medical simulator

Feeling complicated, I recalled how anxious I, Zhang Hongsheng, Zeng Yi and others were before Zhou Cheng and Cai Dongfan rushed to the operating room.

Cai Dongfan was also standing on tiptoe in the crowd at this moment, looking into the operating field on the operating table.

Then I saw that there was blood dripping from the injection site just now!

This word is the most appropriate to describe the scene at this moment.

Zhou Cheng also took a deep breath, the thrombus was cleared, so it was not in vain for him to concentrate on it for so long!

This is already the best result. The thrombus in the vein is not suitable for surgery for the time being. The vein has a venous valve, and it is almost unrealistic to use a balloon catheter for an ultra-long distance!

But the great saphenous vein of the lower limbs is on the surface of the body. Once the artery is opened, an angiography can be done after the operation to see if the vein is unobstructed!

If it is not smooth, the great saphenous vein can also be smoothed from the beginning to the end. How to choose, this question is still left to the professional Huang Shinan.Or transfer to Professor Shu at the Second Affiliated Hospital of Shonan University to find a way.

You're just a fool, don't try your best.

So Zhou Cheng said: "Director Huang, next you deal with the veins, and I'll try the other side to see how much I can take."

Huang Shinan said: "Okay, let me handle this leg first!"

In this way, it seems that Zeng Yi and the others are all right people. They originally planned to amputate their limbs, but now that they have no legs, they simply beat Zhou Cheng. , Zhou Cheng can operate two catheters at the same time!

When Huang Shinan opened the femoral vein on the other leg, he found that there was still venous blood flowing back, and then he made an opening at the knee joint, and after opening the small saphenous vein, he also found a small amount of blood returning !

And that's enough.

Although there is a thrombus in the vein, there are multiple pathways in the venous circulation of the foot. As long as one of them goes back, there will be no major problems in a short time!

Arterial emboli cause organ necrosis, while venous emboli may kill people!

Therefore, the risk of venous embolism is also great!

Then Huang Shinan saw that Zhou Cheng called Chen Bing back to pull a catheter out of the gap, and he was pushing another catheter that did not bulge deep into the unknown depth of the artery...

Back and forth, the speed has increased by more than 20.00%.

This kind of ultra-long-distance catheter thrombectomy is definitely a difficult operation. Even if you can complete a single case, you can go to a meeting and brag for a long time!

This is not at the same level as the angiotomy and thrombectomy performed by Zhou Cheng before.

It’s like a blocked water pipe. If you go to the user’s house to solve the problem on the spot, and you are in the water supply unit, you can solve the problem immediately over a long distance. The time saved and the difficulty of handling are saved. Is that the same?

Huang Shinan didn't dare to take a photo of a blind man like Zhou Cheng who directly got the dorsalis pedis artery from the femoral artery, for fear that he would blow it too far and blow it up, and both parties would suffer.

Academic conferences are one thing, bragging is fine too, but if you brag yourself, you have to be able to come back. If you don't come back, you're playing dead!

After another hour, Zhou Cheng took out eleven of the arterial embolisms in the other leg!

Relatively less, which is why Zhou Cheng chose to take the opposite side first!

In this way, the problem that Huang Shinan and others were helpless before was solved in one fell swoop.

After confirming the blood supply many times, Huang Shinan was so happy that he smirked like a child.He never told anyone that today's operation is definitely a miracle in vascular surgery. He blindly removed the most distal thrombus in the arteries of the lower extremities, and more than 20 emboli were removed in a row!

He Huang Shinan is also a participant and witness, although this has little to do with his credit.

However, this made Huang Shinan see the upper limit of vascular surgery. It turns out that the thrombus in vascular surgery can still have such a high ceiling!

The number of operations determines the lower limit of one operation, experience and vision are the fundamentals to increase the upper limit of operations.

However, Huang Shinan is not going to tell anyone else, one is that others don't believe it, and the other is that if he didn't see it with his own eyes, he might not believe it himself.

……

"Director Huang, there shouldn't be much problem with these legs now, right? If there is no problem, then let's go first?" Zeng Yi and Li Changhong stood with them for an hour or two, and they were all junior doctors. Things, I really feel that I don't need to stick around like this all the time.

Huang Shinan immediately said: "Hey, Director Zeng, Director Li, wait a moment, let's go out together and have a good talk with the patient's family members. Your orthopedic department is the best at this limb salvage operation!"

Well, Huang Shinan dare not take this credit.

Zeng Yi immediately looked at Cai Dongfan, and said with a smile: "Director Huang, you are joking. This is clearly a matter of vascular surgery. Our orthopedics department doesn't even know how to do this surgery!"

Zeng Yi didn't dare to take it either!

