medical simulator

Page 455

But as soon as the plain film came into his eyes, Zhou Cheng couldn't help but let out a low voice.

Then he rubbed his eyes and turned his head to look at Professor Jingxing: "Professor Jing, this kind of case is really rare. His radius and ulna are basically displaced from each other?"

What is mutual displacement is that the radius is displaced to the ulna, and the ulna is displaced to the position of the radius, and it is still comminuted.

For this kind of fracture, even if there are instruments, I dare not do small incision open reduction and internal fixation.

"Even if it has the effect of the interosseous membrane, it will be difficult to cause the current injury."

It's very strange.

Professor Jingxingxing nodded slightly when he heard the words, and said, "It's relatively rare, so lower-level hospitals dare not move, just because they are afraid that there will be something strange in it, and they are also afraid of damage to blood vessels and nerves."

"I'm also afraid of muscle rupture."

but!

When Professor Jingxingxing said this, Zhou Cheng suddenly remembered that when he shook hands with little friend Pao Pao, the muscles of little Pao Pao seemed to be different from those of ordinary children.

This made Zhou Cheng think of a very strange possibility, that is, the ligaments of Little Bubbles are loose, which makes the muscles more extensible and tough, so the current torsion is actually formed in the body. A kind of bow balance.

Thinking of this possibility, Zhou Cheng tilted his head and asked, "Professor Jing, kid Bubble, have you ever done an MRI?"

Ligament laxity is not actually a trauma.

Landscape star said: "Patients have CT and peace films, so it is a waste not to take MRI. What's the use of MRI?"

It is true that it is a waste to use MRI to diagnose fractures. MRI is not as clear as plain X-rays to see fractures. However, if you want to support Zhou Cheng's conjecture, you must have objective evidence from MRI.

When Pao Pao heard this, he didn't quite understand it, so he just said, "Doctor Zhou, if you think you need an MRI, you can take it. Pao Pao and I just hope she is well, and it doesn't matter if you spend some money."

gave support.

MRI is not expensive, and for his one day's wages, it is no problem to take a whole body scan.

I just haven't found a place where spending money can have a good therapeutic effect.

Zhou Chengcheng said: "In fact, this is not a matter of spending money. It is just a guess, and it may be useless. Are you willing to accept it?"

Zhou Cheng did not explain his guess.

"I am willing. I have checked. MRI has almost no damage to the body, and there is no radiation. I have taken CT scans. It doesn't matter. Doctor Zhou, if you need it, I can arrange my friend to help you." He is very generous. say.

"It's just a possibility, and it's possible."

When Zhou Cheng heard this, he could only say that she is a cowhide from Modu, and it is her blessing that Pao Pao has such a doting father.

Zhou Cheng looked at Landscape Star again.

Landscape Star frowned.

But Pao Pao's father really hoped that his daughter would be better, and he didn't want to let go of the slightest possibility, so he made his own decision first: "Doctor Zhou, Professor Jing, please wait for me, I will make a call to arrange it, a little Waste your time."

"Xiaoxin, follow me to the MRI room and take an MRI." He immediately said to his wife.

"But?"

"Nuclear magnetism has no radiation. If there is a chance to make Pao Pao suffer less, what are you afraid of spending some money? Even if you are disappointed, it is just another disappointment."

"Pao Pao is still young, she is still the same age, a teenager..." He said with firm eyes.

It's nice to have money.

After seeing the person leaving, Jing Jingxing went to the director's office with Zhou Cheng to discuss the matter again.

When Zhou Cheng expressed his conjecture, Landscape Star flashed his expression and asked, "Xiao Zhou, what is your major? I heard Yang Yifeng say that you were traumatized?"

You MB!

There are multiple lax ligaments all over the body, it is from sports medicine, Mr. Zeng's joints, and Mr. Gui is from sports medicine, he is almost confused.

Zhou Cheng said a little shyly: "Professor Jing, I originally studied trauma, and I also have a little contact with sports medicine."

The landscape star took a breath for a moment, and contributed another contribution to global warming.

I don't know how to speak up.

Papa Pao spoke very quickly, really fast, probably because he has a strong relationship in the courtyard, so he came up in just over ten minutes, and found Zhou Cheng and Queen Jingxing.

Landscape Star immediately read her NMR plain film.

Then he saw the twisted muscles in it, reaching a delicate balance with the broken end of the broken earthworm, and looked at Zhou Cheng with a complicated expression.

Is this a freak?Can this also be imagined with the naked eye?

