I Spent Those Years In the Operating Room Fighting Monsters

After Lu Cheng hung up the phone, he called a car first, and then called Cao Xiaohe back. While going downstairs, he said, "Brother Cao, Mr. Cao just called me and let me go now. Go to the operating room of the hospital."

Cao Xiaohe just got in the car over there and asked, "What is my uncle calling you to do in the operating room? You are not from the Ninth Hospital. You haven't been in the hospital yet. What are you going to do? It's really my uncle. Shouting? Now?"

Lu Cheng doesn't have anything now, so he doesn't have to take on the painful first aid task at all. Besides, what can Lu Cheng do if he goes there? Is he going to trouble the chief on duty to get a temporary operation authorization? Let Lu Cheng do the surgery?

"Yes, Teacher Cao just called me to pass now. He just said that there is a special patient." Lu Cheng has already gone downstairs and started waiting for the bus, but it will take a while for the bus to come.

"The special patient has nothing to do with you, isn't it? Why would my uncle call you to see the patient? Is there no one in the Ninth Hospital?"

"Even if no one should call you." Cao Xiaohe was mainly too surprised, so he was more straightforward.

Lu Cheng is his junior, although he is a little better than him, but they are all here to study. He Cao Xiaohe also studied at the Third Academy of Kyoto, and he usually looks for things to do with his own face. This is also all The treatment that a refresher doctor should have.

As a person who has not yet entered the department, Lu Cheng was suddenly called to the hospital to see patients. Who is Lu Cheng? Is it a professor? Is he able to see the kind of ability that others can see but only you can see?

Because apart from these two possibilities, Cao Xiaohe couldn't find any other reason for Cao Mengda to call Lu Cheng in the past.

But after saying this, Cao Xiaohe also realized that the tone of his speech was not right: "I have no other meaning, Xiao Lu, I just think this thing is a bit strange."

"Since my uncle calls you to go and take a look, I will go over and see what is going on now. In case something happens, I can help you block one gear and let you drive away."

After speaking, Cao Xiaohe told the taxi master to go to the Ninth Hospital instead of the hotel.

Because it is a taxi, there is no need to change the destination online.

The driver replied politely: "Okay, sit down."

Because the driver also identified Cao Xiaohe as a doctor in the Ninth Hospital, he might have been called back to participate in the emergency mission, so he used the words more politely and respectfully.

After all, everyone was resting at home this night, and Cao Xiaohe had to run to the hospital.

...

After Lu Cheng rushed to the door of the hospital, he sent Cao Mengda a message that he had arrived at the hospital, and then went to the security guard to ask where the operating room was.

The security guard only thought that Lu Cheng was visiting his injured friend or family member, the patient's family member, so he showed Lu Cheng very enthusiastically, and then Lu Cheng saw that Professor Cao Mengda was waiting for him at the door of the operating room.

"Ms. Cao, I'm here, do I need to hold any documents or keys at the entrance of the operating room?"

The cabinet in the operating room of the Second Xiangya Hospital requires keys. In order to standardize management, people will send the keys back, so they will deposit something.

Lu Cheng didn't know the rules here, so he asked.

Cao Mengda said back: "No, I have already told them, you can just go in with me and change clothes."

"The patient I am receiving is a patient with an open lower limb comminuted fracture. Now he has a large-scale embolism of the lower limb. If there is no way to get the thrombus, he may have to amputate his limb. But now the vascular surgery really can't get anyone out. , And this patient’s job is still an athlete. It seems to be a national team!"

"So their coach came over to explain the situation to us, hoping that we can perform the operation on the patient as soon as possible and restore his motor function to the greatest extent."

"It would be the best if I could participate in the competition again after the operation." Cao Mengda said after finishing, "So I thought of you the first time."

In addition to being a highly developed city, Magic City is also a training place for many national teams. These are top athletes from all over the country and need to participate in various competitions, so it is not uncommon. As the top hospital in the country, the Ninth Hospital of Magic City will not be better than here, even if it is transferred to other places, so I often encounter such patients.

Especially in sports medicine, the frequency of athletes received is very, very high. Many coaches are very familiar with sports medicine experts in various hospitals, and there are even more familiar rehabilitators in the hospital.

