medical simulator

In this way, he did not increase his financial burden, but there was a lack of effort in the first operation.

Soon, Zhou Chengcheng came to the operating room next door, washed his hands and went on stage again!

After Du Yanjun saw Zhou Chenglai, his confidence instantly increased again!

"Brother Zhou Cheng, how is the situation next door?" Du Yanjun asked hurriedly.

"good."

"Yan Jun, get out of the way, I'll be the surgeon, you go to the opposite side, complete the operation as soon as possible, and then go to the next door to help!" Zhou Cheng could only say this to Du Yanjun in order to save time.

Du Yanjun didn't doubt that he was there, and when Zhou Cheng came again, there was no problem with him taking the lead position.

However, after Zhou Cheng quickly took over the operation, Du Yanjun didn't quite understand Zhou Cheng's operation process.Then he asked: "Brother Zhou Cheng, what did you do just now? Shouldn't you treat the fracture first, and then the soft tissue?"

Zhou Cheng looked up at Du Yanjun and said, "Yan Jun, after today's operation is over, I will find time to review the operation process with you slowly, but now, let's do things first, shall we? "

Time is precious, Zhou Cheng doesn't want to waste a quarter of an hour, and it's not that he doesn't want to teach.

Rather, Zhou Cheng felt that if he had the ability to do more good things, teaching could be supplemented later.

If Du Yanjun is Xiang Haibin, he can ignore him. He is not a friend, nor is he a teacher. No one is responsible for teaching you.But Du Yanjun and him are good friends, good brothers.

Although Du Yanjun occasionally played tricks, he never played dirty.

Moreover, he really helps when he is busy.

Real brothers, real brothers can't do it like throwing their heads and blood, which is already extremely good.

If you are too harsh on your friends, it means that you do not cherish your friends first, not that your friends are not sincere enough!

"Okay, Brother Zhou Cheng!" Although Du Yanjun didn't know why Zhou Cheng didn't want to speak on stage today, Zhou Cheng was very willing to teach on weekdays.

But I just felt that Zhou Cheng was exhausted. Last night, everyone was tired all night, so they didn't have too much energy to distract themselves!

Then, Zhou Cheng's hands flew like flying!

Broken bones and fixed bones, blood vessels are sutured, tendons are reconstructed, muscles are sutured, and there are still defects. There is no way to deal with it in the first stage, and only the second stage depends on the situation to do muscle and tendon transplantation!

The itinerant nurse was alone, under Zhou Cheng's high-speed operation, just holding and opening things, his hands and feet were a little numb!

In the end, the timing panel in the operating room showed that the operation time had reached 27 minutes.

Zhou Cheng felt a dull pain in the pad of his index finger and middle finger!

"Step down, send the patient to the ward, use piperacillin directly for antibiotics, and ask the pharmacy department for consultation to guide antibiotic treatment as soon as possible." Open joint injuries have a high chance of infection.

Even if it is grade I, it must be treated as septic arthritis, so ordinary antibiotics are definitely not enough!

"Put a plaster cast across the knee joint!" Zhou Cheng explained again when he walked out the door.

"Okay!" Du Yanjun nodded in bewilderment, feeling that what he had just experienced was simply too unreal.

He had the chief surgeon last night, but it took almost half an hour for him to sew up an incision of more than ten centimeters, debridement and suture.

Zhou Cheng here, it took half an hour to get rid of the open trauma of the knee joint?

Some of the 'fancy' operations involved here are extremely difficult, and one of them may take more than half an hour!

but?

All.

Even though Du Yanjun felt that Zhou Cheng was already very powerful and the operation was performed very quickly, seeing the result, his scalp still felt numb!

Moreover, the whole operation process did not sacrifice quality for the sake of speed, every step was done, at least within the scope of his understanding, it was done perfectly!

The plaster cast is to avoid postoperative knee joint movement, resulting in recurrent fractures and recurrent tendon ruptures that have undergone insertion reconstruction!

……

"Brother Zhou Cheng, are you back?" Zhang Zhengquan asked hurriedly when Zhou Cheng walked into the Seventeenth Room again, very surprised.

