The Godfather of Surgery

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

But at the same time, he had a comminuted atlas fracture, so he had no confidence in the operation, so he had to turn to general surgery for help.

Although Tan Boyun is arrogant, he is very sincere and never hides selfishness in the face of life. He admitted that he has no experience in this area and does not dare to try it. He hopes that Yang Ping can perform this operation.

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

There are a total of 20 beds in the trauma ICU, but now they are full, and there is no empty bed.

It can be seen how busy the Trauma Emergency Center of Sanbo Hospital is now. It has become a big brother in the industry in the south, echoing the Trauma Emergency Center of Modu No. 6 Hospital, becoming 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 a circle surrounded by an oval marble table, dozens of computers are busy around it. When you look up, you will see 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 wear sterile caps, masks, and blue hand-washing gowns. Each group of medical staff is busy, and every word and every action is centered around the patients in their charge.

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 one out of a stack of plastic medical records, opened it, held it in his hand, and then led Yang Ping's team into the ward, introducing the patient's condition as he walked.

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

Current diagnosis: traumatic atlanto-occipital joint dislocation, comminuted atlas fracture, atlas bone cyst, fracture of ribs 3-11 on the left, fracture of ribs 4-10 on the right, bilateral lung contusion, bilateral traumatic wet lung, Hemopneumothorax, comminuted pelvic fracture, epidural hematoma ---, the hemoglobin has stabilized at around 65. We will continue the blood transfusion today and should be able to reach above 70; both lungs have severe traumatic wet lungs, and there is no way to get off the ventilator now; We can only continue to use machine-assisted breathing; the temperature of the left lower limb is two degrees lower than the right, but there are no obvious signs of ischemic necrosis; the amount of subdural bleeding is very small, only 12 ml, and has not continued to increase; the consciousness is awake, We were sedated last night; limb strength remains at grade 1—

Walking from the hall to the bedside of the ward, the young doctor had finished his brief report. He looked a little tired, but it did not affect him in continuing to work. Yang Ping stood beside the bed, and one after another, other doctors and nurses came towards this side. 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 the ventilator. In addition, he is also connected to many tubes: a closed chest drainage tube, a urinary catheter, and several infusion tubes.

The external fixator at the pelvic position is exposed, and the head, neck and chest brace tightly protects the separated head and neck.

Blood pressure and blood oxygen are relatively stable. There will be occasional fluctuations during the process, but they will soon return to stability. Thanks to the perfect brace and everyone's perfect cooperation every time I turn over. August was wearing a blue washcloth. The size seems a bit small and feels tight and tight.

Robert's clothes next to him were even more disproportionate, as if an adult had forcibly worn a child's clothes, with even his navel exposed. This feeling made people very worried. If he moved even slightly, 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 okay, how much perseverance and courage it took for Robert to work in such clothes.

I'll go to the operating room and get you a set of my wash clothes later. You should be able to make do with it. Song Zimo comforted Robert.

Thanks to Dr. Luo's help, we feel much more relaxed every time we turn over. 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 moved to August. August puffed up his chest. As a trainee, how could he lose to the Americans.

Thank you for your hard work, both of you! Yang Ping thanked him sincerely.

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

What a good comrade, who is not picky about his work, does his duty conscientiously, and always maintains a high passion for work. The head nurse thought to himself, especially with this kind of physique, it is difficult to find even a lantern.

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

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

Yang Ping leaned over and gently patted Lu Jiangbei's face, called his name, and then 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 couldn't say it with his mouth.

It can be seen from his eyes that Lu Jiangbei showed a strong desire to survive. 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 speak at first, but now I can only blink - Among the crowd, Dr. Lu from the emergency department was also there. He felt very guilty and felt that he had not handled the situation in time or mishandled it.

Yang Ping said with a smile: If there is a secondary injury at the scene or during transportation, he has no chance to survive. This phenomenon is normal. The neurological symptoms will progress dynamically. The contusion of the cervical spinal cord at that time will lead to cervical spinal cord edema, and the edema will Causes internal compression, and bleeding caused by trauma, especially bleeding caused by atlas fracture, fills the spinal canal. Due to external compression, the two compressions gradually increase, so the paralysis worsens. We should operate as soon as possible to treat the neck. Fight for the chance of resurrection.

Dr. Lu felt very relieved when he heard what Yang Ping said.

As long as the hemoglobin exceeds 70, the operation will be arranged. Sufficient blood products should be prepared before the operation, and autologous blood transfusion equipment should be prepared. As long as his body conditions permit, Yang Ping hopes to operate as soon as possible.

——

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 state-of-the-art 3D printing machine started working. 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.

Chief engineer Chen Zhi, wearing a white work coat, stood in front of the transparent work cabin, staring at the implant inside. The metallic implant was like a work of art, and the hollow mesh structure around it was 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 artificial atlas prosthesis with a mesh structure is only a part of the instrument. Surrounding it, there are fixing screws and various supporting tools.

The design of all this comes from the Digital Medicine Laboratory of Nandu Medical University. In accordance with Yang Ping's requirements, they relied on digital human technology and Lu Jiangbei's CT data to continuously simulate and fix it, and constantly correct the data, and finally the current product was achieved.

After all the instruments are printed by the 3D printer, they will be sterilized. All of this is completed under the control of the powerful and intelligent Ruixing Brain.

Ruixing Medical's instruments have gained a foothold in the domestic market and have begun to expand abroad. In terms of product array, Ruixing has started with orthopedic consumables and expanded into cardiovascular, neurosurgery, thoracic surgery, interventional medicine and other fields.

Huang Jiacai has established several research institutes and laboratories, and has recruited a large number of top talents, basically all with Ph.D.s from top universities, including researchers who have worked in giant laboratories for many years. This boss with only a high school education has extraordinary vision and mind. .

How beautiful! the assistant praised.

How much does this surgery 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 every day in these laboratories?

In the transparent work cabin, screws were being manufactured one after another. Chen Zhi said with a smile: You spent money when you were in elementary school, middle school, and university. Why don't you feel like you're losing money?

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