Chapter 62 Bacillary dysentery (May 12, 1/2
Cutting injuries are relatively rare types of injuries. Especially complete calves are even rarer. During the eight-year operation of the Fourth Hospital, there were only five complete calves that were taken over. All five surgeries were handled by Comrade Zheng Guoyou. Four of them recovered, and one of them underwent amputation one month after the operation. Overall, Zheng Guoyou's success rate is still very high.
After listening to the process, Zheng Guoyou pondered for a moment, "The process of replanting this limb may be relatively long. As family members, you must be mentally prepared - have his parents arrived?"
"I'm already rushing here." Wu Zhong nodded, "Don't worry about the cost, I'll pay." He looked a little anxious, "Can I have the surgery now?"
"It's not that fast, either." Zheng Guoyou shook his head and pointed to the broken limb beside him and said, "It needs to be thoroughly debride and rinsed before sewing. If you sew it back without handling anything, it will be dead."
Before re-implantation of the broken limb, it is necessary to wash the broken limb with a large amount of heparin saline until clear liquid leaks out of the venous blood vessels and muscle surfaces. At the same time, in order to ensure the success of the re-implantation, orthopedics also need to trim the wound surface and remove some dead tissues to improve the success rate of the surgery.
"After the operation, his right leg will be slightly shorter than his left leg." Zheng Guoyou said to Wu Zhong after a while, "The specific shorter one depends on the operation situation. Generally speaking, in my experience, it will be about two or three centimeters shorter."
"Ah?!" Wu Zhong really didn't expect, "Then will he be long and short in the future?"
Zheng Guo nodded a little, "This is an inevitable result after the operation. However, we can extend the limbs that have been replanted through subsequent surgery - but you have to understand that if you successfully take the legs back first, we will have room for further operation."
The limbs are not equal in length, which physically limits the patient's postoperative rehabilitation. To solve this problem, orthopedics will recommend a second operation on the patient about five to eight months after replantation. At that time, the surgery can be performed by orthopedics or plastic surgery. After fixing the upper and lower ends of the bones that need to be extended intramedullary, the bones are cut off and the intramedullary needles are slowly elongated during the recovery period, thereby achieving the effect of limb extension.
The operation permit still has to wait until Wu Lian's parents arrive before signing. In order to stabilize Wu Lian's vital signs, the rescue room began to carry out a series of rescue actions, including hemostasis and blood transfusion. Fortunately, Wu Lian's injury time was quite short, and because his limbs were completely broken, the muscles at the fractured area were tight and contracted, and the amount of bleeding was much less than that of Zheng Xin before.
"Director Zheng, it's only 4:30 in the morning." Dr. Cao Yanhua rushed back and started to take over the rescue. Sun Lienze and Zheng Guoyou chatted aside, "Didn't you go home tonight?"
"I'm back." Zheng Guoyou showed Sun Lien the mosquito bag on his arm. "There are too many mosquitoes at night and I can't sleep well. The attendee on duty called me and said there was an amputation, so I'm here now."
"The attending doctor can already do amputation independently, right?" Sun Lienqi said, "Why do you have to invite you here?"
Zheng Guoyou curled his lips, "It's not the trouble that the promotion of deputy high school is still the one who has promoted it."
Orthopedics generally do not need to go through the overall hospitalization training from attending to associate senior high school, and at least the fourth hospital is not used. However, similar to the annual residence requirements of the emergency associate senior high school, orthopedics also have their own requirements and restrictions. Before a attending physician is promoted to associate chief physician, 20 amputations must be completed.
The trouble is the trouble. This year, two attending doctors in the orthopedic department of the Fourth Hospital are preparing to advance to the associate's high school, and neither of them has undergone 20 surgeries.
The limit on the number of amputation tables is a deadline, and Zheng Guoyou is not good for the two of them to open a line - even if he can pass it, the committee will not give the doctor who has insufficient number of surgeries to the doctor. Therefore, now orthopedics has basically handed over all amputations to these two doctors for doing it.
Tonight, it happened that these two doctors were on duty together. After encountering this kind of amputation, both of them wanted to do it, but they were not easy to grab it. The environment and atmosphere inside orthopedics were very good, and the two doctors didn't want to grab one, which made the atmosphere too stiff in the future. After thinking about it, I could only ask Director Zheng what he meant.
"Let Xiaotian do it." Zheng Guoyou made a decisive decision, "Xiaotian's child will go to elementary school next year, so he will come with him first."
Dr. Tian went for the operation, and Zheng Guoyou put on his clothes and slipped from the balcony to the living room. After leaving a note on the door, he wandered to the Fourth Hospital. He planned to talk to the Dr. Chen who gave up the operation, so he had to feel no knots.
But Zheng Guo did not expect that as soon as he arrived at the Fourth Hospital, he received another call from Keli. This time he was here for help - the limb dissection and replantation surgery required Lao Zheng to do it.
"So I'm here now." Zheng Guoyou shook his head, "Don't say, I haven't had an emergency surgery for a long time, and I'm really itchy."
What's the best thing about emergency surgery? Sun Lien really didn't understand. Isn't it good to sleep well at home? However, looking at the red mosquito bag on Lao Zheng's arm, he seemed to understand something.
Zheng Guoyou and Dr. Cao Yanhua were making final preparations for Wu Lian's operation, while Sun Lien turned around to take care of the previous one...washed Dr. Cao Yanhua's hair, which led to the poor man who needed to wash his hair.
Bacterial dysentery is acute diarrhea caused by a type of bacillus of Shigella. After passing through the digestive tract, this bacillus begins to invade the intestinal mucosa, causing inflammation and ulcers in the intestinal mucosa. In addition, the bacillus attached to the intestinal wall will also release toxins into the patient's blood, causing more serious symptoms of fever and even systemic toxemia.
The main transmission route of bacterial dysentery is food, especially in summer and autumn. Children and adolescents are the most common people with bacterial dysentery. Generally speaking, patients will have diarrhea more than a dozen times a day, but the excretion volume is not too large. The loss of water is not significant. The symptoms should be mainly manifested as abdominal pain, high fever and severe postpartum - abdominal pain wants to go to the toilet, but the abdominal pain does not improve after excretion.
This bacterial dysentery is obviously in the category of severe illness. The patient's lips and facial skin showed obvious signs of dryness, and the eye sockets were deep and the water loss was very obvious. He also had incontinence.
Chapter completed!