood vessels with a diameter of 0.1 mm or even thinner, and has attached countless tails of newborn mice before he can confidently make such a baby. The severed finger was replanted.
Director Han stood still and thought for a moment: "Director Tian will help you deal with the severed finger later. You can kiss the blood vessels. He just finished a surgery for open pelvic fracture and can't keep up. Yang Ping's severed finger last time It only took two hours, so it shouldn’t be a big problem to set up a table for you, but if it doesn’t work, I’ll wash my hands and go on stage.”
Director Han made the truth so clear that Song Zimo couldn't force it anymore, but he was still a little worried.
Blood routine, blood type, biochemistry, liver and kidney function, coagulation function, four infectious diseases, electrocardiogram -.
The doctors and nurses in the emergency department are warriors in a war. They may look messy, but they do their own thing, cooperate skillfully, and are extremely efficient.
Hit the nail on the head, puncture the scalp vein, and the blood immediately flows to the tubes under negative pressure. One tube after another is placed on the trough of the cart, and then immediately sent to the fully automated testing machine of the laboratory department.
The electrocardiograph was pushed to the side and clicked, and several leads were placed accurately and quickly.
The paper came out with a crunchy sound and characteristic wavy lines.
"The electrocardiogram is normal." The doctor spread the paper in his hand.
"The operating room is ready, send the patient." The nurse on the central island shouted.
The doctor gave the OK sign.
The baby is pushed to the operating room on a flat car. There is a special route and a special elevator.
The child's mother was holding on to the flat car and kept crying, refusing to let go: "Can I go in and watch?"
"No!" The emergency doctor pushed the cart without stopping.
The child's father persuaded the child's mother several times before he let go.
"Cry, cry, cry, why are you crying? Why did you go there so early? You don't take care of your children when you take the elevator. You use your mobile phone every day. Can your mobile phone give birth to and raise your children?"
Next to them were the child's grandparents, watching the doctors and nurses pushing the cart away. They couldn't bear it anymore and finally broke out and yelled at the child's mother.
"Mom and Dad, please don't talk about her." The child's father said.
The old man scolded me again: "I gave birth to a child, so you can't scold me, and you too -"
(End of chapter)