medical simulator

Page 152



However, this cannot be said now, it has to be said after stepping down.

……

Zhou Cheng didn't keep it anymore, maybe he had just tasted the sweetness, and Luo Yun was naturally much better than Huang Yu as an assistant.

Moreover, Luo Yun can also help Zhou Cheng explore the way, so, as long as Zhou Cheng loosens the proximal bandage of the femoral artery, Luo Yun can help Zhou Cheng find out where the artery pulses.

Zhou Cheng immediately repeated the previous method of catching loach.

The round knife broke the skin, and the vascular forceps bluntly pierced through the muscle gap, reaching the out-of-shape of the blood vessel. After seeing the bulge caused by the thrombus, he swung the knife to cut it open immediately!

After the thrombus is removed, it is sewn up, and the proximally ligated vessel continues to be loosened.

so back and forth.

The process is naturally quite complicated, and the steps are even more cumbersome.

But at any rate, the thinking is clear and strange!

I don't know if it's because there are more thrombus on Yan Haihan's side, Zhou Cheng made four openings in a row to get rid of the thrombus in the dorsalis pedis artery.

Luo Yun continued to check the blood supply with palpation and syringe needles.

Suitable!

In this way, Zhou Cheng and Luo Yun had completed the limb salvage surgery for their lower limbs, and then started stitching them up one by one.

Seeing this, Li Changhong felt a little uncomfortable.

He just finished stitching up his muscles at this moment. Opposite him, Wang Yaoxiang, who also wanted to throw Yan Haihan's haughty back with him, was in a daze after stitching up his muscles, not knowing how to deal with himself.

After all, the first department of orthopedics and the second department of orthopedics are separate, each doing its own thing!

The first department of orthopedics does not deal with fractures of the lower limbs, and the second department of orthopedics does not touch fractures of the upper limbs.

Li Changhong secretly underwent surgery on his lower extremities, and Yan Haihan knew about it, and he mentioned it to Zeng Yi.However, Li Changhong's attitude has always been that patients come to me for surgery because they believe that my surgery for lower extremity fractures is better than that of the second orthopedic department.

The first department of orthopedics is much earlier than the second department of orthopedics, so Li Changhong also firmly believes that the level of the first department of orthopedics is higher than that of the second department of orthopedics.

just now?

It seems that Luo Yun and Zhou Cheng have no intention of helping themselves and Wang Yaoxiang!

Li Changhong straightened his throat, smiled and said to Luo Yun: "Xiao Luo, why don't I change places with you, Yu Xiaozhou? I'll do the stitching, and you guys come and see the thrombus in the upper limb? See if you can get it out?"

All limbs were injured, and the lower limbs were even heavier. If the lower limbs were saved in the end, the upper limbs would be amputated.

This is uncomfortable for the bird.

Not too few but uneven, although it can be explained forcibly, the symptoms and damage degree of each department are different, if you can explain it, you are not afraid of lawsuits, mainly because you don’t look good.

Instead of being unsightly in front of the patient's family members, it is better to put down the face first, begging Yan Haihan and Luo Yun is also begging for one's own people.

Luo Yun didn't say much, just looked at the director of the second orthopedic department, Yan Haihan.

Yan Haihan said without any hesitation at all: "Luo Yun, Zhou Cheng, you guys go to the upper limbs and replace Director Li with stitching."

"Good!" Luo Yun nodded.

But after agreeing, he looked at Zhou Cheng with a bit of embarrassment: "Do you know anything about upper limbs?"

These words immediately made Li Changhong and Wang Yaoxiang's feet twitch when they were about to move!

Even the third leg is numb!

Dead bird!

Yes.

How did I just forget about this?

Zhou Cheng is a live-in companion, and live-in companions are rotated, but the orthopedic live-in trainee is either in the first orthopedic department or the second orthopedic department.

Zhou Cheng has been staying in the Second Department of Orthopedics.

The Second Department of Orthopedics is the Division of Lower Extremity Trauma.

Department of Orthopaedics is the Division of Upper Extremity Trauma.

It is correct to say that the type of trauma surgery is the same, but the location is different, so the anatomy is different.

Anyone who dares to say that the operation on the upper limbs is exactly the same as the operation on the lower limbs will definitely be scolded to death.

Can the muscles of the upper body and the muscles of the lower body be the same?

Blood vessels out of shape, analogy?

Can Zhou Cheng take it down?

Hearing this, Zhou Cheng squinted at Luo Yun, without showing off, and said in a low voice, "You can give it a try."

Hearing this, Li Changhong took a deep breath and said, "Wang Yaoxiang, go and sew, I will do upper limbs with Xiao Zhou and the others!"

Li Changhong was worried, but he could only relax and let Zhou Chenglai perform the upper limb surgery.

There is no way not to relax.

Wang Yaoxiang then nodded, but secretly felt embarrassed in his heart.

I was looking forward to it in my heart, Zhou Cheng, you must meet it, otherwise, when the patient's family members start to make trouble, I must be the person who has the most contact with them.

You have to ask why the lower limbs were saved but the upper limbs were not.

The doctor in charge of the bed can definitely say that he doesn’t know. Li Changhong is the director. You can ask the people below. I have explained it to you many times.

Where did he push Wang Yaoxiang?

Push it to your cousin?

Wang Yongjin?

However, when Li Changhong saw that Zhou Cheng took out two brachial arteries very neatly, he felt relieved.

I was secretly startled.

The layman looks at the excitement and the insider looks at the doorway.

Although the brachial artery has no branches in the upper arm, it is not easy to find the brachial artery so easily.The brachial artery has no branches, that's right!

But it's out of shape.

it spins...

Those who went around could be found out accurately by Zhou Cheng. Zhou Cheng's understanding of anatomy was quite solid.

