medical simulator
Page 640
"Professor Wang, can you wait for the patient's current vital signs?" He also specifically asked the anesthesiologist, Professor Wang.
"Wait, it's not good for medical staff to receive too much CT radiation. However, the dislocation of the third and fourth cervical vertebrae causes compression, which can easily lead to spinal cord crisis, so it must be dealt with as soon as possible!"
"The sooner the better."
"It's just the reset of the cervical dislocation, not!" the anesthetist named Professor Wang was talking.
Zhou Chengcheng ran out again wearing a lead suit.
In everyone's view, Zhou Cheng basically just ran to Yue Xin's side and broke her head.
looked at him in astonishment.
Zhou Chengcheng looked at the screen, but saw that no one else was moving. Zhou Cheng, who had a lot of battlefield first aid experience (obtained in the previous simulation, see more than 160 chapters for details), came immediately: "Teacher, I can do it now." .”
"Go ahead and take pictures, don't waste time."
"You're done?" Professor Wang was stunned. What's the matter with you? In the time it takes for us to say a few words, you finished the reset and came back?
"Let's take a picture. I just did a temporary reduction, and I need to fix it later. Has the spinal surgeon come over?"
The comrades in charge of taking pictures went to take pictures.
Professor Wang turned his head left and right a few times, and then saw the zombie face of the old acquaintance in the spine surgery department, and the expression in his eyes was completely bewildered.
He said: "The spine surgeon was almost sent away by you. Professor Lu is standing next to you. In our hospital, Professor Lu Guoqiang specializes in cervical spine surgery."
Professor Wang's words brought Lu Guoqiang back to his senses: "Young man, can your dislocated cervical spine be restored like this? What did you do before?"
"I'm in orthopedics. Teacher Lu." Zhou Cheng didn't explain too much, he was as arrogant as a professor!
Chapter 4 Ten
"Not bad, not bad, so young, with such strength, if you want, come to work with me, are you willing?" Lu Guoqiang fell in love with Zhou Cheng with just one glance.
Zhou Cheng, who was about to rush into the operating room, staggered when he heard the words.
What's all this, shouldn't it be time for first aid?
However, although Zhou Cheng didn't reply, Professor Ni from the general surgery department who participated in the emergency consultation knew Zhou Cheng.
He smiled and said, "Professor Lu, if Xiao Zhou was willing to come to Huashan Hospital, he would have already been hospitalized in the Ninth Hospital of Shanghai. This is Zhou Cheng."
"Now he is a doctor at the Affiliated Hospital of Shonan University. I heard that he should be quite famous in your orthopedics department."
After hearing this, Lu Guoqiang touched the mask and sighed: "Let me just say, if you were from our hospital, how could I have never seen you before. So it was you, Zhou Cheng."
"Then I can't remember."
And just after the CT results were established, when everyone was reading the films, suddenly a green suit rushed in from the isolation room.
He should be a middle-aged man, and he has a particularly violent temper. Professor Wang who was reading the film and Professor Ni from the general surgery department were directly cut off by him.
The action was very fierce, but the tone was polite: "I'm sorry, let me go!"
His voice is very elegant, but this movement is very irritable!
Unprepared anesthesiologists Professor Wang and Ni Yun were pushed to the point of falling, but they were able to stand still by leaning on the wall.
Professor Wang immediately cursed: "Who are you? What subject? What do you want to do?"
"I don't have a department! Don't bother me with nonsense. Thank you!" The middle-aged man said the most ruthless words in the most gentle and refined tone.
"You fucking?!" Professor Wang's mouth started to twitch in anger.
Who is this really? What's wrong?
But the moment this man spoke like this, Zhou Cheng, who was listening to a few words beside him, recognized his tone.
"No, Mr. Lu? Are you Mr. Lu?" Zhou Cheng's eyes were full of astonishment, and he held his head with both hands at the same time and began to scratch violently!
This is Lu Ganzhou, what the heck.
Zhou Cheng would never forget this voice in his life, but if it was Lu Ganzhou, who was the person he rescued today?
Who is lying in the ICU?
Hearing this, the middle-aged man turned his head and glanced at Zhou Cheng, and quickly recognized Zhou Cheng. He didn't reply, but continued to grab Professor Lu's mouse and began to move the CT layer up and down!
Lu Guoqiang swears that he has never met such a domineering and unreasonable person in his life.
"Hey! Why are you unreasonable?" Lu Guoqiang was robbed of his mouse and continued to curse.
This is not a vegetable market, you start pushing people to grab things as soon as you come up, this is an operating room, rescue is in progress!
