Chapter 272 Stealing Skills!

The level of a doctor can be seen from the first time he sees a patient!

After seeing the patient's condition, An Yanjun's brain immediately began to run at high speed, constantly thinking about the best treatment plan.

Regarding the patient's situation, he also quickly learned a lot.

The first thing to do now is to reset the anecdote.

The patient's condition is mainly the dislocation between the metacarpophalangeal joints and the fracture of the phalanx.

Tan Zhonglin is very good at handling this kind of joint, and An Yanjun is also not bad.

But……

At this time, the two involuntarily staggered the position of the main knife, silently preparing to take the auxiliary equipment.

Tan Zhonglin looked at Chen Cang: "Xiao Chen, come on!"

Chen Cang was dumbfounded and said embarrassedly: "Director, come on, I... orthopedics is not very good at it."

Tan Zhonglin was stunned for a moment, what a good young man, he gave me face like this, but he sighed: "Xiao Chen, this is not the time to be humble, come here!"

Chen Cang was stunned: "Director, I really don't know much."

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

And Chen Cang can't?

Tan Zhonglin glanced at Chen Cang, and seeing that Chen Cang didn't seem to be joking, he asked tentatively, "Really? You don't have to take care of our face, we are not outsiders!"

Chen Cang didn't know whether to laugh or cry: "Really, Director, I really can't. You reset the fracture. I'll handle the tendon, nerve and blood vessels. Let's have a clear division of labor, okay?"

Tan Zhonglin felt relieved when he heard Chen Cang's words, and couldn't help but let out a sigh of relief.

That's right!

You are only 27 years old. No matter how talented you are, there is a limit.

How is it possible to do anything?

Thinking of this, Tan Zhonglin couldn't help laughing when he thought of his first thoughts.

Everyone is human, how can there be such a big gap!

It can only be said that there is a specialization in the art industry!

Besides, orthopedics requires long-term work experience and surgical accumulation. Xiao Chen is good at suture of tendon and blood vessels, probably because he has been in the first line for a long time and has more contact with trauma patients.

Suddenly, Tan Zhonglin felt much more relaxed inside.

"Director An, come, let's come."

While talking, Chen Cang observed carefully, clinical work requires a lot of study. If you don't study, how can you make progress.

If the fracture of the phalanx is not displaced, it is usually mainly reduced by manual manipulation. This is Chen Canghui.

Now Chen Cangcai suddenly felt how powerful the reset technique he learned from Director Wang Xiangjun at that time!

However, this kind of open fracture requires incision and internal fixation, such as Tan Zhonglin's Kirschner wire fixation at this time. This method is firm and reliable, and is also commonly used in clinical practice.

Chen Cang handed over the equipment, but he could see it clearly!

Tan Zhonglin watched Chen Cang study hard, and he felt a little pride in his heart!

Young people, you should learn more!

After all, the fixation of open fractures of the phalanx is the operation that hand surgery often needs to do. Lao Tan has done this kind of surgery for half his life. He is experienced and skilled. .

Therefore, this piece of Tan Zhonglin is quite confident.

In fact, performing surgery is the same as playing football or singing. It needs to be in a state. The doctor's mental outlook is good, and the surgery is not bad.

Tan Zhonglin found that when Chen Cang was in the audience, his sense of self-confidence was too full.

Thinking of this, Tan Zhonglin couldn't help showing off an action, which made An Yanjun's eyelids jump. When he looked at Tan Zhonglin in his eyes, he showed some respect, as expected of Director Tan!

sharp!

Chen Cang also had to admit that Jiang Hao is old and hot, Director Tan's phalanx surgery is really good!

【Ding! Congratulations, the skill of stealing a teacher with 5% of the title attribute is triggered: Tan Zhonglin's skill: Fractured phalanx surgery: master level. 】

[Phalangeal fracture surgery: including phalanx reduction, phalanx fixation, etc., master-level; special effects: 1. Accurate reduction; 2. Firm fixation;]

Chen Cang looked happy!

I drop a good boy.

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

Thinking of this, Chen Cang couldn't help but feel joy in his heart. One of the two special effects is accurate and the other is firm, and they are both effective.

Because the treatment of phalanx fracture, not only to achieve accurate reduction, but also to achieve firm fixation, but also to perform functional exercises as early as possible to restore the flexible function of the fingers.

And the effect of surgery can be controlled, basically it is accurate reset and firm fixation!

The surgery for the fracture was over soon, and Tan Zhonglin couldn't help but breathe a sigh of relief, finally being able to show off in front of Chen Cang.

Ever since I got to know Chen Cang, I have been refreshed by Chen Cang again and again every time, and I almost forgot that I was the director of the Provincial People's Hand Surgery Department.

Thinking of this, Tan Zhonglin glanced at Chen Cang.

An Yanjun flattered him: "Director Tan did a really good job on the operation of the fractured phalanx! I saw it at the annual meeting last year, and I didn't expect it to improve again!"

Tan Zhonglin looked at Chen Cang and said seriously, "I'm in good shape today, Xiao Chen, I'll leave it to you next."

Chen Cang nodded, he understood that the next job was the most important thing!

Orthopedic surgery only takes a little time and does not affect the operation of the nerves and blood vessels in the hand.

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

Because both the ulnar and radial arteries have been completely ruptured!

This is not something as simple as a sentence.

Even if all the clinically reported effective data show that the hand survival rate can still reach about 1/3 in the injured patients with complete rupture of the ulnar artery and radial artery.

But... is a third taller?

Maybe some people think it's high, then in other words, you don't think so.

The probability of failure of the operation is as high as two-thirds.

The artery has been ligated before the operation, and now all that needs to be done is to anastomose the damaged blood vessel.

This is also due to the rupture of the artery in the hand. If it is elsewhere, the probability of recovery may not even be ten percent.

Because the blood supply of the hand is extremely rich, the main sources are the radial artery and the ulnar artery, in addition to the anterior interosseous artery and the posterior interosseous artery.

Of course, there are also some so-called talented people who look different from others, that is, the so-called "bone surprise, martial arts prodigy". In their hand blood supply, 3.7% of individuals have a median artery.

In fact, medical statistics are really only for the majority of people. There are too many people with strange shapes. They are really talented. The one who impressed Chen Cang the most was a patient with cerebral infarction.

Generally, after a cerebral infarction, it means that the brain tissue behind is necrotic due to ischemia and hypoxia. However, at the time of discharge from the hospital, an MRI of the brain blood vessels found that collateral circulation appeared in the original infarction area, and compensatory blood vessels caused the infarction area to be necrotic. The blood supply is restored!

At that time, Chen Cang was dumbfounded!

This is truly a so-called medical miracle.

So, from then on, Chen Cang was full of awe for the human body, and when he saw those who jumped off the building, he had to turn away. Maybe people really think it's troublesome to climb the stairs!

Hand blood vessels in the form of arterial network or arterial arch form a channel for smooth communication, ensuring that the hand has a strong adaptability of blood supply in various functional positions of pinching, holding, grasping and holding.

It is precisely because of the abundant anastomosis between the above blood vessels and the good compensatory ability that even if the radial and ulnar arteries of the hand are ruptured, there is a 30% chance of recovery.

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

Looking at the name written on it, Chen Cang knew that he definitely couldn't find the wrong blood vessel!

【Distal radial artery ruptured】+【Proximal ruptured radial artery】=Intact radial artery.

Well, it's that simple, just like the splicing toys in school.

Of course, the suture is the top priority of the surgery.

Because the suture of peripheral blood vessels is relatively thin, it is more laborious and difficult to operate.