medical simulator

"If your parents knew what you were thinking at the moment, they wouldn't die in peace!"

"I will die with peace!"

Is Yang Yifeng smart?

He is very smart, Ding Changle has never seen a few people who can compare to Yang Yifeng.

If he wanted to secretly pave the way for a personal setting, and if he was in the medical field, and even put in the effort to study what mental illness should look like, the professor of psychiatric surgery might not be able to find out that he was pretending.

After the human design is made, the night is dark and the wind is high, killing people and setting fire...

This kind of distant and unfamiliar images and scenes that only appeared in the martial arts novels he had read suddenly burst into his mind.

Yang Yifeng said: "Master, I'm just talking casually."

"I will definitely not do such stupid things myself. My parents only hope that I can live a good life and live happily."

"This is more important than anything else."

"I know it very well myself."

Ding Changle is not sure if Yang Yifeng is clear now.

Not even sure.

In this world, there is only a thin line between a genius and a lunatic.

And Yang Yifeng's title among his classmates is 'Madman', another name for genius.

But whether Yang Yifeng will take this title seriously is unknown.

Moreover, Ding Changle paid attention to every word Yang Yifeng said.He himself would definitely not do such a stupid thing.

What about others?

What does Yang Yifeng want to do?

Before Ding Changle could reply, Yang Yifeng said, "Master, don't come here now, I've made a decision."

"I want to find a quiet place now, to be quiet."

Ding Changle was still worried: "Send me the location of where you are going, and I will be there soon!"

After hanging up the phone.

Ding Changle became very nervous, and then urged the taxi driver to speed up.

But at this time, it was close to the end of get off work, and the second ring-to-star connection line from the affiliated hospital where he started to catch up to the star area was terribly blocked!

The master said: "Boss, it's not that I don't want to go fast, it's just that if I speed up the accelerator, we won't be able to go at all."

Ding Changle's heart is like an ant on a hot pot, and he can only wait for the turtle to move forward.

I'm a little regretful, I knew I'd better take the subway...

Yang Yifeng.

……

When Luo Yun and Zhou Cheng rushed to the operating room!

Li Changhong and Wang Yaoxiang had already disinfected their upper limbs, Yan Hanhan also arranged for Xu Yanlin to complete the preoperative disinfection, and Huang Yu held the patient's leg with both hands.

Because the patient's body is quite strong, the weight of a pair of legs is not light.

Huang Yu had never experienced such a high-intensity leg raising in neurosurgery and other departments before, and the expression on his face seemed a bit overwhelming, and he barely supported it.

Seeing this, Zhou Cheng first put on a pair of sterile gloves, and asked Huang Yu for a leg so that Huang Yu could swap his left and right hands as a buffer.

Luo Yun washed his hands with Yan Haihan directly, and the two were still talking halfway.

When Luo Yun heard it, Yan Haihan said with great regret that Yang Yifeng actually had a way to complete the patient's limb salvage operation, but he was unwilling to go on stage.Luo Yun felt very surprised, but immediately remembered that Yang Yifeng had told him that he had been to the SVS annual academic meeting.

It suddenly dawned on me.

Luo Yun then turned his head and asked Yan Haihan: "Director Yan, in other words, this patient can actually avoid amputation, but no one dares to complete this operation now?"

Yan Haihan glanced at Luo Yun, his eyes and tone were strange: "Luo Yun? What are you asking this for? Don't get into trouble."

"This patient's situation is quite special, and his status is also special."

Although Yan Haihan knew that Luo Yun's background was quite serious, and he and others underestimated Luo Yun, but Luo Yun was obviously from the orthopedics department. If it is on the body, Yan Hanhan is absolutely not allowed.

Luo Yun quickly explained: "No, Director Yan, I just asked casually out of curiosity. Naturally, I wouldn't rashly go for limb salvage surgery."

"I'm not a graduate student in vascular surgery. Since Director Huang has said that he wants to amputate, I must listen to him. He is a person who knows how to do it."

Then Luo Yun said again: "Director Yan, Zhou Cheng of our group has now obtained the level II operation authorization, limb amputation, which belongs to the authentic level II operation, I let him take the stage, and I will be an assistant, it doesn't matter, right? It will not delay the patient's condition."

