medical simulator

After finishing speaking, without waiting for the reaction of the two handwashing nurses, he inserted the catheter deep again as if returning to his own home, ten seconds later!

It's like taking the thrombus out for a walk like taking your own pet dog.

Yes, just walking the dog, pulled out like this.

It was only a minute before Zhou Cheng started the operation, and two thrombi were already removed.

Jin Kaishi was a little numb: "Is this how you remove the thrombus? Dr. Zhou?"

Hearing Jin Kaishi's question, even Professor Jiang, who is more dignified in neurosurgery, couldn't help but look over and asked, "Professor Ding, is this Zhou Cheng? It looks pretty good. You need to be more aggressive." "

Jin Kaishi said: "Professor Jiang, this should not be simply called fierce! It should be a tiger descending the mountain, close to invincible state."

"Professor Jiang, I'm so wronged. Our talents in vascular surgery have been snatched away by the orthopedics department. How do you think we will develop?" Jin Kaishi began to complain.

"Professor Chen, you have to discuss with the leaders of the institute."

The movements of Zhou Cheng's hands slowed down a little bit, at least it didn't look so violent, but he was familiar with his hands, no matter how slow he was, it wasn't too slow.

Still took out the fifth thrombus step by step, and started to work left and right, pulling it out all at once, as simple as picking out earwax.

Hands are very measured.

Zhou Cheng doesn't care about other things. Now he doesn't need to explain to anyone. If you don't know it or you don't know it, you can read and learn by yourself. Whether you can understand it or not has nothing to do with me.

I have no right to be responsible to anyone, because no one needs to be responsible for me anymore.

"Could this be the patriarch's feeding?" Jin Kaishi also praised people for not being afraid of blowing people up to the sky. With one sentence, Zhou Cheng was blown to the extreme, and he was not afraid of Zhou Cheng's thin skin and would blow up all of a sudden.

Zhou Cheng still continued his operations as if strolling in the courtyard, and as his theory of vascular surgery became more and more perfect, he discovered that some thrombus in the branch vessels can actually be ignored for a while!

As long as the main artery is connected, there will naturally be a capillary network to provide blood supply to the surrounding muscles and other soft tissues without necrosis. Anticoagulation after surgery will slowly dissolve the thrombus.

The last time I performed an operation on Lu Ganzhou, it was a bit too time-consuming.Can be more perfect.

About three to four minutes later, Zhou Chengcheng removed the thrombus in his left upper limb.

When Zhou Cheng announced the end of the operation, even Yang Yifeng slightly raised his head.

Glancing at Zhou Cheng: "The fast male representative of our hospital is going to be replaced."

Qin Qi and the others beside him were laughing there.

When Zhou Cheng was about to open the vascular sheath of his right upper limb again, Zhou Cheng checked his blood pressure again, and it was still not very stable.At that time, he said: "Professor Jin, Professor Chen, and Professor Jiang, the patient's blood pressure is not stable now."

"Shouldn't we spot the bleeding points all over the body first, and then do the follow-up operations slowly? Otherwise, the blood pressure will always be so unstable, the anesthesiologist is terrified, and we don't feel at ease when we perform the operation."

The reason why Zhou Cheng dared to say it now was because everyone knew about his strength and ability. After knowing this, he didn't need to cover up and pretend, and he didn't need to explain too much.

Help is the Lord!

Just kidding, after the patient's life is guaranteed, everyone can drive casually, but now, the patient is obviously not out of danger.

Jin Kaishi hadn't even reacted to Zhou Cheng's words!

Yang Yifeng understood it first, and said, "Do you want to intervene?"

"Itinerant teacher, please take the interventional surgery kit."

Jin Kaishi was stunned for a moment, and asked, "Xiao Zhou, who are you?"

Can I still know what you guys are going to do?

"Hemostasis through intracranial and intravascular catheterization of abdominal organs." Zhou Cheng said calmly.

Zhou Cheng didn't talk much.

Everyone could understand it, but Jin Kaishi, who really understood what Zhou Cheng was going to do, took a deep breath at that moment!

Professor Jiang from neurosurgery was stunned, and raised his head: "Ah? What did you just say?"

If he heard correctly, Zhou Cheng seemed to want him to step down just now.

After all, what kind of operation is super-long-distance blind operation for endovascular hemostasis?Professor Jiang has rarely heard of it!

