medical simulator

On the way back, Zhou Cheng was silent and didn't say a word.

Lu Bin explained: "Doctor Zhou, today's patient has a feud with that Xu Kairan. Xu Kairan deliberately stopped you and refused to let you enter the operating room. These people are just taking human lives away!~"

"Did I hate him!" Lu Bin was also furious.

Zhou Cheng still didn't answer the question directly, but replied: "Is the patient's operation over now? What time was the injury?"

Xu Kairan deliberately stopped them from entering the hospital, all kinds of entanglements, Xu Kairan's purpose was already clear to Zhou Cheng.

Even Zhou Cheng knew very well why the person who came this time was Xu Kairan's uncle and not anyone else.

"It's too late. It's been a long time, and the amputation has already been done. That's just a girl in her twenties. What's wrong with her?" Lu Bin didn't reply, but rubbed his hands hard Eye.

Then he comforted himself: "Maybe, Doctor Zhou, even if you arrive early, you can't avoid this result, the injury is too serious."

Chapter 312 There is no such thing as despair in miracles!

"Director Lu, which operating room is the patient in?" Zhou Cheng didn't take Lu Bin's words, but sighed with emotion about life, without too much expression on his face, without too much anger, and without hating the world.

"In operating room 12, Dr. Zhou."

Lu Bin turned his head: "But it is estimated that our orthopedic problems have been dealt with now. I have to go back and explain it to the patient's family."

Although the amputation was done and the informed consent of the family was obtained in order to save his life, after the operation was completed, an explanation was still required.

"Doctor Zhou, let's go together."

Zhou Cheng didn't say much, and then no one stopped the two of them, and they went straight to Changshi Hospital of Traditional Chinese Medicine.

Meanwhile, outside the operating room.

A middle-aged man in a suit and tie, after listening to a phone call, held the phone tightly with his right hand. Under ischemia, the color of the pads and sides of his fingers changed from red to purple, and then turned to purple again. become extremely pale.

Beside him, a woman's eyes were red, and her teeth were clenched.Weeping softly.

After a while, the man looked at the time and said, "I have to go to work. There are still some important things that I haven't dealt with."

The middle-aged man is explaining to his wife.

The woman turned her head when she heard the words, her voice hoarse: "Fang Chujun, how long are you going to be busy? Now that your daughter has been amputated, you only know about work. Do you still have this family in your heart?"

"When Mom was in the hospital, you didn't care, and your daughter had such a big car accident, and you didn't plan to care?!"

"Do you only know your job?"

The middle-aged man, hearing the words, paused, his body trembling slightly.

"I can only use my spare time to take care of it, and I can't help it. But I really can't spare so much time. I still have urgent things to deal with now."

"It's been so hard for you these years." The person named Fang Chujun closed his eyes after finishing speaking, and then walked down to the hospital without hesitation!

The woman did not rush to catch up, but was about ten minutes after the middle-aged man left.

I made a phone call and said, "Let's get a divorce. I'm really fed up with this kind of life. My daughter is everything to me. You don't love her, but I love her. She has become like this now. It's mine. You don't get along with me." I'll grab it."

"Muyin, listen to me, I love you and my daughter, but we are now working on a big poverty alleviation project. As the person in charge, I must be present."

"I'm done with my work. I'll come back to accompany you and my daughter. Don't be impulsive." The person opposite was very calm, just talking about the problem without any emotion.

"I don't want to be impulsive. When did I become impulsive? Your daughter was blocked at the door by the doctor who rescued her because of you. You don't even dare to fart, do you? Are you still a man?" The woman's emotions slightly Kind of exploded.

Fang Chujun frowned fiercely, and covered his forehead with his left hand: "Muyin, this Xu Kairan, other people don't know what's going on, how can you not know?"

"Last time, it was my mother who had a sudden cerebral infarction and had to be monitored urgently. After being sent to Changshi No. [-] Hospital, the director there could only spare a bed. You already know who it is."

