[Card library refreshed: Diagnosis (one star, 3), Suture (one star, 1), Appendectomy (one star, 2), Suture (one star, 1), Incision (one star, 2

)]

Tanglou directly clicked on the diagnosis technique (one star, 3) and the two suture techniques (one star, 1).

View panel:

Host: Tanglou

Level 2: Upgrade 6

Surgery column (2/2): Suture (two stars, 3), Diagnosis (one star, 3)

Gold coins: 2

Bond: None

Talent (1/1): Stitching Assembly Line (Inactive)

Storage column (4/9): suturing (two stars, 3), suturing (one star, 1), suturing (one star, 1), debridement (two stars, 6)

After exchanging another Suture Technique (one star, 1), you can synthesize the Suture Technique (three stars, 9). Tanglou is full of expectations.

He shouted directly: "Next surgery!"

"Xiao Tang, it's almost two o'clock in the afternoon. You have been undergoing surgery for five hours. Otherwise, you would be here today." Li Fan looked at Tang Lou, who was still energetic, and his legs were a little weak, but he was not

I'm embarrassed to say that I can't bear it anymore.

"I'm not tired. There are so many patients waiting for our surgery. The next one is ready!"

Tanglou said firmly.

"Okay..." Li Fan said weakly.

...

...

In the observation room, several directors are not very tired. In that case, let's give these interns an unforgettable observation experience.

Even the surgeons haven't reached their limit yet, so naturally the people in the observation room can't complain about being tired first.

For doctors, not to mention starvation, even if they can hold in their urine for a whole day, they should let the interns experience the intensity of the operation in advance.

Liu Tong, who was on the side, silently took out his mobile phone and checked that the time was almost up. After sending a WeChat message to the resident doctor below, the old man waited patiently.

There was just a trace of treachery in his eyes.

Soon, the patient was brought in. The patient was a man in his forties. His entire shoulder was directly cut off by a piece of iron that was shattered during the explosion.

When the patient was sent to the operating room, the previous routine examinations were also sent to Director Huo in the tenement building and the observation room:

Patient: Male, 44 years old, cut by iron plate on left neck

Physical examination: shoulder joint movement disorder, biceps femoris muscle strength grade 0, triceps brachii muscle strength grade 3. Forearm muscles and hand muscles are normal.

The shoulders and upper arms are mainly paralyzed, but the movement and feeling of the hands are basically normal.

Preliminary diagnosis: Upper brachial plexus injury requiring surgical repair.

After reading this case, Huo Tong took a breath. The operation in this case was not easy.

Nerve repair is divided into epineurial suturing, perineurial suturing and combined epineurial perineurial suturing.

Obviously, this case involves the suturing of the epineurium and perineurium, as well as the suturing of tendons and skin, which is extremely comprehensive and extremely difficult.

Huo Tong looked at the case and suddenly came back to his senses. He knew about this patient. He had been sent to the surgery before and Liu Tong should have been in charge. However, he thought that the nerve suturing was too difficult and he did not do it too much.

Due to excessive experience, the department needs to review and reschedule.

Huo Tong, who was familiar with the intrigues in the department, naturally saw through Liu Tong's intentions. He had always wanted him to win Tanglou's admission into the surgery department. What did this guy want to do, secretly and secretly, by giving such a case to Tanglou?

Huo Tong threw the case directly on the table: "Liu Tong, what's the matter with you?"

Liu Tong and Huo Tong just looked at each other and knew that their thoughts had been completely seen through. They broke out in a cold sweat: "Director Huo, I originally wanted Director Cheng to guide this case."

"Director Cheng's guidance is good, but what are you doing now? Let an intern do the surgery?"

Huo Tong started spraying directly.

Seeing that something was wrong, Shen Jun picked up the case and looked at it. After a quick look, he suddenly understood. He paused and glanced at the crowded observation room:

"Okay, today's observation is over. Each intern will go to the teaching doctor in his own department. The other doctors and family members will be invited out. The next case will be more difficult. Director Huo, Director Cheng and I need to open a small Yes, we will re-formulate the surgical plan."

Shen Jun immediately started chasing people away. The interns and residents were very curious and reluctantly left the observation room.

"Crack!"

Shen Jun closed the door of the observation room and handed the case to Cheng Jian.

Cheng Jian took a look at Liu Tong and gave Liu Tong a very meaningful look. However, he was inconvenient to comment on the household affairs of Yuxian Hospital, so he stepped aside. The two directors made arrangements for the eyes to look at the nose and the nose to look at the heart.

