Big Doctor Live Room
Chapter 1056 Thoracic Aortic Replacement Surgery
Chapter 1056 Thoracic Aortic Replacement Surgery
"Thoracotomy, aortic forceps, anesthesia injection!"
Following Chen Qun's instructions, he discovered that what Dongfang Wenxin handed over this time was a surgical forceps, and then he remembered that he only had a simple first aid kit here, and most of the professional tools were lacking.
Moreover, to make matters worse, the eldest lady said something directly.
"There are only four arterial clamps, so you have to plan ahead."
"Believe me, don't forget that I'm an old military doctor, and I'm good at emergency rescue in the wild! Give me the needle holder and sutures."
Chen Qun said a cold joke calmly, not for his girlfriend, but for other passers-by.In just one or two sentences, Chen Qun opened the patient's chest, exposing the esophagus underneath, and a large puddle of blood burst out, and he had the foresight to hold it down with cotton gauze.
Then his palm penetrated into the small chest cavity, his fingers picked up the suture thread, weaved it up and down like spinning needles, and saw that the blood welling up in the chest cavity gradually decreased, and in a blink of an eye, he revealed the suture that was tightly attached to his chest. The aorta and other organ tissues behind the esophagus.
In the clearly visible field of vision, the girls Beijo Yangling and Qi Hong could clearly see that there was a strange swelling in the middle of the esophagus. On both sides of the artery where it was squeezed, a one-centimeter gap had already appeared, and a little blood gushed out from the blood vessel.
At both ends of the thumb-thick aorta, Chen Qun had directly stabbed it to death with sutures, and the effect was no different than that of the hemostat.But everyone is very clear that blood vessels such as the thoracic aorta cannot be sealed for a long time. Now that there is a tear, bypass surgery is needed to solve this problem.
Beijo Yangling even glanced at the size of the torn artery, found a section of hose in the first-aid kit, and began to cut it, and handed it to Chen Qun in a blink of an eye.
"Wait, the patient has not yet entered a state of deep anesthesia, and needs another unit of anesthesia."
Chen Qun, who was about to have the operation, saw something suddenly popped out of the corner of his eye, so he quickly changed his mind, and his heart beat violently.He has already made two mistakes today. If the system hadn't cheated, even if the patient was still rescued by him in the end, it would inevitably leave sequelae and cause great harm to the body.
The reason why he made frequent mistakes was mainly because the physique of the big fat man in front of him was a little different from that of ordinary people, which caused him to make a little mistake in several calculations.From a rational point of view, it means that he still uses the original usual parameters to estimate this big fat man, and there are naturally some deviations.
Of course, the deeper reason is that he has been doing "standardized" exercises. The simulated patients in the system space are all in a normal state, and there are very few abnormal contacts. Even if there are one or two operations, they are all thoroughly performed in the system space It takes simulated surgery and failure after failure to succeed.
The function of the broken system should not be fully upgraded now, at least he can't enter the system space now, the only thing he can use is the diagnostic panel of the broken system, which has reminded him of his mistake twice.In other words, it was a big reminder to him that he cannot be analyzed according to the routine situation when encountering a specific patient under special conditions.
A lesson from the past is a guide for the future. He naturally needs to be careful in every next step. In addition, he has a three-dimensional image projected by the system. If he still makes mistakes, he can buy a piece of tofu and kill him.
What's more, now he just needs to solve the problem of blood vessel rupture. Other esophageal tumors and other lesions require professional surgical equipment. He can't do it here, so the local hospital can naturally take over.
"Give me the arterial clamps and I'll do a thoracic aortic bypass and keep the field of view clear."
After Chen Qun had finished giving orders, Qi Hong looked around with embarrassment, and signaled to the two young men who followed behind.
"You guys also come here to help. The patient is too fat. We girls don't have enough strength to fix the position of his chest. We need you to help."
Hearing Qi Hong's statement, Chen Qun immediately changed his mind and handed the surgical instruments directly to Hojo Yangling.
"No need, I will be in charge of fixing the field of vision, Ms. Hojo, you will take over the entire thoracic artery replacement, otherwise it will be difficult for others to use force. Start with the lower artery first, and the first incision is one centimeter away from the end of my thread."
Chen Qun stepped across the stone slab and jumped to the opposite position. He gently pulled and pulled the patient's chest with both hands, and adjusted the patient's chest opening by a small angle of inclination, so that Beijo Yangling who was standing inside was more comfortable. Suitable for suturing.