"Originally, there was a ward for high-ranking officials and ICU, and there were vacant beds, but they were reserved. What do you say about this matter? Xu Kairan's family is not of the same generation. In the end, it was not the secretary who came forward to take care of this matter. Now that the matter is down, how do you think this matter is going to make trouble? Is the trouble going to end?"

"Muyin, when a person has the ability and financial strength, he pays attention to a reputation and a filial piety. That matter itself is not kind."

"What does that have to do with my daughter?" The woman named Muyin broke out completely.

"She's just a child, so what does that have to do with us? You're a coward."

Fang Chujun took a deep breath, and then continued to calmly analyze to Muyin: "The daughter's amputation has nothing to do with Fang Chujun? Do you blame him for stopping Dr. Zhou from Director Lu's mouth? Or did he give Director Lu to the doctor?" Delayed?"

"Changshi Traditional Chinese Medicine Hospital, except for Director Lu and Dr. Zhou, can't continue to operate?"

"If I can find his fault, do you think I will sit idly by?"

"Muyin, let me tell you that the reason why that Xu Kairan didn't make a fuss is to a certain extent, it's because of the face of what I'm doing now. They didn't make a fuss, it's already giving face."

"But for this kind of thing, it is inevitable to have hatred in your heart. You must wait for the opportunity to retaliate and use your own methods. If you want to use evil, what can you do? Can you kill people without leaving a trace or lock them up?"

"Who do you think you are, now is a society ruled by law!"

"Do you think I don't want to kill that animal? But if you do, how can you ensure that your daughter will not be harmed by anything other than an accident? This time it was just an accident."

"This time it's just Xu Kairan's uncle, what about next time? Where's his father? Where's his uncle? Have you thought about these issues?"

"Also, the reason why Xu Kairan couldn't find him in this matter is because Xu Kairan had always created this character design in Changshi, and he just wanted revenge!"

"But others retaliate within the rules." Fang Chujun was so calm that he analyzed the pros, cons and importance of the matter to Muyin.

At the same time, on the other end of the phone, Mu Yin was crying so desperately that she leaned against the wall slowly, and when she squatted down, she imagined that her daughter might lose her legs in the future, and might even turn into a vegetative state.

She was also very desperate, and shouted: "Ah! ~~~~~~"

"Muyin, calm down, the matter is not over yet, it's hard to conclude, let's think about our daughter's condition first, survive first, and then think of other ways."

"On Xu Kairan's side, I'm still collecting details, and this car accident, whether it was an accident or not, if I find any doubts, he, Xu Kairan, should be punished, and he won't be able to escape at all."

"Plus, he's going to have to bear the wrath of a father."

"Don't get mad at yourself. Think about your daughter. After the operation is over, when you wake up, you want to see you, eat, be encouraged, and maybe be afraid."

"I will come back as soon as possible, but if I haven't, I hope you can keep her from being alone." After Fang Chujun finished speaking, he breathed a sigh of relief.

"Mayor, shall we go directly to the meeting place now?"

"Well, finish the meeting first. Then complete the reception procedures."

"Xiao Wang, by the way, in two days, when the inspection team is gone, you can arrange for me to prepare a car, preferably a gas-burning car. I plan to drive for a self-driving tour. Relax." Fang Chujun Tell your driver.

The person named Xiao Wang slammed on the brakes.

Your daughter has become like this?You go on a road trip to relax?

But then, he seemed to think of something again and dared not speak.

"Remember this." Fang Chujun leaned his back against the leather chair, and slowly closed his eyes.

……

At the same time, Zhou Cheng and Lu Bin also arrived in the operating room.

On the operating table, Yang Yifeng asked the itinerant nurse meticulously for various instruments. The patient's chest and abdomen were split open, and the intestines, liver and spleen inside could be seen at a glance. In the middle of the body, it was the aorta. exposed to the public eye.