Vessel incision and thrombectomy can be done in orthopedics, but if this kind of endovascular catheter thrombectomy is returned to orthopedics, it is really a bit too foolish.

Anyway, it's on Huang Shinan's head, because the treatment process of this patient can't be replicated. Zhou Cheng is in orthopedics, and it's impossible to work part-time in vascular surgery in the future!

This credit is not easy to get, it's a bit hot.

"Xiao Zhou, let's go, let's go to the door together and tell the patient's family the good news." Huang Shinan immediately brought Zhou Cheng with him, the honor that you dare not carry, then Zhou Cheng himself can carry it Bar?You just expose his identity directly.

Cai Dongfan and Zeng Yi were helpless, and it seemed to be the same reason. Zhou Cheng could do something that other people couldn't replicate.

So do it.

Zhou Cheng didn't want to go, and declined politely: "Director Huang, Director Chen, it's not appropriate for me to go, right? I'm an orthopedic specialist after all."

"Then why not dare, you saved someone else's life and saved his leg, that's his second life! If you don't go, who will go? Director Zeng won't go, and Director Cai won't go, so you have to go." Huang Shi Nan is determined to tell the truth.

This was his decision after careful consideration. Speaking of the facts, Zhou Chengcai was the biggest contributor, and he did not perform the operation.Such an operation is not reproducible.

Although the name is tempting, one must also think about whether one has the ability to get it. If the virtue is not worthy, one will suffer the consequences in the end!

Before you have this ability, don't pick peaches casually.

It's not a one-and-done peach.

Cai Dongfan also saw Huang Shinan's difficulties, so he said, "Xiao Zhou, just go there! Director Huang also needs to have an explanation."

So a group of people came to the door of the operating room together. At this time, they took off the sterile suits and took off their masks at the same time.

Huang Shinan shouted: "Are Anwen's family members there? Anwen's family members, come to the door of the operating room."

As soon as Huang Shinan finished speaking, there was a rumble, and a group of people stood up one after another.

There are six or seven big men alone, plus a few middle-aged couples!

There were a total of twenty or so, and they squeezed forward.

"Director Huang, how is Anwen doing now?"

"The current situation is that we have tried our best to remove all the thrombus. There is a great possibility that the legs can be saved. However, the unforeseen circumstances that cannot be ruled out are recurrent embolism or reperfusion injury. Inevitable situation!"

"If these accidents occur, surgery may be needed to intervene, but if these situations do not occur, the situation is relatively optimistic. From the current comprehensive point of view, the hope and risk of saving the leg are within an acceptable range. Inside."

Huang Shinan has long been a fine individual, so he naturally has a way of speaking when dealing with the relatives of the leader.

That is to get the words to the point, but at the same time make the risks clear:

"However, if there is an unexpected situation that cannot be resisted by manpower, the leg may still be lost."

Annan hurriedly said: "Thank you Director Huang, thank you all doctors, everyone must have worked hard, and also delayed the time for eating. I prepared a few simple side dishes opposite the hospital! If Director Huang doesn't mind, let's go together Go and eat whatever you want."

The previous time I came out and told that the possibility of life-threatening danger was not high, but now I said that the legs are also very likely to be saved, so I must invite you to eat.

Although Annan was also thinking in his heart, since Professor Shu has not yet entered the operating room, can he rest assured of these thoughts.

However, since the Eighth Hospital had already done a good job, he didn't ask more questions.

Huang Shinan hurriedly said: "I won't eat the meal, I have to go to the operating room to do some finishing work, and it will be almost night after finishing it. Go eat by yourself."

"Also, if you really want to say thank you, you would be thanking the wrong person. This time the patient was able to keep the leg, but it was all thanks to Dr. Zhou. If it wasn't for him to take out the blood clot, it is estimated that it should be done now." amputated!"

While Huang Shinan was talking, he pointed his hand to the side, and it happened to point at Zhou Cheng, who was wearing a mask at the moment.

Zhou Cheng was young, and when he first came out, he was naturally ignored.

At this moment, Huang Shinan deliberately brought it up, making their eyes turn for a moment, wondering if this young man is Huang Shinan's son, and he was specially pulled out by him to make him look familiar.

Thoughts are complicated, but the surface is very warm.

Among them, Fang Linxiang, the eldest brother and the second child together grabbed Zhou Cheng's hand together, with sincere eyes: "Thank you, thank you doctor, I was blind just now, you are my great benefactor! It will be useful in the future If you get me, just tell me, as long as I can do it, I will definitely not shirk."

However, after saying this, Fang Linxiang looked carefully at the corners of the young man's eyes and eyes, and suddenly realized that this young man seemed a little familiar.

In memory, Zhou Cheng's eyes coincided with the Zhou Cheng in his own memory.

