medical simulator
Page 644
Zheng Xianlin was in the third year of the general hospitalization, and he knew his name when he was Dr. Chu Lin.When he was in the Department of General Surgery, Zheng Xianlin had already been admitted to the hospital as a full-time employee.big brother.
Zheng Xianlin said casually: "Chu Lin, are you so confident? I have to take a good look. I guess we have to call the professor to come on stage."
As Zheng Xianlin spoke, he began to change the CT level: "Spleen is severely contused. Kidney contusion, pancreas contusion, liver contusion..."
"Is this because the abdominal cavity was gnawed by a mouse?"
"Traveling, urgent consultation with the Department of Urology!"
"Okay, Brother Lin." Xun Xun is also an old acquaintance with Zheng Xianlin, after all, he has been hospitalized for three years.
When Zheng Xianlin then looked at the layer below, Zhou Cheng's eye sockets shrank slightly.
Alas, it seems that the general inpatient of the vascular surgery department must be called!
There was bleeding in the pelvic cavity and abdominal cavity, and, Yang Yifeng came, so I can cooperate later.
Zheng Xianlin glanced around and saw Zhou Cheng three times. He felt that he was a bit in the way, but he didn't do anything. He asked, "Which subject are you following as a regular trainee or a graduate student? Get out of the way?"
This patient was sent to the emergency operating room!
The few people in the general surgery department didn't have much contact with Zhou Cheng before, so they didn't help.
Zhou Chengcheng said: "Thank you, brother Lin, for complimenting me on my youth. I'm sorry to block your way, brother Lin. I'm Zhou Cheng from the Department of Orthopedics."
Zhou Cheng didn't know Zheng Xianlin's name either, so he called him after others.
As he spoke, he stepped back a few steps.
Zheng Xianlin's pupils shrank a little at that time!
"I'm sorry! I didn't recognize it. Zheng Xianlin from the General Surgery Department." Zheng Xianlin quickly apologized, then pointed to the patient, and said, "Brother, go and see what's going on with you first, I'll buy you a drink next time." apologize!"
Zhou Cheng didn't remove the gauze, but just exposed the wound.
Chu Lin from the Department of Thoracic Surgery said with emotion: "Brother Zhou, the workload of your department is not small."
Zhou Cheng nodded: "It's not small, fractures in three places, debridement in four places. It's not ruled out whether the blood vessels were damaged."
But what Zhou Cheng didn't say is that the amount of work in your department is not as simple as you imagined.
Zhou Cheng retreated first, and at the same time called the bosses of several orthopedic wards.
This patient has multiple traumas all over his body, so he must be treated and operated on at the same time, so as to reduce bleeding, it is better to reduce bleeding.
After Zhou Cheng made the phone call, he hesitated a little, then returned to the operating table and said, "Has the boss of the vascular surgery called? This patient's limbs are so severely injured, but the amount of bleeding is not much. It is estimated that there are arteries in the limbs." Embolism, otherwise, the blood pressure would not be as stable as it is now."
"Moreover, there are multiple organ contusions in the chest and abdomen, which is even more suspicious. You see, there are still more than [-] high pressures."
Everyone glanced at the monitors, and they probably understood what Zhou Cheng meant!
But the problem is, they haven't done the corresponding inspection now!The diagnosis of thrombus depends on CTA. Where is the time to do it now?
Although he thought so, but it had nothing to do with him, he still called the emergency consultation number of the vascular surgery department.
……
After a while, Yang Yifeng ran in. After seeing Zhou Cheng, he gave Zhou Cheng a sideways glance, and then greeted several other elder brothers.
Zheng Xianlin said, "Your vascular surgery department is a bit troublesome."
Yang Yifeng glanced around, and saw Zhou Cheng was cleaning the wound.
The fluency and appreciation of the redefined debridement and suture exist at the same time.
It's like an elegant debridement machine.
Yang Yifeng saw that the nurse who washed his hands and several orthopedic surgery classes following Zhou Cheng were dumbfounded at first sight when they saw Zhou Cheng's debridement operation.
He also saw Zhou Cheng slice off some of the necrotic tissue like a piece of steak, without hesitation, his movements were smooth and delicate, without artificiality.
But the attack was so ruthless that he didn't hesitate at all.
Then there was gap debridement, Zhou Cheng used tweezers to stretch open the muscle gap, and the sharp knife began to scrape in the gap until a small amount of blood oozes from the surface of the muscle, and then he gave up...
Small stones and small pieces of glass were all taken out by Zhou Cheng's tweezers and put into the curved pan with a very crisp clanging sound.
