sinovels Chapter 268
Chapter 268
Marine Vibrio infection, once infected, can easily hurt the internal organs. Once the internal organs are infected, it will cause the patient to immediately fall into a coma, and two-thirds of the infected arm has been completely black.
original.
Because of the patient's age and occupation, Xia Xia wanted to keep his hand.
Treat with antibiotics first.
Once the antibiotics kick in, the arm might be saved.
but now……
Antibiotics have been used for several hours, and the inflammation in the patient's body has become more severe. Obviously, the antibiotics are no longer able to fight the infection.
Must, cut off the entire infected arm.
To protect life!
Hearing about the amputation, Liu Qiang's father was immediately stunned.
After being stunned for a few seconds, he shook his head frantically.
"Do not."
"No, my son is a chef. Without his hands, he can't be a chef. You are trying to kill him!"
Xia Xia explained: "The infection in the arm is very serious. It has infected the lungs. The arm must be cut off to stop the infection..."
"So, patients have to have their limbs amputated."
"you shut up!!!"
As soon as Xia Xia's voice fell, Liu Qiang's father scolded him angrily.
He pointed at Xia Xia's nose and scolded.
"Your son is still so young, you are about to amputate!"
"You doctors, you don't have a good thing, you have a thorn in your hand and you are about to amputate. You are too exaggerated."
"I'm asking for conservative treatment."
"If you are not conservative, you will be discharged from the hospital, and you will not be treated here."
Facing the wrath of the patient's father.
Xia Xia was expressionless. After working for several months, he was used to encountering various patients, even some patients who did not believe in him. In the face of such patients, Xia Xia must be treated from a professional perspective.
He said calmly.
"It's okay to be discharged from the hospital."
"But after discharge, if the patient dies, it has nothing to do with the provincial hospital."
"You need to sign a waiver of liability."
The patient's father was stunned.
Normal people, when they hear the word "death", will be stunned, and those who brush Douyin will feel sad when they see the unexpected death of a stranger, not to mention their own son, the patient's father after a few seconds of confusion.
Cheeks quickly flushed.
Pointing at Xia Xia's nose, he gritted his teeth and said angrily.
"What do you mean by that?"
"You curse my son?"
If a curse could kill people, some scum would have died hundreds of times earlier.
Summer light road.
"Your son, Liu Qiang, has a very serious infection. He can no longer breathe on his own. Now he is breathing on a ventilator."
"Amputation is hard to accept."
"But if you don't amputate your limbs, you will die."
"Will it be death or hand?"
Want to die, want a hand?
As soon as this question came out, the patient's father was stunned.
Sudden.
His eyes were red, and his angry eyes were full of horror. At this moment, he was like a frightened child, looking at Xia Xia with begging eyes.
"Is there no other way?"
Summer shakes his head.
"there is none left."
"Amputation is a must."
The patient's father bowed his head and got into a tangle.
At this time.
The restaurant owner came over. He patted the patient's father on the shoulder and comforted him.
"Brother, listen to the doctor."
"Don't worry, I will take responsibility for Xiao Liu's injuries in our store."
"In the future, if he can't be a chef, he will be a waiter in my shop, and he can serve food with one hand."
"I won't treat him badly."
The boss is fat and looks very greasy, but his voice is full of confidence, giving people a very righteous feeling.
The patient's father glanced at the boss.
Xia Xia nodded with red eyes.
"Doctor, then my son will be handed over to you."
"Where to sign?"
"follow me."
In the office, the patient's father signed.
Xia Xia immediately notified the operating room, and at the same time, said to Wang Boyi.
"Bo Yi, prepare the patient for the preoperative preparation."
"Also, does Sister Li work?"
Wang Boyi shook his head: "Sister Li is not here."
Amputation is not a minor operation. Sister Li has a lot of experience. She wanted to let Sister Li come on stage with him. Since Sister Li is not there, then forget it.
"Boyi."
"Come on stage with me."
"Okay." Wang Boyi nodded.
