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Great Doctor Ling Ran

By Village Of Ambitious Birds

165. Chapter 165 Second

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Chapter 165 Second

Lingran directly to the operating room.

Lv Wenbin, who was pretending to be strong, suddenly breathed a sigh of relief and quickly reported: "The patient's skin temperature is reduced by 2.5 degrees Celsius, the skin color is pale, the degree of swelling is +, I gave it..."

"He smoked?" It was not unexpected.

Nicotine is extremely dependent, and the difficulty of abstinence is not less than that of a big smoke.

Ordinary people quit smoking, and if they have strong subjective will, they may fail. Smokers who have replanted their fingers have not thought that their fingers will break, and they are not prepared to quit. The doctor’s request for smoking cessation will always be ignored. It is also because of this, there will be a large number of orthopedic surgeons in Europe and the United States, refused to re-plant the finger for the smokers.

Lu Wenbin did not expect that the reaction of Ling Ran was so slight, nodded, and said: "It is said that it was sucked twice, this time only took one."

"How much is not important." Ling Ran went to see the patient's situation, and asked: "Is the patient's family signed a surgical consent form?"

"Signed. I told them that it is suspected that there is embolization in the anastomosis. Therefore, it is necessary to remove the anastomosis and reattach the artery. They also told them that the second time is very risky. The patient's family insisted on keeping their fingers." Lu Wenbin was quite depressed. Even if the second reconnection is successful, the blood circulation may not be established, and the functionality of the finger in the future cannot be compared with the previous one.

For a resident who has just begun to replant the broken limb and has a sense of accomplishment, this kind of thing is worse than 20 hours of continuous work.

Ling Ran has always been angry and not indifferent, not much to say, just said: "Take it."

Reattachment of the artery is much simpler than replantation of the severed finger. It is just a matter of cutting two more. For him, from confirming the position of the embolization to revascularization, it is nothing more than half an hour of work, or he intends to slow down. The situation of speed.

The last time I made a finger replantation, Ling Ran considered the possibility of nicotine intake. Therefore, when suturing, a blood vessel was sewed to increase the blood flow rate.

This time, Ling Ran also protects Mao Haipeng's blood vessels as much as possible, leaving enough space for blood circulation.

After a surgery, several medical staff in the operating room did not have the feeling of chatting.

The blood circulation crisis is not instantaneous. When such a serious vascular embolism occurs, the vascular condition in the finger is not optimistic. It’s like a road that is heavily jammed to block the road. It’s likely that there have been multiple sections of the road...

Multiple damaged bodies, probably stimulated by nicotine, are likely to supply more platelets. From the literature point of view, let the rats replanted with tails to smoke, the platelet adsorption increased by 10%, corresponding to the low growth rate of endothelial cells - only one-fifth of the normal group.

Ling Ran can use surgical means to clear the embolization of the anastomosis, and even clean up very clean, can only use the medicine inside the broken blood vessels.

The biggest difference between medication and surgical methods is that the surgical methods are led by doctors. The efficacy of medicines is often related to the adaptability of people themselves.This is like the fact that sports often use banned drugs. Some people use banned drugs, and they have quickly made huge breakthroughs. Some have changed little, and even have regressed. In the final analysis, different people are on drugs. The response is different.

For example, heparin for anticoagulation, the general effect is very good, there are always people who are very effective, or very poor.

At this moment, it is not good enough to keep Mao Haipeng’s fingers and give him only the general effect.

Lv Wenbin also saw this point. After the end of the operation, he specifically said: "It is better for me to stay in the hospital and look at Mao Haipeng."

Ling Ran took off his gloves and surgical gown, and considered it for a few seconds, said: "Yes."

"I try to keep my fingers." Lu Wenbin is familiar with Ling Ran's temper and takes the initiative to say: "Then I will not participate in surgery tomorrow."

"Yes. Take a day off tomorrow and suspend the operation." Ling Ran now does not require a lot of surgery every day. Compared to the tang method, the replantation of the finger is more expensive, whether it is spirit, energy or time.

Even if Lingran is in good health, Lv Wenbin and Ma Qilin will not be able to hold back sooner or later.

After all, at the stage of replantation of the finger, the responsibility of the assistant has become more and more, and it is no longer a simple hook. In addition, the two have hiring, writing medical records, doing medical advice and other trivial things, even if it is a double replacement, it is not easy.

After experiencing today's smoker episode, Ling Ran also wants to rest and rest.

Lu Wenbin completely gave up the rest.

