Cao Xiaohe just watched Lin Hui leave, and then left Lu Cheng here. He began to mutter in his heart: Teacher Lin, the family members of endocrine patients are causing trouble, so if there is no one to deal with the patients in our emergency surgery department, there will also be family members.

Are you here to cause trouble?

Cao Xiaohe guessed that maybe Lin Hui felt that the Department of Orthopedics and the Emergency Surgery Department were not getting along, so he took the opportunity to make the Emergency Surgery Department uneasy. Once the report was reported to the Medical Department, the Emergency Surgery Department would have to think carefully if he wanted to engage in orthopedic trauma related work in the future.

Already.

But then Cao Xiaohe thought about it, Lin Hui just asked Lu Cheng to see the patient.

No, when did Lu Cheng come to the Department of Orthopedics? How did Lin Hui feel reassured about Lu Cheng? Was it earlier than him? He had just finished his initial written examination and came to the emergency surgery here. What if Lu Cheng

We’re here too, how many times will you come to the emergency room to meet me?

But this was obviously not the time to ask such questions, and Lu Cheng was also an orthopedist when he was at Changshi First People's Hospital, so he knew more about orthopedics than he did.

So he said: "Xiao Lu, please take a hard look at the patient. The patient's pelvic X-ray and CT have been developed and are beside the bed. I'll take you to take a look."

"It's been half an hour since the patient was admitted. He just finished the examination and his attitude is still stable for the time being. If it continues to be delayed, he may have some ideas."

"Well, Brother Cao, please lead the way. Let's go and take a look first." Lu Cheng said quickly.

Then Lu Cheng, Cao Xiao and the two men in white coats without name tags rushed towards the hospital bed.

The emergency ward is divided into internal medicine and surgical departments, but they are both in the same ward.

The patient Cao Xiaohe talked about was in bed 31.

When Cao Xiaohe and Lu Cheng went in, a middle-aged man in his fifties with a short beard was carefully stroking the right hip of a young man. His muscles were bulging, and he was full of strength. At this moment, he was at a loss and anxious.

He was in a panic, and then kept looking back until he saw Cao Xiaohe, and hurriedly said: "Doctor Cao, has the superior doctor you called for arrived?"

"My son is in unbearable pain now."

"Here, here." Cao Xiaohe immediately replied, and then introduced the general medical history to Lu Cheng: "The patient was riding an electric bicycle when he was tripped by a car, his left shoulder landed on the ground, and his right leg was stuck under the electric bicycle.

, the patient was dislocated and his head was on the ground. We are calling the chief resident of the neurosurgery department to take a look at the film. Now the patient’s right hip joint is severely swollen.”

Lu Cheng nodded and said: "Let me take a look first. By the way, are you his father or who? Did you bring too many pants? His pants may need to be cut off. If he takes them off now, he will probably suffer a lot. Do you agree?"

Don’t agree to cut it off?”

"Brother Cao, go get a pair of scissors. The hip joint may not be able to go in when it is reset next to the bed. If it really can't go in, you have to be sent to the operating room for spinal anesthesia and muscle relaxation, but we can give it a try first." Actually.

Lu Cheng still had confidence, but he didn't dare to speak his mind fully.

Everyone who works in the hospital knows that one has to show his or her ability and save nine to save one's life. There is no need to strive for temporary success. Being a doctor is a lifelong job and cannot be completed in a short time. Even if you become famous, you will not dare to do it.

And don't be careless.

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

"I am his father. Why do I care about pants at this time? You can just tear the pants into pieces, so cut them off quickly."

After speaking, he said to the young man who was lying on the bed gritting his teeth and insisting: "Son, please bear with me a little longer. The doctor is here and you will be fine soon."

He nodded. The young man in his twenties could still bear it, but the pain at the fractured humerus and right hip joint made his head covered with fine sweat. He had also been polished in society, so he was very tired.

He politely squeezed out a few words: "Thank you, doctor, please hurry up a little bit, the pain is still a bit severe."

Can fractures and dislocations be pain-free?

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

It is one thing to have confidence in the treatment methods, but it is another thing to make a clear diagnosis. It would be a joke if the diagnosis was wrong or missed.

Soon the scissors came, and Lu Cheng immediately started to cut off the pants from the side, and then put them on the thigh of the healthy side.

Then, he said: "Brother, please bear with it for a while. It may be a little painful during the process, but once it is reset, you will feel comfortable immediately. His father, please help me pull up these pants, so don't block me when the time comes."

.”

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

"It's okay, his pelvis is not broken!"

Lu Cheng had already thought about the reset idea in his mind.

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

But Lu Cheng planned to use Bigelow's method, also called the question mark method. In fact, the Allis method could also be used, but Lu Cheng felt that the Allis method was too laborious and the success rate was not particularly high.

If you choose the question mark method, you can stand on the hospital bed, and Lu Cheng does not need to go up to the hospital bed.

After Cao Xiaohe fixed the pelvis, Lu Cheng immediately asked the patient's right hip and knee to flex to 90 degrees. He held the ankle of the affected limb with one hand, placed the other forearm on the popliteal fossa and pulled it upward, and then began to operate slowly.

First, the hip joint is flexed, adducted, and internally rotated (so that the femoral head leaves the ilium), and then while continuing to draw, the joint is externally rotated, abducted, and straightened to slide the femoral head into the acetabulum and reset it.

Because the continuous movement of the thigh during reduction is in the shape of a question mark, it is called the question mark method of reduction. However, this question mark is relative to the posterior dislocation of the left hip. This patient has a posterior dislocation of the right hip. In fact, the right thigh

The activity trajectory will be a reverse question mark.

First, continue to stretch, so that the patient gradually gets used to the pain, the pain decreases, and the stress-induced contraction of the muscles becomes relaxed.

Then immediately start external rotation, abduction, and extension!

Suddenly!

Just listen!

"Click!"

One sound.

Obviously, the sound of the femoral head returning to the acetabulum and impacting penetrated the layers of soft tissue from inside the hip joint and reached everyone's ears.

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

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

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

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

The young man shook his head, closed his eyes, and shook his head on the bed with full enjoyment. He felt like he was floating after a sudden tremor. He said slowly: "It doesn't hurt, it doesn't hurt, I feel good! I feel good."

I'll rest for a while."

Lu Cheng then slowly lowered his leg, and he didn't cry out in pain. His father felt relieved and took out two bags of He Tianxia from nowhere with a smile on his face: "Thank you, two doctors. Thank you for your hard work."

, you are too tall! It is indeed the Second Xiangya Hospital, Crouching Tiger, Hidden Dragon."
Chapter completed!