medical simulator
Page 646
Jiang Hong knew very well that if neurosurgery could win such a subject, then the status of neurosurgery in the whole country would rise a lot, and it would even be possible to break into the top three in the country's comprehensive influence ranking next year.
This is very tempting to Jiang Hong.
The top-level hospitals are not fighting for harvests, but to create, to break through, and to continuously sink various surgical procedures that are currently mature to prefecture-level city hospitals!
Then go to find a bright road for the helpless patients in various departments.
This is what all top hospitals and top professors are doing, and Jin Kaishi is no exception.
"Well, let me see how Xiao Zhou does this surgery first, okay?" Jiang Hong didn't specify the type of disease, but he was curious.
"Go ahead, hemostasis is one thing, and hematoma removal is a must." Jiang Hong explained to the subordinate doctor.
Zhou Cheng didn't think too much, after getting permission from Jiang Hong and Jin Kaishi.
The itinerant nurse brought the equipment related to the interventional operation, and he immediately started the operation related to hemostasis.
Moreover, Zhou Cheng's current state of mind is very stable.
Because Zhou Cheng was afraid that Lu Ganzhou would die when he performed surgery on Lu Ganzhou.But the current situation of this patient is not so optimistic.
Zhou Cheng didn't have to worry about these problems at all!
With the experience of last time, Zhou Cheng can also be more familiar with it.
If you suggested an inappropriate decision, then do it well, and the patient's current condition is urgent, and saving lives is the top priority!
No one else knew what Zhou Cheng was doing!
Anyway, I saw Zhou Cheng directly inserting the interventional catheter into the introducer sheath for a long time, and after about a minute, Zhou Cheng said to the itinerant nurse: "Balloon..."
Zhou Cheng's words stunned Jin Kaishi and Jiang Hong who were communicating.
Jiang Hong asked in amazement: "You have found the location of the bleeding point?"
"If the bleeding point shown by the CT scan before the operation is not accidental, then the position where I stop the bleeding should be the middle part of the anterior communicating artery of the cerebral artery ring." Zhou Cheng said conservatively.
After Zhou Cheng finished the operation, he continued: "Mr. Jiang, I have probably completed the hemostasis operation here, but you still need to take the trouble to verify it for me."
"Thank you for your hard work. If the hemostasis is effective, I will proceed to the next hemostasis point to stop the bleeding."
It is normal for Zhou Cheng to speak politely.
Whether the hemostasis is successful or not, no one else knows except him. Only Professor Jiang Hong or the neurosurgery can verify it!
Except for the neurosurgery and ENT specialists, if other people perform craniotomy on patients without special authorization, that is death!
It is best for Jiang Hong to confirm the effectiveness of the treatment himself.
Jiang Hong is a professor of neurosurgery, so he is naturally very good at reading films, and his eyes rolled twice.
Then he narrowed his eyes and said, "Okay, wait a minute. Have you finished positioning? When you're done, drill holes for drainage!"
Jiang Hong's team is quite professional, and they have been prepared for a long time, and they can drill holes to decompress and drain at any time.
"Okay, Mr. Jiang." The neurosurgery staff are all answering, ready to operate at any time.
At the same time, I was also very curious whether Zhou Cheng was pretending to be aggressive, or if he really bought three catties of beef, two and a half catties of awesomeness.
"Then Professor Jiang, let me deal with other arteries first." Zhou Cheng said politely.
Jiang Hong waved to him, and stood in the operating position himself.
After Zhou Cheng finished speaking, he continued to extend the guide wire downward, and began to attack the organs of the general surgery department.
Zhou Cheng's speed is not very fast!
The splenic artery has been ligated by Chen Zhimo, but there is still bleeding in the hepatopancreas, which requires intervention.And there was a rupture of the superior mesenteric artery.
but.
Intervention here can be less subtle than intracranial.
Organs like the liver, pancreas, and lungs have their own segments, and the intestines are very lengthy, so segmentectomy can be done!