Lu Guoqiang was talking, but he didn't look at Lu Ganzhou, but at Zhou Cheng. Since Zhou Cheng knew him, he hoped that Zhou Cheng would tell him who he was.
But Zhou Cheng didn't answer either.
Lu Ganzhou swiped up and down twice, then immediately dropped the mouse, turned around, and twisted Zhou Cheng up: "Follow me on stage!"
"Which one do you choose? The abdomen, or the anterior cervical approach?" Lu Ganzhou's tone could not be refused.
Zhou Cheng was carried for a while before he managed to regain his stride. When reading the film with Lu Ganzhou, Zhou Cheng also saw Yue Xin's main injured part, which was the cervical spine.
The abdominal injury is a blunt injury with organs, which can be detected, but may not need to be treated.
But looking at Lu Ganzhou's violent temper, I'm afraid he won't explain anything to him.
"Mr. Lu, for the cervical spine, it can be treated with transforaminal endoscopy, right? There is no intracranial hematoma, and then a laparoscopic exploration, with a few small windows, can be resolved."
"Cervical transforaminal approach, can you operate it?" Zhou Cheng was asking rhetorically.
Zhou Cheng can do it, but this kind of transforaminal endoscopy is rarely performed. For ordinary foraminal endoscopy, the patient needs to be in the prone position, but Yue Xin also needs to undergo laparoscopy at the same time.
You must lie on your back, so under such circumstances, you can only take the unclassic approach of the forward approach!
"Then you do the cervical spine, and I'll do the abdomen." Lu Ganzhou let go of Zhou Cheng, and began to brush his hands quickly.
However, Zhou Cheng and Lu Ganzhou's reply caused Lu Guoqiang and Ni Yun to be greatly insulted!
"What are you going to do? Xiao Zhou, I can understand. Who are you? You don't say anything about your identity. If you want to perform an operation in our hospital's operating room, who gave you the right?"
"I'm Lu Ganzhou, you may not know me, but I will perform my fiancée's surgery in person. If you have any questions, please call Gu Huo. Thank you!" Lu Ganzhou was a little more polite this time.
To Ni Yun and Lu Guoqiang, he nodded slightly.
"Who is Gu Huo? I don't know him!" Lu Guoqiang was not used to Lu Qianzhou.
"The director of the National Medical Patent Management Office of the National Health Commission of Huaguo, his personal phone number is 132XXXXXXX. Thank you, my name is Lu Ganzhou."
"I'm currently unemployed. My master's name is Gui Yuanping. This professor, I'm sorry." Lu Ganzhou didn't know Lu Guoqiang either, but he was a little polite.
These words of Lu Ganzhou instantly reminded Lu Guoqiang of something, and immediately shut his mouth obediently.
But seeing that Lu Qianzhou was about to enter the operating room and started to move his abdomen, this is Ni Yun's own specialty, but Ni Yun stopped doing it a little bit, and was about to speak.
Lu Guoqiang stopped him and said, "Professor Ni, this Lu Ganzhou is the former head and leader of the Qianzhou Group!"
In Huaguo, no one would be unaware of the medical equipment of the Qianzhou Group.
But Ni Yun was still a little angry: "Let me just say, who the hell has such a big temper."
"But it's not right. If his name is Lu Ganzhou, then what's the name of the person we're having surgery at noon today? I'm second!" Ni Yun was completely confused.
Lu Ganzhou and Zhou Cheng arrived at the operating table. There were no other assistants. Lu Ganzhou pointed at Zhou Cheng: "You will be in charge of the neck surgery. I will deal with the pneumothorax in the chest first, and then explore and deal with the abdomen."
"Zhou Cheng, don't let me down, thank you!" Lu Ganzhou still spoke very elegantly, without much emotional fluctuation, but his voice trembled a little.
"Okay, I'll do my best." Although Zhou Cheng hadn't done any spinal surgery in reality, he was still perfect in handling spinal surgery!
This is the skill reserve brought to him by the simulator, even for such a disease, he can easily handle it!
Moreover, Zhou Cheng can handle such micromanipulations as the intervertebral foramina mirror with ease!
Start disinfection!
Lu Ganzhou ordered the roving nurse to cut off Yue Xin's long hair and cut it to the ears.
The roving nurse still hesitated.
Lu Ganzhou was very sure: "If there is any problem after the operation, I will take care of it, cut it!"
"If there is an audio and video recording device in the operating room, you can turn it on directly and use it as evidence later!" Lu Ganzhou didn't have time to elaborate at all, and he used the most violent method directly.
