medical simulator

Moreover, the deep femoral artery was pulled out, as gracefully as pulling out a bird.

Yang Min and others have not yet had time to react.

Zhou Cheng directly opened the deep femoral artery with a sharp knife.

Seeing this speed, Bu Hao, who was directly opposite Zhou Cheng, was shocked!

If it was him, he would definitely not dare to expose the artery so quickly. There are also femoral vein and femoral nerve near the deep femoral artery.Is it because Zhou Cheng is an orthopedic specialist and is very familiar with the anatomy here, so he dares to be so bold?

If he hadn't seen Zhou Cheng first expand his view of the deep femoral artery, and then watched it take out the deep femoral artery with his own hands, he would probably have cursed.

but?

Now Bu Hao knows that he is a younger brother in front of Zhou Cheng, and he is also the same as Tan Yun's younger brother - he probably won't be able to get an erection.

Qin Yun is the name of the patient and the son of Tan Yuanwen.

After Zhou Cheng clamped the proximal end of the blood vessel with a blood vessel clip, Zhou Cheng didn't cut off the deep femoral artery directly, but cut half of it, and then extended the catheter in——

Zhou Cheng was very surprised when he saw the catheter.

This Sha County No. [-] Hospital is very interesting, or this Yang Min, very interesting, it has an arterial embolism catheter in the operating room that is not available in eight hospitals!

Although this thing is not high-tech, it is many times more convenient than using conventional equipment to remove the thrombus.

Catheter thrombectomy is an instrumental supplement to incision thrombectomy, which makes the operation easier.

The tip of the catheter was only inserted for less than ten seconds before it was rotated slightly. Zhou Cheng used the balloon catheter to inflate, and then pulled back to take out the first thrombus strip!

The thrombus strip has hardened slightly at this moment, like a small eel...

The speed at which the eels were pulled out was simply terrifying.

Bu Hao, who was at the opposite door from Zhou Cheng, had his hands stiff, and he tightly squeezed the S hook, his palms were full of sweat.

There is a hypothesis in my heart, if the thrombectomy is performed from the beginning with this speed and precision, I am afraid that this kid's two legs may be saved.

Then he looked at the leg that had been chopped off at the opposite door.

Complicated thoughts——

This is a living example and a gap that has to be admitted.

Yang Min's old face was flushed at the moment, and when he looked at Cai Dongfan who had a serious face, he immediately put away his contempt, and never wanted to talk about giving Cai Dongfan face.

However, Yang Min, Bu Hao and other vascular surgeons have different ideas.

After Zhou Cheng took a closer look and took out the first thrombus, he frowned slightly!

Then he asked: "Director Yang, does this look like a new embolism in the deep femoral artery?"

If new emboli continue to be produced, then the previous CTA will be in vain, and there is no need to talk about leg protection.

When Zhou Cheng asked this question, Bu Hao's thinking was a little bit crooked, thinking that he was just a little younger.

It's not your little one.

This is the nasty joke thinking of the fixed operating room. He must have said it on weekdays, but he didn't dare to say it today.

Looking at it, I feel that the diameter is a bit wrong. The embolus of the deep femoral artery is not only so small?

"The color doesn't look quite the same either. It looks like an embolus in the medial and lateral circumflex femoral artery. The deep femoral artery is not so small." Zhou Cheng looked at it for a while and said to himself.

Yang Min: "..."

The medial circumflex femoral artery is a branch of the deep femoral artery, and the lumen of the vessel is thinner. Zhou Cheng said it so naturally, don’t you think there is something wrong with your attitude and tone?

But he didn't dare to curse, he just cheered up and said, "It's really incredible that Dr. Zhou can remove the embolism in the branch of the deep femoral artery."

"Dr. Zhou did a lot of thrombus removal before, right?" he said sideways, wondering if he could let Zhou Cheng come to the county hospital more often in the future.

"The first time I used a catheter, I used a sharp knife before. The sharp knife can't get to this position, so I'm not familiar with it." Zhou Cheng replied naturally, and then quickly removed the thrombus in the lateral circumflex femoral artery. 'Cut' it out.

Really pull blood.

Hey.

Yang Min immediately rolled his eyes, Zhou Cheng's words almost sent him away on the spot.

Co-author, buddy, are you planning to cut open the thrombus of the medial and lateral circumflex femoral artery with a sharp knife?

Then why don't you do a sharp knife incision and thrombectomy of the capillary arterial network?

Thrombectomy is generally limited to large arteries.

The medial femoral circumflex artery is a branch of the deep femoral artery. The deep femoral artery originates from the femoral artery. The femoral artery originates from the external iliac artery. The external iliac artery originates from the common iliac artery. Above the common iliac artery is the abdominal aorta!

Aorta, common iliac artery, external iliac artery, femoral artery, deep femoral artery, medial circumflex femoral artery.

These are the sixth-level branch arteries...

Yang Min wanted to hit someone, and he also wanted to be such a young man who liked to act aggressively, but he didn't dare to hit, and only watched seriously.

Zhou Cheng took out the thrombus again, but judging from the appearance of the embolus, Zhou Cheng should have just clamped the embolus from the middle when he took it out, and it was not a complete embolus.

So may have to do it all over again.

"Damn it, it was cut off." So Zhou Cheng's expression was a little dissatisfied.

Yang Min and Bu Hao heard Zhou Cheng's tone of dissatisfaction, so they lowered their heads.

What is this person saying?

Do you want to be so fucking frustrated?

What you are taking now is the embolus of the medial circumflex femoral artery. Do you know how biased it is?

I don't know if others can plug the catheter in, but you almost got through it.

You talk like that?

"Thank you, Xiao Zhou." Cai Dongfan stood on tiptoe in line with Zhou Cheng's tone.