In an emergency, it can be more violent, and even a section of the artery can be directly blocked.
However, Zhou Cheng did not do this.
Professor Chen Xianyun ignored Zhou Cheng's words, and when he was carefully flipping through the pancreas for bleeding, he saw that the bleeding was gradually decreasing at the head of the pancreas, which was still bleeding. Check for trace bleeding.
Chen Xianyun immediately raised his head and looked at Zhou Cheng.
Zhou Chengcheng smiled at him.
Chen Xianyun put the scalpel away and said, "You did it? Blind embolism to stop bleeding?"
"Zheng Xianlin! Come up."
Zhou Cheng solved the crisis here, and he went down with a knife, which is really boring, and Zheng Xianlin can solve it.
Zheng Xianlin was immediately overjoyed, although Chen Xianyun looked down on such ordinary debridement or partial liver resection!
But such an opportunity.
For an ordinary general hospital like him, it was a great gift, and it was Chen Xianyun who personally handed him the knife. This was the authorization. The chief surgeon could still write about Chen Xianyun, he was just an assistant.
For him, routine and simple debridement operations such as ordinary bowel injury and appendicitis are his daily routine.
Now Chen Xianyun also feels that the liver and pancreas don't have too many worries, and he is willing to give him advice and give him the opportunity to exercise. This is an opportunity.
Zheng Xianlin hurriedly said, "Thank you, Teacher Chen!"
"You should thank your brother."
"Please trouble your brother more in the future, and buy your brother some more wine." Chen Xianyun joked and gave Zheng Xianlin directions.
Zhou Cheng is a thigh, if you want a chance, you have to establish a good relationship with him first, understand?
You are all hospitalized and young people, you don’t need me to teach you how to win a relationship, what is popular now.
It is not impossible to find time to touch and sing.
Zheng Xianlin immediately turned his head: "Thank you Brother Zhou! I may trouble you more in the future."
Zhou Cheng is currently focusing on the hemostasis of blood vessels in the liver!
He didn't pay much attention to what Zheng Xianlin said, but just subconsciously reflected the word Zhou in his name.
Don't turn your head to deal with it: "Sorry, wait a minute. I don't have time here."
The blood vessel system in the liver is very complicated, it can be said that it can be seen directly!
It is also very difficult to complete complete hemostasis, and the operation is very difficult.What's more, what is Zhou Cheng doing now?
Zhou Cheng froze for seven or eight minutes working together in the liver before finally shouting to the handwashing nurse: "Itinerant teacher, gelatin!"
The hemostasis of intracranial hemorrhage and the embolization hemostasis of hemorrhage in the liver require different things...
And at this time, after Jiang Hong easily cleaned out the blood vessels through a small hole for drainage through the drill hole, he laboriously and time-consumingly peeled off the brain gyrus, revealing the position of the blood vessels.
Looking at the blood vessels again, they were deflated.
That is to say?
Everyone looked in Zhou Cheng's direction, and confirmed this. If you buy three catties of beef, you will definitely get two catties and nine taels of it.
Chapter 416 Relying on Zhou Cheng's bragging is not bragging
Medicine is not a child's play, it is not simply repetition, nor is it pure speculation, it must be evidence-based.
Evidence-based is a process, and it is necessary to find good evidence.
Even Jiang Hong didn't think Zhou Cheng's previous joke was true until he saw the blood vessels deflated.
How could someone be able to do this surgery?
However, the facts speak louder than words, the living facts are right in front of him, even he has to believe it!
Now, the expression of Professor Jiang Hong, a top professor of neurosurgery, is generally the same as Du Li's reaction before.
Looking at Zhou Cheng, he didn't say a word, but seemed to express everything.
Zhou Cheng is now completing his operation, without paying special attention, looking away.
Jiang Hong was also waiting patiently for Zhou Cheng.
Surgery is not a child's play, it is not a joke, you can't just interrupt if you say it, and you can't ask a question just by saying it.
After seeing that Zhou Cheng didn't know why, he solved the bleeding at the superior mesenteric artery in a short time.