Zhou Cheng looked at what Zhang Zhengquan had done, and only completed a simple removal of the foreign body.

Zhou Cheng knew that there was still a big gap between Zhang Zhengquan's level and Du Yanjun's, although he had also cleaned up a small number of blood scabs and necrotic tissue.

but.

This level is actually very good. This kind of debridement of damage should not be an operation and difficulty that they should bear at their age.

"Ok!"

"Thank you, Quan Zi." Zhou Cheng walked slowly to the bag, and put the sterile surgical gown on his body.

"Brother Zhou Cheng, are you really done with the operation next door? Is that a third-degree open injury of the knee joint?" This is the foundation of orthopedics. Difficulty of surgery.

"Let's start the limb salvage operation, hurry up." Zhou Cheng was unwilling to explain too much.

It is now past 20:[-], and the girl was admitted to the hospital at [-]:[-] in the morning. If she had been tied up before entering the hospital, amputation would have been unavoidable.

It's a pity that she was also injured at the wrong time. At this time, it has been delayed for so long.

However, Zhou Cheng still hopes to fight.

If he still can't keep it in the end, then he has tried his best.

Then, Zhou Chengcheng started angiotomy and thrombectomy.

Next to it, Zhang Zhengquan was dumbfounded, and Zhou Chengcheng quickly took out two thrombus strips that looked like earthworms.

"Put on the tourniquet!" Zhou Cheng ordered the tour guide.

"okay!"

The tour did so immediately.

However, it takes a certain amount of time for the pressurized gas in the tourniquet to be released, so the bleeding from the wound is still not obvious.

but!

Because the little girl was injured, the wound surface was soaked very quickly, and the blood slowly leaked out, and after a while, all the wound surface was re-stained red.

Bleeding!

Surgeons love it.

Zhang Zhengquan widened his eyes and said, "Is there blood?"

Looking at Zhou Cheng, he was dumbfounded!

What Director Cai, Director Yan and the others were unable to do, was actually in Zhou Cheng's hands. Is it just that simple?How long has it been?Five or six minutes?

"Raise your legs!"

"Put on the tourniquet again." Zhou Cheng hurriedly said to Xun Xun.

The cycle of the tourniquet should not exceed one and a half hours, and then you need to rest for about 15 minutes. The total time of this operation is less than half an hour, so there is no need to rest at all!

Surgery can continue...

Zhou Cheng's voice was as expected and could not be rejected.

Chapter 179 Right or Wrong

"Damage debridement is different from ordinary debridement and sutures. All necrotic tissue must be removed, and the surface skin must be thinned."

"If the blood supply of the skin disappears, then this piece of skin and subcutaneous tissue can't be taken anymore!"

"However, this patient's situation is quite special. The skin on the soles of her feet still has half of the blood supply. Although the blood supply is not good, as long as there is blood supply, it is good."

"Under such circumstances, we can perform transposition of blood vessels. At this time, we need to..." Zhou Cheng was debridement for the little girl.

While explaining to Zhang Zhengquan in detail, the theories involved in it are occasionally unpredictable, but occasionally there is a feeling of epiphany for him, and sometimes, it makes Zhang Zhengquan feel that this shit is okay?

Moreover, under Zhou Cheng's knife, the anatomical tissue of this little girl no longer seemed to be simple skin and soft tissue. The arteries are reconnected!

After the continuation, there was blood in places where there was no blood at all.

This is simply outrageous mom opening the door for outrageous!

"Hmmmm~" Zhang Zhengquan nodded hurriedly all the way, quite shocked in his heart.

Although I don't know exactly how Zhou Cheng did these things, Zhang Zhengquan had undergone emergency surgery with Cai Dongfan and Luo Yun after all. Cai Dongfan and Luo Yun would definitely have their limbs amputated when they encountered such things on weekdays. thing!

"Brother Zhou Cheng, what should we do next?" Zhang Zhengquan asked again.

"Next, we..." Zhou Cheng was still talking.

At some point, the door of the operating room was stepped on, and then a small eye wearing a surgical mask and a disposable cap walked into the operating room.