It's hard for ordinary people to imagine, and it's hard for professors to imagine. I'm afraid that except for Zhou Cheng, almost no one can do it.

Jin Kaishi looked at Zhou Cheng tremblingly with excitement, and asked, "Really?"

Jin Kaishi was very excited. If what Zhou Cheng said was true, when Zhou Cheng came to the Department of Vascular Surgery, he must have gone to the dean's office to pat the table with the dean!

Dean, this person came to our Department of Vascular Surgery, and the Department of Vascular Surgery of the Second Attachment is nothing. In Hunan Province, the Department of Vascular Surgery of the First Attachment is the vascular surgery department.

The country can at least enter the top five.

Our title can even be written like this, the vascular surgery of the Affiliated Hospital of Shonan University is invincible!

others.

You please feel free!

"Theoretically it can be achieved, but operationally?" Yang Yifeng looked up at Zhou Cheng.

"You don't seem like a braggart. Have you ever tried such an operation before? If not, let's be more cautious."

"In the abdomen, you can try it. Let's not try the blood vessels in the brain, okay?" Yang Yifeng also felt that what Zhou Cheng said was a bit too fantasy, so he quickly used it as a stepping stone.

The neurosurgery department at the Affiliated Hospital of Shonan University is not a vascular department. You'd better be honest, otherwise you will be educated.

Chapter 415 Buy three catties of beef, two catties and nine taels of beef X!

Yang Yifeng has said this, and he can hear the momentum in Zhou Cheng's words, and the other professors are no exception.

Professor Jiang Hong of the Department of Neurosurgery had a slightly stiff expression.

Jin Kaishi looked at Zhou Cheng with a stunned expression, feeling that Zhou Cheng was a bit impatient and didn't understand the world.

After hearing this, Chen Xianyun's expression was completely different from that of Jin Kaishi, and he said in a strange tone: "Professor Ding, this little brother is quite like the head of your orthopedics department, Lei Zhong."

Lei Zhong is now the chief director of the Department of Orthopedics and the director of the hospital.

But Lei Zhong from the Department of Orthopedics is notoriously courageous.

It can be said to be audacious.

Professor Xu, the former director of Orthopedics and Joint Surgery, Lei Zhong's own teacher, was terrified. When Lei Zhong was in the second-line class of general inpatient and emergency department, he also surprised other professors of surgery.

Later, Lei Zhong was separated and went out alone, and Lei Zhong was strong enough to make a name for himself.

Ding Changle naturally understood that Zhou Cheng's words just now were quite ambiguous, so he said, "Professor Chen, Professor Jiang, you may have misunderstood Xiao Zhou's meaning."

But even Ding Changle's explanation could not eliminate Chen Xianyun's feeling of discomfort.

What do you call you to do endovascular hemostasis in our general surgery department? Are you looking down on me or who?

The general surgery department did not provoke you. Our splenic artery and superior mesenteric artery can be tied at any time. Why do we need your help?

Bleeding from the liver and pancreas, no matter how much I could manage, it wouldn't kill me.

No matter how bad it is, the most extreme case.Even if the patient dies in the end, we can't just blame our general surgery department!

Now the trauma is so big, so much blood flowed out before the operation.

You young man, you don't give yourself a way out when you talk big.

After hearing this, Zhou Cheng hurriedly explained: "Professor Chen, you misunderstood, I just wanted to make the patient's bleeding less."

The meaning of Zhou Cheng's words is just to mention a little bit, if you want it, you are willing, if you don't want it, you don't want it, just say it, the most important thing now is to save time and treat patients.

Zhou Cheng didn't want to pretend or do anything else, the most important thing was to see if he could bring people from other departments to make something.

Now his position in orthopedics can be independent, and he only needs to build his own team.

However, Zhou Cheng knows that the emergency department is definitely not only a disease of orthopedics, but a comprehensive disease, which requires many subjects, or even joint subjects.

Chen Xianyun kept silent and did not try to compete with Zhou Cheng.

He was originally Zhou Cheng's senior, and although he was quite upset, as long as Zhou Cheng didn't say that general surgery is not good in front of him!

Now that Ding Changle is face to face, he is too embarrassed to tangle with a junior.

Besides, Zhou Cheng did have something in his hand, if he couldn't even tolerate a few words, he would be too stingy.

This is out of his own demeanor, and he doesn't take Ding Changle seriously.

