Doctor Started a Plug-in

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When you see a doctor’s level, you can see it from the first side he sees the patient!

After An Yanjun saw the situation of Patient, his brain started to run at high speed immediately, continuously thinking about the best treatment plan.

For the situation of Patient, I quickly learned about almost.

The first thing to do now is to reset the old one.

Patient’s situation is mainly due to the misalignment between the metacarpophalangeal joints and the fracture of the finger bone.

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

but……

At this time, two people involuntarily staggered the position of Chief Surgeon, silently preparing to get auxiliary equipment.

Tan Zhonglin looked at Chen Cang: “Little Chen, come on!”

Chen Cang was dumbfounded and said awkwardly: “Director, come on, I… Department of Orthopedics is not very good at it.”

Tan Zhonglin was stunned, what a good youngster, so give me face, but he sighed: “Little Chen, this is not a time for humility, you come!”

Chen Cang was stunned: “Director, I really don’t know.”

This time, even Tan Zhonglin and An Yanjun were dumbfounded.

And Chen Cang will not?

Tan Zhonglin glanced at Chen Cang and saw that Chen Cang was not a joke. Then he asked tentatively: “Really? You don’t need to take care of our faces, we are not outsiders!”

Chen Cang didn’t know whether to cry or laugh: “Really, director, I really won’t. You guys reset the fracture. I’ll deal with the tendon nerve and blood vessels. Let’s have a clear division of labor, OK?”

Tan Zhonglin heard Chen Cang’s words and was relieved, unable to bear breathed out.

That’s right!

You are only 27 years old, OK, no matter how good the innate talent is, there must be a limit.

How could it happen?

Thinking of this, Tan Zhonglin thought of his at first thought, unable to bear wanted to laugh.

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

It can only be said that the profession has specialization!

Besides, the long-term work experience and surgical accumulation required by the Department of Orthopedics, Little Chen is good at the tendon Blood Vessel Suture, which may be because there are many reasons for being in contact with trauma patients on the front line for a long time.

Suddenly, Tan Zhonglin felt a lot lighter inside.

“Director An, come, let’s come.”

While speaking, Chen Cang carefully observed on the side. Clinical work requires no short learning. How can you progress without learning?

If there is no displacement of the finger bone fracture, it is generally mainly done by manual reduction. This Chen Cang will.

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

However, this open fracture needs to be cut open and internally fixed, such as Tan Zhonglin’s Kirschner wire fixation at this time. This method is more reliable and more clinically common.

Chen Cang handed over the instruments on the side, but he could see clearly!

Tan Zhonglin watched Chen Cang study hard on the side, but also had a little pride in his heart!

Youngster, you should learn more!

After all, the fixed operation of finger bone open fracture is the operation that Department of Hand Surgery often needs to perform. This kind of operation Old Tan has done for half his life, experienced and skilled, and occasionally can get hands and feet at the annual meeting. There was applause.

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

In fact, the operation is the same as playing and singing. You need to have a state. The doctor’s mental outlook is good, and the operation is not bad.

Tan Zhonglin found that Chen Cang was too much confidence when he was on the sidelines.

Thinking of this, Tan Zhonglin unable to bear showed an operation, which caused An Yanjun’s eyelids to jump aside, and when he looked towards Tan Zhonglin in his eyes, he brought a bit of respect. It is indeed Director Tan!

Great!

Chen Cang also had to admit on the side that Jiang Hao is old and spicy. Director Tan’s finger bone surgery is really good!

[Ding! Congratulations, the title attribute 5% of the stealer skill trigger: get Tan Zhonglin skill: finger bone fracture surgery: Master Level. 】

[Finger bone fracture surgery: including finger bone reduction, finger bone fixation, etc., Master Level; special effects: 1. accurate reduction; 2. firm fixation;]

Chen Cang looked very happy!

I am dropping a bit.

The stealing Mission has not been triggered for a long time, and finally came once.

Thinking of this, Chen Cang unable to bear has a happy heart, and the two special effects one is accurate and the other is firm, all very effective.

Because the treatment of finger bone fractures, it is necessary to achieve accurate reduction and firm fixation, as well as functional exercise as early as possible to restore the flexible movement function of the finger.

And the effect of surgery can basically be determined by accurate reset and firm fixation!

The operation fracture operation soon ended, Tan Zhonglin unable to bear relaxed, finally able to show off in front of Chen Cang.

Since I met Chen Cang, every time I was refreshed 3 times by Chen Cang. I almost forgot that I was the director of Provincial People’s Hospital Department of Hand Surgery.

Thinking of this, Tan Zhonglin glanced at Chen Cang.

An Yanjun shot it with a flattery: “Director Tan has done a great job with a finger bone fracture! I saw at the annual meeting last year that didn’t expect has improved again!”

Tan Zhonglin looked at Chen Cang and said seriously: “Today is in good shape, Little Chen, and I will hand it to you next.”

Chen Cang nodded, he understands that the next job is the top priority!

Department of Orthopedics surgery only takes a little time and does not affect the operation of nerve blood vessels in the hand.

Tan Zhonglin and An Yanjun both looked worriedly at the back of Guo Zhiyong’s hand. Even after the debridement, the back of the hand was not in good condition!

Because the ulnar artery and radial artery are completely broken!

This is not such a simple matter.

Even if all the effective data reported in the clinic show that the hand with ulnar artery and radial artery completely ruptured, the survival rate of the hand can still reach about 13.

But… is it as high as 30%?

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

The probability of operation failure is as high as 2/3.

The arteries have been ligated before the operation, and all you have to do now is to anastomize the damaged blood vessels.

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

Because the blood supply to the hand is extremely rich, the main source is the radial artery and the ulnar artery, apart from this there are anterior interosseous artery and posterior interosseous artery.

Of course, there are some so-called extraordinary natural talents who look different from others, also known as “skeleton surprise, martial arts genius”. In their hand blood supply, 3.7% of the individuals have a median artery.

In fact, the medical statistics are really only for most people. There are too many strange-shaped people. People are really extraordinary natural talent. Chen Cang is the one who is most impressed by a patient with cerebral infarction.

After a general cerebral infarction, it means that the brain tissue in the back is necrotic due to ischemia and hypoxia, but when he was discharged from the hospital, blood vessel NMRI MRA found that the collateral circulation appeared in the original infarct, and the compensatory blood vessels put the infarction The regional blood supply has been restored!

At that time Chen Cang was dumbfounded!

This is really a so-called medical miracle.

So, since then, Chen Cang has been full of awe for the human body, seeing those who jumped the building have to go around, 10000 people have abnormal bones, what should I do if they jump down and run away? Maybe someone is really troublesome to climb stairs!

The blood vessels of the hand form an arterial net or an arch in the form of a smooth communication channel to ensure that the hand has a strong adaptability to blood supply in multiple functional positions such as pinching, holding, grasping and holding.

It is precisely because the blood vessels mentioned above are well-matched with each other and have good compensatory ability, that is why even if the radial artery and ulnar artery are broken, there is a more than 30% chance of recovery.

Chen Cang found that when he was dealing with these refined operations, his eyes were really good.

Looking at the name written on it, Chen Cang knew that he could not find the blood vessels wrong!

[Distal distal radial artery] + [Proximal proximal radial artery] = Intact radial artery.

Well, it’s that simple, just like the stitching toys from school.

Of course, Suture is the top priority for surgery.

Suture around blood vessels is relatively thin, so it is more difficult and the operation is more difficult.