Zhou Cheng immediately used the most violent method to start disinfection, but because it is a transforaminal lens, the scope of disinfection does not need to be very wide!
After disinfection, when Zhou Cheng wanted to avoid it again, Lu Qianzhou kicked Zhou Cheng: "No need to avoid, she is just a patient at the moment, she has no gender!"
The disinfection of the chest and abdomen must be very extensive, but Lu Ganzhou did not let Zhou Cheng avoid it.
And at this moment, Lu Guoqiang and others also heard the order, washed their hands and got on the stage, and began to help.
Perhaps because he also knew Lu Qianzhou's identity, Ni Yun asked, "Professor Lu, I only called one more assistant. Is that enough? If not, our hospital will always be fully staffed."
"You don't need too many people on the operating table." Lu Ganzhou said, the disinfection was done very quickly and his hands were steady, and the complexed iodine did not spill under the operating table.
"Does the thoracic surgery department need to call for help?"
"Lu Ganzhou, I can assist in opening the laparoscopic holes. Just tell me how many you want and which position you want!" Ni Yun continued to cooperate with the talk, in order to save time.
"Okay, thank you, two, left and right upper abdomen!"
"Give me a chest kit, I'm going to do closed chest drainage."
"Teacher anesthesiologist, pay attention to the patient's vital signs, thank you..."
"Purchase the order!" Lu Ganzhou's tone was completely commanding, and his movements were already extremely fast.
Zhou Cheng and the others quickly finished the order.
After putting on the sterile surgical gown, Lu Ganzhou dealt with the thoracic surgery problem with great trust.
He didn't even look at his abdomen and Zhou Cheng's neck.
Moreover, Lu Ganzhou's operation was extremely fast, and he punctured the bottom of the right lung very accurately, released some blood, and then connected it to a closed chest drainage device.
Before the thoracic surgery staff came to the stage, Lu Ganzhou handed over the operation to one of the equipment nurses for temporary fixation.
The hospital also cooperated very well. An equipment nurse was called to operate, and a roving nurse came up immediately, and at the same time, another roving nurse outside the operating room stepped in.
If it weren't for the fear that too many people would gather in the operating room and the turnover would not be open, ten people could be there!
When Lu Ganzhou moved to the abdomen, Ni Yun's first laparoscopic hole had not been fully opened.Lu Ganzhou took another round knife by himself. After breaking the skin, he passed through the muscle gap very neatly and pierced into the abdominal cavity!
Then start to connect the laparoscopic device and start ventilation.
This operation is irritable and gentle.
However, this operation startled Ni Yun who was on the opposite side. I don't know if he thought Lu Ganzhou was too reckless, or he thought Lu Ganzhou's operation was amazing.
"Can you do it?" Lu Ganzhou asked when he saw Ni Yun's hands shaking.
"Me!" Ni Yun calmly took two breaths.
Considering Lu Ganzhou's identity and the current relationship between Lu Ganzhou and the patient, he immediately apologized: "I'm sorry!"
Then the speed of the operation was slightly accelerated, and the quality was also guaranteed!
After inflating, Lu Ganzhou put the laparoscope in, and started the inspection!
"Professor Lu, the operation hole can be connected." Ni Yun was afraid that Lu Ganzhou would scold him again and make him lose face.
"Okay! Wait for the tweezers first, and prepare the plasma electric knife." Lu Ganzhou did not look at Ni Yun, gave him absolute trust, and then began to explore the liver lobe, the surface of the spleen, and some organs in the pelvis.
In the end, only the surface of the liver lobe was found with contusions, but the spleen was severely damaged.
Intestine is nothing, after all, it is just blunt trauma!
And just after the tweezers were brought in, Lu Ganzhou quickly moved the tweezers, tearing off the surface layer of the liver lobe, and you can see that the blood inside burst out instantly, as if there was a hidden damage!
But Lu Ganzhou didn't rush to stop the bleeding, but slowly pushed aside the damaged liver lobe tissue, bit by bit, very carefully.
After seeing it, Ni Yun suggested to ask: "Professor Lu, do you need to open another operation hole? Such bleeding is not a problem after all?"
"Prescribe one and prepare the equipment for liver lobectomy." Lu Ganzhou did not refuse.
However, when Lu Ganzhou was doing this, he found a head and squeezed it over.
And still talking: "Mr. Lu, two holes are enough, three holes are made, are you planning to suture the spleen at the same time?"
Lu Ganzhou's hands trembled in fright, and he almost let go of the manipulator where the tweezers were located.
Then he glanced at Zhou Cheng, and his voice was strange: "Have you fixed your cervical spine?"
The tone and look are complex.
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