"Doctor Zhou Cheng?" Fang Linxiang suddenly called out.

"Ah! Um. Who are you?" Zhou Cheng looked seriously in Fang Linxiang's direction when he heard someone calling his name, but he really didn't know him.

As for Fang Linxiang's voice, there were at least two or three people who confirmed Zhou Cheng's final identity.

So their eyes became even more strange.

But Zhou Cheng didn't know this. Before he returned to the operating room, Fang Linxiang didn't say anything more, but kept nodding and said, these are what he should do.

……

After returning to the operating room and reporting clearly to Cai Dongfan, he checked the time, and it was already close to 09:30.

Zhou Cheng and Cai Dongfan rejected Huang Shinan's invitation to stay for dinner, then went straight to the dressing room downstairs, and dialed Luo Yun's number directly.

It was connected, but on the other end of the phone, there was a woman's voice: "Hey, who are you?"

"Who are you to Dr. Luo Yun? I'm his colleague." Cai Dongfan asked first, and then reported his identity.

"Oh, you must be Director Cai, I'm Dr. Luo's mother, and my name is Zheng Hui."

Zheng Hui's voice on the other end was very loud, and she said, "Well, Luo Yun was drunk, so he told me before going to sleep that he had already arranged for Professor Liu and the others, and that Professor Liu had already boarded the plane to return to the devil. It's all over."

"Director Cai, do you have anything else to do with Luo Yun now?"

Cai Dongfan turned on the loudspeaker, and after hearing this, his hurried movements stopped. The reason why they left the operating room in a hurry was to see if they could show up at the dinner for Professor Liu Yiping again. , It's good to catch up with the tail.

After all, if Zhou Cheng wanted to work under Academician Zeng, he had to ask Professor Liu for help.

However, time waits for no one. When you have emergency surgery, Professor Liu's boarding time has already arrived, and they have to travel thousands of miles away to the magic capital.

"No, no, mother Luo Yun, then you should go to bed earlier." Cai Dongfan said hastily.

Now that Liu Yiping has already left, there is no need for him to call out Luo Yun, who is already drunk. He turned his head and glanced at Zhou Cheng, and said, "Let's go, let's go eat some meat. The two of us."

"Okay!" Zhou Cheng nodded, feeling a little regretful.

But ah, I also think it's okay, if I don't come back, this brother who is lying in the operating room today may have a lifetime of regrets!

Amputation is irreversible.

I couldn't send Professor Liu off, and I couldn't see him on the last side of this journey. There is always a chance to see him. Amputation and life-saving are urgent. There will be more such choices in the future.

This made Zhou Cheng think of one thing.

The world is safe and full of the law, and it will live up to the Tathagata!

However, today, it was obvious that Cai Dongfan was about to be disappointed again.

The dressing room in the operating room is divided into two rooms for men and women, but they have the same entrance.

At the entrance of the passage, there was a person waiting quietly. She was neatly dressed in woolen clothes and a shoulder bag.

The eyes are slightly reddish, and the expression is complicated.

His eyes focused on Zhou Cheng's body, a little wandering.

It was An Ruo!

"Senior brother Zhou, thank you." An Ruo bowed deeply to Zhou Cheng at the door, which made Zhou Cheng quite puzzled.

However, Cai Dongfan seemed to come to his senses right away, patted Zhou Cheng on the shoulder and said, "Xiao Zhou, I'll go first, I'm still waiting there, it's not easy to take you there, you can arrange it yourself." Dinner."

Cai Dongfan said something inexplicable, and left first, without waiting for Zhou Cheng's intention.

Zhou Cheng's head is covered with small question marks, Mr. Cai, isn't he the one who said he was a good-for-nothing?Didn't we agree to have dinner together?

Why are they gone?

……

Today, An Ruo drove the car.

It is a relatively low-key Audi. Zhou Cheng didn't pay much attention to the specific model, but looking at the interior, it shouldn't be particularly cheap.

An Ruo sat in the driver's seat, and after explaining the ins and outs carefully, he said, "Senior Brother Zhou, do you understand? In fact, I was anesthetizing the entire surgery for my brother, but no one knew about it." , he is my brother."

"My teacher didn't know very well. When I heard Dean Zhang, Director Huang and Director Zeng say whether to save their legs or their lives, do you know how desperate I was?"

"I think, I've only been in the year of birth for a few days, why did I start to be so unlucky?"

"But okay?"

"So, thank you from the bottom of my heart."

Zhou Cheng sat in the co-pilot's seat, he was a little dazed when he heard it, and then twisted his hands and asked, "That's right, the patient on the hospital bed is called Anwen, and he is your fifth brother. Come back for your birthday."

"Then the people who went to the airport quickly got on, got into a car accident, and were dragged back?"