冠状病毒肆行之际,常规的手术都停了,也没有了门诊,可是创伤还是有。平时,各类创伤都是先去急诊室,那里处理不了的或者需要随访的病人,再安排去当天或次日的创伤门诊。在家隔离期间,创伤的诊治,亦是如此,只是病人比平时少了些。
我已经有几年不值夜班了,所以通常也不到创伤门诊,只看在我自己的手外科门诊看手外伤的病人,这些病人都是别人在创伤门诊看过后,需要进一步诊治而转诊的。尽管疫期创伤病人不多,可我拿着工资,也得有点事,于是就去了创伤门诊。
没有了普通门诊,创伤门诊的病人也不少。各种伤都有,手外伤要占门诊量的1/3至1/2,只不过大多是轻伤。原则上,在这个时期,尽可能的保守治疗,不做手术。即便是需要手术,也尽可能地用局麻,在门诊做,避免住院。
除了伤得比较轻,和平时没什么太大的区别。常见的腕关节(桡骨远端)骨折,都不需要手术,受伤原因都是日常活动,有走路绊倒的,有在家粉刷墙从梯子上摔下来的,还有遛马让马给撞倒的。受冲击的能量都不大,所以骨折移位不大,个别的需要局麻复位,大多数只需要石膏固定。
手部切割伤也不少,有的工厂已开工,工人不小心划破皮肤,只需简单缝合,平时这些都是在急诊室就处理了的,除了深的切割伤,需要住院手术,一般不会转诊。当然,这时期也有较深的切割伤,需要手术。上周有一病人,是退休了的法官,在家用手锯,不小心锯到自己的手,伤口还挺深,肌腱都断了,需要缝合。好在是伸指肌腱,能在局麻下缝合。手术不大,当过几十年法官,见过不少杀人犯,也还是很紧张。为分散他的注意力,手术中聊着天,说说他审过的案子,据说他还真被人恐吓过。庆幸他不是电锯伤的,那样会重得多。实际上他也用了电锯,知道其危险性,小心防护了,倒是用手锯时大意疏忽,才不幸伤了自己!
疫情之中,尽管是小事,做点事总比闲待着好。
疫中日记七
Really great shoes, in a color combo I couldnt get locally.
- Switzerland
Finally an athletic shoe that gives me the fit and comfort I wanted.
- Liberia
Husband says this is the most comfortable sneaker he's ever worn. Loves them!!!!
- Guam
My husband loves these sneakers and allows me to buy at a good price,will buy again
- Samoa
The Nike Air Monarch IV 415445-001 Men's Performance Running Shoes feels comfortable and great for walking
- Singapore
Ordered the 4e for extra width and they are as expected. Comfortable and easy to slip on with shoelaces tied loosely,
- Singapore
I love the Air Monarch 4, especially now that it doesn't seem to have the squeeking problem that plagued them before. Very comfortable.
- Singapore
These are exactly as described. The 4E means extra wide, but 3E was not available so I went for these.I now have a fresh bounce in my air step.Best Regards,
- Switzerland
Been wearing these for about 20 years..best wide fitted shoe I've found...buy a pair about every 18 months or so...always a perfect fit and the most comfortable I've ever put on..
- Switzerland
I purchased this for my son and he loves them. He wants another pair in a different color but although the price was right, I'm a disabled single mother on a limited income so these were a humongous splurge but he deserves it.
- Singapore
2023-12-04 03:53:41--
Nice appearance, very good price
2023-12-04 03:53:38--
Very nice color
2023-12-04 03:52:40--
Not bad, it looks good, it has no peculiar smell, it is comfortable to wear
2023-12-04 03:52:26--
This online shopping experience restored my confidence in online shopping
2023-12-04 03:52:25--
The style is good-looking, the workmanship is fine, and the breathability is very good.
2023-12-04 03:52:20--
Awesome,I strongly recommend this seller. The quality of these shoes is amazing
2023-12-04 03:52:02--
They are better than I think!! They fit very well and look like real good seller thank you boss!!!
2023-12-04 03:51:14--
do not buy waste of money such an obvious replica
2023-12-04 03:50:43--
pretty nice
2023-12-04 03:48:31--
Shoes received, wearing comfortable and breathable, look simple and generous on the level
2023-12-04 03:47:42--
Took around 2 weeks to arrive, really happy with the yeezy 500 shoe .. would definitely recommend, I ll be buying again
2023-12-04 03:39:54--
Nice Quality
2023-12-04 03:39:32--
They are super cute, and was delivered sooner then expected. Can wait to wear them.
2023-12-04 03:31:19--
As expected.
Thank you seller.
No fancy packaging but not what I was wanting so thank you
2023-12-04 03:28:09--
This is beautiful Looks very real
2023-12-04 03:27:14--
Very happy 💯💯💯 thanks you ❤️❤️❤️
2023-12-04 03:26:24--
http://www.dhresource.com/100x100/f2/albu/g4/m01/98/11/rbvaevdq7vaagvaagVGazgic8963.jpg
2023-12-04 03:25:35--
sooo goood loveeeee
2023-12-04 03:25:15--
Look stunning when stacked
2023-12-04 03:24:58--
Nice bracelet, happy with purchase!
2023-12-04 03:24:13--
Wonderful item for a good price!!! Will definitely buy again!
2023-12-04 03:24:10--
I received my items and I don't have to pay to get them.
2023-12-04 03:22:00--
Beautiful necklace.
2023-12-04 03:21:43--
very happy with the purchase. it is as pictured. highly recommended
2023-12-04 03:21:05--
a little big .. was kind of hoping for a box but overall a good item .. took about 3 weeks to receive
2023-12-04 03:20:31--
very good product, much larger than it looks but very well made. quality and professional product.
2023-12-04 03:18:58--
Very nice earring but one of the stem that you put into broke as soon as I received, quality is poor
2023-12-04 03:18:49--
Ok, cheap looking, but what can you expect for the cost?
2023-12-04 03:17:20--
Super!!! thanks!!❤️
2023-12-04 03:17:10--
Just like the picture
Displaying 781 to 810 (of 810 reviews)
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