Jiang Hongcai asked, "Xiao Zhou? How did you do this intracranial blood vessel bleeding?"
Jiang Hong didn't ask Zhou Cheng to stop the bleeding again, but asked about the theory and process.
Hearing this, Zhou Cheng did not pretend to be cold: "Professor Jiang, can we discuss the process in detail after the operation is over?"
After finishing speaking, after Jiang Hong's special certification, Zhou Chengcai added a little bargaining chip for himself: "Professor Jiang, in fact, I have cooperated with Professor Du Li from the Neurosurgery Department of Huashan Hospital in Shanghai once before."
"Just before, in order to be more objective, I didn't say it."
Jiang Hong naturally knew what the hell Du Li was. This was the neurosurgery department at the Affiliated Hospital of Shonan University, and he was also a big neurosurgery brother whom Professor Jiang Hong admired and trusted.
It is impossible for Zhou Cheng to joke about such a thing.
After hearing this, he immediately decided: "Xiao Zhou, then you have the operation first, and we will have plenty of time to chat in the future."
"..."
Zhou Chengcheng reversed the direction and completed the bleeding and hemostasis of the two intracranial arteries again.
However, the removal of the intracranial hematoma was not so fast, so after Zhou Cheng finished, Jiang Hongcai led the team to slowly clean up the hematoma in other directions, and verified Zhou Cheng's hemostasis results one by one.
Just when Zhou Cheng started to remove the thrombus from the extremities, Jiang Hong completed the observation of the last bleeding point: "Three bleeding points have been treated, although the possibility of further bleeding cannot be completely ruled out at present."
"However, the current hemostatic effect is very strong. Xiao Zhou's surgery was done very well."
"Saved us a lot of time..."
Zhou Cheng was doing surgery, but he didn't reply. Chen Xianyun from the Department of Hepatobiliary Surgery replied, "Young people nowadays are becoming more and more remarkable. Our current surgery team is also getting younger and younger. This is a good thing." .”
"Professor Jiang."
Jiang Hong nodded, no longer disturbing, but switched from the main surgeon to the first assistant, patiently teaching the junior doctors in his team...
An hour and a half later, Zhou Cheng finally completed the thrombectomy of the thrombus in his extremities!
At the same time, Yang Yifeng also finished dealing with some diseases of the abdominal aorta.
Lu Cheng said: "Yi Feng, I will leave the next operation to you. I will help Professor Ding."
In fact, there is still some finishing work, but Zhou Cheng looked at the operation panel, and it was already past twelve o'clock.
Ding Changle, as an old professor who is about to take over as the director of the Department of Orthopedics, is still fighting in the clinical frontline, which is not good.
Although the safest way is for him to finish all the vascular surgery operations, it is best to start and finish.
Leave some tails for others to sweep the tail, and there is a slight suspicion of disrespect.
But the opponent is Yang Yifeng.
But Zhou Cheng is fundamentally an orthopedic specialist.
After all, Ding Changle is his immediate superior.
"Ah? Oh!" Yang Yifeng obviously hadn't reacted yet, and was still immersed in observing Zhou Cheng's operation. While continuing to be shocked in his heart, he didn't understand it very well.
Zhou Cheng's operation is a bit psychedelic and magical!
But even if the principle is known, it goes around the brachial artery in a large circle to the head, and then to the abdominal organs!
From the femoral artery into the pelvis, do you think you are an earthworm?
Even though Yang Yifeng is very good at vascular surgery, he also knows that Zhou Cheng has already broken the upper limit of vascular surgery.
If he stays for a few more years!
No, it doesn't take a few years, my parents, it's definitely possible, it's just possible...
As time passed, Yang Yifeng didn't continue to think deeply.
Jin Kaishi could only sigh in his heart, and felt that it was a pity that Zhou Cheng was not a vascular surgeon!Even worse than Yang Yifeng.
Ding Changle is an old man.
Orthopedics is the carpenter's department.
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