In the computer of Dr. Nie Guangchen of the Hand Surgery Branch of the Fifth Hospital of Harbin City, there are always two photos: one is two broken fingers, and the other is a child writing. The small characters written in the child's pencil were ordinary, but Dr. Nie said to him, "Look, how well is this writing, like a work of art?" It turned out that this child was a child from a few years ago, because of an accident in an agricultural machinery, the child's index finger and middle finger were broken at the same time, which was the first photo in Nie Guangchen's computer. Later, through the doctor's surgical suture, the blood vessels in the child's two fingers that were as thin as hair were reintroduced.
In order to allow these patients to live like normal people, Dr. Nie Guangchen often sits under the microscope for 10 consecutive hours and constantly uses deep breathing to reduce the number of breaths, because the subtle vibrations of breathing will cause errors in the docking of blood vessels. Doctors know that they only have two or three chances, and if they fail, the blood vessels will become brittle due to inflammation, and the soft tissues will also be aggravated by necrosis due to ischemia... The doctors said: "We are sewing up the patient's broken fingers and broken palms with threads ten times thinner than a hair, so that they can live like normal people, write and cook, and life can not be mutilated without an unnecessary accident." We sew up not only the blood vessels, but their broken lives. ”
Two of the boy's fingers were torn off by the agricultural machinery
It took 8 hours to suture the blood vessels
"Later, the kid wrote it to me, and I thought it was a work of art." Although it was two years ago, but Nie Guangchen still remembered it vividly, he looked at the photo in the computer, the blood had already solidified behind the fluorescent screen, but the thrilling scene at that time was still vivid: that day he was in the doctor's office, a group of people cried and hugged a boy and broke in, it was the first time he knew Jian Qiang (pseudonym), the child was pale, constantly sobbing, when the child held out his hand, Nie Guangchen saw a small hand with blurred flesh and blood, no index finger and middle finger on the hand. "It is a detachment injury sent by agricultural machinery, which is a more serious injury, and it is difficult to repair." Nie Guangchen said.
Aplatch is a term often used by doctors to tear apart the bones, skin, and blood vessels in an irregular state. Nie Guangchen said: "This different knife axe wound, if it is a knife wound, the muscles and blood vessels on both sides are aligned, as long as the blood vessels are found and sutured, and the detachment injury is different, the broken finger and the two ends of the palm are drawn out in an irregular form, the soft tissue is damaged in a large area, and it requires highly difficult surgery, rebuilding the blood vessels, so that the broken fingers can ensure blood transport, so that they can survive, in textbooks, suturing the unwinding wound requires three steps: finding the blood vessels, suturing with thin lines, and then letting the blood vessels bleed, but the actual situation is too difficult." ”
First of all, doctors need to find the blood vessels in the broken finger that has been torn, need to find two arteries and four veins, the artery at the palm end is easier to find, the place of bleeding is, but where is the artery at the end of the broken finger? Where are the veins at both ends? This is the hardest question to test every hand surgeon. After eight hours of fine stitching, the child's fingers were connected.
"You see, this boy can write now, how well can he write?" Isn't it beautiful? He called me over for The New Year. Nie Guangchen's face was full of happiness, as if he himself was the child who had been praised for writing.
The finger bones are completely damaged by a hot press
10 hours to take the toes together
"Connecting blood vessels that are thinner than a hair is a difficult task, and more importantly, we can't go wrong. We only have two or three chances, and if it's too long, the soft tissues will become denatured by inflammation and the blood vessels will become brittle, which is even more difficult. Dr. Li Jiaming of the hospital said.
The hand surgeon sits under a microscope for hours during surgery, almost motionless. "It was a patient who was injured by a hot press, the finger bone had been completely damaged, and it was necessary to take a section on the toe to connect with the finger, compared to the toe, of course, the beauty and function of the finger is more important, so this is the best choice." But there were only two or three chances, and if he didn't succeed, he would lose both his toes and his fingers. Nie Guangchen said.
Later, colleagues told Nie Guangchen that during those ten hours, he watched from behind and did not move, and he would take a deep breath about every half a minute, and then return to a motionless posture. Nie Guangchen said that breathing for the body, there will be subtle tremors, usually can not see, is not so important, and under the microscope surgery is different. Dr. Nie said that suturing on a blood vessel with a diameter of 0.36 mm needs to be performed under a microscope, and a small flutter like breathing is a large amplitude under the microscope. The blood vessels of the human body are tree-shaped, and there is little difference between people, but the diameter of the blood vessels of the fingers and toes will have a small difference, and if it is constantly vibrating because of breathing, then the possibility of mistakes will increase.
After the suture was completed, the blood flow was also smooth, but it was not long before the vascular spasm occurred, and the blockage occurred again. Hydration, body temperature rise, anticoagulation, antispasmodic, relaxation of the outer vascular membrane... Dr. Nie tried again and again, and finally the blood vessels stopped spasming and the blood flow was smooth. "I saw on the Internet that some of my peers cried after the operation, and for 10 hours they were motionless, which was enough to make anyone collapse, in fact, I admired that peer, because I didn't even have the strength to cry." Nie Guangchen said: "When he was discharged from the hospital, he waved goodbye to me, and I really think he was particularly handsome when he waved." ”
The 3-year-old boy's palm was broken
I looked at me with blank eyes as I went to the doctor
"Most of the children with severe hands cried badly, and that Tao Er (pseudonym) didn't cry, he just looked at me with his eyes, he probably didn't know what it meant to him that the palm was broken, but he knew he couldn't eat with a bowl in his hand, and from the look in his eyes, he wanted me to help him." Li Jiaming's hand stopped at a picture of a broken palm, the small hand had detached from the body, the blood had congealed, and the flesh of half of the palm remained on the forearm.
When it comes to this child, Li Jiaming has a solemn expression, he said that this child's injury is called rotation and tearing injury, which is the most serious injury of all hand trauma, it took nearly ten hours to sew this child's hand, in these ten hours, his eyes have always been as thin as hair, and his heart has always been thinking about the eyes that ask for help.
After debridement, Li Jiaming began to suture the child's blood vessels. Because Tao Er is too young and her blood vessels are too thin, she can only use the thinnest threads, which are not as good as one-tenth of normal human hair, and are invisible to the naked eye. Looking for arteries and veins, Li Jiaming operated intently.
Li Jiaming learned about the situation in Tao'er's family and learned that Tao'er's parents are disabled, and Tao'er lives with the next generation, which is always healthy. After experiencing this accident, Tao'er's right hand was torn off, what will his future be? Without his hands, he could not read and write, and he could not earn money to support himself, but as long as he could succeed this time, Tao Er could change his broken life, and all this depended on the thread in his hand that was ten times thinner than a hair.
Now that Tao'er is older and about to enter elementary school, a few months ago, he wrote a letter in Chinese Pinyin to give to Li Jiaming. "We are hand surgeons, we have seen too many injuries and blurred flesh and blood, but looking at this Hanyu Pinyin letter without any emotion, I feel a heat in front of my eyes, because Tao'er's original broken life has been sewn up by us, and no matter how much we pay, it is worth it."
Source: Leading News