Huo Tong looked at the case, thought about it again, and walked directly to the microphone:

"Li Fan, you have been undergoing surgery all morning. You can rest on this one. I will arrange for Dr. Liu to come over and take your place. He will perform the surgery. Director Cheng and Director Shen and I will provide online guidance in the observation room."

Huo Tong thought deeply and then added: "The operation here is very difficult, especially since the nerves and tendons are broken at the same time in the wound. The outer diameters of the two are very similar, so it is difficult to judge, so Xiao Tang, please step aside and let Liu The doctor is the surgeon, you wait for Dr. Liu to make a judgment and sort it out before assisting in the later suturing."

"Director, I..." Liu Tong felt guilty when he heard that he was asked to perform the surgery. Although it was true that he was the chief surgeon of the surgery, he could do ordinary sutures and tendons, but the wound was so complicated, and with his Experience really cannot guarantee that there will be no mistakes.

Originally, this case was intended to harm Tanglou, but he shot himself in the foot.

Seeing Liu Tong's expression of resistance, Huo Tong snorted coldly: "A dignified attending physician is worse than an intern? What are you panicking about? Director Cheng and I are here, and Director Shen is giving you online guidance. Why are you still here?" Are you worried that you won’t be able to do it?”

"No, I..."

Liu Tong's old face turned red.

"Hurry up and go! Why do you still need me to invite you?"

Huo Tong's tone was serious and he was on the verge of having a seizure.

When he saw Director Huo's attitude, Liu Tong knew that he had stepped on Huo Tong's bottom line. At first, the Tang House might not have much weight in his heart, but after a morning of suture surgery, the value of the Tang House had already reached Above all other surgeons.

Let alone Leng Yunze, an intern, Liu Tong is expendable.

As long as he is properly trained, Tanglou will be a trump card in his hand, Huo Tong.

Knowing that Huo Tong was ruthless, Liu Tong reluctantly walked out of the observation room to prepare surgical clothes and perform the surgery.

After the grueling preparations for the operation, Liu Tong walked into the operating room with great reluctance.

Looking at Tanglou who was waiting obediently, Liu Tong wanted to swallow him in one gulp.

Naturally, Tanglou doesn't care whether he is the main surgeon or the auxiliary suture. As long as the suturing is completed, it is considered a case. In fact, a morning of high-intensity suturing is still a bit nerve-wracking.

Liu Tong stood in front of the patient, looking at the shocking wounds, and recalled that he deliberately arranged only routine examinations in the morning and did not confirm the location of the nerve damage.

Looking at the patient, Liu Tong's back and forehead were dripping with sweat. After holding it in for several minutes, Liu Tong finally gave up:

"Director Huo, I need to use electrical stimulation equipment to identify the injured area and separate nerves and tendons."

"Calculate the time yourself. How many hours has it been since the patient was admitted to the operating room? Then you use the instrument to identify it. How much time do you want? If repair is not carried out quickly, the patient's chance of recovery will be doubled.

of decline.”

Huo Tong's voice came from the loudspeaker, saying he hated Tie Bucheng. In terms of punishing people, Liu Tong was not worthy of carrying his shoes in front of him.

Of course Liu Tong knew that he had deliberately stuck this time, and originally wanted to make Tanglou fall into a trap.

Now Huo Tong is beating himself up in his own way.

"What should I do? I'm not a robot. I can still see the precise breaking point at a glance. Let alone the breaking point. Even if there are a small number of tendons and nerves, he can identify them carefully. But with such a large wound, so many nerves and

With his eyesight, it would be impossible to sew all the tendons together."

"Dr. Liu, if the tendons and nerves are not identified and cleaned within twenty minutes, the patient's arm will be completely paralyzed."

Tanglou's faint voice reminded from the side.

"Urge, urge, urge, what urge? What do you know? Do you know how to distinguish tendons and nerves? Can you see where the nerves are damaged?"

Liu Tong's mentality was on the verge of collapse. After being urged by Tang Lou, he finally exploded. He was afraid of Huo Tong, and was he even an intern? He dared to be verbose in front of him!

"I'm just stating the fact that you still have nineteen minutes."

Tang Lou responded without emotion.

"Who do you think you are, other than that you know how to sew tendons with a few hands, and you can do it accurately to nineteen minutes? If you are so good, why don't you do it?"
Chapter completed!