I don't know what time it is in the middle of the night.

Duty room, banging knock on the door.

"Who's going to let people sleep?" Zhang Lin opened the door and shouted, sleepy-eyed, and had the heart to beat people.

The nurse's station has a switch, and when you press it, the doctor's duty room will ring a bell and you can broadcast a conversation. Zhang Lin thought that the intern nurse didn't understand, so he came and knocked on the door directly.

"Director Tian?" It's oolong.

Director Tian was putting the white coat on his body, with an angry face, no, murderous: "You did the operation? ”

Zhang Lin rubbed his sleepy eyes: 'Yes! ’

"You are bold enough, too irresponsible, is there such a thing?" If it weren't for years of higher education, Director Tian would be scolding his mother now.

Zhang Lin was stupid, when he was in the locker room after the operation, he wanted to call Director Tian to report, but the mobile phone had no power, and he was afraid that it would turn off automatically, so he wanted to go back to the ward to charge some electricity and call again, but he was sleepy and forgot about Director Tian.

After this sudden criticism, I remembered that this operation should have been done by Director Tian, because of the traffic jam on the road.

When has this been, it has been a few hours since the operation was done, and I came over, and I knocked on the door angrily. Zhang Lin was dissatisfied, but he couldn't show it on his face.

After all, it is common for a junior doctor to be scolded by a senior doctor.

was scolded by Director Tian, Zhang Lin immediately cleared up his mind and pulled up Yang Ping, who was still sleeping.

Director Tian put on a white coat and was in a hurry to see the patient's severed finger blood transport, Zhang Lin Yangping followed behind, not saying a word, and he didn't dare to let go of his fart.

In order to wake up, Zhang Lin hurriedly took out a box of wind oil essence and wanted to wipe it on his temples.

Two people were like schoolchildren who had made mistakes, following behind the dean.

It turned out that as soon as Director Tian arrived at the department, he went straight to the operating room and asked the nurse that the operation had been done and the patient had been back for three hours.

Turning back to the department, the nurse said that Yang Ping and Zhang Lin were sleeping.

He pinched his fingers and counted, from the time he received the call to the present, six hours, and the patient came back for three hours, minus the preparation time, that is, the operation time is about two hours.

Two hours, with the level of these two rabbit cubs, don't you just do a big debridement and suture, is it, two bastards, regardless of thirty-seven twenty-one, see that he has not arrived for a long time, and he is not in a hurry, he doesn't even connect the vascular nerves with anything, and the K-wire needle fixes the broken finger fracture and directly sews the epithelium?

Is it so ridiculous? If so, it would be a medical malpractice!

This is a sham operation.

The pace of the countryside is getting faster and faster, and the more I think about it, the more angry I become, and the blood rushes to the top of my head.

I don't care about disturbing the patient's rest, it's still a few hours, and there is still hope if I go back to the operating table, but tomorrow morning, after a long time, my fingers will die.

It is almost conceivable that the severed finger sewn up by the patient was pale, shriveled, cold, and had no blood vessels!

There was a snap, a switch, and the lights in the ward came on.

The analgesia was done well, and the patients were asleep.

Suddenly turning on the light and seeing the doctor "killing" to the bedside, the patient and the companion next to him immediately woke up, squinting their eyes, avoiding the stimulation of the bright light, and they didn't know what was going on.

"Rounds, look at the blood vessels of your fingers!" Zhang Linwei stood tremblingly beside the bed, explained to the patient, and then turned on the small flashlight he carried with him.

The countryside squeezed open the forest, snatched the flashlight, and took a photo.

The severed finger was exposed, full and ruddy, and Tian Tian gently reached out and touched it, warm! Then gently squeezed again, the fingertips were full and elastic, and the capillary regurgitation test of the nails was normal.

How is this possible, it doesn't make sense.

"Syringe needle!"

At this time, the nurse had already pushed a dressing change cart over, which contained a dressing change bag, cotton swabs, iodine disinfectant, syringes, and so on.

The nurse handed over two cotton swabs dipped in iodine, Tian Yuan eliminated the poison twice, and handed the syringe with a needle, Tian Yuan cautiously pricked three needles at different positions on the fingertips, just pierced under the skin.

Bright red blood slowly bubbled out, starting at a little, then slowly expanding, and finally flowing to the side. Tian Yuan turned his head to look at Yang Ping, and then at Zhang Lin.

"The blood flow is very good! Sorry excuse me, we're going to have to look at the blood flow every hour. Tian Tian explained to the patient.

Patients and family members hurriedly said, 'It's okay, it's hard work. 'It's a bit of a frightening feeling.

Everyone went back to the doctor's office and sat down, and the atmosphere was tense.

The idyllic train of thought was blocked at once, what's going on, did they anastomoses the blood vessels? It's impossible, it's only two hours, two sections are separated, it's normal to do it for three or four hours by yourself, and it's in good condition with the stage. Two hours is impossible for these two boys. I don't know what the problem is? Or maybe it's just a mistake in time.

