The patient's family members are also forgetful. They can't clearly describe what the patient ate or swallowed for dinner, leaving the doctor with no choice but to guess again and again, like a headless fly looking for something.
The characteristics of medicine are destined to be like this. There is never 100% certainty, and it is the doctor's courage that is tested.
Many people think of Dr. Cao Yong's name. It has to be said that Grandpa Cao's decision to change his grandson's name was just right, proving that Grandpa Cao was a far-sighted doctor.
Back to the current cases of orthopedic patients, it is of great significance for gastroenterology patients to be vigilant and learn from them. Everyone began to think: Is it that the only thing missing is courage?
The famous orthopedic doctors would definitely not admit it. Could it be that they are less courageous than a chief physician like Dr. Jiang Mingzhu? The famous doctors have definitely handled many more difficult and complicated diseases than a small chief physician.
Dr. Xie Wanying also said realistically: "Although posterior hip dislocation with fracture is not uncommon, posterior hip dislocation with femoral head fracture is a relatively rare case among hip fracture dislocations."
Therefore, she did not object to Leader Fu and Senior Chang finding an orthopedic surgeon who could perform surgery on the patient.
"Is there anything special to pay attention to when combined with femoral head fracture?" Doctor Xia Dongxian asked Junior Sister Xie while thinking: How many books have you studied and read to know so much about orthopedics, you are so stubborn?
That definitely wasn't Xie Wanying who was studying orthopedics. It was just that she had lived two lives, and she had been a doctor in her previous life, so she had seen many cases.
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Posterior hip dislocation can really be considered a common disease in orthopedics. Elderly people have many such conditions, and I often heard about it in the hospital and medical circles before, so it is not necessary to remember it specifically.
Every time I hear my colleagues say, "Oh, this old man is in such a difficult situation. He has to have surgery. We don't even know if the surgery can be done well. It's basically accompanied by a femoral head fracture."
A major characteristic of femoral head fracture caused by posterior hip dislocation is that the joint capsule is torn and the blood supply to the femoral head is damaged.
We all know that blood supply is very important. If there is a problem with blood supply, the femoral head may naturally suffer from ischemic necrosis.
Not only that, the dislocated femoral head will pull and compress the blood vessels, affecting the blood supply again and even forming blood clots, increasing the incidence of femoral head ischemic necrosis.
Even if you succeed in reducing the dislocation, whether it is manual reduction or surgical reduction, if the period is delayed too long, resulting in a long period of dislocation, it will cause degenerative changes in the cartilage of the femoral head and develop into traumatic arthritis.
Simply put, the femoral head is a very important bone in the human body. It is like an important and precious part in a machine. It needs lubrication and other maintenance at all times to support its normal operation. If something goes wrong and is not solved quickly, it is equivalent to a rare part going wrong. The serious consequences are something that ordinary people can imagine.
"The six-hour golden period." said Dr. Xie Wanying.
boom!
These words were like a bomb exploding in the crowd.
"Hey, how many hours have passed?" Xia Dongxian hurriedly turned around and asked the group of orthopedic surgeons.
Don't think that only the often-mentioned cardiovascular and cerebrovascular diseases have a golden period for emergency treatment. The golden period for treatment is common in every department.
Doctor Xia Dongxian is from the ICU and is most sensitive to the rescue time. He glared at the orthopedic staff and said: How long do you want to stop discussing this?
"Yes, is it six hours?" Doctor Chang Jiawei asked other orthopedic colleagues uncertainly. After all, this disease was not his main business in the orthopedic subdivision and he was not very familiar with it.
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