Beijo Yangling knew that this was still Chen Qun's personal advice, or a test, which was a continuation of the heart surgery the day before yesterday.If it were another doctor, it would be absolutely impossible to teach her how to perform a different operation after a few days, but since she knew that Chen Qun's style was integrated and everything was simplified, she also vaguely Knowing that her suture was actually a supplementary explanation for the last heart and aorta replacement operation, she immediately followed it up without hesitation.
Sure enough, after Beitiao Yangling got started, Chen Qun corrected several of her movements in a row. It was a little awkward at first, but in a blink of an eye, she found that it was easier and faster to perform suture replacement in this way.On the contrary, she blindly imitated Chen Qun's style just now, but was directly rejected by Chen Qun and adjusted, replacing it with her most suitable style.
There is no class to teach!
Hojo Yangling suddenly understood why Chen Qun gave her a "remedial class" on this occasion. The fundamental purpose was to let her form her own surgical style and build a solid foundation for her to become a master of surgery, rather than blindly imitating other people.In other words, Chen Qun has a deep understanding of her surgical style, and should have thoroughly studied each of her operations to know her habits and mistakes.
This was the root cause of her surprise and a little bit of frustration, because at least from what she knew, Chen Qun had never watched any of her surgery videos, and it was impossible to watch them privately after returning home. After all, he was at home. The tigress in the school was very powerful, and it was well known that Chen Qun deliberately alienated other girls for this reason.
Where did Chen Qun find the time to watch her surgery video?Perhaps the greater probability is that Chen Qun just casually glanced at it once or twice, and then built a model of her operation in his mind, imitating revision directly with imagination, this ability is too powerful.
Perhaps this is the fundamental reason why Chen Qun has been able to make rapid progress in just over a year.
A few minutes later, Hojo Yangling directed the equipment and made an official announcement.
"The thoracic aorta replacement operation is officially completed, Dr. Chen, thank you!"
Only then did Chen Qun let go of his body that was propped up with all his strength, and sighed with some exhaustion.
"This fat guy is really dead, and I can't stand it for another 2 minutes. Okay, I'm left to close my chest. This guy just solved the first terrible problem, and the remaining two It still needs to be sent to the operating room to complete. When the ambulance arrives, you tell the doctor that he not only has esophageal cancer, but also tumor hyperplasia in the liver. It is best to send him to the provincial hospital or our Xiangyun Hospital for surgery."
(End of this chapter)
"Thoracotomy, aortic forceps, anesthesia injection!"
Following Chen Qun's instructions, he discovered that what Dongfang Wenxin handed over this time was a surgical forceps, and then he remembered that he only had a simple first aid kit here, and most of the professional tools were lacking.
Moreover, to make matters worse, the eldest lady said something directly.
"There are only four arterial clamps, so you have to plan ahead."
"Believe me, don't forget that I'm an old military doctor, and I'm good at emergency rescue in the wild! Give me the needle holder and sutures."
Chen Qun said a cold joke calmly, not for his girlfriend, but for other passers-by.In just one or two sentences, Chen Qun opened the patient's chest, exposing the esophagus underneath, and a large puddle of blood burst out, and he had the foresight to hold it down with cotton gauze.
Then his palm penetrated into the small chest cavity, his fingers picked up the suture thread, weaved it up and down like spinning needles, and saw that the blood welling up in the chest cavity gradually decreased, and in a blink of an eye, he revealed the suture that was tightly attached to his chest. The aorta and other organ tissues behind the esophagus.
In the clearly visible field of vision, the girls Beijo Yangling and Qi Hong could clearly see that there was a strange swelling in the middle of the esophagus. On both sides of the artery where it was squeezed, a one-centimeter gap had already appeared, and a little blood gushed out from the blood vessel.
At both ends of the thumb-thick aorta, Chen Qun had directly stabbed it to death with sutures, and the effect was no different than that of the hemostat.But everyone is very clear that blood vessels such as the thoracic aorta cannot be sealed for a long time. Now that there is a tear, bypass surgery is needed to solve this problem.
Beijo Yangling even glanced at the size of the torn artery, found a section of hose in the first-aid kit, and began to cut it, and handed it to Chen Qun in a blink of an eye.
"Wait, the patient has not yet entered a state of deep anesthesia, and needs another unit of anesthesia."
Chen Qun, who was about to have the operation, saw something suddenly popped out of the corner of his eye, so he quickly changed his mind, and his heart beat violently.He has already made two mistakes today. If the system hadn't cheated, even if the patient was still rescued by him in the end, it would inevitably leave sequelae and cause great harm to the body.