No matter how bad it was, Zhou Cheng was an orthopedic specialist, so even if he couldn't speak or behave, someone would discipline him.

It's not his turn to take care of it.

He mixes too much, but it will make Ding Changle feel that he thinks Ding Changle can't be a man or a teacher!

If you can't manage the people in your department well, come here to show off your power, who do you want to hit?

They are all colleagues and old brothers, so there is no need for such a misunderstanding.

However, Professor Jiang Hongjiang from the neurosurgery department glanced at Zhou Cheng, but he didn't intend to let him go, and said, "Professor Ding, your orthopedics department has developed some new techniques recently, and now you are here to help our neurosurgery." The discipline of surgical development is not bad.”

The Neurosurgery Department of the Affiliated Hospital of Shonan University has a very high status in the world and belongs to a trump department.Compared with the whole country, the comprehensive strength of orthopedics is not as high as that of neurosurgery.

It's just that no one brought it up on the surface.

Ding Changle knew he was wrong, so he immediately laughed too, and didn't speak yet.

But Jin Kaishi spoke up and said, "Professor Jiang, why don't we do this? It happens that Xiao Yang and Xiao Zhou are both here now, and our vascular surgery department just takes this opportunity to go further."

"You also know that in special emergency situations, patients cannot undergo surgery under CT monitoring."

"So traditional interventional procedures are less applicable in such patients!"

"However, if Xiao Zhou and Xiao Yang have a special solution."

"It's not crossing the line to disturb Professor Jiang's normal treatment in your department."

Jin Kaishi is desperate.

Anyway, the strength of vascular surgery is like this, just gamble, if you win the bet, you will win, and it doesn't matter if you lose the bet, just continue to be the second child if you show bad looks.

It's the second child of Dangxiang Province, not that kind of second child.

The interventional operation of intracranial blood vessels is firmly in the hands of neurosurgery.

The neurosurgery department will send people from their own department to the interventional department to complete the patient's intracranial angiography, hemostasis, aneurysm clipping and other operations.

But these are all performed under imaging monitoring, which is a visualized operation. The current condition of the patient is not suitable for such monitoring.

Jin Kaishi said this to express his attitude and request to Jiang Hong.

In the departments of the Affiliated Hospital of Shonan University, the proportion of cerebral angiography and intracranial intervention-related operations is still quite large.

Vascular surgery to intervene in intracranial blood vessels is not beyond the rules, but it is also beyond the rules.

As long as the neurosurgery department doesn't make a fuss, it's fine.

In most of the top hospitals, there are such interdisciplinary departments.

There is no shortage of sources of disease in neurosurgery, and sometimes patients need to be temporarily transferred to a nearby hospital like Shashi First Hospital for a few days before they can have a bed for surgery.

So don't worry about the source of the disease at all!

But what about vascular surgery?It belongs to the kind that can't go up or down.

But no matter how others do not lack sources of disease, the number of patients involves the survival and development of each department!

Jin Kaishi had no choice but to ask Professor Jiang Hong for his opinion.

However, although Jin Kaishi is not going to grab a routine patient, but in this emergency situation, the patient is not suitable for CT or MMR monitoring of intracranial blood vessels. Jin Kaishi feels that he can still intervene a little bit.

For such patients, if the bleeding is stopped by traditional craniotomy, the speed is far less than that of interventional surgery.

Moreover, the trauma of interventional surgery is also small. The reason why it was not performed in the past is because the intracranial blood vessels are complicated. At present, it is estimated that in the world, except for Zhou Cheng who can blindly perform intracranial blood vessel hemostasis and other related operations, no one else can repeat it.

Well, since such an operation can be used as a new direction for the development of vascular surgery, Jin Kaishi, who has a very clinical sense of development, can only ask Jiang Hong for something cheeky!

If the department wants to continue to develop, every department needs it. If Jin Kaishi wants to climb up, he must have ambition. If he wants to surpass the Second Attachment, then he has to change his strategy and follow the old path of the past, which is definitely not possible.

Professor Jiang Hong's expression flickered for a while, and he replied: "Professor Jin, what you said is also reasonable."

"Hemostasis of intracranial blood vessels in emergency patients with trauma is indeed a big problem at present. Our department?"

Then he stopped talking.

In fact, Jiang Hong really wanted to ask, should we let our department also undertake this business together?

Because they usually send such small bleeding to Shashi No. [-] Hospital for treatment, or transfer them to other places.

No beds.