I Spent Those Years In the Operating Room Fighting Monsters

　　 Cao Xiaohe just watched Lin Hui go, and then left Lu Cheng here. I started to mumble: Teacher Lin, the family members of endocrine patients are doing things, so no one of our emergency surgery patients will deal with them, and there will be family members who will do things too?

Cao Xiaohe guessed in his mind that Lin Hui felt that orthopedics and emergency surgery were incompatible, so he took the opportunity to prevent emergency surgery from coming to Taiwan. Once the report was reported to the medical department, then emergency surgery should consider orthopaedic trauma-related matters in the future. NS.

　　 But after Cao Xiaohe changed his mind, Lin Hui just called Lu Cheng to look at the patient.

　　 No, when did Lu Cheng come to the orthopedics department, and how did Lin Hui feel relieved about Lu Cheng? Is it earlier than yourself? I just finished my first written test and came to the emergency department here. If Lu Cheng also arrived, how many would I meet in the emergency department?

　　 But this is obviously not the time to ask about this, and Lu Cheng used to have a background in orthopedics when he was in Changshi No.1 People's Hospital, so he knows a little bit better than himself.

　　 So he said: "Xiao Lu, you have to work hard to look at the patient. The patient's pelvic plain film and CT have been washed out. I'll take you to take a look at the bedside."

　　 "The patient has been admitted for half an hour. He has just finished the examination, and his attitude is still stable for the time being. If it is delayed, he may have ideas."

　　 "Well, Brother Cao, please lead the way, let's go and see before talking." Lu Cheng said quickly.

　　 Picking up Lu Cheng and Cao Xiao and these two white coats without a badge, they rushed towards the hospital bed.

　　 The emergency ward is divided into internal medicine and surgery, but they are all in the same ward.

　　 The patient Cao Xiaohe talked about is in bed 31.

When Cao Xiaohe and Lu Cheng entered, a middle-aged man in his fifties with a short beard was carefully stroking the right hip joint of a young man, his muscles buckled, and he was full of strength. He was at a loss and anxious. Panicked, and then kept looking back, until he saw Cao Xiaohe, he hurriedly said, "Doctor Cao, has the superior doctor you called come?"

　　 "My son can't stand the pain now."

"Come here." Cao Xiaohe immediately returned, and then introduced a general medical history to Lu Cheng: "The patient tripped on the car while riding an electric car. His left shoulder landed on the ground and his right leg got stuck under the electric car. He was dislocated, and his head was on the ground. He was calling the chief resident of neurosurgery to watch the film. Now the patient's right hip is extremely swollen."

Lu Cheng nodded and said, "Let’s take a look first. By the way, are you his father or who? Do you have too many pants? He might have to cut off his pants. If you take it off now, I think he will suffer a lot. Do not agree to cut it out?"

"Brother Cao, you can get a pair of scissors. The hip joint may not be repositioned at the bedside. If you really can't get in, you have to send it to the operating room for spinal anaesthesia, but we can try it first." Lu Cheng still had confidence, but he didn't dare to speak up.

Everyone who works in the hospital knows that they are very capable of showing one point, and nine points are reserved for life. There is no need to fight for a moment. Doctors are a lifelong business, and they can’t be done in a short while, even if they are successful. And can't be careless.

　　 Cao Xiaohe immediately rang the doorbell and called the nurse to bring scissors.

　　 "I'm his father. At this time, I still care about the pants. You can tear the pants to pieces. Then cut them quickly."

　　 After finishing, he said to the young man who was lying on the bed gritted his teeth and said: "Son, bear with me, the doctor has already come, and he will be cured soon."

He nodded. The young man in his twenties can still bear it, but the pain at the fractured humerus and the right hip joint made his head covered with fine sweat. He has also been polished in the society. He politely squeezed out a few words: "Thank you doctor, the trouble is a little quicker, the pain is still a bit severe."

　　 Can fractures and dislocations not hurt?

　　 Lu Cheng nodded after reading the X-ray and CT. The posterior dislocation of the hip may also be accompanied by fractures. If there is a fracture, then it is not suitable for manual reduction, so he is sure.

　　 It is one thing to have confidence in the treatment method, but it is another thing to make the diagnosis clear. If the diagnosis is wrong or missed, it is a joke.

　　 Soon the scissors came, and Lu Cheng immediately began to cut the pants from the side, and then put his arms on the thigh of the contralateral side.

Immediately afterwards, he said: "Brother, bear with me for a while, the process may be a little painful, but after resetting in, I immediately feel comfortable. His father, you can help me pull these pants, so don't block me in time. ."

　　 "Brother Cao, you help me hold his pelvis."

　　 "It's okay, there is no fracture in his pelvis!"

　　 Lu Cheng had already thought about the idea of ​​resetting in his heart.

　　 There are more than ten methods of manual reduction of the hip joint,

　　 But Lu Cheng plans to use Bigelow\'\'s method, also called question mark method. In fact, the Allis method can also be used, but Lu Cheng feels that the Allis method is too laborious and the success rate is not particularly high.

　　 If you choose the question mark method, you can just stand on the hospital bed, and Lu Cheng doesn't have to go to the hospital bed.

　　 After Cao Xiaohe fixed his pelvis, Lu Cheng immediately flexed the patient's right hip and knee to 90 degrees, held the ankle of the affected limb with one hand, and pulled the other forearm up at the popliteal, and then began to operate slowly.

First flex, adduct, and internally rotate the hip joint (to make the femoral head leave the iliac bone), and then continue to traction, while externally rotating, abducting, and straightening the joint, sliding the femoral head into the acetabulum and resetting~www .novelmt.com~Because the continuous movement of the thigh during the reduction is in a shape like a question mark, it is called the question mark reduction method. However, this question mark is relative to the posterior dislocation of the left hip. This patient is the posterior dislocation of the right hip. , In fact, the activity trajectory of the right thigh will be a reverse question mark.

　　 Continue to stretch first, and gradually get used to the pain of the patient, the pain is reduced, and the stressful contraction of the muscle becomes relaxed.

　　 Then immediately began external rotation, abduction, and straightening!

　　 suddenly!

　　 can only hear!

　　 "Click!"

　　 Shout.

　　 It is obvious that the impact sound of the femoral head returning to the acetabulum penetrates through the layers of soft tissue from the inside of the hip joint and is sent to everyone's ears.

　　 "Ah!" The patient was startled. This was a phobia of pain when he discovered that his hip joint was about to be reset, and the pain immediately intensified.

　　 "Oh oh!" Immediately afterwards, he let out a comfortable gasp that suddenly relieved the pain to a great extent.

　　 "Fuck." Cao Xiao, who was fixing his pelvis, and his whole muscles were a little stiff.

　　 The middle-aged man had never seen this scene before, so he asked quickly: "How is it? Does it hurt?"

The young man shook his head, closed his eyes, and shook his head on the bed full of enjoyment, with the kind of floating feeling after a sudden tremor, and slowly said in his mouth: "No pain, no pain, comfortable! Feel comfortable. I will rest for a while."

Lu Cheng then slowly lowered his leg. He didn't cry out for pain. His father was relieved. He didn't know where he came out of Liangbao and Tianxia with a smile on his face: "Two doctors, it's a hard work. It's a hard work. , You are too high! It really is the Second Xiangya Hospital, Crouching Tiger, Hidden Dragon."

　　The hand quickly took advantage of Lu Cheng and Cao Xiao’s unpreparedness and put it in the pocket of the white coat. After taking it out, he sent two thumbs up.