Landscape star continued to ask: "Xiao Zhou, the guess is almost the same as what you thought, but this just let us know that there is such a situation, and it just reduces the difficulty of the operation. What else are you going to do?"

Zhou Cheng glanced at Papa Pao, then at Professor Jingxing, and said, "Professor Jing, have you heard of the step-by-step reduction method for fractures?"

"Reset step by step?" Landscape Star's pupils shrank slightly.

Well, this is Zhou Cheng’s groundbreaking theory for redefining the manual reduction of fractures. Complex fractures are reset step by step, and then gradually reach a level that can be fixed.

After Zhou Cheng roughly explained the principle, Papa Pao and Ma Pao Pao next to him were confused.

Zhou Cheng just asked: "This needs to be done in the operating room, and anesthesia is required, but it is manual reduction. You can try it. If it succeeds, because the middle section of the radial and ulna fractures is continuous and intact, you can expect no incision surgery. treatment can be achieved.”

"Of course, it is also possible that the reduction failed, and then the traditional open reduction is still required. This will not increase the difficulty of the operation, but will reduce the difficulty of the operation even more."

This was just Zhou Cheng's rather bold suggestion, and the reason why he made such a suggestion was naturally not because of a fever in the head, but because only Professor Xue Xiude sent a person for his current fracture restoration technique.

Such a good thing, if there is no way to release it, it is really a waste. This is a basic skill, and the more people who learn it, the better. The best way to publicize it is to show the benefits of this reset method through the diagnosis and treatment of special cases .

Papa Pao was stunned for a moment, his brows furrowed tightly.

It doesn't matter to do a non-invasive examination, but he can't bear to have his precious daughter undergo a trial manual reset.

It’s okay to spend money, but if you suffer and may be useless, then it’s better not to move.

When he was struggling, Pao Pao himself said, "Dad, I want to go. I don't want to have an operation."

The little girl made her own decision. She was usually very bold, but now her eyes turned red.

Paopao's parents looked at her at the same time.

"I'm afraid of surgery, I'm afraid of leaving scars. I'm afraid of being laughed at by my classmates." Bubble, who had persuaded her parents to be more courageous, cried softly.

Thanks to her parents' way of education, she is very bold and has her own ideas.

……

Zhou Cheng suddenly felt a little guilty. If Pao Pao's parents had made the decision, he would have thought it would be fine, but he was like a strange sorghum who abducted a child.

This put him under a little pressure, but it seemed that Pao Pao's parents respected her decision quite a bit.

So, after signing, Bubbles was temporarily dragged to the operating room by Zhou Cheng and Jingxing Xing. When entering the operating room, Bubbles proudly waved goodbye to his parents and watched his daughter disappear into the The door of the operating room.

Their hands were tightly clamped together, the man's eyes were like a torch, and the woman's eyes were also firm, saying: "Pao Pao has always had her own ideas, we must respect her, right?"

"Yeah." The man nodded.

Cultivating his daughter's ability to think independently is what he has been doing all along, and he still thinks it should be done...

Time passed by every minute and every second, and the days seemed like years.

Perhaps after an unknown period of time, at a certain moment, they heard the voice of their baby Bubbles.

"Mom and Dad." When she pushed out from the operating bed, she greeted them again, her happy expression was much happier than when she entered.

Seeing a new plaster cast on Bubble's arm, and then at the door of the operating room, Landscape Star and Zhou Cheng, who were wearing surgical gowns and hats, also came out.

The two were very orderly, one went to hug Bubbles, and the other asked, "Professor Jing, is my daughter?"

"It was very successful. I have taken the C-arm fluoroscopy pictures of the intraoperative reset. You see, this is the first reset. It was shifted and twisted, and it was adjusted."

"This is the second reduction, and we replaced one of the cuneiform bone fragments."

"This is the fifth reset. We can see from this picture that the anatomical reset has basically been achieved. Although there is a slight irregularity at the opposite end, the bubble is still small. When it grows in the future, it can be restored by itself. "

"During the operation, we added a very small Kirschner wire and fixed it temporarily. After two months, when the fracture is full, just pull it out."

"Doctor Zhou, you saved Pao Pao from this supposedly complicated operation."

The man hurriedly thanked Zhou Cheng and Jingjing Xing, and then asked: "Dr. Zhou, thank you. I must add you on WeChat!"

Zhou Cheng was a little embarrassed.