The reason why he made frequent mistakes was mainly because the physique of the big fat man in front of him was a little different from that of ordinary people, which caused him to make a little mistake in several calculations.From a rational point of view, it means that he still uses the original usual parameters to estimate this big fat man, and there are naturally some deviations.
Of course, the deeper reason is that he has been doing "standardized" exercises. The simulated patients in the system space are all in a normal state, and there are very few abnormal contacts. Even if there are one or two operations, they are all thoroughly performed in the system space It takes simulated surgery and failure after failure to succeed.
The function of the broken system should not be fully upgraded now, at least he can't enter the system space now, the only thing he can use is the diagnostic panel of the broken system, which has reminded him of his mistake twice.In other words, it was a big reminder to him that he cannot be analyzed according to the routine situation when encountering a specific patient under special conditions.
A lesson from the past is a guide for the future. He naturally needs to be careful in every next step. In addition, he has a three-dimensional image projected by the system. If he still makes mistakes, he can buy a piece of tofu and kill him.
What's more, now he just needs to solve the problem of blood vessel rupture. Other esophageal tumors and other lesions require professional surgical equipment. He can't do it here, so the local hospital can naturally take over.
"Give me the arterial clamps and I'll do a thoracic aortic bypass and keep the field of view clear."
After Chen Qun had finished giving orders, Qi Hong looked around with embarrassment, and signaled to the two young men who followed behind.
"You guys also come here to help. The patient is too fat. We girls don't have enough strength to fix the position of his chest. We need you to help."
Hearing Qi Hong's statement, Chen Qun immediately changed his mind and handed the surgical instruments directly to Hojo Yangling.
"No need, I will be in charge of fixing the field of vision, Ms. Hojo, you will take over the entire thoracic artery replacement, otherwise it will be difficult for others to use force. Start with the lower artery first, and the first incision is one centimeter away from the end of my thread."
Chen Qun stepped across the stone slab and jumped to the opposite position. He gently pulled and pulled the patient's chest with both hands, and adjusted the patient's chest opening by a small angle of inclination, so that Beijo Yangling who was standing inside was more comfortable. Suitable for suturing.
Beijo Yangling knew that this was still Chen Qun's personal advice, or a test, which was a continuation of the heart surgery the day before yesterday.If it were another doctor, it would be absolutely impossible to teach her how to perform a different operation after a few days, but since she knew that Chen Qun's style was integrated and everything was simplified, she also vaguely Knowing that her suture was actually a supplementary explanation for the last heart and aorta replacement operation, she immediately followed it up without hesitation.
Sure enough, after Beitiao Yangling got started, Chen Qun corrected several of her movements in a row. It was a little awkward at first, but in a blink of an eye, she found that it was easier and faster to perform suture replacement in this way.On the contrary, she blindly imitated Chen Qun's style just now, but was directly rejected by Chen Qun and adjusted, replacing it with her most suitable style.
There is no class to teach!
Hojo Yangling suddenly understood why Chen Qun gave her a "remedial class" on this occasion. The fundamental purpose was to let her form her own surgical style and build a solid foundation for her to become a master of surgery, rather than blindly imitating other people.In other words, Chen Qun has a deep understanding of her surgical style, and should have thoroughly studied each of her operations to know her habits and mistakes.
This was the root cause of her surprise and a little bit of frustration, because at least from what she knew, Chen Qun had never watched any of her surgery videos, and it was impossible to watch them privately after returning home. After all, he was at home. The tigress in the school was very powerful, and it was well known that Chen Qun deliberately alienated other girls for this reason.
Where did Chen Qun find the time to watch her surgery video?Perhaps the greater probability is that Chen Qun just casually glanced at it once or twice, and then built a model of her operation in his mind, imitating revision directly with imagination, this ability is too powerful.
Perhaps this is the fundamental reason why Chen Qun has been able to make rapid progress in just over a year.
A few minutes later, Hojo Yangling directed the equipment and made an official announcement.
"The thoracic aorta replacement operation is officially completed, Dr. Chen, thank you!"
Only then did Chen Qun let go of his body that was propped up with all his strength, and sighed with some exhaustion.
"This fat guy is really dead, and I can't stand it for another 2 minutes. Okay, I'm left to close my chest. This guy just solved the first terrible problem, and the remaining two It still needs to be sent to the operating room to complete. When the ambulance arrives, you tell the doctor that he not only has esophageal cancer, but also tumor hyperplasia in the liver. It is best to send him to the provincial hospital or our Xiangyun Hospital for surgery."
(End of this chapter)
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