After getting dressed, Li Zheng walked to the film review light, took a look at the film, and had a rough idea in his mind.
Bao Youshan quickly made way for him and Li Zheng sat opposite Xiang Yuanzhong.
He picked up his palm and took a look.
A 3-cm incision has been made in the thenar eminence of the left hand, near the first metacarpal bone, and the thenar muscle has also been separated.
"Where is the eye of the needle?" Li Zheng asked.
Xiang Yuanzhong used curved pliers to press on a point in the middle of the wound.
Li Zheng nodded, carefully sucked out the bleeding from the wound with a suction device, and then wiped the blood from the wound with wet gauze.
The pinhole could no longer be found. Based on the image on the film, Li Zheng roughly judged the direction and depth, put his finger in to feel it, then used curved pliers to carefully separate some muscle tissue, put his finger in to feel it again, separated it again, and felt it again.
"Can you find it?" Bao Youshan asked carefully.
Li Zheng nodded and said, "I'll separate it to a sufficient depth first, and then feel it carefully."
Everyone nodded. Now all hope was on Li Zheng. If he couldn't find it, it would be troublesome.
Li Zheng almost separated the thenar muscle inside the wound.
Both Bao Youshan and Xiang Yuanzhong began to feel despair.
"Have the patient's blood transfusion been checked for four items?" Li Zheng asked.
Zhang Lei answered first: "We checked, and all the results were negative."
Li Zheng nodded, and in everyone's shocked gaze, he suddenly took off his right glove.
"Give me iodine complex disinfection." Li Zheng said, picking up a piece of dry gauze.
The circulating nurse immediately brought complex iodine and poured a little on the dry gauze.
Li Zheng carefully disinfected his entire right hand, especially his index finger, twice.
"Li Zheng, what are you doing?" Xiang Yuanzhong asked in confusion.
"Check the wound." Li Zheng replied.
Then ask the circulating nurse to use saline solution to rinse off the complex iodine on the hands.
"Explore the wound?"
Everyone was confused.
"Are you planning to touch it without gloves?" Xiang Yuanzhong asked in shock. Others had the same question.
Li Zheng nodded.
this……
It was the first time for everyone to have to take off gloves for surgery.
"Do you think the gloves are too thick and affect your feeling?" Xiang Yuanzhong showed a curious look. Why hadn't he thought about it? Otherwise, he might have taken out the needle long ago.
Li Zheng nodded.
The craftsmanship of gloves in this era was much worse than that of later generations. The thickness of gloves was at least twice that of later generations. However, even in later generations, wearing gloves would seriously affect the feeling.
Although it violates the principle of sterility, it is better than leaving foreign objects in the body, and the possibility of infection is relatively small.
He once worked in a field hospital in South Sudan, where the conditions were even worse. There were not even X-rays. Whether he was removing bullets or shrapnel, if he couldn't find it, he would take off his gloves and feel carefully.
But that was also the most dangerous time. There were many infectious diseases among the people in that land. Li Zheng was stabbed by shrapnel twice and thought he would get AIDS. Fortunately, after returning to China, he had checkups for six consecutive months and was lucky not to be infected.
During that period, Li Zheng removed no less than 500 foreign body residues from various parts of the body, so he was very experienced in removing foreign bodies.
Li Zheng wiped his fingers with clean gauze, then inserted his index finger into the wound and carefully felt along the muscle wall on one side.
No obvious foreign body was felt.
After carefully feeling along the other side, I finally sensed a hard object near a deeper location.
"Little pinky promise."
Li Zheng stretched out his hand.
Xiang Yuanzhong quickly handed it to Li Zheng.
Li Zheng inserted the hook into the wound, created a certain distance, and let Xiang Yuanzhong take over.
Then use a small hook to pull the other side open.
The index finger of my right hand never left the spot where it touched the foreign object.
"Did you touch it?" Bao Youshan asked a little excitedly.
Li Zheng nodded and said, "I touched a hard object. Judging from the feel, it should be a broken needle."
"Great." Bao Youshan smashed his fist against his palm, making a snapping sound.
Xiang Yuanzhong transformed into a "Lagou Xia" and carefully opened the wound to make it easier for Li Zheng to operate.
Li Zheng picked up the small curved pliers with his left hand and carefully separated the area touched by his right index finger.
Suddenly, Li Zheng's movements became extremely small and slow.
After moving his left hand slightly, the pliers retreated.
At the tip of the pliers, there was a broken needle. There was no blood on the tip of the needle, and it reflected bright light.
"Haha, I found it!" Bao Youshan shouted excitedly.
Everyone finally breathed a sigh of relief.
"Li Zheng, you are really good!" Xiang Yuanzhong exclaimed, still pulling the hook.
"I told you my brother can do it!"
Zhang Lei was very happy. Not only did he get to watch Li Zheng's wonderful performance again, but the operation was also about to be over, so he could go home from get off work.
"I've learned a new trick!" Bao Youshan said happily.
Li Zheng stood up, disinfected his fingers with complex iodine, and prepared to take off his clothes and leave the stage.
The rest of the stitching was left to the two of them.
"Li Zheng, thank you!" Xiang Yuanzhong expressed his sincere gratitude.
He now had the illusion that as long as Li Zheng was there, there would be no problem that could not be solved. He knew that this feeling was dangerous, because it would cause him to admit more patients than he could handle. If Li Zheng couldn't handle it, it would be a big problem.
But Li Zheng gave people the impression that he was omnipotent. Xiang Yuanzhong even found it funny that he had developed a kind of dependence on this young doctor.
He shook his head gently to dispel the feeling and continued with the surgery.
Li Zheng had already taken off his surgical gown, said goodbye, and left the operating room.
On the way back to the emergency room, Chen Dayong asked curiously, "Brother, what does it feel like to touch that needle through the muscle tissue?"
Li Zheng shook his head and said, "It can only be understood, not expressed in words!"
"What do you mean?" Chen Dayong looked confused. Why was Brother Zheng pretending to be so profound?
Li Zheng laughed and said, "Next time you train with a pig's leg, insert a needle into the muscle and feel it yourself, and you'll know!"
Chen Dayong's eyes lit up and he smiled, "Great! No matter how good the explanation is, it's not as good as touching it yourself."
Li Zheng nodded and said, "These all require practice and experience. Don't be in a hurry. If you have a suitable patient, you can try it yourself."
Chen Dayong nodded vigorously.
Even though it's just removing a foreign object, it's extremely difficult.
If there were a C-arm machine in the city, the X-ray would be better, but in the county hospital, we can only rely on the positioning memory and feel of the X-ray film.
The three returned to the emergency department.
Zhu Haiping is going home to have dinner and then come over.
Li Zheng and Chen Dayong returned to the staff apartment.
Lin Xiaomei had already prepared the food and filled the small table.
"Is there any emergency surgery in the department?" Lin Xiaomei asked after waiting for a while.
Li Zheng nodded and briefly explained the operation just now.
Lin Xiaomei smiled sweetly and said nothing more, but she was very happy in her heart.
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