Big Doctor Live Room
Chapter 259 Keeping pace with the times
Chapter 259 Keeping pace with the times
Chapter 259 Keeping pace with the times
If it were someone else, it might be a really hard choice, or even a question of which one to choose would be wrong.
However, when Chen Qun saw the familiar rupture of the liver and pancreas, he remembered the first open surgery he encountered the system for the first time.Now there is another patient with a more serious condition, with multiple blunt injuries all over his body, and it is unknown how many organs have been damaged.But Chen Qun himself is no longer the rookie he was half a year ago.
Although the patient's condition is more critical, he still has time for first aid.
"Inject ten milliliters of epinephrine, followed by intravenous injection of heparin. No. 13 scalpel, prepare the abdominal cavity. Prepare two units of red blood cells and plasma, and immediately give the patient a blood transfusion. Prepare hemostatic gauze and a straw."
I don't know if it's because of the improvement of the doctor's level, or the system rewarded more than 20 IQ points in an instant. Even if he doesn't practice in the operating room of the system, he can methodically give the best judgment on the situation in front of him. In just a few words, A more complex three-dimensional image has been constructed in my mind, and I have a general understanding of the condition.
With one stroke of the scalpel in his hand, an incision was made on the patient's right waist, and blood began to gush out.The nurse and the second assistant immediately put together the hemostatic gauze and the straw.Chen Qun just took a look and judged that there was still a bleeding in the abdominal cavity, not just the rupture of the liver and pancreas.
"Titanium clip, upper left hook!"
Chen Qun stretched out his left hand, and slowly moved towards the mesentery in the abdominal cavity. In less than 20 seconds, he used five fingers to bluntly separate the mesentery like grease, and quickly handed over several titanium clips from the nurse. Clipped lightly and expertly on several blood vessels.Two bleeding points on the mesentery were stopped immediately.
Without using any other equipment, the hand was moved toward the stomach and intestines. The fingertips and palm were like an invisible scalpel, and the outer mucosa of the stomach and intestines was separated, exposing the liver and pancreas.
This surgery is simply too familiar, even the wounds are similar.Looking at the wound in front of his eyes, Chen Qun didn't seem to use his brain, and his palms worked automatically "involuntarily". With the most concise and straightforward technique, he completed the suture of the liver and pancreas in more than ten minutes.
Especially the torn liver lobe was sutured by him with ingenious suture method, and the damaged parts were almost negligible.
The tweezers and needle-holding forceps were carried away like the wind, just like suturing a rice dumpling, the broken liver was sutured, and several capillaries were also performed the fastest vascular anastomosis.
The reason why he did not use the manual suture that he is best at and proud of, but directly used the capillary stapler, was because he was in a hurry.What's more, it seems that his mentality has changed a lot in this case of surgery.
What promotes the progress of modern medicine is various advanced instruments and equipment. If he continues to show off time-consuming and laborious manual operations, he will be eliminated by the times in the end.Simplifying and making all operations safer is the direction of development for any surgical operation.
Perhaps one day in the future, surgeons will be completely unemployed, and the six basic skills of surgery will become a kind of "dragon slaying technique", which is useless.
From today onwards, he needs to improve or even abandon those surgical methods under crude conditions. Even if various skills cannot be upgraded to a grand master, he doesn't care.
Staying old and sticking to things has always been the biggest obstacle to the progress and development of any skill.Keeping pace with the times is the road to medical development.
After solving the most dangerous rupture of the hepatopancreas, Chen Qun immediately sutured the two bleeding points on the mesentery.Although the assistant who acted as him couldn't see his face clearly, Chen Qun at least knew from his skillful and clean movements that his level was not inferior to Huang Haitao's.
Perhaps it was the expert from the cardiovascular department assigned by Yang Xiaoquan just outside the gate.But when he took over the rescue operation in advance, he put down his arrogance and came to act as an assistant.
Perhaps it was to see the various luxurious equipment in this operating room, and took the opportunity to come here to practice.Otherwise, he is at least at the level of the chief director and the leading professor, and it is almost impossible to come to help him.
Chen Qun unreliably guessed the origin of the doctors around him, but his palms were not idle, and he sutured the blood vessels as quickly as possible, instead of using the more efficient electric knife to stop the bleeding.
Probably influenced by the old-fashioned concept of surgery, Chen Qun didn't like the relatively destructive method of cauterization to stop bleeding. Of course, if he had to, he would use it faster than others.
A doctor is to save people and treat diseases, saving people first, and treating diseases last.That is to say, to better ensure the quality of life of patients after surgery is what real doctors need to consider, rather than simply performing operations roughly.
He has learned more from Feng Qiuyun's operation, and the cornerstone is here.
"Prepare ten liters of warm salt water to flush the abdominal cavity, and the second assistant is responsible for closing the abdomen. Prepare a vascular imaging examination to see what is wrong with the patient's heart? The blood pressure throughout the body has not risen!"
