The patient was a worker wearing a construction hat. The injured arm was probably dragged here by 120. The right arm was wrapped in gauze from the greater tubercle of the humerus to the forearm.

The thick gauze was full of blood, and it was still slowly seeping out, condensing into layers of lumps on the outermost layer of the gauze, which looked shocking.

The person on duty at the surgery was feeling the pulse on his fingertips. When he saw Zou Qian coming, he quickly said: "Mr. Zou, the pulse on the distal end of this patient's fingertips is not bad. But the wound is a bit big.

, it’s hard to estimate the amount of bleeding, I guess I’ll have to send it to the operating room for debridement immediately.”

The moment he saw the patient, Zou Qian knew that this emergency operation was unavoidable, and immediately said: "Where are the patient's family members? Have you registered? After registration, hurry up and pay and sign. The surgery must be done immediately, otherwise the hand will not be saved."

This wound is conservatively estimated to be several tens of centimeters long. It is unclear what the skin defect of the wound is now and whether there is extensive damage to large blood vessels.

The patient was brought here by several worker friends. The patient was already sweating from the pain. He kept whispering: "Doctor, please stop the pain for me. The pain is unbearable."

The voice is very weak.

But at this time, who cares whether the pain is relieved or not? Life-saving is the most important thing.

His friend immediately said: "Doctor, we all work outside the home and have no family members. Can we sign it?"

"As for the expenses, we only scraped together five thousand yuan. His own money is all in the card, and the card is still in the dormitory. Where can we get it when we have time?"

"He still has a wife and children at home, so he must keep this hand."

Zou Qian frowned, walked to the patient's side, and asked, "Can you still hear me clearly?"

The patient nodded with difficulty.

"Your injury is very serious and you are bleeding profusely. If you do not undergo surgery, your life will not be saved. We will send you to the operating room immediately. I will tell you about the related risks and you will have your fingerprints stamped when the time comes."

"Then quickly inform your family members that you still need someone to take care of you after the operation. Do you hear me clearly?"

His eyes were red. Although he felt very wronged and did not want surgery, he still nodded with difficulty.

He said: "Doctor, it hurts. I called my wife. They are on their way here. They are far away. They probably won't arrive until tomorrow."

"I still have friends here, they will take care of me."

After saying that, he grabbed Zou Qian's arm tightly with his good hand and said, "Doctor, you must save my hand. I have two children, both of whom are still young. They are both still young."

.”

"We will try our best."

"Xiao Cao, Xiao Fang, you two go immediately to prepare things for the conversation and signing."

After Zou Qian gave his instructions, he asked the doctor on duty at the surgery: "Dr. Chen, have you called the boss of the orthopedics department? What did they say about this patient?"

The surgeon on duty came from the vascular surgery department and came to the emergency department to prepare for promotion. He quickly replied: "Hi, I have already gone to the operating room. I heard that he was performing a reset operation on a patient. It is the same operation in your emergency department."

In the room."

"He said he would call you to come and take a look first. If it really can't be dealt with, he would call the associate professor of the Department of Orthopedics."

There is mutual understanding among the general residents. Even if there is competition between the Department of Orthopedics and the Emergency Surgery Department, it is a matter between the bosses. In normal times, everyone will help and understand each other, so even if the Department of Orthopedics and Emergency Surgery compete,

Huang Minzhi's relationship with the emergency surgery department is not as good as that of Lin Hui, but it is not too bad, and he will greet him very politely when he meets him.

"Okay, let's take her to the operating room first."

"..."

Ten minutes passed. After Zou Qian briefly explained the complications and risks of the operation to the patient, he stamped his fingerprint with his right thumb and immediately pushed him into the operating room.

It is the emergency surgery operating room. Although it is very simple inside, ordinary debridement and suturing operations can still be completed.

When we entered, it seemed that Huang Minzhi from the Department of Orthopedics was leading a surgical team from the Department of Orthopedics to talk to the patient and sign a signature. After Zou Qian said hello, he said, "Brother Zhi, this patient has an upper arm injury. Do you want to take a look first?"