Even Li Changhong felt that he might not be able to do the surgery that Zhou Cheng performed so quickly and neatly.

We can only hope for Zhou Cheng.

Then, Yan Haihan's side had already finished stitching, and he was not too worried about Zhou Cheng's side, so he ran to the side to hold the line.

Quietly watching Zhou Cheng find blood vessels, suture them, and feel the pulse of the arteries...

This is like working on an assembly line, and seeing the thin sweat on Zhou Cheng's forehead, I feel a little distressed, so I turned around and shouted: "Xun, wipe Zhou Cheng's sweat!"

The itinerant nurse rushed to help.

Huang Shinan also raised his head when he heard the voice. His liver debridement and hepatic lobe resection have not been completed yet, but on Zhou Cheng's side, the limb salvage surgery is almost finished.

Looking at the operation time, it was only over an hour!

I also admire Zhou Cheng a lot.

One is to admire Zhou Cheng's speed, and the other is to admire his dedication.

This is non-stop, real non-stop.

After the blood supply of the left upper limb was restored, it was past six o'clock, close to seven o'clock.

Li Changhong also couldn't bear to persuade: "Xiao Zhou, the rhythm can be slowed down a little. If you are tired, it doesn't matter to take a break. We have already saved three limbs."

Zhou Cheng raised his head and said, "Director Li, let's just finish the operation."

"Ms. Luo, are you tired? Do you want to take a break?"

Luo Yun shook his head and said with a smile, "What's this? The longest surgery I've had before, I did it for 32 hours."

After hearing this, Li Changhong asked curiously, "What kind of surgery did you do? For 32 hours?"

Luo Yun said: "Hemipelvis reconstruction after resection of pelvic malignant tumor."

Li Changhong opened his mouth at that time, as if to smack himself, why did he want to say something, ask this?

He didn't understand the operation method.

"Oh!" But I have to give a response.

Luo Yun switched places with Zhou Cheng, and continued with the last operation.

At the same time, Yan Haihan breathed a sigh of relief, and said to Li Changhong: "Changhong, the blood supply of the patient's lower limbs is still good. I can report to the family members with a little peace of mind, and I can look forward to the conclusion of limb salvage."

Hearing this, Zeng Yi hurriedly said, "Hey, wait, I'll go with you."

"On my side, the vital signs have basically stabilized. The patient's family members are not real family members, and they are also old. Tell him to go to rest early." Zeng Yi deliberately found an excuse, and walked out together with Yan Haihan.

After leaving the operating room, Zeng Yi asked: "Director Yan, Zhou Cheng in your department is very interesting?"

Yan Haihan nodded, and suddenly thought of Yang Yifeng again.

Then he said: "Director Zeng thinks so too, right? I've always thought so. He can be regarded as one of our strong officers."

Yan Haihan is building up his character in front of Zeng Yi.

At the same time, he secretly wondered whether it was a mistake to give the establishment to Lin Lin.

Zeng Yi didn't see through Yan Haihan's deep thoughts, so he just smiled and said, "That's right, Cai Dongfan also said the same thing. I want to ask you, this Zhou Cheng, what kind of person is he usually?"

"I have a niece..." Zeng Yi actually began to insinuate how Zhou Cheng was getting up.

I guess, I also think that Zhou Cheng has a bright future in the future.

This question stopped Yan Haihan, because he hadn't paid much attention to Zhou Cheng before, how could he know this?

Then he replied: "This is not very clear, maybe there is, or maybe not. I think it is more likely."

"After all, our young man from Ke Zhoucheng can still fight."

The young man has the meaning of good looks in Hunan Province.

Zeng Yi then understood, Zhou Cheng, he was not familiar with Yan Haihan at all, it seemed that he still had to go and check with Cai Dongfan.

In fact, some time ago, when Zeng Yi saw that Zhou Cheng was able to get an associate professor from the Affiliated Hospital of Shonan University to be his assistant, Zeng Yi had this idea, but he kept wandering.

……

In the elegant Sanhe Garden.

Yang Yifeng's mind was floating, and he didn't bother to code words, let alone make an outline, so he just wrote a leave note.

Tell your book friends to update later.

However, Yang Yifeng soon waited for his teacher, Professor Ding Changle.

Ding Changle smiled when he saw Yang Yifeng: "You can still find this place, it's not bad, it's elegant enough."

Ding Changle had actually been to this place before, but he didn't say anything about it.

Yang Yifeng said: "Master, an interesting person in the department brought me here. Teacher, you have made such a trip today. I feel much better now."

Ding Changle patted Yang Yifeng on the shoulder and said, "It's enough to be in a better mood. People live for a lifetime, and the grass and trees are in autumn. In fact, happiness is the most important thing."

"In fact, no matter what we do, we will eventually return to nature in a physical way. These inorganic substances and opportunities on our bodies accumulate together."

"In fact, it is the combination that has supported our consciousness for a lifetime for such a period of time."

"We should enjoy this time and find happiness instead of being entangled in one thing and one thing."

As a professor, Ding Changle has seen too many things, especially doctors, birth, old age, sickness and death are simply too common.Parents are short-lived, neighbors, fights, mothers are kind and sons are filial, and the big ones are unfilial, all have been seen.

There is no filial son in front of the long sick bed.

Naturally, Ding Changle also has his own experience of life, but he has always felt that his own experience is too old and not suitable for someone of Yang Yifeng's age.

At his age, he should be high-spirited, and should not be like himself, breaking the life of his life.

However, in order to let Yang Yifeng come out, stretch his inner growth line in advance, and talk to him more. If there is some inspiration, it is much better to live like an old man in advance than to live like a demon now .

"Master, your understanding of life is quite open-minded." Yang Yifeng looked at Ding Changle and replied with a smile, trying not to show his inner emotions.


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