As soon as Chen Qun had finished making arrangements, the buzzer beeped.
The nurse's voice rang in my ears, "The patient's ST segment is too high, it may be a heart attack!"
"It's not a heart attack!"
Two voices immediately rang out in the operating room, and Chen Qun immediately recognized the crisp voice next to it, which should be Orei Hojo from Japan. That unique voice left a deep impression on him.
If the surgery is so good, why should I be an exchange student?
Chen Qun sighed a little in his heart, but he didn't have any more thoughts. Instead, he focused on the surgery on the patient's heart.
"Sansuke immediately prepared the C-arm, and the nurse gave me the puncture kit, guide wire and contrast medium."
Chen Qun looked at Sansuke's petite body and recognized that it was another girl named Xiu Xiangchuan.No wonder the female nurse wanted to kick out the grown men who came to join in the fun. It turned out that she had opened a small back door.
In other words, except for him, a big man, all the other girls in the operating room... Of course, there are also two aunt nurses. At this age, they should be at least the level of the director and deputy director nurse.In other words, it should be a few old nurses from the emergency center who deliberately used their power for personal gain to visit this operating room.
It’s hard to brag about an operating room that costs tens of millions unless you experience it.This is also where Xiangyun Hospital's appearance lies.
Following his voice, the patient's electrocardiogram trembled more and more, "Sedation injection! Immediately prepare to place a vascular stent!"
Chen Qun stepped aside from his position as the chief surgeon, turned to the other side, and inserted the puncture needle into the patient's body with the fastest operation. On the CT imaging picture, with the spraying of the contrast agent, a clear cardiovascular picture became more and more clear. clear up.
"Damn position, the wound cannot avoid the left anterior descending coronary artery. Dr. Chen, if you build a stent, it will definitely damage the left aorta. We need to perform vascular reconstruction surgery, nurse, start the bypass machine immediately, we at least need Three doctors perform the operation. Get ready first, we need to hang up the sterilization curtain!"
Kagawa Hideo's slightly waxy voice came out of his mouth.
Chen Qun shook his head, knowing that the girl had made the same mistake she made last time, and she was too thoughtful, which delayed the treatment time.
However, he is the chief surgeon now, and there is no need for a little girl to dictate and make random decisions in front of him.
At that moment, he gave orders in a flat and calm voice.
"No, time is running out, I will put in the stent and artificial blood vessel for anastomosis immediately!"
(End of this chapter)
Chapter 259 Keeping pace with the times
If it were someone else, it might be a really hard choice, or even a question of which one to choose would be wrong.
However, when Chen Qun saw the familiar rupture of the liver and pancreas, he remembered the first open surgery he encountered the system for the first time.Now there is another patient with a more serious condition, with multiple blunt injuries all over his body, and it is unknown how many organs have been damaged.But Chen Qun himself is no longer the rookie he was half a year ago.
Although the patient's condition is more critical, he still has time for first aid.
"Inject ten milliliters of epinephrine, followed by intravenous injection of heparin. No. 13 scalpel, prepare the abdominal cavity. Prepare two units of red blood cells and plasma, and immediately give the patient a blood transfusion. Prepare hemostatic gauze and a straw."
I don't know if it's because of the improvement of the doctor's level, or the system rewarded more than 20 IQ points in an instant. Even if he doesn't practice in the operating room of the system, he can methodically give the best judgment on the situation in front of him. In just a few words, A more complex three-dimensional image has been constructed in my mind, and I have a general understanding of the condition.
With one stroke of the scalpel in his hand, an incision was made on the patient's right waist, and blood began to gush out.The nurse and the second assistant immediately put together the hemostatic gauze and the straw.Chen Qun just took a look and judged that there was still a bleeding in the abdominal cavity, not just the rupture of the liver and pancreas.
"Titanium clip, upper left hook!"
Chen Qun stretched out his left hand, and slowly moved towards the mesentery in the abdominal cavity. In less than 20 seconds, he used five fingers to bluntly separate the mesentery like grease, and quickly handed over several titanium clips from the nurse. Clipped lightly and expertly on several blood vessels.Two bleeding points on the mesentery were stopped immediately.
Without using any other equipment, the hand was moved toward the stomach and intestines. The fingertips and palm were like an invisible scalpel, and the outer mucosa of the stomach and intestines was separated, exposing the liver and pancreas.
This surgery is simply too familiar, even the wounds are similar.Looking at the wound in front of his eyes, Chen Qun didn't seem to use his brain, and his palms worked automatically "involuntarily". With the most concise and straightforward technique, he completed the suture of the liver and pancreas in more than ten minutes.
Especially the torn liver lobe was sutured by him with ingenious suture method, and the damaged parts were almost negligible.