However, his eyes were extremely serious at the moment, and he didn't have the sense of familiarity before. After entering the door, next to Zhou Cheng, he felt a sense of coercion, and he glanced at the progress of the operation on the operating table.

Cai Dongfan said straight: "Zhou Cheng, after you step down, go to the outpatient clinic and come back for Luo Yun!"

"You don't need to participate in the subsequent surgery!!!"

The voice was decisive and crisp, and there was no room for Zhou Cheng's rejection and hesitation.

When Zhang Zhengquan saw Cai Dongfan, he panicked for a moment, his right hand trembled slightly: "Teacher Cai."

His heart was agitated, as someone who had been with Cai Dongfan for several years, Zhang Zhengquan had rarely seen Cai Dongfan get angry, but he hadn't.At this moment, Cai Dongfan was extremely angry.

Although he hasn't started to fire like Yan Haihan, he must be angry, and this kind of talking mood is not normal.

Zhou Cheng paused for a while before replying, "Okay! Teacher Cai."

Zhou Cheng understood what Cai Dongfan meant, and he regretted it a little, but he didn't regret it either.

"After stepping down, come and find me first." Cai Dongfan said out of anger.

However, right afterward, Cai Dongfan still felt quite disturbed, and said, "Forget it, you go directly to the outpatient clinic to find Luo Yun, and replace Luo Yun in the operating room!"

After Cai Dongfan finished speaking, he walked out of the operating room.

After Cai Dongfan left, Zhang Zhengquan, whose heart was almost in his throat, finally relaxed, and said with relief:

"It's frightening to death. Teacher Cai's power is exactly the same as that of Director Yan before. It's frightening to death."

"Being a director is different." Zhang Zhengquan's tone was a little bit apologetic for Zhou Cheng.

You know, Zhou Cheng completed a debridement operation in a short period of time, and saved a little girl who was about to be amputated. Can't finish it.

It's fine if Cai Dongfan doesn't boast, and he wants to take Zhou Chengzhi away.

What kind of temper is this?

While continuing the operation, Zhou Cheng said, "Quan Zi, it's not Mrs. Cai's fault, it's all done by myself. Hurry up and operate, the next operation will not be difficult!"

Zhou Cheng understood very well.

"Brother Zhou Cheng, Teacher Cai is about to drive you out of the operating room, and you are still helping Director Cai speak?"

"I think Mr. Cai was just putting on airs like a director!" Zhang Zhengquan was still muttering!

Zhou Cheng didn't explain too much. Soon, Zhou Cheng took Zhang Zhengquan to finish the little girl's limb salvage surgery.

After the operation, Zhou Cheng carefully checked that the blood supply and VAC were unobstructed, and no blockage or air leakage was found.

He said: "Quanzi, remember to give the patient anticoagulant and circulation-promoting drugs after surgery, and give the cephalosporin twice more today."

"Then explain it to the patient and family."

"Okay, brother Zhou Cheng." Zhang Zhengquan was quite excited. Although he was not the chief surgeon, he was also responsible for the little girl's ability to keep her leg!

Zhou Chengcheng walked out of the operating room a little lonely.

Zhang Zhengquan sighed, but he heard the little girl cry again, her shoulders trembled slightly and she asked, "Doctor, is my surgery finished?"

"My legs are so numb, I don't feel anything at all, did you cut off all my feet?"

The little girl has no social experience and little knowledge, but she has seen the one-legged one on TV. She thought she lost one leg, and she was a little anxious.

It's useless to be anxious, so I feel wronged.

Moreover, she was only so young, and what Zhou Cheng and Zhang Zhengquan said were too professional, she couldn't understand what they meant at all.

"No, your leg is fine, it's useless at all, but it will leave a little scar."

"However, you have to be obedient after the operation, so as not to get an infection!"

"Ah? Really? Let me see!" The little girl was about to raise her head excitedly.

However, the anesthesiologist held him down: "Don't look up! I told you everything, the little girl must be obedient, can the doctor still lie to you? Your cute little feet are still dripping, don't worry. Ah !"

"I went out to meet your parents later and asked them to take pictures for you."