Some severe events, whether in the course of competition or training, will have varying degrees of damage. When the Magic City Ninth Academy is in a large-scale event in Magic City, the sports medicine team often takes turns to take on the medical care tasks during the competition. This is the main reason why the coach will privately ask Professor Cao Mengda some more requirements.

Lu Cheng secretly said, no wonder, if it is just a normal patient, even if you wait for a while, at best, the motor function after the operation is almost restored. And if you are an athlete, you need to have a particularly good degree of recovery. Otherwise, it is not just the ordinary life that affects the patient, but the entire career. People rely on this to eat and can no longer play the game. This is for him This person is a devastating blow.

As for Professor Cao Mengda's ability to find Lu Cheng, the main reason was that the embolus that had been so difficult and complicated by Yue Nanji was taken out by Lu Cheng, and Yue Nanji's postoperative recovery was excellent, so returning to the team was definitely not a problem. There is such a precedent. If Cao Mengda doesn't call Lu Cheng, then he is really old and he doesn't know how to adapt.

"Teacher Cao, what is the situation of the patient now?"

"Is an open fracture accompanied by vascular damage?" Lu Cheng asked.

When there is an open fracture, the broken end of the fracture can pierce various places. Before coming, Cao Mengda said that the patient's condition is complicated, and it is estimated that it is not a simple thrombus.

"Yes! The femoral artery needs to be sutured, but there is still an embolus at the distal end. An open fracture is a type B3 fracture in the middle of the femur, which involves a middle tibial fracture and a Pilon fracture." Cao Mengda introduced the condition and wrinkled fiercely. Frowning.

Even if Lu Cheng had considered that Cao Mengda's call for him to come over might be complicated, he never thought it would be complicated to such a level.

Lu Cheng stopped on the spot, looked at Cao Mengda, and said, "Professor Cao, this project is a bit heavy."

In fact, the next sentence is, or let's amputate it.

Femur fractures, middle tibia fractures, and Pilon fractures. There is also arterial damage, arterial embolism, and this leg is basically dead.

Pilon fracture is only a popular name at present, and there is no specific definition. It generally refers to the fracture of the distal tibia 13 spreading to the tibiotalar articular surface. The distal articular surface of the tibia is severely comminuted, bone defect and distal cancellous bone compression. Often accompanied by fibula fractures, so this patient may also have fibula fractures, but it is not deliberately emphasized.

Cao Mengda nodded: "It's not just a bit big. I don't know if I can figure it out this evening. If it doesn't work, it can only be amputated."

"The main reason is that I haven't done trauma surgery for a long time, so I just want to call you over to see if I can get the embolus, instead of calling the vascular surgery person over. It also has this meaning."

There is also a special shifting anatomical structure at the 13 distal tibia, and the blood supply itself is not good enough. Many patients with fractures in this part are prone to fracture nonunion. In addition, this patient is also accompanied by vascular damage, which is equivalent to worsening the situation.

Even if the operation is done, can the fracture grow well? It's better to start it once and for all.

"I'll go and see the situation first before talking about it, Professor Cao." Lu Cheng always understood that Professor Cao Mengda treated him as his own.

What Cao Mengda meant was that this patient was not good to call the vascular surgery person directly. Lu Cheng came to see first. If the embolus was too troublesome to take, then ok, Cao Mengda would call the vascular surgery person over.

Then he came and suggested amputation in the name of vascular surgery, so there is nothing to say.

The blood vessels couldn't be connected, I made the fracture into gold, it was all in vain, and I had to amputate my limbs directly.

And if Lu Cheng can remove the thrombus, then another thing is that Cao Mengda can only figure out a way to proceed with the operation, instead of having to face the vascular surgery and throw it away as soon as the operation is completed. The situation has happened.

Every life, every organ of every person, takes a huge amount of time to carefully study the treatment plan, so at this time, there is a shortage of manpower.

When Lu Cheng and Cao Mengda arrived in the operating room, there were a total of four people in the operating room.

An anaesthetist, an itinerant, and an assistant are still looking at the medical records seriously. The assistant's age was not quite old, he was similar to Lu Cheng. At this moment, after seeing Cao Mengda bring him a'master' who is a little good at vascular surgery, he immediately said: "Ms. Cao, I need to rinse first. Huh?"

