第957章 散碎
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这样说也许有点抽像,那就举一个简单的例子,例如一个已经完全破碎的花瓶,却还保持着原来的形状,只要有手一碰,又或是一阵风吹过,它就会变成一堆碎片。武俊手臂内的那几截断骨,就是这样的状态。
“各位主任,各位专家,各位临床经验丰富的权威教授,麻烦你们告诉古某人,这张片子上你们所看到的是一个单纯性骨折吗?”古枫手指指着屏幕上的x光片,冷漠的问道。
刚才几分钟前还吵闹不休的会议室,顿时变得没有一点声音,那一班刚才还咶臊不停喋喋不休的专家教授们更是一个个都脸红耳赤尴尬得不行。
这,哪里还是什么单纯性骨折,这是大骨折包围着小骨折,骨折中的骨折,无数无数的骨折……简称一句就是粉碎性骨折嘛!
这样的骨折,外固定术根本是不用想的,因为手法复位必须用力牵拉,可是只要一用力,里面已经碎裂的骨头必定就散落开来,手臂之内也必将被无数的游离骨碎所充斥,到时候感染会发生,栓塞会发生,坏死也可能发生。
内固定术,也就是切开手臂,用钢丝捆绑钢条固定的办法也是一样行不通的,因为骨头已经完全碎裂了,寸寸断裂那是保守得不能再保守的说话,确切的说是厘厘断裂,完完全全的断裂,现在只是依靠着一种惯性又或是别的某种幸运因素保持着完好的形状,可是随时都有可能散落,一旦散落,就会变成一堆碎片,这是医学,是手术,又不是玩拼图,更何况这样的拼图就像是拼图大师也一样玩不转的!
是的,古枫的诊断是正确的!
截肢,必须得截肢,这是唯一的治疗手段。
理由,为了避免严重感染,为了避免坏死,为了避免出现各种不可逆的并发症。
一班专家在看清楚了骨头的真正情况后,全都僵滞在了那里,好久好久,都没有人吭一句声。
打脸,这是极为严重的打脸啊。
一班专家,一班外伤科骨科的权威,短的已经从事临床外科十余年,长的却已经超过四十年,可是他们却连一个新入职不足三个月的住院医生都不如,脸皮薄的已经想着找块豆腐一头撞死算了,脸皮厚的也想在地上找个洞钻进去。
人不可貌相,海水不可斗量,骨折也不能只看表面症状。
姜确实是老的辣,可是辣椒却是小的辣!
古枫这颗小辣椒赫然就踩在一堆老姜之上!
“啊”就在一班专家满地找脸皮的时候,急诊处置室那头已经传来了一阵凄厉的惨叫!
众人也顾不上再讨论了……反正结果已经摆在这里了,还有什么好讨论的,赶紧的涌了出去。
到了急诊处置室,却发现躺在床上的武俊一条手臂像面条似的软在旁边,身体却在腾来腾去,嘴里发出阵阵惊天动地的哀嚎声。
床边,武俊的老木和老姐正傻傻在站在那里,一人拿着手巾,一个捧着冰块。
不用怎么猜,众人都能知道经过,武俊的老木想替儿子擦擦身上的血污,武俊的老姐自作聪明的想用冰块给弟弟镇镇痛被袪袪肿,结果不知是谁碰了武俊那条手臂一下,然后里面的骨头……里面的骨头怎样,还是照过x光再说吧,刚才被严重打了脸的一等专家如此慎重的认为。
急诊床边x光,即照即冲即出结果!
当众人再次看到武俊的手臂骨x光照片的时候,全都不由再次倒抽几口凉气。
散了,散了!碎了,碎了!
完了,完了!废了,废了……
众专家不约而同的想起了这首民谣,因为那四截原来看起来还完整的断骨,已经全都散落开来了,现在手臂里面包裹的全是骨折游离骨碎!
悲叹的同时,一班专家也感觉庆幸,因为这武俊的骨头散得不迟也不早,恰恰就是刚刚好,如果不是他的老木和老姐碰散的,而是刚才他们在检查的时候一个不小心……那他们就是用立白洗洁精也洗不清啊!
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