HCB Chapter 809
Chapter 809
In the operating room, the wound is handled in summer, and Wang Xiaobei handles the severed limb. Because the wound is flat and the incision is good, the operation is easier.
"Xiao Bei, are you ready for the amputation?"
"All right."
Wang Xiaobei came with the severed limb.
The wounds were aligned and compared, Xia Tian nodded: "It's okay."
"I can take it."
Nurse Xiaoli asked, "Can I walk when I connect it?"
"Yes!" Xia Xia went to two steel plates, hit the bone nails on the bones on both sides, and then used an electric drill to merge the bones together, and said while operating.
"Walking is fine, but you will have long feet."
"When dealing with the wound, the surface layer was cut off, about 5 mm off, so put on an insole."
In terms of speech, three more nails were nailed in the summer.
Wang Xiaobei stood beside him and handed the nails, quietly speaking.
"It is said that the leg was cut off by her husband."
Summer nodded.
Several nurses were speechless.
Xiaoli said excitedly: "My God, what kind of husband is this, is it too cruel?"
"It hurts to cut it down abruptly?"
Xia Xia kept his hands and said quietly: "It is said that the patient eats breakfast every day, does not wash the dishes, plays mahjong when he goes out, and plays mahjong until it gets dark. He doesn't do any work at home. grandson."
"The two have been arguing for a lifetime."
"The two had a big fight last month, and the husband said he would cut her off if she left."
"She didn't listen, she still played mahjong every day."
"As soon as my husband gets excited..."
Crowd: ...
Wang Xiaobei pouted: "I can understand her husband, how can a woman get up early every day and go out to play mahjong every day? You can't do this without helping your grandson, right?"
Xiao Li was also speechless.
"It's a little too much."
"But you can get a divorce. You'll be fine if you don't care about her. If you cut off her leg, you have to treat her again. Now you're breaking the law again."
"What about her husband?"
Summer: "I surrendered."
Crowd: ...
The most difficult part of amputation surgery is the blood vessels and nerves. The bones can be fixed with nails. The success of the amputation depends on the blood flow.
After an hour and a half of surgery.
Xia Tian raised his head and raised his stiff neck.
"Xiao Bei, open the clip and check the blood flow."
After a severed limb has no blood circulation, the color of the skin will become pale. With the blood circulation, the color of the skin will recover. Just observe the color of the skin to determine whether it is successful.
Reconnection of amputated limbs has been done more than a dozen times in the summer.
On one occasion, he used the patient's big toe to attach to the thumb, and the operation was very successful.
So, this time he is also very confident.
should be successful.
The arteries of the legs are the frontal pulmonary artery, the posterior tibial artery, and the anterior tibial artery.
During the operation, in order to prevent the arteries from continuing to bleed and affect the suture, the blood vessels should be clamped first to prevent the blood from flowing out. After the suture, the three clips should be opened.
All three arteries bleed at the same time.
At the interface, not a drop of blood flowed out.
The stitching is perfect.
Blood flows down.
10 seconds.
no change.
20 seconds.
no change.
1 minute.
no change.
Xiaoli said, "What's the situation? It's been a minute. The blood should be flowing, right?"
"Wait." Wang Xiaobei said.
2 minutes.
Wang Xiaobei also frowned: "Why hasn't there been any change, isn't the blood flowing?"
"hold on?"
Xia Xia had a gloomy face, and said quietly: "There is a problem."
"The blood won't flow."
The blood cannot circulate, and the patient has high blood pressure. This situation...
"Acute Vascular Embolism!"
Wang Xiaobei exclaimed, "We have to take an MRA to determine the location of the embolism."
Acute arterial embolism refers to emboli from the heart, proximal arterial wall, or other sources that rush into the arterial blood flow and embolize the smaller diameter branch arteries at the distal end, thereby causing ischemia of the organs or limbs supplied by the arteries. necrosis.
In short, the blood vessels are blocked! ! !
It's like a water pipe, there is something blocked in it, and the blood can't pass through.
"Let me see."
Xia Tian lightly pinched the position of the severed limb, and said to the system at the same time: "Little baby, open the perspective eye."
【it is good! 】
[The perspective eye has been opened, and the host can view it. 】
"it is good."
The clairvoyant penetrated through clothing, skin, muscle tissue, and finally fell into the blood vessels. At a glance, the scalp felt numb in summer.
On the severed limb, there are dense embolism points one after another.
At a glance, there are hundreds of them!
Other than that.
There was also a small embolic site near the patient's common iliac artery.
Further up.
No heart, no lungs...
In the static state, these embolization points are attached to the blood vessel wall, blocking the blood vessel into a state of section by section.
What is this like?
There was a traffic jam on the expressway. After a block of road, it was blocked again. The distance of one kilometer was blocked in more than a dozen places. The inflow of blood washed away some embolism points, but because the blockage was too serious, I immediately traveled a new one Embolism point.
Um?
A situation was discovered in the summer.
Since the blood was blocked by the embolization point, it could only flow back, and when it flowed, it took one or two embolization points back.
now.
At the common iliac artery, there are two more embolization points.
Before, there was no blood circulation in the amputated limb, and the embolism points were condensed together. Now, after the blood is opened, the embolism points begin to swim upstream.
(embolism: Yoyoyo, brothers, there is a large grassland in front of you, what are you doing crowding here? Rush duck!!!)
(Summer: All the beauty you think, go to Laozi!!!)
"Xiao Bei, quickly clamp the blood vessel."
Xia Xia exclaimed, Wang Xiaobei didn't even think about it, and immediately clamped the blood vessel.
The operating room was quiet for a few seconds.
Wang Xiaobei asked weakly, "Brother Tian, what's the situation now?"
Summer stared at the severed limb.
a long time.
He faintly said: "The leg, I can't keep it."