Replantation of severed fingers is similar to other types of surgical procedures. The pre-existing conditions are the most. If you can lick the past, the replanted fingers have a great chance of survival.

Lu Wenbin stayed up all night and was always ready to work with a doctor to improve his success rate.

During the day on the second day, Lu Wenbin was still inseparable from Mao Haipeng.

Then it was another night.

During this period, Lu Wenbin only slept intermittently for a while, but he would wake up when there was a rush of wind or the timing of the phone.

This kind of life, Lu Wenbin is actually not unfamiliar, he did this when he cooked the pig's trotters. Calculate the time, put what you put on the raw materials, take time to rest and sleep...

It's just that it's too hard to wait for the color change of the broken finger compared to the pig's trotters.

The third day.

Lingran as usual to check the house.

Lu Wenbin stood up in a mess and stood with the family and stood on the other side of the bed.

Mao Haipeng looked at the front with no expression, his fingers were still gray, even with a slight black gray.

"Let me record the medication." Ling Ran asked for a case, reading from top to bottom.

Unlike physicians, surgeons are usually simple and rude to solve symptoms and do not pursue deep causal links. Despite this, Ling Ran can still see his attempts and efforts from Lu Wenbin's doctor's advice.

Lv Wenbin did as much as possible to dilate blood vessels, lower blood viscosity, improve recovery, and enhance heart and lung function.

Ling Ran put down the case and looked at Lu Wenbin.

Lu Wenbin’s eyes are faint and unwilling to connect with Ling.Silently waiting.

For a long time, Lu Wenbin finally hoarse and scorpion, said: "Can't keep it... amputation."

When Mao Haipeng’s wife heard his opening, she was psychologically prepared, but when she heard the last one, she couldn’t help but shed tears: “Why... how to amputate, use so many medicines, suffer two sufferings... ”

The woman is crying, and she can only watch silently. Ask yourself, if you can predict the future, he may make different decisions, such as direct amputation, stricter smoking cessation methods, at the very least, you can give up the second reconnection, and even refuse Lu Wenbin's care requirements, you can save a lot of resources. To save the effort of patients and their families, whether it is money and energy, or mental trauma and physical torture.

But what if you can't predict the future?

Ling Ran thought that most of them would be replanted for Mao Haipeng.

Nicotine does not necessarily lead to amputation, Mao Haipeng is not necessarily smoking...

"Amputation is the only option at the moment." Ling Ran can finally give an inevitable answer.

The woman shed tears and said: "Can't you cut it? How can you do it without a finger..."

"The broken finger that has been necrotic is a big risk item for other fingers. It is best to send it to the operating room now." Ling Ran looked at the watch and said: "We will finish it as soon as possible."

The family members of the patient hesitated and repeatedly looked at Lu Wenbin.

"Can only intercept." Lu Wenbin is also helpless.

After persuading a few words, the family finally signed a new informed consent form, and Mao Haipeng was also pushed into the operating room for the first time.

Six hours later.

Ling Ran regained the position in front of Mao Haipeng.

Mao Haipeng’s hand was completely wrapped up, and his fingers were missing one. The whole person had a little spirit.

Seeing Ling Ran, Mao Haipeng was a little excited. He said "thank you" with a slurred voice. Then he coughed hard and said something more clearly: "Dr. Ling, trouble you."

"How are you feeling?" Ling asked.

"Yes, I don't want to recover, the pressure is still small." Mao Haipeng showed an ugly smile, barely can say that he wanted to open.

"Rehabilitation still has to be done... oh..." Ling suddenly paused, because in front of him, just appeared a new primary treasure chest.

Achievement: patient's heartfelt thanks

Achievements: The patient's heartfelt thanks is the biggest compliment to the doctor.

Reward: Junior Treasure Chest

Ling Ran looked at Mao Haipeng quite surprised. He was able to give two patients who were "heartfelt thanks". He was the first to see him.

He rubbed his hand and opened the treasure chest by the way.

I saw a brilliance, and a silver-gray book appeared on the title page:

Intermittent horizontal squat sling suture method (specialization), also known as Hells suture method, is mostly used for gastrointestinal mucosal suture.

Ling Ran again surprised, out of the box two, also the first time he saw.

"Amputation is also good, so that you can be scared afterwards." Mao Haipeng almost said to himself, another good hand on the sheets, constantly groping.

(End of this chapter)

Great Doctor Ling Ran

165. Chapter 165 Second

165. Chapter 165 Second

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