On the lower extremity, both teams are doing post-amputation cleaning operations, trimming stumps, thinning muscle, and smoothing bone stumps.

Beside the operating table, two large-scale extracorporeal circulation equipment in the heart surgery department are in operation...

At the same time, Zhou Cheng also saw that the dialysis equipment was running slowly in the operating room.

Seeing this, Lu Bin took the initiative to walk towards a person, who was Director Tong in the department, asking something.

After Zhou Cheng glanced around, he went out, washed his hands, and asked Xun Xun to dress him.

In the operating room, there were as many as five patrolling nurses. Seeing now, Zhou Cheng was about to come on stage suddenly, and they looked at each other in blank dismay.

Yang Yifeng glanced at Zhou Cheng, but said nothing.

Then, the orthopedics, thoracic surgery, and cardiac surgery teams all looked at Zhou Cheng curiously.

In the end, a person on stage said, "Dress Dr. Zhou."

"Okay, Director Guo." The roving nurse moved immediately, and the person who spoke was the chief director of the orthopedics department, Director Guo, and I still have to give this face.

After Zhou Cheng put on his clothes and double-layer sterile gloves, he walked towards Yang Yifeng and said, "Yifeng, how is the situation here?"

Zhou Cheng actually imitated some of Yang Yifeng's skills, but he definitely didn't have Yang Yifeng's mastery. He has already seen that Yang Yifeng has treated several abdominal aortic wounds, and is now suturing the partial damage.

There is also a section of the aorta with a torn intima, and it is estimated that a blood vessel replacement operation must be arranged.

"It's not bad. The current state is better than when I first came in, but whether I can save my life in the end is another matter. Moreover, the patient's head hematoma has not yet been treated in time. Changshi No. [-] Hospital Neurosurgery is heading here."

"Before, there was a large area of ​​embolism in both lower extremities, a large amount of necrotic material refluxed, resulting in electrolyte imbalance, and a large amount of creatinine and other wastes accumulated, so I had to amputate the limbs. Now the situation is better." Speaking, while operating seriously, it seems that the two sides have no influence at all.

"That's good!"

Zhou Cheng nodded: "Neurosurgery, what diagnosis are you considering? Is it fatal?"

"She is lucky. The intracranial hematoma is just a relatively small intradural hematoma, but it does not rule out other traumatic brain injuries. This needs to be seen by a professional. I don't have time to deal with it."

"Lung contusion in the thoracic surgery department is not a big problem. Now, the blood circulation is undergoing heparinization and extracorporeal circulation. If you still can't survive this situation, then there is really no other way."

"The intracranial problem, at present, should be fine. Although the patient is currently in a coma, it is considered to be caused by insufficient blood volume, which has little to do with neurological shock. Now that the blood volume has recovered, the blood pressure has gradually stabilized. "Yang Yifeng continued to explain that during this period, he had already stitched up another gap.

At the same time, Yang Yifeng said: "The ischemic time of the kidney should not be too long, otherwise it will lose its activity. Let's do a temporary transfer of blood vessels first."

Yang Yifeng is very professional. In order to ensure the priority supply of blood volume to the brain and lungs, he cut off the renal artery. It is estimated that there is still a thrombus. Therefore, he first made a transfer of the renal artery to temporarily restore the renal artery. blood supply, and then consider others.

Seeing that Yang Yifeng was busy, Zhou Cheng had dealt with many more fatal points at this moment, and now belonged to the stage of repairing and rescuing organ functions, so he also breathed a sigh of relief.

Said: "Then you deal with this side, and I will transplant the amputated limbs."

Yang Yifeng was stunned when he heard the words, the movements of his hands froze, and he slowly turned his head.

At the same time, the two orthopedic teams who were dealing with the stump after amputation were there in a daze.

In order to save the patient's life, they amputated the limb. What is Zhou Cheng talking about now?He wants to re-transplant the amputated limbs.

My brother, can we not make trouble?

You will make us very passive like this.