Huang Minzhi immediately replied: "Brother Qian, your department can handle this patient. I haven't changed your brother Qian's diagnosis skills. Aren't you trying to ridicule me? How dare I? Wait until I finish the reset here.

It’s almost enough for you to study there.”

"Brother Qian, I'm really sorry. This patient of mine has already been dragged to the operating room, and his family members have just arrived. I can't leave him alone. Otherwise, I would have gone to see this patient."

Huang Minzhi was also extremely polite when he spoke, but his politeness was a bit unfamiliar.

"Brother Zhi, don't raise your feet for me. We are all poor people. Let's not talk about it. I will go to debridement first. It is probably a big job and it will be difficult to get down in less than an hour or two." Zou Qian left quickly.

.

"Okay, you go about your business. After I recover here, I have to go to the emergency room."

…

Inside, the anesthesiologist has quickly administered general anesthesia.

Cao Xiaohe, Lu Cheng and Fang Nixin all put on sterile gloves and opened the wrapped gauze, finally revealing the terrible wound, which extended from the inside of the greater tubercle of the humerus to the middle of the forearm.

Smaller than expected, but more irregular.

The wound was caused by falling bricks from a high place.

The patient's luck is pretty good. It was scratched on his hand. If it was hit on his head, even if he has a safety helmet, it's another matter whether the person is still alive.

Zou Qian immediately said: "Cao Xiaohe, go wash your hands and put on clothes quickly. Let's clean it first and start disinfecting and spreading towels right away."

"It's time to go around and get a debridement pack, prepare an electric knife, a suction device, and a pulse. It's probably very difficult for this patient to just rinse with normal saline."

Zou Qian ordered the patrolman to go get what he needed immediately. But while he was talking, the blood from the patient's wound came out again, making it sticky.

Seeing this scene, Lu Cheng quickly took over the spot where Cao Xiaohe was standing and said, "Mr. Zou, go get the saline solution and rinse it quickly. Then disinfect it. You may need a tourniquet."

Otherwise, the debridement would not be possible, and the blood vessels would probably be damaged."

Although Lu Cheng saw with his own eyes that there were openings in the ulnar and radial arteries of the forearm, he couldn't explain clearly. He could only hold down the sources of the ulnar and radial arteries, which was where the brachial artery took its shape.

The wound was originally on the inside, because the brachial artery was on the inside of the upper arm. The injury was also on the inside. It was very difficult to identify at this moment. So Zou Qian only thought that Lu Cheng was afraid that Fang Nixin was not strong enough, so he took the initiative to carry it.

Weight-bearing position.

Fang Nixin was holding gauze, ready to scrape off the blood and rinse it off at any time.

Zou Qian was not a troubled person, so he immediately opened two bottles of normal saline, and at the same time rushed down from the humeral head and elbow joint. Fang Nixin used both hands to barely wipe the wounds clean.

However, after wiping it clean, both of them were slightly stunned.

Hey, why is this wound suddenly so white? It was obviously bleeding very badly just now.

Zou Qian was a little afraid that the blood vessels were blocked. After trauma, it is very common for blood clots to block the arteries. If it was really blocked, then amputation might be necessary to save his life. His expression immediately darkened, "Xiao Fang, hurry up and get a syringe."

Come and check your blood luck."

Fang Nixin understood immediately. She immediately threw the gauze into the bucket and turned around to get it.

At this time, Lu Chengcai realized that he had not had time to explain that he had stopped the bleeding by pressing, so he simply let go a little and said: "Mr. Zou, I held down the brachial artery, so there is no blood in the wound. It is not an arterial thrombosis."

Already."

Zou Qian understood it and heard it clearly.

It's just that I still don't quite understand.

Turning to look at Lu Cheng, Fang Nixin did the same.

It's just that Fang Nixin feels a little more strange and fearful than Zou Qian...
Chapter completed!