"What do you think?"

Amputation is a simple operation that belongs to level II surgery. Zhou Cheng can do it just right. To obtain the authorization of level III surgery, he needs a certain amount of level II surgery as a foundation.It's impossible that the amount of surgery for level II surgery is not enough, so Ding Changle went to arrange for him.

Zhou Cheng had to accumulate the amount of surgery slowly.One more is one.

The patients in the department are not only Zhou Cheng's, but also Cai Dongfan's. Du Yanjun and Zhang Zhengquan also need to learn.

"It's okay, you can tie the artery first later. The most important thing now is to solve the problem of blood loss caused by blood vessel damage." Yan Haihan reminded the key point.

Zhou Cheng's grade II operation was the result of the whole department's efforts to ask the medical department to come, and naturally trusted Zhou Cheng's ability.

Amputation is not difficult, but limb salvage is difficult.

Now the most fatal part of the patient is multiple traumas, severe blood loss, hemostasis, blood transfusion, to the point where the income outweighs the output, this is the key.

It’s just that after a long period of hemostasis, the blood in the arteries and veins will coagulate. If amputation is not possible, the muscles of the limbs will gradually die, and the creatine produced by muscle dissolution will be fatal.

Therefore, this amputation can actually be divided into two steps.

Tie the artery, stop the bleeding, and save your life in an emergency.

Then amputate, save your life!

Amputation can even be done slowly after six hours, it doesn't matter, it won't cause any burden to the body.

"Okay!" when Luo Yun and Yan Haihan re-entered.

I saw that Li Changhong and Wang Yaoxiang had opened the gauze on their upper limbs, and began to expose the brachial artery.

The purpose and process of their surgery are the same as those of Yan Haihan.

Stop the bleeding first, after the bleeding is stopped, Li Changhong can step down.Let Wang Yaoxiang complete the amputation slowly...

The first department of orthopedics is in charge of the upper limbs, and the second department of orthopedics is in charge of the lower limbs.

Therefore, Luo Yun and Yan Hanhan didn't go to see what Li Changhong and others were doing, but told Zhou Cheng and Xu Yanlin to wash their hands quickly, and then came to the stage to help.

Zhou Cheng nodded. As a pure tool man, he left his position before going to look at the patient's other conditions at the same level.

The right upper abdomen was stabbed, probably directly on the liver.The edge of the hole is neat, so it should be pretty easy to repair.

The edges of the openings of the jejunum and ileum are also neat. It seems that the wounder didn't stir it after stabbing the knife cruelly.

If you really do this, I'm afraid it's really hard to save the gods——

But even so, the abdominal cavity still exudes a very pungent smell.

The intestines are broken, and the taste is ecstasy.

Zhou Cheng frowned involuntarily...

When Zhou Cheng and Xu Yanlin washed their hands and walked in, they saw that Yan Haihan was already cooperating with Luo Yun to strip the femoral artery of one lower limb, and the four people from the Department of Orthopedics had already divided into two teams and started to search for it separately. arteries, hemostasis.

Because amputation is required, the brachial artery and femoral artery can be directly found and then tied off.

Zhou Cheng changed into a sterile surgical gown and walked around Luo Yun.

Luo Yun turned around and said, "Zhou Cheng, you take Xu Yanlin to do the other side. The femoral artery exploration and ligation is just a simple grade II operation, which is part of the amputation. It shouldn't be difficult for you to complete it, right?"

Zhou Cheng nodded and looked at Yan Hanhan.

The exploration of the femoral artery is only a grade II operation, and it is also a part of the amputation. This is naturally not difficult. Zhou Cheng has a perfect level of anatomical experience, and he can do it with experience.

It is much simpler to ligate the artery, just take the silk thread and tie it off.

Yan Haihan said: "You and Yan Lin should do the femoral artery detection over there, remember to be careful. After finding the breach, you must firmly press down on the proximal end of the femoral artery."

Blood vessels are similar to water pipes, but not exactly the same as water pipes. The same thing is that they can pass liquid.