Fracture surgery can be put a little behind, do not sew up the blood vessels, do not remove the thrombus, fracture surgery is meaningless.

And vascular surgery is not under the management of orthopedics, but we must also help. Otherwise, where can vascular surgery find so many people all at once?

The speaker was Chen Xiaobo, a postgraduate student at Magic City Jiaotong University, majoring in trauma surgery, who was dispatched to Cao Xiaohe as an assistant. Now the second year of postgraduate, is about to enter the third year of postgraduate, and is facing graduation.

After two years of polishing, he basically had a general understanding of the surgical procedures in the four departments of orthopedics, but he didn't dare to make his own decisions, and he didn't know what Lu Cheng should call, so he could only ask Cao Mengda's opinion. .

"You first wash the area around the wound, and then I will perform compressions on the proximal femoral artery to stop the bleeding, patrol, and immediately take a few disposable vascular clips. I will use it now." Cao Mengda quickly announced as soon as he arrived at the operating table. Gave his own order.

"Okay, Professor Cao, go get it right away. I have already opened a debridement kit and an orthopedic fracture kit. You can take whatever you want to use. But Professor Cao, today’s equipment is very tight, so we have this one. For the time being, only this set of instruments is available for surgery. If they are still needed, they need to wait for the other operating rooms to complete the operation and re-sterilize them before they can be used.” The visiting nurse greeted immediately.

In fact, she also knows that open fractures require replacement of surgical kits, but today there are too many orthopedic surgeries performed at the same time, and all the orthopedic kits in the entire operating room add up to so many.

Cao Mengda nodded. This is not the responsibility of the operating room, nor is it anyone's responsibility. It can only be said that the situation is special.

Then Cao Mengda immediately started pressing the femoral artery to stop the bleeding, and then asked Chen Xiaobo to wash the open wound in the middle of the femur. This kind of open fracture requires a lot of saline irrigation, but fortunately, aseptic operation is not required at this stage.

So after Cao Mengda did the pressing to stop the bleeding, he immediately put on his gloves, poured water with one hand, and scrubbed it from the outside to the inside with a cotton pad.

After drying the blood stains on his skin, his movements became much slower, and he began to clean up the blood scabs, dust, and sand in the wound.

After taking advantage of this gap, Lu Cheng took a pair of gloves and touched the patient's feet. The situation was a bit unwell.

The number of thrombus is very large and the scope is very wide, and in some places, besides the thrombus, there are ruptures of small blood vessels. If these small and thin branch blood vessels are not fractured in the patient, they are completely ignored.

But now the femoral artery is already injured, and perfusion injury will definitely occur after the subsequent arterial blood supply. If this small blood vessel is not sutured, the blood flow at this point cannot support the growth of the fracture.

Therefore, the cumbersome degree of this operation ~www.wuxiaspot.com~ is still much higher than the operation Lu Cheng encountered before.

Lu Cheng had never expected that he would encounter such a complicated case as soon as he landed today.

Lu Cheng saw that the monster level had reached lv89 and was approaching lv90, and he felt a little pain in his brain. However, no matter what, let's look at the situation first.

Soon, the tour took the disposable vascular clip up, and Chen Xiaobo also tore the temporarily bandaged gauze and cotton pads, revealing the position of the open injury, and found the broken end of the fracture, but the femoral artery Because Cao Mengda performed pressure to stop the bleeding, he could not find a specific location at this moment.

Lu Cheng said: "Teacher Cao, I will go out to wash my hands first, and then I will disinfect them before I talk about it. Please continue to press for your hard work!"

"Teacher itinerant, is there a vascular surgery kit here? Two balloon catheters are also needed. Prepare for thrombus removal. Then take the blood vessel sutures."

Lu Cheng tried his best to make things simple and easy to understand. Every place may call each device differently, but if the purpose can be called out, everyone will basically understand it.

After circling the blood vessel clip on the sterile table, he immediately replied: "The bag for vascular surgery has also been opened. I have everything you want in stock here. This used to be the operating room for vascular surgery, so it is in stock."

"Okay, thank you." After a quick reply, Lu Cheng went out to wash his hands.

This was Lu Cheng's first day in the Magic City, and it was also a monster level that Lu Cheng had never encountered before, and it was definitely a thrilling battle.

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