Great Doctor Ling Ran

Chong Huojun kept watching Wang Haiyang's expression. When he saw his face change, he suddenly snorted and asked, "Director Wang, is there a problem?"

King Wang Haiyang was silent for a few seconds, and said a little embarrassedly, "No."

I'm ashamed that he can't ask questions ...

For a chief physician appointed to find faults, this is obviously a little awkward.

However, tendon suture in hand surgery was originally a simple operation with high technical requirements and low systemic requirements. Ling Ran's surgical procedure was straightforward, and he really couldn't find fault.

As for the specific suture, Wang Haiyang can no longer lift the patient's tendon to look at it.

On the contrary, Huo Congjun was a little unhappy, and said, "Pharaoh, what do you say, don't cover it up. This was originally a fine operation in the rescue. Now you will find a specialist in hand surgery for a consultation. Is there anything missing? "

这么 He said so, the family members of the patients hiding in the corner of the room were really grateful.

On the highway accident, the patient was not torn apart, but also in a semi-fragmented state. He could save his life and reached the minimum expectation of the patient. Director Huo could care about the patient's hand function, and what he would gain would be gratitude .

Wang Haiyang smiled bitterly and said, "Let's make a hand function evaluation. Of course, the patient has just finished the operation right now. The condition may not be good. Let's make a reference first."

Hand function evaluation is often done in hand surgery, which is used to judge the hand function of patients after surgery.

Wang Haiyang grabbed the patient's hand first, and gently made several passive movements. When he found that it was done well, he asked, "Can the patient actively move the hand?"

"On the day Wenhua was awake, Dr. Ling asked for activities." The family rushed to answer, asking with some uncertainty: "Is this good or bad?"

King Wang Haiyang raised his eyebrows and coughed twice before he said, "If you can move, it's good. If you can't move, it's bad."

Encouraged by his family members, he said busyly: "Being able to move, five fingers can move, but they can't move hard enough to make a fist."

家 The family member of another older patient hurriedly asked, "I can't make a fist yet, it doesn't matter?"

"It's okay." Wang Haiyang listened a little bit, and turned to look at Ling Ran, saying: "The tang method still has some advantages."

Ling Ran smiled and nodded, expressing approval.

A group of resident doctors next to me saw itching all over, always feeling like they had gone the wrong set.

Wang Haiyang stared at the patient, letting him move each finger to show himself.

I just had a round of surgery, and the patient who was waiting for the second round of surgery was a bit groggy, but still moved his fingers as much as possible under Wang Haiyang's instructions.

Slightly active, ugly and swollen.

But it is really moving.

"Doctor, how?" The family members were still worried.

The king Wang Haiyang said with affirmative tone this time: "Being able to move is very powerful. Being able to move means that there is no tendon rupture ... Well, let's make a fist, we can't hold it, how much can we hold ..."

他 Under his command, Ma Wenhua, who was wrapped into a half mummy, took great pains to make a big C shape with his left hand.

"Can't do anything?" Wang Haiyang asked.

The patient nodded.

"How?" This time, not only the family members of the patients, but also Huo Congjun.

"It's still very good." Wang Haiyang coughed and said, "Let's make another fingertip."

"Pinch your fingers."

"Pinch sideways."

King Wang Haiyang did a round of testing, and he was more and more surprised.

The prognosis of hand tendon suture is the most troublesome and important two points, one is tendon adhesion and the other is tendon rupture.

Adhesion of the plantar tendon will limit the function of the hand. It is easier to understand the rupture of the tendon. The sewn tendon is cracked. Naturally, no function can be exerted.

手 For the doctors of hand surgery, it is not one of the two points that is troublesome. The trouble is that the requirements of the two are opposite.

It is easy to solve the problem of tendon adhesion alone. The sooner you start to move your hands, the smaller the problem of adhesion is because the adhesion occurs gradually. The longer the delay, the more severe the adhesion.

It is also easy to solve the tendon rupture. The later the hand is activated, the smaller the chance of rupture, because the tendon gradually grows, and the longer the delay, the stronger it becomes.

As a result, tendon adhesions and tendon ruptures have become two contradictory sequelae.

Early morning activities, to solve the problem of adhesions, increase the risk of fracture-cracking will have to enter the palace, and may not be able to sew again.

The activity was late at night, the chance of breakage was small, the adhesion problem was serious, and many hands could not be used normally.

To solve this trouble, hand surgery tried desperately on two routes. At first, many doctors of hand and foot surgery imagined that, like organ transplants, they could find a medicine to prevent adhesions, or get a dressing to reduce adhesions, thereby reducing the risk of tendon rupture without causing tendon adhesions. However, no decisive drug has ever appeared.

As a result, moving early and increasing the intensity of tendon sutures has become the only route for many years.

The tang method is the farthest one.

It uses three-strand suture, which greatly increases the intensity of the suture, so that it can start activities earlier.

Kessler's method and double kessler's method, which Wang Haiyang likes, usually start passive activities 48 hours after operation, at the earliest 36 hours, and try active activities 3 days later. Even so, 20% of tendons will be broken.

The tang method emphasizes that after 24 hours, it starts to take the initiative.

Xi Wanghaiyang has seen surgery before ~ ​​www.NovelMTL.com ~ but has not observed the prognosis of patients with tang suture.

At this moment, the prognosis of patients undergoing tang suture by Ling Ran is obviously much better.

"Our hand surgery has always emphasized early activities." Wang Haiyang also explained to Huo Congjun at the same time, and said, "From our experience, the stronger the early activity ability, the better the hand function recovery. However, we cannot be sure how good it is. "

In the latter sentence, he gave the patient a vaccination, and said, "Be sure to follow the doctor's order. The final recovery is related to the state of your tendon, the quality of the suture, and your rehabilitation. Related, rehabilitation is especially important. "

"What about our stitching?" Older family members always have some doubts about Ling Ran. After all, in his impression, doctors are older and better, just like the experts in front of them.

King Wang Haiyang smiled, and experiencedly asked: "To what extent do you expect to recover?"

"It must be a little better." The patient's family members hesitated for a moment, thinking of seeing the almost rotten hands before, uncertainly said: "At least you should be able to take care of yourself."

"No problem, you can meet this requirement." Wang Haiyang said that his family members were happy.

King Wang Haiyang smiled arrogantly. It can be reached in 3 days by tendon sutures made by his hands, let alone living by himself. It is possible to cook or even play football.

Instantly, Wang Haiyang suddenly felt wrong, this is not my stitching!

He turned around and saw the young, serious-looking intern who had undergone this operation. Wang Haiyang's thin figure suddenly trembled, and suddenly felt that the examination was boring. He was still an intern ...