It took half an hour to prepare before the operation. In the summer, all the points were placed on the amputation operation. Because of the world-class bone-setting experience in the summer, the amputation operation already had 5 points of strength, and the remaining five points were all added.
10 points, full marks.
The operation process went through over and over again in his mind, as if he had done this operation tens of thousands of times.
11:40.
Enter the operating room in summer.
The patient has been placed under general anesthesia.
"Is the armpit pressurized?"
summer asked.
Wang Boyi nodded: "Added."
Due to amputation surgery, in order to avoid causing massive bleeding to the patient, causing hemorrhagic shock, increased pressure in the axillary position slows the flow of blood.
"it is good."
"let's start."
"Flap design first."
Two-thirds of the patient's arm was completely black.
All black parts must be removed.
After the necrotic part is removed, a skin flap is required to wrap the wound, so that the position of the broken bone cannot be exposed, causing secondary infection.
Wang Boyi took a pen and drew the cutting position just down the patient's shoulder.
"The cut is made at this location, and the remaining flap can be used to wrap the incision."
Wang Boyi Road.
"Row."
"It's okay here."
Summer nodded.
"No. 10 knife."
Wang Boyi cut the skin flap, the knife followed the curve he drew, took off the skin flap, took out the skin flap, and the operation officially began.
"Come on in summer."
Summer nodded.
"Electric knife."
Amputation doesn't sound too difficult, just cut it off.
Simple and rude!
Hands up and down, without hesitation.
This is what ordinary people know about amputation surgery. In fact, amputation is not that simple.
Nerves, blood vessels have to be dealt with.
The median nerve, brachial artery, meridian, and ulnar nerve are branched in the biceps muscle.
The isolated blood vessel needs to be ligated.
Nerves are the hardest to deal with.
Once the nerves are not handled properly, patients will experience wound pain and phantom pain in the later stage.
It is very troublesome to deal with.
Tie the nerve in a knot first.
When the nerve is not paying attention, quickly cut it at a position 3CM away from the fracture. The knife must be fast, and the knife should not be blunt. Once it is slow and blunt, it will cause neuroma.
After the nerves are processed.
processing blood vessels.
In order to avoid the formation of hematoma, even the smallest blood vessels should be completely stopped, and the large arteries should be double ligated.
After an hour and a half.
call……
Xia Tian was relieved, the nerves and blood vessels were finally dealt with.
He asked the nurse to wipe his sweat.
He said to Wang Boyi, "Cut your muscles."
"it is good."
Wang Boyi took the knife and continued the operation below.
Take a break in summer.
he asked.
"what time is it now?"
"It's 1 o'clock," a nurse replied.
He was supposed to get off work at 12 o'clock, but the operation wasn't over and he couldn't leave.
Originally, he was only on the day shift today, but he was on the night shift for Han Meiji, but now he can only go home after dawn.
At this time.
A little nurse came in and said to Xia Xia.
"Doctor Xia."
"Doctor Han called."
Oh?
Call him in the middle of the night?
Don't miss him, do you?
Xia Xia became interested and asked, "What did she say?"
The little nurse said, "Doctor Han asked if you were hungry."
really! ! !
miss me!
Hehe, she just likes this handsome guy, even if she doesn't admit it.
In summer, I feel proud.
asked.
"What? Is she going to get me some takeout?"
The little nurse shook her head: "No."
Xia Tian raised his eyebrows: "Then why did she ask me if I was hungry?"
The little nurse said, "She said, if you are hungry, she will give you some snacks to chew on."
——————
Author bacteria:
3 years ago, the author's mother's thumb was cut by an oyster shell, and the infection has not been good, and the fingernail of the thumb has fallen off.
But fortunately, the infection did not spread. I went to many hospitals and saw many experts. After three years of treatment, I still haven't recovered, but the situation is weakening and it will not hurt.
I am writing this case today, just to tell everyone to be careful in everything. Although the probability is very low, it is better to pay more attention.