Chapter 320

"Ah? The needle broke? In the femoral vein?" Fang Ziye's first reaction upon receiving the call was shock; after listening, he replied, "Okay, I'll be right there."

A young man brought in by the police arrived at the Emergency Department, with a needle broken in his femoral vein.

This location is actually very dangerous, because the femoral vein and femoral artery are very close; even many trauma surgery doctors dare not casually perform punctures here. These guys are truly "ruthless," daring to try anywhere.

"Brother Fang, can you help me check the Blood Transfusion Four Items? Without the Blood Transfusion Four Items, I dare not operate casually," Fang Ziye said while inviting him.

The Blood Transfusion Four Items include infectious disease screening; if the patient has a history of wandering or drug use, it is definitely necessary.

Although after doing it, he still has to be treated and operated on, the level of protection is completely different.

And inside is a broken needle; a broken needle can easily puncture the operator's gloves or even stab into the skin, so no matter how careful, it is not too much.

After arriving at the Emergency Department, Fang Ziye saw the patient and the patient's "special guardian."

"How long has this needle been broken? What is the current skin condition?" Fang Ziye asked.

"You'd better tell the truth; this greatly affects your treatment. The previous hospitals that took you didn't dare to remove it for you!" an uncle's voice was stern, expressionless.

"Three, three days. It hurts a bit." The patient was a thin young man, almost skin and bones, with a standard sallow complexion, speaking weakly, his Adam's apple bobbing up and down, lying flat on the examination bed with lifeless eyes.

Fang Ziye tried to restrain his "colored" gaze: "Do you have symptoms now?"

Fang Ziye began to take sterile surgical gloves, planning to give him a physical examination.

The pants were loose; after Fang Ziye drew the curtain, he did not ask the police to avoid, and of course, the broken needle at the femoral vein would not expose the private parts.

During the physical examination, Fang Ziye was extra careful, afraid of accidentally pressing it in.

There was a hard nodule inside, presumably local soft tissue hyperplasia caused by the broken needle foreign body.

"Has he had an X-ray or CT scan? This can best view the angle of the broken needle," Fang Ziye asked.

His gaze suddenly froze, his tone astonished: "You didn't just break one needle? There's also a broken needle inside the artery?"

Saying this, Fang Ziye was so astonished that he withdrew his hand!

Young people nowadays are truly fierce; to pursue stimulation, they dare to do anything!

They dare to perform arterial injections themselves, and even after breaking a needle, they don't go to get it treated.

Not getting it treated is probably not that they don't want to, but that they dare not.

"No scan, does this need a scan?" Hearing there were other broken needles, the police frowned for no reason.

"Very necessary; he definitely has more than one broken needle." Fang Ziye took off his gloves, then said: "Go get the scan first; by the way, your foreign body removal surgery also needs to wait for preoperative examination."

Beside them, the on-duty Fang Songlin had quickly entered the examination order into the electronic medical orders, printed out a barcode, and said: "This can be paid by scanning the code or paid outside; if you have medical insurance, it can also be reimbursed."

The police smiled helplessly and bitterly: "They generally don't have medical insurance; just scan the code directly……"

Taking the mobile phone, he started scanning the code himself. Because they also had no money, but at this time they needed them to advance the payment, then immediately sent them to the X-ray Room……

After the person left, Fang Songlin asked: "This situation, does it belong to you or Vascular Surgery? If it could be thrown out, that would be great."

"I don't know this either; I've never seen it before. I'll ask my Master……" Fang Ziye said, quickly sending a voice message to his teacher, briefly explaining.

Broken needle removal surgery; if he has treatment requirements, surgery must be done, but not necessarily by Fang Ziye.

Soon, Yuan Weihong replied: "You also encountered this kind of person? Then you'd better be careful; broken needle removal surgery inside a large blood vessel requires special caution."

"You have two of them, so you need to pay even more attention!"

Yuan Weihong did not refer it to other departments, which represents that this indeed belongs to Trauma Surgery. Generally, such injections are in superficial blood vessels; the ones most directly contacted are limb blood vessels.

"Okay, Master." Fang Ziye, after hearing this, also frowned.

This surgery, if changed to open surgery, there's basically no problem; at worst, just cut out the whole lump of meat, it doesn't matter; many open surgeries are bigger than his.

"By the way, Brother Fang, have you checked coagulation function?" Fang Ziye asked cautiously.

"Of course; routine preoperative examinations, I've already drawn blood in the Emergency Department."

"That's right; his is both artery and vein together; you need to remove two; how do you apply pressure for hemostasis? If it were one, after pulling it out, you could quickly apply pressure for hemostasis." Fang Songlin frowned tightly.

If it's a single puncture hole, after taking it out, the surgery is over; the hole from arterial puncture is much larger than a needle hole; after pressure bandaging for a few days, it can be fine.

But with two, after taking one out, you can't apply pressure for hemostasis; otherwise, the other needle would go in.

"We'll see when the time comes; find a few assistants, first probe the needle tracks, then remove both simultaneously; so we must know the direction of these two broken needles." Fang Ziye said, also feeling quite helpless.

Getting a headache over this kind of irrelevant, non-illness emergency is actually very troublesome and not worth it.

After the X-ray results came out, Fang Ziye told the police and the patient himself: "Your situation is now even more troublesome!"

Confirmed the youth's infectious disease test results were all negative, but he obviously concealed his medical history. His venous broken needle, the time definitely isn't short, because there are already a few calcification points, at least over three months.

Moreover, his broken needles are not just on the side he said; the other side also has them. Really don't know how he did it, breaking one after another.

"There are three broken needles; two on the left side, one on the right side. The left side has both artery and vein; the right side is only in the vein."

The police at this time heard other information: "Just know his broken needles weren't made by a novice, and he's not a first-time offender; this needs to be interrogated properly."

"So many times of drug history; there must be quite a few upstream sellers……"

Saying this, this police officer went to make a phone call……

Seeing this, Fang Ziye hesitated and said: "Then his needle, is it still taken out or not? If it is to be taken out, it needs to go into the major operating room."

"Doctor Fang, sorry, does his needle currently pose a life danger inside his body? If not taking out the needle, there's no life threat in the short term, then his needle might not be taken out casually!" The police said this.

"En, I can only say, it definitely needs to be taken out, even as soon as possible; broken needles inside blood vessels not only belong to routine foreign bodies in the body unfavorable to health, but if accidentally due to local pressure and other reasons, it might penetrate deeper, even in a state of penetrating the blood vessel; by then wanting to take it out again would be more troublesome." Fang Ziye could not express his position as another identity, could only express his position from a doctor's angle.

"Doctor, I want to take it out; it hurts very much." The youth at this time actually remembered, actively requesting.

"What were you doing earlier." The police officer handcuffed with him glared at him.

(Chapter End)