The tweezers and needle-holding forceps were carried away like the wind, just like suturing a rice dumpling, the broken liver was sutured, and several capillaries were also performed the fastest vascular anastomosis.
The reason why he did not use the manual suture that he is best at and proud of, but directly used the capillary stapler, was because he was in a hurry.What's more, it seems that his mentality has changed a lot in this case of surgery.
What promotes the progress of modern medicine is various advanced instruments and equipment. If he continues to show off time-consuming and laborious manual operations, he will be eliminated by the times in the end.Simplifying and making all operations safer is the direction of development for any surgical operation.
Perhaps one day in the future, surgeons will be completely unemployed, and the six basic skills of surgery will become a kind of "dragon slaying technique", which is useless.
From today onwards, he needs to improve or even abandon those surgical methods under crude conditions. Even if various skills cannot be upgraded to a grand master, he doesn't care.
Staying old and sticking to things has always been the biggest obstacle to the progress and development of any skill.Keeping pace with the times is the road to medical development.
After solving the most dangerous rupture of the hepatopancreas, Chen Qun immediately sutured the two bleeding points on the mesentery.Although the assistant who acted as him couldn't see his face clearly, Chen Qun at least knew from his skillful and clean movements that his level was not inferior to Huang Haitao's.
Perhaps it was the expert from the cardiovascular department assigned by Yang Xiaoquan just outside the gate.But when he took over the rescue operation in advance, he put down his arrogance and came to act as an assistant.
Perhaps it was to see the various luxurious equipment in this operating room, and took the opportunity to come here to practice.Otherwise, he is at least at the level of the chief director and the leading professor, and it is almost impossible to come to help him.
Chen Qun unreliably guessed the origin of the doctors around him, but his palms were not idle, and he sutured the blood vessels as quickly as possible, instead of using the more efficient electric knife to stop the bleeding.
Probably influenced by the old-fashioned concept of surgery, Chen Qun didn't like the relatively destructive method of cauterization to stop bleeding. Of course, if he had to, he would use it faster than others.
A doctor is to save people and treat diseases, saving people first, and treating diseases last.That is to say, to better ensure the quality of life of patients after surgery is what real doctors need to consider, rather than simply performing operations roughly.
He has learned more from Feng Qiuyun's operation, and the cornerstone is here.
"Prepare ten liters of warm salt water to flush the abdominal cavity, and the second assistant is responsible for closing the abdomen. Prepare a vascular imaging examination to see what is wrong with the patient's heart? The blood pressure throughout the body has not risen!"
As soon as Chen Qun had finished making arrangements, the buzzer beeped.
The nurse's voice rang in my ears, "The patient's ST segment is too high, it may be a heart attack!"
"It's not a heart attack!"
Two voices immediately rang out in the operating room, and Chen Qun immediately recognized the crisp voice next to it, which should be Orei Hojo from Japan. That unique voice left a deep impression on him.
If the surgery is so good, why should I be an exchange student?
Chen Qun sighed a little in his heart, but he didn't have any more thoughts. Instead, he focused on the surgery on the patient's heart.
"Sansuke immediately prepared the C-arm, and the nurse gave me the puncture kit, guide wire and contrast medium."
Chen Qun looked at Sansuke's petite body and recognized that it was another girl named Xiu Xiangchuan.No wonder the female nurse wanted to kick out the grown men who came to join in the fun. It turned out that she had opened a small back door.
In other words, except for him, a big man, all the other girls in the operating room... Of course, there are also two aunt nurses. At this age, they should be at least the level of the director and deputy director nurse.In other words, it should be a few old nurses from the emergency center who deliberately used their power for personal gain to visit this operating room.
It’s hard to brag about an operating room that costs tens of millions unless you experience it.This is also where Xiangyun Hospital's appearance lies.
Following his voice, the patient's electrocardiogram trembled more and more, "Sedation injection! Immediately prepare to place a vascular stent!"
Chen Qun stepped aside from his position as the chief surgeon, turned to the other side, and inserted the puncture needle into the patient's body with the fastest operation. On the CT imaging picture, with the spraying of the contrast agent, a clear cardiovascular picture became more and more clear. clear up.
"Damn position, the wound cannot avoid the left anterior descending coronary artery. Dr. Chen, if you build a stent, it will definitely damage the left aorta. We need to perform vascular reconstruction surgery, nurse, start the bypass machine immediately, we at least need Three doctors perform the operation. Get ready first, we need to hang up the sterilization curtain!"
Kagawa Hideo's slightly waxy voice came out of his mouth.
Chen Qun shook his head, knowing that the girl had made the same mistake she made last time, and she was too thoughtful, which delayed the treatment time.
However, he is the chief surgeon now, and there is no need for a little girl to dictate and make random decisions in front of him.
At that moment, he gave orders in a flat and calm voice.
"No, time is running out, I will put in the stent and artificial blood vessel for anastomosis immediately!"
(End of this chapter)
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