"Director Yu, I think one assistant is enough." The assistant's voice sounded. Director Yu was overjoyed that someone finally recognized his surgical skills. He looked up with a smile, "That's right, although I focus on thesis, level 3 surgery is not an issue." But soon the smile on Director Yu's face solidified. Several assistants were looking helplessly outside the operating room, hesitant to speak. "You..." Director Yu had a bad feeling in his heart. The assistant looked away, swallowed his saliva and said, "Then, Cui Lian, you stay, we will go first!" The first and second assistants all ran away, leaving only Cui Lian who was the most bully. This was not over yet. Cui Lian raised his head and said cautiously: "Director Yu, please hurry up. I also want to take a look..." Director Yu: ...
"OK!" With a sad look on his face, he didn't care anymore and immediately immersed himself in hard work. If the operation is done quickly, maybe he can catch up and admire Xu Qiu's style. hey-hey! … … In a single room. Director Gu, who was fully protected, rushed over quickly. He greeted Xu Qiu with his eyes, ignored the others, and went straight to check. After a moment, his expression became more solemn. Not to mention the area near the groin, it's almost a mess. The amount of pus in the left anterior superior iliac spine, the anteromedial and posterolateral thighs, and the calf was extremely exaggerated, and there was also too much necrotic tissue. The deep fascia was completely destroyed, and only the foul-smelling pus coating was left in the flesh and blood. It was necrotic and turned black, and there was no hope of recovery. Director Gu had a bad expression and said, "In this case, why don't you ampute your limbs and wait to die?" Pan Fuyou's heart dropped. He said in a deep voice, "Is there no other way?" "How bad is this leg, and you still want to save it? Doctor Xu's judgment is correct, it must be amputated!" Pan Fuyou glanced at Xu Qiu, but in the end he still refused to trust the young doctor and said to Director Gu: "Director Gu, please come on stage and perform amputation surgery." Director Gu took two steps back. I'm here to learn from Xu Qiu's surgical experience. You want me to go on stage?
"Director Gu, I can only trust you. You are joking with the patient's life by letting the young doctor come." Pan Fuyou said. Director Gu faked a smile. He had no reason to refuse and glanced at Xu Qiu, "Doctor Xu, I..." Xu Qiu nodded: "It's okay, I'll go on stage together." "That's good." Director Gu felt a little relieved. This patient's left lower limb has extremely severe necrosis, and amputation will be quite difficult. With Xu Qiu as insurance, he felt relieved. During the operation, he pretended that he couldn't handle it anymore and let Xu Qiu come on stage. At that time, the orthopedic surgeons can still experience the miraculous surgical techniques. "Send it to the operating room." Director Gu said in a good mood. He checked it again. I pressed the left thigh and found subcutaneous emphysema. Feeling along, the pulse of the dorsalis pedis artery... disappeared! Director Gu's expression suddenly changed, and he looked at the bottle hanging next to the bed. "It's over..." This sentence made everyone's heart sink suddenly. A look of panic appeared on Pan Fuyou's face, with an ominous premonition: "What do you mean? It's over, amputate it quickly!" Director Gu pressed the patient's leg and said: "The blood supply to the left lower limb has completely disappeared. There is no blood supply anymore. Antibiotics will have no effect." He raised his head, stared at Pan Fuyou without fear, and said: "Dean Pan, you have managed to cure the disease. Amputation? It is almost impossible to save it now. The original lesion cannot be treated and the blood supply is completely interrupted. Sepsis also began to spread upward, and even the chance of amputation was gone, and the patient could only wait to die. " Pan Fuyou's hands and feet were cold. He finally panicked and said with a slightly trembling voice: "How is it possible? It's only been ten minutes... We were saved just now!" Director Gu sighed sadly and shook his head. He didn't understand why Pan Fuyou, a layman in emergency medicine, could question Xu Qiu's ability. Isn’t it well known to everyone that Xu Qiu’s bone reconstruction machine was highly regarded by Lin Xie? Director Gu said word for word: "A layman should never interfere with the judgment of an expert. Director Pan, Dr. Xu's achievements in orthopedics are not much worse than mine." Pan Fuyou was in a daze, his eyes completely darkened. He looked at Xu Qiu, but found that the other person's expression remained unchanged, as if everything was under control. At this moment, Pan Fuyou suddenly felt a glimmer of hope in his heart and said hurriedly: "Xu Qiu, can you save me?" Xu Qiu looked at Pan Fuyou calmly.
The calm expression seems to say, is this your attitude towards asking for help? Pan Fuyou was shocked, and his tone immediately softened. He gritted his teeth and said, "Doctor Xu, is there anything else you can do?" Xu Qiu nodded and said calmly: "Amputation is possible." "How is it possible? Director Gu already said——" "I never said that!" Director Gu suddenly interrupted Pan Fuyou. He looked at Xu Qiu, swallowed, and said in shock: "Doctor Xu said yes, that's okay... I overestimated myself. Doctor Xu's achievements are not weaker than mine, but much better than mine!" … With Xu Qiu's nod of approval, the patient was quickly transferred to the isolation operating room. If according to Director Gu's judgment, the patient loses the chance of surgery, he must be sent to the ICU to hang his life. This is a medical accident. In the end, the hospital has to pay for free treatment. The cost of ICU hospitalization alone may be three or four hundred thousand. Moreover, this money is destined to be wasted. Because the most terrible thing about sepsis is the infection of the primary lesion. Without amputation and thorough debridement, the patient will never recover. It's like drinking poison and antidote at the same time. No matter how strong the antidote is, the body will collapse sooner or later! However, even Director Gu himself did not expect that Xu Qiu could still perform amputation surgery! Can life really be saved after limb removal? How to choose antibiotics? Director Gu's head was a mess with these questions. Besides. The patient's condition has developed to this extent, and MDT is the only way to save him. Anticoagulation, anti-shock, antibiotics, nutrition, and control of septic shock, etc., are all coordinated by multiple departments, and different experts play their strengths to have a glimmer of hope... This tricky operation is already testing the doctor's experience and responsibility. Any misjudgment, inaccurate assessment, or unsatisfactory surgical results may lead to disaster. The death of this patient would have only affected Fan Lei, the emergency department, and the hospital, but if there was a mistake, Xu Qiu would also be involved! But he still took it all on his own, what a great courage! Director Gu looked at Xu Qiu who was pushing the transfer bed. At this moment, he seemed to see the shadow of a surgical master in Xu Qiu. What is a great doctor? This is it!
Finally, the patient is about to arrive at the operating room. Director Gu thought all the way, and at this moment he finally couldn't suppress his curiosity and asked, "Doctor Xu, why do you think you can do the operation?" The smear and culture of the secretions could not be produced in a short time, and I didn't know how to use antibiotics. On the other hand, the blood supply to the left lower limb was completely interrupted. The patient's cardiopulmonary function was also affected, with an extremely high heart rate and deep and rapid breathing. With such a physical foundation, can it really withstand an amputation operation?