Judging from the level of a doctor, you can see it from the first time he sees the patient!

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

I quickly learned about the patient's situation.

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

The patient's condition is mainly due to dislocation between the metacarpophalangeal joints and fractures of the phalangeal bones.

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

But……

At this time, the two of them couldn't help but stagger the position of the main sword and silently prepared to get auxiliary equipment.

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

Chen Cang was stunned and said embarrassedly: "Director, come on, I... am not very good at orthopedics."

Tan Zhonglin was stunned. What a good young man, giving me face like this, but he sighed: "Xiao Chen, this is not the time to be humble, come!"

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

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

Anything Chen Cang doesn't know?

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

Chen Cang was amused and crying: "Really, Director, I really don't know. You have reduced the fracture. I will deal with the tendon nerves and blood vessels. We have a clear division of labor. Is it okay?"

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

That's right!

Is it okay if you are only 27 years old? No matter how good your talent is, you have to have a limit.

How could it be possible to know everything?

Thinking of this, Tan Zhonglin couldn't help but laugh when he thought about his initial thoughts.

Everyone is human, how could the gap be so big!

I can only say that I have specialized in my profession!

Besides, the long-term work experience and surgical accumulation required by orthopedics, Xiao Chen is good at tendon blood vessel suture, which may be because he is on the front line for a long time and has more contact with trauma patients.

Suddenly, Tan Zhonglin felt much more relaxed inside.

"Director An, come on, let's do it."

While speaking, Chen Cang carefully observed that clinical work requires learning for a long time. If you don’t study, how can you make progress?

If the fracture of the phalanx does not displace, it is generally mainly done by manual reduction, which Chen Cang will do.

Now Chen Cang suddenly felt how powerful the technique he learned from Director Wang Xiangjun was to reset!

However, this kind of open fracture requires incision and internal fixation. For example, Tan Zhonglin's Klein needle fixation, this method is also more commonly used in clinical practice.

Chen Cang passed the equipment aside, and he could see it clearly!

Tan Zhonglin looked at Chen Cang studying hard on the side, and felt a little pride in his heart!

Young people should learn more!

After all, fixation surgery for open phalanx fractures is a surgery that is often required in the hand surgery department. Lao Tan has been doing this kind of surgery for half his life, has rich experience and skillful skills, and occasionally he can try his hands and feet at annual meetings, which will bring applause.

So, Tan Zhonglin is quite confident in this area.

In fact, surgery is the same as playing basketball and singing. You need to be in a state of mind. The doctor's mental outlook is better, and the surgery is not bad.

Tan Zhonglin found that Chen Cang was too confident when he was a audience.

Thinking of this, Tan Zhonglin couldn't help but show off his operation, which made An Yanjun on the side twitch. When he looked at Tan Zhonglin, he had some respect. He deserved to be Director Tan!

sharp!

Chen Cang had to admit that Jiang Hao is so hot, Director Tan did a very good job of phalanx surgery!

[Ding! Congratulations, the 5% stolen master skill triggered with title attribute: Obtaining Tan Zhonglin's skill: Finger bone fracture surgery: Master level.]

【Finger fracture surgery: including phalanx reduction, phalanx fixation, etc., master level; special effects: 1, accurate reduction; 2, firm fixation;】

Chen Cang's face was happy!

I'll be good.

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

Thinking of this, Chen Cang couldn't help but feel happy, and the two special effects were accurate and the other was firm, both of which were very effective.

Because the treatment of phalanx fractures requires accurate reduction and firm fixation, and functional exercises must be carried out as early as possible to restore the flexible movement function of the fingers.

What can be controlled by the surgical effect is basically accurate reduction and firm fixation!

The surgery fracture operation was soon over. Tan Zhonglin couldn't help but breathe a sigh of relief and finally showed off in front of Chen Cang.

Since I met Chen Cang, I have been refreshed by Chen Cang again and again. I almost forgot that I am the role of the director of the Provincial People's Hand Surgery Department.

Thinking of this, Tan Zhonglin glanced at Chen Cang.

An Yanjun flattered her and said, "Director Tan did a great job in the surgery for phalanx fractures! I saw it at the annual meeting last year, but I didn't expect to make another progress!"

Tan Zhonglin looked at Chen Cang and said seriously: "I am in good condition today, Xiao Chen, I will leave it to you next."

Chen Cang nodded. He understood that the next work was the top priority!

Orthopedic surgery only takes a little time and will not affect the neurovascular surgery on the hands.

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

Because the ulnar artery and radial artery have been completely broken!

This is not as simple as a sentence.

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

But...is one-third high?

Some people may think it is very high, so in other words, you don’t think so.

The probability of surgery failure is as high as two-thirds.

The artery has been ligated before the operation, and now all we need to do is to anastomize the damaged blood vessels.

This is also a blessing that the artery damage in the hand is damaged. If it is elsewhere, the chance of recovery may not be even 10%.

Because the blood supply in the hands is extremely abundant, the main sources are the radial artery and the ulnar artery. In addition, there are anterior interosseous artery and posterior interosseous artery.

Of course, there are also some so-called talented people who look different from others, that is, the so-called "skeleton wonder, martial arts genius". In their blood supply, 3.7% of individuals have a central artery participating.

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

Generally, after cerebral infarction, it means that the brain tissue behind ischemia, hypoxia and necrosis is caused by ischemia, hypoxia, but when discharged from the hospital, it was found that collateral circulation appeared in the original infarction area, and the compensatory blood vessels restored the blood supply to the infarction area!

Chen Cang was stunned at that time!

This is really the so-called medical miracle.

So, since then, Chen Cang is full of awe of the human body. When he sees those who jump off the building, he has to go around further. What if his bones are abnormal and he jumps down and runs away? Maybe he really thinks it’s troublesome to climb stairs!

The blood vessels in the hand form an arterial network or arterial arch form a comfortable channel for traffic, ensuring that the hand is in pinching, holding, grasping and holding various functional positions, and the blood supply is adaptable to the blood supply.

It is precisely because the above-mentioned blood vessels have rich anastomosis and good compensation ability that even if the radial artery and ulnar artery are broken in the hand, there is more than 30% chance of recovery.

Chen Cang found that his eyes were really good when he was dealing with these refined surgeries.

Looking at the name written on it, Chen Cang knew that he would definitely not be able to find the wrong blood vessel!

[Discontinent of the fractured radial artery] + [Proximal end of the fractured radial artery] = Intact radial artery.

Well, it's that simple, just like the splicing toys I used to go to school.

Of course, suture is the top priority of surgery.

Because the suture of peripheral blood vessels is relatively thin, it is more difficult and the operation is relatively difficult.
Chapter completed!