"Don't worry, I won't disturb you at all, it's just for the convenience of contacting later." The man's tone was sincere.

Considering their extraordinary knowledge, Zhou Cheng also gave WeChat to the past.

Then, after the man bowed to Jingjing Xing and Zhou Cheng again to thank him, he turned back to accompany Bubble, without saying any other nonsense.

Watching the family of three leave, Professor Jingxing said: "This young man is the owner of a company and has his own ideas. He also added me on WeChat."

"I haven't given a gift, but I have been treated to a meal, and the arrangement is very proper."

"Xiao Zhou, don't worry, the family members of the patients who shouldn't be added, I won't let them bother you."

Zhou Cheng hurriedly said, "Professor Jing, I didn't mean that."

Landscape Star nodded, closed his eyes a little, and said in a slightly heavy tone: "Xiao Zhou, it seems that we have underestimated your fracture reduction and internal fixation."

"If this kind of good thing can be perfectly combined with Kirschner wire closed reduction and internal fixation, it will be of great benefit to the patient."

Zhou Cheng smiled when he heard this, and walked back while saying, "I'm about to smash my job, and I don't know whether it's right or wrong to exist."

After hearing the words, Landscape Star turned around and asked Zhou Cheng: "Xiao Zhou, the reason why you are so generous with open reduction and internal fixation of the small incision, is it because of this that you are preparing for it?"

When you take away old chaff, give someone new rice.

Zhou Cheng tilted his head, still smiling casually: "Professor Jing, how can I have such a big plan? I'm just a little doctor now."

The heart naturally answered yes.

……

2 Seventy chapters of content!

Jing Jingxing calmed down and said: "Small incision open reduction and internal fixation is a combination of new surgical methods, new equipment, and new topics, and it is so big now that it is almost out of the circle."

"For a long time to come, I'm afraid it will become a hot topic of discussion in the industry. Under certain circumstances, it diverts everyone's attention and naturally talks about the importance of fracture manipulation in this kind of surgery."

"In this way, it not only avoids the sudden promotion of fracture manipulation, but also finds a realistic substitute with relevant interests." Landscape Star said slowly, his eyes flickering.

Zhou Cheng was silent all the time, and finally sighed: "Professor Jing, I can't help it. A gentleman can't stand under a dangerous wall. It's just a small trick."

Businessmen seek profit, and the new equipment brought by small incision open reduction and internal fixation is a new round of interest disputes.In this dispute, manual reduction accounts for a considerable proportion, and manual reduction of fractures can be said to be a key part.

Taking advantage of the trend, the manipulative reduction of fractures was launched, which drove the upsurge of learning, and then deduced the cause from the results, and it will be a matter of course.

There is no need to fight with hard power if there is a chance to avoid the battle.

With only one life, Zhou Cheng didn't want to experience the way of death in the simulator.

……

After silently sending Zhou Cheng out of the dressing room in the operating room, Jingjing Xing sighed slightly, feeling a little pity that Zhou Cheng had no fate with him, and then called Gu Kaifa.

"Have a short meeting temporarily, and make sure all the students in the group participate."

In fact, after returning to the ward, Gu Kaifa found that the atmosphere of the patients in the department was not right. As expected, he found something strange after returning to the ward, and immediately conveyed the order layer by layer.

At [-]:[-] in the afternoon, in the administrative meeting room of trauma surgery, a group of people were sitting upright, all dressed in white coats, with notebooks and note-taking pens neatly arranged.

When Landscape Star seldom personally orders a meeting, there must be something important to announce.

When everyone was almost here, Gu Kaikai sent a message to Landscape Star. Landscape Star came late, took the main seat, and then said: "Today we have a short meeting to discuss with you. A treatment plan for 18 beds."

"Everyone can speak, and must speak, and share their experiences."

Gu Kaifa was the first to express his opinion. As the only deputy high-ranking officer in the group next to Landscape Star, he couldn't escape, and Landscape Star must be finishing at the end.

This is the prerogative of a professor.

After chattering each other, Landscape Star nodded in satisfaction.

Then I slowly inserted a USB flash drive into the computer connected to the display screen, and then opened a folder layer by layer, and there was only a new, very simple PPT in the folder.

Landscape star said: "Everyone's opinions are actually very good, but we have to say it earlier in the future."

Some people were at a loss for a moment with Landscape Star's coquettish operation——

However, Jing Jingxing, as the leading professor, teacher, or the director of the Department of Orthopedics, can only watch how he flirts.

"This patient's treatment is over!"