The final result was that in about half an hour, Zhou Cheng directly completed the debridement and external fixation of an external fixation bracket.
After Zhou Cheng finished and bandaged the external dressing, he said, "Please call the boss of the vascular surgery department and tell them that they are ready for surgery."
The itinerant nurse froze for a moment, but did not respond for more than ten seconds.
"Stop rushing!"
"If you brag any more, I'll expose your awesomeness. Tell me, big brother, what are you asking me to do here? I will do my best." Yang Yifeng no longer pretended to be dead, and naturally recognized himself positioning.
When Zhou Cheng called him over, he was definitely not dealing with blood clots in the limbs. This little blood clot probably wasn't enough for Zhou Cheng to play with.
"Don't be kidding, open the abdomen quickly to stop the bleeding!" Zhou Cheng didn't look back, just ordered.
Chapter 414 I am invincible, you can do whatever you want
"Saving lives is like putting out a fire, and the emergency department is no joke. This patient's abdominal aorta is injured." Zhou Cheng didn't look back.
Hearing this, Yang Yifeng took a look at the CT first, then slowly took out his mobile phone and made a call: "Professor Jin, there is an emergency call in the emergency department, and I need you to come over, yes."
"Maybe there is an injury to the abdominal blood vessels. The abdominal aorta." Yang Yifeng said on the phone.
But these words frightened Zheng Xianlin: "Then should I open my stomach or wait for Professor Jin?"
Yang Yifeng didn't answer, but called Ding Changle again: "Master, I'm here for an emergency, and Zhou Cheng and I are on stage, but Zhou Cheng and I probably have to go for vascular surgery."
"Okay." Yang Yifeng hung up the phone casually.
And this scene stunned everyone in the operating room.
What's the situation?
Yang Yifeng, are you finally going to fight Professor Jin?
They are all from the Affiliated Hospital of Shonan University. Yang Yifeng has been to various departments and registered with them, so everyone has heard about Yang Yifeng's parents.
I thought that Yang Yifeng went to the Department of Vascular Surgery as the general inpatient, and could alleviate this matter, but I didn't expect it?
Now that Yang Yifeng called Jin Kaishi, did he ask him to come and watch the show or was it for the show?
Everyone really can't understand this coquettish operation.
Zhou Cheng turned his head and glanced at Yang Yifeng.
Ding Changle came here from a nearby home. Of course, he just bought this house not long ago. Lei Zhong said before that he intends to pass the position to him for the convenience of future work.
The real place where he usually lives is not in this house. Now, when he became the director, at least two years earlier, he just moved in.
After entering, Ding Changle happened to see Zhou Cheng finishing the orthopedic surgery, and his eyes shrank a little. It seems that Zhou Cheng is very proficient in hiding clumsiness. It turns out that Zhou Cheng is so good at micro-manipulation.
But he didn't say anything, he just said to Jin Kaishi who had already opened his abdomen with Yang Yifeng on stage: "Professor Jin, you are really strong, and you still go to the emergency room in person at this time."
Ding Changle is older than Jin Kaishi, and Jin Kaishi dare not accept such yin and yang aura.
In the past, what Jin Kaishi did made Ding Changle and him incompatible.
Jin Kaishi actually looks older than Ding Changle.He sighed, and then said: "Hey, brother Ding, you look much younger than me."
"I'm exhausted, and it's all thanks to your students!"
"Oh, it's not quite right to say that, now he's also half of my student."
"Hey! I'm old, and now I'm starting to goof around with students, and you'll know how I'm doing. Just fool around." Jin Kaishi said that he was worthless.
Jin Kaishi's words made everyone slightly taken aback, what's going on?
What is the master-student relationship between Jin Kaishi and Yang Yifeng?
It's so complicated.
"We are all getting old." Jin Kaishi said five more words meaningfully.
Ding Changle didn't answer the words, so no one else dared to answer.
It wasn't until a professor of general surgery walked in that he said in surprise, "Hey, what day is it today? Isn't the big surgery meeting in the emergency operating room? Lao Jin, Professor Ding, are you all here?"
"Hey, old Chen, you're here too." Jin Kaishi knew the person who came, it was Professor Chen Xianyun from the General Surgery Department, a famous figure in the Department of Hepatobiliary and Pancreatic Surgery.
Ding Changle, at this moment, was going to go out to wash his hands, and then began to take over Zhou Cheng's operation on stage.
He sighed and complained: "Professor Chen, Professor Jin is not kind. I will work for him, and my students will also work for him. Do you think this person is not very good?"
In addition to being a professor of hepatobiliary and pancreatic surgery, Chen Xianyun is also the director of the Department of Surgery!