After all, when people speak, they need to respond.

And Zhou Cheng must be very hungry at the moment, and he came here mainly to give him Cai Dongfan's favor. He was hungry and had an extra operation, and he didn't know when he would be able to step down.

But if Zhou Cheng can continue to do it, he still has to continue to finish Tan Yuanwu's work.

Cai Dongfan's calm tone and unhurried movements.

Bu Hao, who was on the opposite side, was so stimulated that his eyeballs rolled around five times before stopping.

I'm sorry, do your Shashi No. [-] Hospitals usually talk so casually?

This kind of arterial embolus can be removed, how hard is it for you?

Finding thrombus from tiny arteries and finding thrombus from the trunk of the artery are completely two concepts.

Bu Hao interjected and asked, "Director Cai, this little Zhou doctor, is he really an orthopedic doctor? Isn't he a doctor from our vascular surgery department?"

Bu Hao asked this question mainly because he wanted to find out whether it was a fact. Zhou Cheng possessed such an excellent technique of vascular thrombectomy, but he turned out to be an orthopedic surgeon. Why bother?

Shouldn't he be a rising star in vascular surgery?

Zhou Cheng was still concentrating on finding the thrombus in the medial circumflex femoral artery, and did not reply.

Cai Dongfan nodded and said, "Xiao Zhou is not bad, and arteriotomy and thrombectomy is also within the scope of our orthopedic department. It is not limited to vascular surgery."

At this moment, Zhou Cheng just pulled out the remaining embolism in the medial circumflex femoral artery, and said, "Yes, arteriotomy and thrombectomy is only a Class II operation in our department of orthopedics."

"Who said that?"

"Director Cai, the operation that Dr. Xiao Zhou is performing now is not an ordinary operation. It is so beautiful." Yang Min immediately exclaimed.

He felt that if he didn't speak, he wouldn't be able to talk today.

If Cai Dongfan and Zhou Cheng had been chatting like this all the time, he felt that he would have to think about this beauty again.

Otherwise, fear of breaking the law!

Therefore, he had to quickly give Zhou Cheng a thumbs up, for fear that Bu Hao and others would be pissed to death by Cai Dongfan, a master of Fanxue.

"Director Yang made you laugh at the level II surgery disclosed in the Huaguo Health and Health Commission's Surgical Grading Suggestion Table." Zhou Cheng really replied.

very official.

Very formal.

For good reason.

You can't refute the reason in China.

"Uh!~" Yang Min and Bu Hao's tone froze.

Yang Min stretched his neck, swallowing the breath in his heart, while Bu Hao glanced a few times on the operating table, his eyes fixed on the big knives, sharp knives, and electric knives in the curved pans of the orthopedic brothers.

Thoughts.

But, just when Bu Hao was in a daze.

Zhou Cheng let out another long sigh of relief: "It's been taken out, the embolus in the internal pudendal artery should not be bad."

Zhou Cheng had heard from Yang Min before that the embolus in the superior pudendal artery was removed, but the embolus in the medial artery was not removed.

There is an old saying in Huaguo.

Women are like clothes and brothers are like siblings.

For the sake of brothers, you don't need clothes, but women have to.

You don't have to have siblings, but you have to have little brothers, otherwise the woman doesn't belong to you anymore.

After hearing Zhou Cheng's words, Yang Min yelled directly to the patrolling nurse, "Tourist, take a look at the blood supply."

Xun Xun immediately pricked the wrapped wrinkled skin with a needle, and after a while, he shouted happily: "It's bleeding, it's bleeding. Now there's blood."

The voice was excited, as if to avenge the man who was poked and bleeding.

And it must have been poked more than once.

……

However, Zhou Cheng did not wait, but continued to take the thrombus along the femoral artery towards the far end of the body.

Of course, this time the thrombectomy, because of the participation of the catheter, naturally it is not like the last embolectomy. It is probed bit by bit by hand. With the catheter, the catheter is another part of the thrombectomy. An artifact, Zhou Cheng's thrombus incision and thrombectomy is perfect...

Without this thing, it can be said that at most it can only be proficient or proficient.

So, the operation was quickly carried out step by step again.

Both Bu Hao and Yang Min were fascinated.

It didn't take long, and even the orthopedic surgeon at the Shaxian First Hospital on the other side of the amputation hadn't completely stepped down, and placed a subcutaneous drainage strip there.

After the amputation, the stump will definitely bleed, and the drainage strip is placed because the subcutaneous hematoma is too large, which will cause severe postoperative pain.

It's just that when their amputation was completed, they saw Zhou Cheng's side——

Limb salvage is complete.

That's called a big head, and the expressions of each of them are very exciting!

The complexity in the eyes seems to be able to write a book.

Not really.

We did the finishing touches on the amputation, and the person opposite me finished the limb salvage.

Do you mean coincidence?

This is strength, this is ability, this is a living comparison, and it is also a comparison of the same body and different limbs at the same time.

One can protect and the other can intercept.

One dares to protect, the other dares to intercept.

After wrapping the stump of the affected limb in a hurry, he got off the stage in despair, and when he reached the door of the operating room, he still felt extremely painful...

"Director Xing, what is the origin of this elder brother? He is not very old, but he does things well?"

"Our side is amputated, but his leg is kept. Isn't this just to slap the face?" A doctor muttered, feeling uncomfortable, as if he had just spent a century in the operating room.

His face turned red.

Director Xing said: "Don't talk nonsense. The person was called by Tan Yuanwu. If he doesn't come, you have both legs amputated. You have saved face. What's the use?"

After finishing speaking, Director Xing sighed with emotion: "Tan Yuanwen's stupid thing is purely for harming others and himself."