Moreover, the limbs that have been amputated, can they still be revived?Can the nerve still be used?Aren't you forcing difficulty?

Zhou Cheng saw that everyone reacted differently, although he understood what they were thinking, but now he came to Changshi Traditional Chinese Medicine Hospital as an instructor, not a low-level doctor.

He has the authorization of all levels of surgery, and belongs to the right to be the chief surgeon after the chief orthopedic director. Therefore, Zhou Cheng doesn't have to feel guilty.

Just said: "When there is too much blood loss, temporarily puncturing the patient's artery to ensure blood supply to vital organs and redistribute arterial blood is an emergency avoidance."

"Because of the large-scale necrosis of the limbs, amputation is adopted to improve blood circulation and reduce the burden of cleaning the body. It is also a kind of first aid measure, which is nothing."

"When the patient's vital signs are stable, we then transplant the severed limb. Even if it only restores the patient's original shape, it is better than amputation in terms of the patient's aesthetics."

Lu Bin's scalp was numb, and then he had to stop talking with Director Tong, walked over, first greeted Director Guo, and then helped to explain: "Director Guo, Dr. Zhou is the current instructor of our department. The theory and operation level are very solid, we might as well listen to Dr. Zhou's strategy to deal with the massive necrosis of both lower extremities."

"Let's make a final decision."

The person named Director Guo stared blankly. He knew that Zhou Cheng's background was unusual, and he was also an instructor. Otherwise, even if Lu Bin said this, he would be angry. What are you?

Think of yourself as a fairy?

Zhou Cheng continued: "We all know that after the thrombus in the affected limb recanalizes the thrombus, the necrotic tissue and a large amount of metabolic waste in the blood reperfuse the internal blood circulation, which will lead to irreversible vascular recanalization—perfusion injury. It's the nature of the damage."

"Metabolism wastes have a strong burden on our body's normal cells, cleaning system, heart, lungs, and kidneys. The most serious ones can lead to death."

"In such a situation, it is a very dangerous thing. But if we make good use of the hemodialysis machine, we can avoid this problem to a certain extent."

"If we can put multiple venous dialysis devices into the venous return of the lower limbs at the same time, so that the multi-level metabolic waste can be cleaned up during the blood return process, then this problem can be avoided to a large extent."

"Let's not underestimate the capabilities of dialysis equipment. Whole-body hemodialysis is just a matter of a few hours. Our patients don't need whole-body hemodialysis at present, so it is still feasible."

"In addition, such an operation costs a lot. I don't know if the patient's family is willing to bear the cost?"

The cost of dialysis is not low. This kind of operation idea is not prepared for ordinary people at all.

But there was no way, Zhou Cheng was very angry and angry.

But what he was angry with was not Xu Kairan, but Xu Kairan, who actually judged other people's life and death and the right to be treated from the sidelines.

Zhou Cheng finds this unacceptable.

The bad guys have their own way, Zhou Cheng didn't go against Xu Kairan, it's wrong, but he still wanted Xu Kairan, so he couldn't achieve it.

Obviously, Xu Kairan held him back just to make the little girl's condition worsen, amputation, and vegetative state are all mild, and it is very likely that she will directly gg Smecta.

That Zhou Cheng would definitely not do what he wanted. If this little girl died before he entered the operating room, or there was no possibility of resuscitation, then it can only be said that life and death depend on life and wealth.

But since he arrived in the operating room and the little girl's condition is still stable, it can only be said that the little girl's luck is not bad, and Zhou Cheng just has the ability to prevent her from encountering all this.

Although what Zhou Cheng said seemed to be true, Director Guo still hesitated: "Is this feasible? Doctor Zhou, is the risk a bit too high?"

Before Zhou Cheng could reply, Yang Yifeng became angry: "Director Guo, if you think the risk is a bit too high, why don't we go out to rest together now, and forget about giving up the rescue. Anyway, if you don't continue to do anything, it won't be troublesome." .”