godfather of surgery

Chapter 731 What a Good Comrade
For orthopedics, if it is just a simple traumatic atlanto-occipital dislocation, Tan Boyun will try his best.

However, combined with a comminuted fracture of the atlas, he had no confidence in the operation and could only seek help from general surgery.

Although Tan Boyun is proud, he is very honest. He never hides his selfishness in front of life. He admits that he has no experience in this field and dare not try it. He hopes that Yang Ping can perform this operation.

After finishing work in the morning, Yang Ping came to the trauma ICU to visit the boy. This senior high school student named Lu Jiangbei was lying on the ICU bed, connected to various tubes and relying on a ventilator to assist breathing.

There are a total of twenty beds in the trauma ICU, and they are now full, with not one empty bed.

It can be seen how busy the trauma emergency center of Sanbo Hospital is now. It has become the industry leader in the south, echoing the trauma emergency center of Shanghai No. [-] Hospital, and has become a national duo.

There were several male nurses who could only be seen in the operating room and emergency department, and they were all burly.

In the center of the trauma ICU work hall is an oval work island. In the circle surrounded by oval marble tables, dozens of computers are busy all around. Looking up is a circle of high-definition LCD screens. The screens are connected to cameras to seamlessly monitor each ward 24 hours a day. , for each patient.

Doctors and nurses are wearing sterile caps, masks, and blue hand-washing clothes. All groups of doctors and nurses are busy, and every word and every action revolves around the patients they are in charge of.

After passing through three doors, Yang Ping came to the ICU, followed by Tan Boyun, Dr. Lu from the emergency department, Song Zimo, Xu Zhiliang, and several young masters and doctors.

Lu Jiangbei's doctor in charge was a young doctor, and he stared adoringly at Yang Ping who came in.

"Morning Professor Yang!"

The doctor in charge said hello politely, and there was no extra language after the greeting, and extra words would only waste time.

The young doctor took out a copy from a stack of plastic medical record folders, opened it, held it in his hand, and then led Yang Ping's team into the ward, introducing his condition as he walked.

The pace is fast and the speaking speed is also fast, but it does not affect communication. Everyone is used to this speed.

"Current diagnosis: traumatic atlanto-occipital joint dislocation, atlas comminuted fracture, atlas bone cyst, left 3rd-11th rib fracture, right 4-10th rib fracture, bilateral lung contusion, bilateral traumatic wet lung, Pneumothorax, comminuted fracture of the pelvis, epidural hematoma——, the hemoglobin has stabilized at around 65, we continue to transfuse blood today, and should be able to reach over 70; both lungs have severe traumatic wet lungs, and now there is no way to get out of the ventilator; The machine can only continue to assist breathing; the temperature of the left lower extremity is two degrees lower than that of the right, but there is no obvious sign of ischemic necrosis; the amount of subdural hemorrhage is very small, only 12 ml, and does not continue to increase; the mind is clear, We were sedated last night; limb strength remains at grade 1—"

Walking from the hall to the bedside of the ward, the young doctor’s brief report has also been completed. He looked a little tired, but it did not affect him to continue working. move closer.

A series of diagnoses is a headache. This is the characteristic of high-energy trauma patients. Car accidents and falls from heights are high-energy injuries.

Lu Jiangbei was lying on the hospital bed. He seemed to feel someone coming and opened his eyes.

He has had a tracheotomy, and the inserted tube is connected to a ventilator. In addition, there are many tubes connected to him: a closed chest drainage tube, a urinary catheter, and several infusion tubes.

The external fixator at the pelvis was exposed, and the head, neck and chest brace tightly protected the separated head and neck.

"Blood pressure and blood oxygen are relatively stable, and occasionally there will be fluctuations in the middle, but they will soon return to stability. Thanks to the perfect brace, thank you for your perfect cooperation every time you turn over." The size seems a bit small and feels tight and tight.

Robert's clothes next to him were even more inappropriate, as if an adult had forcibly worn a child's clothes, and even the belly button was exposed. This feeling was very worrying, as long as he moved a little, the clothes might explode into pieces.

"Sorry, we don't have such a large hand-washing gown. The warehouse said there are extra-large ones, but they haven't been delivered yet." The head nurse said sorry. She had never thought that the nursing team would have such a burly member.

I was careless, I only thought about adding chicken legs, not clothes.

Song Zimo felt guilty, August was alright, it took a lot of perseverance and courage for Robert to work in this kind of clothes.

"I'll go to the operating room to get you a set later, my hand washing clothes, you should be able to make do with it." Song Zimo comforted Robert.

"Thanks to Dr. Luo's help, every time we turn over, we will feel a lot easier." The head nurse expressed her gratitude to Robert.

Yang Ping nodded and cast an approving look at Robert. Robert felt extremely honored and looked like he would give it to me.