The difference is that the water pipes can be on the surface of the body, and the blood vessels are generally buried deep.

There is a break in the water pipe, you can stop the water first, and then slowly find the opening, but the blood vessels are not good, the main switch of the blood in the blood vessels is the heart, if it stops beating, the person is gone.

Therefore, it is necessary to quickly find the proximal end of the blood vessel, and then press it to control the bleeding.

Everyone in the department knew about Zhou Cheng's Grade II surgery, so Xu Yanlin didn't say much, but looked at Zhou Cheng with a little envy.

He also stepped forward and said, "Brother Zhou Cheng, let me help you suppress it first."

Zhou Cheng nodded.

Then while the right hand slowly tore off the gauze, the left hand reached the abdomen. After touching it flat for a while, it pressed down tightly!

This is on the body surface, press to stop bleeding according to the shape of blood vessels!

It comes naturally from anatomical knowledge and is not a very advanced skill.

The intraoperative application of manual pressure hemostasis is another level, not the same.

However, after pressing the more proximal end of the arterial tear in this way, the amount of bleeding can be greatly reduced.

Because the patient's blood pressure was not high, coupled with Zhou Cheng's pressure, after Zhou Cheng removed the gauze, there was not much bleeding!

Then Zhou Cheng grabbed the proximal end of the femoral artery before Yan Hanhan.

"silk!"

The right hand changed into a style of grabbing loach, and a section of the femoral artery was neatly pulled out from the inside.Pinch your thumb and index finger tightly.

Then change the cost to pinch the thumb and index finger of the left hand that is pressing the groin!

Pull it out a little, and then quickly walk the two silk threads prepared in advance around the blood vessel in a circle, wrap them tightly and tie them into a half-dead knot (refer to tying shoelaces, which are tighter than shoelaces).

This puts the femoral artery down!After flicking the blood vessel stump a little, he let out a long sigh of relief when he saw no bleeding.

He said to Xu Yanlin, "You release your pressure first, and I'll see if there is any other bleeding."

Yan Haihan's brows were raised immediately, and after realizing that Zhou Cheng had performed an operation and got ahead of him, he couldn't help but slightly speed up the movements of his hands.

But just being so frizzy, Yan Haihan didn't have time to grab the stump of the artery!

Immediately, the arteries began to bleed!

Big Bund!

Then it sprayed down, and part of it even hit Yan Haihan's eyeglasses directly.

Zhou Cheng was still looking for other blood vessel openings. Seeing this scene, he immediately stretched out his hand across the operating table, and directly used his thumb, index finger, and middle finger to grab the stump of the femoral artery on the opposite side.

It can be said that it is steady, accurate and ruthless!

The bleeding stopped immediately.

The spray of blood, which could be sprayed out, kept falling down at this moment, and landed on the floor of the operating room and on the heads and shoulders of everyone.

But even so, everyone just glanced at Yan Haihan and saw that there was no more bleeding there.

He didn't walk away, but continued to start the operation without seeing this scene.

What are you afraid of being sprayed with blood during the operation?As long as the scalpel is not placed on the neck and the patient does not have any infectious diseases, the operation needs to be performed.

This is the normal concentration that a surgeon should have.

Naturally, Yan Haihan couldn't be so calm, so he immediately took a few steps back, and then said: "Xun Xun, come and help me take off my glasses!"

The lens was already blurred, and the blood in the air immediately oxidized and turned black, blocking Yan Haihan's sight.

After Yan Haihan's glasses were taken off, he approached again, and he didn't feel embarrassed, but he took the proximal end of the artery pinched by Zhou Cheng's right hand with a little blushing at the base of his ears and cheeks, and then began to ligate!

Cursing secretly in my heart, today is simply bad luck.

Although the others didn't move, Li Changhua and Wang Yaoxiang from the Department of Orthopedics looked at each other, and there was a mockery in their eyes!

Yan Haihan actually made such a mistake, and he didn't know what he was thinking!

But I didn't really take it to heart.

The femoral artery of the lower limbs is not smaller than the brachial artery of the upper limbs. One person can find the right place by directly pinching the armpit.