"What time does the patient arrive at the emergency department? What time do you enter the operating room? What time does surgery start? What time does the surgery end? "A series of pastoral questions.

"I arrived at the emergency department at about eight o'clock, arrived at the operating room at half past eight, and the operation officially started at ten o'clock, and the operation was probably not over twelve o'clock." Zhang Lin remembers it very clearly, although he can't remember the specific time, but he remembers the approximate time.

The nurse was also stunned by Tian Tian's face, thinking that something big had happened. The nurse had a more flexible mind and immediately took the medical record folder. Tian Yuan took the medical record folder.

"It's okay, you go and get busy with yours. We'll sit here for a moment. Tian Yuan said softly to the nurse.

He carefully flipped through the medical records, found the anesthesia sheet and the surgical nursing record, pressed the time on it with his fingers, looked carefully, and there was not much difference from what Zhang Lin said.

"Really anastomosed the blood vessels?" Tian Yuan asked.

"Two arteries, four veins! Two fractures, each of which fits like this. Yang Ping said seriously.

Tian Yuan helped his glasses: "At present, the blood luck is good, but the operation has only been more than two hours, why is it so fast?" Is it completely disconnected? ”

Tian Yuan then woke up to the fact that it may not be a real severed finger at all, there is also a tissue connection, the blood vessels on one side are good, and the operation does not affect survival regardless of whether the blood vessels are sutured or not, which is called open fracture in diagnosis, and disconnection are two different things.

But-but--Zhang Linfa's picture has seen it himself, and it is clearly broken, and it is still two sections.

"Completely disconnected, two disconnected planes!" Zhang Lin's tense nerves relaxed, turned on his phone, and brought up the picture. He understood that Tian Yuan suspected that he and Yang Ping did not have anastomosis blood vessels, and only made simple sutures. In this case, there is no need to be nervous, I saw the whole process of the operation, not only the blood vessels were anastomosed, but the quality was also very good. I was so scared that I almost had a heart attack.

"Director Tian, the video was recorded during the operation, why don't you take a look at the video." Yang Ping said.

Zhang Lin also remembered, isn't there a video? As soon as I was nervous just now, my head was confused: "Yes, really, there is a video, I copied it, and it is on our office computer." ”

Look at the video, it's a solution, Tian Yuan nodded.

Everyone gathered around the computer, and Zhang Lin called up the video just now. As the video played, Tian Yuan turned his head to look at Yang Ping suspiciously from time to time - in this video, is this kid in surgery?

There is no trace of shaking under the microscope, and the movements are extremely skillful, smooth, stable and brisk, without any superfluous movements, and each action is in place at one time. Whether it is the quality of blood vessels, nerves or tendon anastomosis, it is not generally good, even if you have talent, there are hundreds or thousands of surgeries that cannot achieve this skill, and even the final skin suture is perfect.

Operation under the microscope requires special training and a certain amount of talent, and the balance of the hands should be good, and it cannot be shaken, because a little shaking will be magnified under the microscope, which will seriously affect the operation.

The anastomosis requirements of blood vessels are extremely high, and the tissues outside the broken end of the blood vessels, including the adventitia, should be cleaned up, otherwise when anastomosis, a little bit will be brought into the lumen of the blood vessels, which will cause thrombosis and block the blood vessels. The alignment of blood vessels should be accurate, and there should be no slightest dislocation, otherwise the blood vessels will be narrow or not smooth, resulting in abnormal blood flow, slowing down the flow rate or forming vortex currents, and it is also easy to cause thrombosis and block the blood vessels.

Therefore, the anastomosis of small blood vessels has the highest requirements for suture technology in surgery.

A surgeon has to practice anastomosing countless mouse tails or rabbit ears under a microscope to achieve this high level of anastomosis ability. Like Director Han, Director Tian, and Song Zimo all came over like this.

After watching the video, Tian Yuan turned the video upside down, and watched the key steps repeatedly, for fear of missing the details.

Yang Ping knew what Tian Yuan was thinking, and he had already thought of a countermeasure, saying: "I bought a set of microsurgical instruments on the Internet, and also bought a second-hand microscope, and bought chicken every day to practice at home, so I have been practicing for several years, so the vascular anastomosis is okay." ”

Idyllic ponders for a moment so that he can figure it out.

He had also heard of it before, Yang Ping had followed Professor Zhao Desheng, Professor Zhao instructed with his heart, he studied and practiced with his heart, if he had a little talent, it was normal to practice.

The surgery was perfect.

"You rest, it's hard work, the quality of vascular anastomosis is quite high, but you can't be careless, tell the nurse to pay attention to the blood vascularity, and deal with the problem at any time." Pastoral commands.

Tian Yuan wanted to say something, but he didn't know what to say.

"Go and rest."