"Dr. Ao also gave us a lot of help. For us, this was a completely unfamiliar case and we lacked experience. Dr. Ao taught us step by step and gave us lessons." The head nurse cannot favor one thing against another.

Yang Ping's eyes shifted to August, and August puffed out his chest. As a trainee, how could he lose to the Americans.

"You two, you have worked hard!" Yang Ping thanked him sincerely.

Robert and August puffed out their chests proudly and said in unison: "Serve the people!"

What a good comrade, he is not picky about his work, he is dedicated to his duties, and always maintains a high enthusiasm for work, the head nurse thought to himself, especially with this kind of physique, it is hard to find even with a lantern.

Yang Ping was stunned for a moment, then immediately returned to business: "Are you awake now?"

"You should be awake now!" replied the doctor in charge.

Yang Ping leaned over and patted Lu Jiangbei's face lightly, called his name, and told him, "Blink when you hear me."

Lu Jiangbei blinked his eyes a few times. He should be able to hear Yang Ping's words. He wanted to say something in his heart, but he couldn't say it.

It can be seen from the eyes that Lu Jiangbei showed a strong desire to survive, and Yang Ping gently pressed his hand on his forehead: "Don't worry, we can cure you."

Lu Jiangbei blinked a few times in response.

"When I was at the scene, I was able to talk at first, but now I can only blink—" Dr. Lu from the emergency department was also in the crowd. He was very guilty, wondering whether he could not handle it in time or mishandled it.

Yang Ping said with a smile: "If the scene or transfer caused a second injury, he would have no chance of surviving. This phenomenon is normal, and the neurological symptoms show dynamic progression. The cervical spinal cord contusion at that time would lead to cervical spinal cord edema, and the edema would Internal compression is caused, and bleeding caused by trauma, especially the bleeding caused by the fracture of the atlas, is filled in the spinal canal. Because of the external compression, the compression of the two is gradually aggravated, so the paralysis is aggravated. We should operate as soon as possible. marrow for the chance of resurrection."

Hearing what Yang Ping said, Dr. Lu was relieved a lot.

"As long as the hemoglobin exceeds 70, the operation will be arranged, and enough blood products will be prepared before the operation, and autologous blood transfusion equipment will be prepared." Yang Ping hopes to have the operation as soon as possible as long as the general condition permits.
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Ruixing Medical's 3D printing laboratory.

The system of this laboratory is connected to the system of the Digital Medicine Laboratory of Nandu Medical University, and the fixed data processed by the Digital Medicine Laboratory is transmitted to the host here.

The top-notch 3D printer bed started to work. Using medical titanium alloy as the raw material, the implant used to fix Lu Jiangbei's head and neck gradually took shape. In the transparent working cabin, the implant that was once formed appeared inside.

The chief engineer, Chen Zhi, was wearing a white coat, standing in front of the transparent working cabin, staring at the internal plants inside. The metal-textured internal plants are like works of art, and the hollow mesh structure around them is extremely exquisite.

The hatch was opened. Chen Zhi, wearing white gloves, carefully took out the implant, held it in his hand, observed it carefully, made sure there were no flaws, and put it back into the cabin.

This mesh-like artificial atlas prosthesis is only a part of the device, and around it, there are fixed screws and various supporting tools.

The design of all this comes from the Digital Medicine Laboratory of Nandu Medical University. According to Yang Ping's requirements, relying on digital human technology and using Lu Jiangbei's CT data, they constantly simulate and fix, and constantly correct the data, and finally have the current finished product.

All the instruments will be sterilized after being printed by the 3D printer, all of which are completed under the control of the powerful and intelligent "Sharp Brain".

Ruixing medical devices have established a firm foothold in the domestic market and began to expand abroad. In terms of product array, Ruixing started with orthopedic consumables and expanded to cardiovascular, neurosurgery, thoracic surgery, interventional medicine and other fields.

Huang Jiacai has established several research institutes and laboratories, recruiting a large number of top talents, basically PhDs from top universities, including researchers who have worked in giant laboratories for many years. This boss with only a high school degree has an extraordinary vision and mind .

"How beautiful!" The assistant exclaimed.

"How much does this operation cost?" the assistant was very curious.

Chen Zhi shook his head: "This project is currently free and makes no money at all."

"Don't make money?" The assistant didn't understand.

"All our current laboratories are not profitable." Chen Zhi replied.

The assistant looked worried: "If we don't make money, how much money will we lose in these laboratories every day?"

In the transparent working cabin, one screw after another was manufactured. Chen Zhi said with a smile: "You are spending money when you go to elementary school, middle school, and college. Why don't you feel that you are losing money?"

The assistant suddenly realized that although they were different things, the principles seemed to be the same.

(End of this chapter)