He Jianyi and Jiang Xiaoqi looked at Zhao Tian." You? Can you do it?" Jiang Xiaoqi thought that she had heard wrong because she saw that Zhao Tian's name tag said that he was an intern.
Zhao Tian walked up to He Jianyi. He was not in a hurry to answer. Instead, he removed the gauze and observed the degree of fracture of the broken palm.
The severed palm was intact, and the blood vessel bed was not severely damaged. This was the key to whether the surgery could be carried out.
The patient's wound was an oblique severed palm, and the characteristics of the blood vessel structure were that of the metphalangeal artery type. The far palm area was the superficial palmar arch, which was equivalent to the level from the middle part of the metatarsal bone to the metatarsophalangeal joint. Zhao Tian determined that this was an injury to the palmar digital artery.
The wound was now covered in blood. Although it had been debrided, there was still a lot of dust mixed in the wound tissue. Some of the tissue from the weeds and some stone fragments that were difficult to observe with the naked eye.
No wonder Liu Kai said he wanted to amputate. This was because there was a 70% chance that such a deep cleaning would cause secondary damage to the blood vessels, tendons, and nerves in the palm.
Moreover, the cleaning power could not reach 100%. If any foreign object was left in the blood vessels, no one knew what the consequences would be.
If he wanted to complete the surgery, he would need at least a few hours to clean up these foreign objects. This did not include the replantation of severed palms.
"Do you know anything about the broken palm?" Jiang Xiaoqi looked at Zhao Tian doubtfully." Do you know the uniqueness of the palm structure? Do you know how difficult a replantation surgery is?
Jiang Xiaoqi wanted to save the patient, but she did not agree with an intern boasting that he could complete the surgery. Everyone knew what a failed surgery meant to the patient.
Even an expert in this field could not easily guarantee the postoperative infection and whether there would be any postoperative complications.
Once the tendon and nerve failed to connect during the surgery, what could he do even if he reconnected his hand? It was just a useless hand.
Although He Jian did not like Jiang Xiaoqi's personality, he had to remind Zhao Tian," The area of his broken palm is too large. Even if the surgery is successful, no one can guarantee that he will recover completely. Moreover, there was a high possibility that muscle necrosis would occur. At that time, it would not be as simple as partial amputation.”
Zhao Tian nodded." I know. The muscles, fat, and other tissues in the palm are more abundant. These tissues have a poor tolerance to oxygen and blood loss.”
"The level of a severed palm is more serious, and the tissue damage is often more serious and extensive. Therefore, the survival rate after replantation was lower than that after replantation of severed limbs. Therefore, the treatment of the broken palm needed to be more careful and meticulous.”
"You even know this? Which school did you graduate from?" Liu Kai looked at Zhao Tian with his mouth slightly open. His explanation was like a textbook. It made him have the urge to return to Zhao Tian's school and be reborn.
He Jian nodded." Since you already know, why are you so confident?”
? He saw a kind of confidence from Zhao Tian. That kind of confidence and experience didn't seem like it would appear on an intern.
"According to my understanding, even if you go to a specialized medical school to perform a severed palm replantation surgery, the success rate will not be 100%. This is a hospital, not your medical school.”Jiang Xiaoqi did not expect the doctors in the hospital she was about to join to be so irresponsible to the patients.
"There's no chance for you to start over after the surgery. Every action you make is the key to the happiness of a family. Do you understand?”
Zhao Tian nodded." It's precisely because I understand that I can't just watch him get amputated.”He had a grave expression on his face. He had once seen a patient who was unable to support his family's expenses after amputation, resulting in his wife and son being separated. In the end, he suffered from depression and jumped into the river to die.
As a doctor, he could not watch the tragedy repeat itself. Moreover, he really had the ability.
Because he had comprehended the Intermediate Connecting Technique, Zhao Tian only needed enough time to connect his broken palm back. Moreover, it could also reduce his complications and allow his severed palm to return to normal within half a year.
"Every minute wasted is the best time for the severed palm replantation surgery.”Zhao Tian looked at He Jianyi." Director He, come with me." If you think that my surgery will fail, you can take my scalpel at any time and amputate part of his palm.”
"Can I?"
He believed in He Jianyi, even though he looked calm and expressionless. But in fact, he was the one who cared the most about the patient. This was also the reason why Zhao Tian respected him.
He Jianyi hesitated for a few seconds and looked at the patient. "You can choose for yourself. Do you want our doctor to perform a palm replantation surgery on you first, or do you want to perform a partial amputation?”
The patient looked at Zhao Tian. He knew that Zhao Tian was an intern. But at this juncture, he didn't want to give up even if there was a glimmer of hope.
"Dr. Zhao, are you confident?”The patient's face was pale from the pain, and his body was covered in sweat.
"Trust me." He looked into the patient's eyes, and his gaze was firm, sending him hope.
The patient was infected by Zhao Tian's emotions." Alright, I believe you.”
Receiving the patient's trust was undoubtedly the greatest affirmation for a doctor. "Don't worry, I won't let anything happen to you.”
"Get the operating theater ready. Head Nurse, arrange for the patient to undergo a regional X-ray, blood routine, and a series of routine examinations immediately. In addition, inform the anesthetist to prepare for the use of the Brachial Plexus block anesthesia.”
Liu Kai stared at Zhao Tian with his mouth agape. Was this really an intern? He even knew what kind of anesthesia to use?
"What, are you still in a daze? Aren't you going to observe?”Zhang Ling pushed Liu Kai with his shoulder. It was common for a chief surgeon to perform a surgery. However, it was rare for an intern to be the chief surgeon for a surgery.
Liu Kai shook his head." I'm afraid that I won't be able to control myself after reading it.”He did not know why he believed that Zhao Tian would succeed. Perhaps it was because of his confidence. It would make people subconsciously choose to believe him.
PS: I have to write eight chapters today. I'm exhausted. But seeing everyone's support was Little Seven's greatest motivation. It was just that there weren't many people who spent their money, so Little Seven was urgently asking for all the support. There wouldn't be any fewer people at the eighth watch today! It was just this tough!
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