He is also the director of the major surgery department, and is nominally the person who commands the entire surgery department.
Of course, it's only in name, and the chief of surgery wouldn't bother to take charge of the details of each department.
out of control.
The professional questions between each department are interlaced like mountains.But Ding Changle also wanted to file a complaint like this.
After hearing this, Chen Xianyun smiled and joked, "Then there's nothing else to say, just hit hard. Anyway, Lao Jin probably won't be able to beat Professor Ding in a fight."
Ding Changle's body is relatively strong. After all, he was born in orthopedics. With his strength, Jin Kaishi must have been beaten to the ground.
After hearing this, Ding Changle said: "Yes, I like to beat people according to the order."
The jokes made by Ding Changle and others are definitely not dared to be accepted by ordinary junior doctors.
Jin Kaishi knew that he was in the wrong, so he didn't bother to argue, so he smiled and said, "I'll admit it, I'll treat you to dinner, and we'll have a supper later. Those who see it will have a share."
When Jin Kaishi said this, everyone became excited, and the itinerant nurse hurriedly said, "That's a good relationship, but I'm going to kill you once, Professor Jin."
The tour name Qin Qi who spoke was in her 30s, and she was much younger than Jin Kaishi according to her age. She was only in the nursing team in the operating room. She was in her prime and belonged to the type who led the team.
"Mr. Qin is here, it's my honor." Jin Kaishi's words were full of deep meaning apart from being joking.
Qin Qi immediately said: "Professor Jin, you've wronged me. I'm just a person who likes to eat, but it's a pity that sister Zhu hasn't come to our operating room for a long time, which made us all lose weight."
Jin Kaishi's wife was born in the operating room before, and later transferred to administration.
Jin Kaishi hit a soft nail, and didn't bother, he hurriedly said to Yang Yifeng: "Xiao Yang, I'll replace the second assistant after finishing the vascular sheath."
As Jin Kaishi said so, he watched Ding Changle and Zhou Cheng go out to wash their hands at the same time, almost changing positions.
After speaking, he laughed at himself and said, "I also want to learn more from you young people."
I really don't blame him for that incident back then, there was nothing he could do.He felt very guilty for making Yang Yifeng shut himself up all these years.But if he did it, Yang Yifeng would probably blame him even more.
He can only find a way to make up for it!
Doesn't he want to save such a genius as Yang Yifeng?
It can be said that if he saved Yang Yifeng's parents, half of Yang Yifeng's life would probably be his. Who is Ding Changle?
The vascular surgery department of the Affiliated Hospital of Shonan University will definitely have better opportunities for development.
Yang Yifeng said, "Professor Jin, you are joking."
Then Zhou Chengcheng washed his hands and returned, and Ding Changle and other old men also took their places. At this time, Professor Jiang from the neurosurgery also arrived, and he brought someone over.
Professor Jiang's deterrence in neurosurgery is estimated to be too strong!
The Neurosurgery Department of the Affiliated Hospital of Shonan University ranks higher than the Department of Orthopedics in the country.
As soon as he came, the boss began to step aside nervously, and could only stand on tiptoe to watch Professor Jiang's operation.The associate professors next to Professor Jiang all looked obedient and obedient.
Zhou Cheng was preparing the corresponding tools for vascular thrombectomy. He looked at the condition around Professor Jiang of the Neurosurgery Department, and felt a little emotional. This is the subtlety of a department with Daniel.
You can rest assured.
Zhou Cheng didn't need to worry about anything else!
Yang Yifeng and Jin Kaishi were undergoing abdominal surgery, so they could concentrate on it at the moment and didn't need his help.As for him, all he needs to do is to remove the blood vessel thrombus, and if there is a need there, he will go to help.
This is also Zhou Cheng's trust in Yang Yifeng.
The thrombus removal catheter was directly inserted from the brachial artery of the left upper limb, and then the angle was adjusted slightly, and the thrombus was removed very neatly. Zhou Cheng looked at Yang Yifeng.
In the end, he was still a little curious about how Zhou Cheng performed blood vessel thrombus removal, and even Yang Yifeng felt ashamed.
So Jin Kaishi has been paying attention to Zhou Cheng's operations.
It's just that he has just started to locate the embolism there.
After Zhou Chengcheng had taken out the first proximal thrombus, he immediately continued the second operation with the spare catheter. After pulling out the thrombus strip, Zhou Cheng said to the equipment nurse beside him, "Please help me clean this strip." Catheter, I'll use it later."
"Master washing hands. Sterile cotton pads!"
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