Chapter 641 Is This All Over? (Add More Updates for Book Friends 2017*955163)

Chapter 641 Is this all over? (Add more for book friends 2017955163)

Although it is a simulation competition, the simulations are extremely sensitive in terms of blood pressure and blood volume!

This will undoubtedly increase the difficulty of the game!

Humans and sims look the same, but in fact there are big differences in essence. The failure of sims to judge is very intuitive. If the value changes, it means failure!

However, because of the human body's compensatory mechanism and self-rescue mechanism, many miracles will occur.

Sims don't!

When Chen Cang saw the situation in his chest, his scalp felt numb.

No wonder a unified operation was chosen, because such an operation is very representative.

Just like this time!

Multiple injuries to the vena cava with direct rupture of the ascending aorta and the innominate arch, resulting in multiple hemorrhages!

The alarm sound on the ECG monitor reminded Chen Cang all the time.

Blood pressure as 100/70!

Seemingly safe blood pressure, but with so many large blood vessels ruptured, it will not take long for the blood pressure to drop to a very dangerous value!

Chen Cang frowned!

How to choose surgery has become a very difficult problem.

Active injury and innominate artery injury generally require blood flow occlusion!

However, the blood flow of the vena cava cannot be directly blocked. When repairing its damage, only part of the wall of the vena cava can be clamped with a non-invasive vascular clamp, or under internal shunt.

At the same time, because the vena cava is seriously damaged, the long-term embolization rate of vein transplantation is high, so it is not suitable for use!

But at this time, the blood vessel damage is very serious!

How to choose?

Looking at the simulated cardiopulmonary bypass machine box on the side, Chen Cang fell into deep thought.

If the cardiopulmonary bypass machine is used, the operation time will obviously be prolonged.

However, the venous injury is so severe that the blood flow cannot be blocked, and vein transplantation should not be used.

Injuries to the ascending aorta and innominate arch require rapid management.

At this time, blocking becomes very troublesome, and vascular bypass construction will undoubtedly aggravate venous bleeding...

For a few seconds, Chen Cang has been thinking about many ways in his mind!

Finally, Chen Cang looked at the ECG monitor and suddenly had an idea!

Yup!

Blood pressure is still 100 now!

What are you afraid of?

Directly reckless!

Thinking of this, Chen Cang decided to do something bold.

...

...

At this time, on the stage outside, several experts were sitting together, and a video of the surgery was displayed on the big screen.

Sitting in the audience are some doctors in the field of cardiothoracic surgery, as well as postgraduates and advanced students.

The host smiled and said: "To be honest, I am very excited every time the National Skills Competition for Cardiac Surgery is held, because I can see batches of young cardiac surgeons rising continuously, taking over the baton from the older generation and becoming the A leader in our surgical field, a mainstay!"

"Now that the operation has started, I believe that everyone can't wait. Let us give the experts the right to speak and let them comment on this operation."

In fact, they have a list in their hands, which are some seed players.

Soon the video cuts to an operating room inside a room.

There was a lot of discussion in the audience below.

After Li Wenbin saw the picture, he immediately said: "To be honest, I just saw the title of the competition, and the difficulty is a bit high. This should be a car accident injury with multiple vena cava injuries, accompanied by contusion of the isthmus of the ascending aorta, innominate artery. Tear of the bow!"

"As you can see, the superior vena cava, left and right superior pulmonary veins have huge wounds!"

"This year is very difficult! What do you think, Professor Yang?"

Everyone frowned when they saw the picture.

Yang Guangdong nodded: "Yes, the difficulty of this year's competition is much more difficult than last year, but this is a trend. Although a simple operation is changed into a systematic operation, although it increases the difficulty, it can better reflect the skill of the surgeon. Ability, can also avoid some partial doctor's coincidence score."

"However... this operation is very challenging. There are many injuries in the arteries and veins. How to choose the operation method and rhythm is particularly important!"

"Hey? This candidate is very good, a very stable operation. He chose the extracorporeal circulation machine, took the lead in treating the arteries, and used non-invasive hemostatic forceps to narrow the opening of the venous bleeding. In this way, the blood pressure should not decrease too quickly during the blood transfusion. !"

"Very! Surgical skills are also very skilled. Just looking at these operations, it should be no problem to advance!"

The director smiled and said, "Well, on the screen is Ding Yu from Anzhen Hospital, who finished fifth in last year's final."

The following suddenly dawned on me, no wonder there was such a choice and operation.

I saw the screen turn again, and a surgical operation appeared again in the video.

Li Wenbin looked at the picture and said with a smile: "This young man's idea coincides with mine, the arterial injury is not serious, choose a shunt to divide the injured part and block it in advance, and take the lead in treating the vein. After all, the vein injury in this operation is the key. It is very difficult to repair...

Great idea, I think he must be a high scorer! "

Everyone below also looked at the host curiously, looking forward to who is this?

The host smiled and said, "Well, Director Li has a vicious eye. This is Peng Lu from West China Hospital. She is a female doctor who won't let her men down. She won the third place last year!"

Everyone suddenly realized that it was her!

That round face Peng Lu!

However, at this time, the big screen appeared again, and in the video, a man was frantically suturing the innominate arterial arch!

Suddenly, the host was dumbfounded: "This contestant didn't use cardiopulmonary bypass, and he directly blocked and sutured the aortic arch. This is too exaggerated! Isn't the risk too great?"

Several experts frowned suddenly, and Xiong Kangyu suddenly said: "No! Zoom in on the camera, look at the details!"

I saw Xiong Kangyu stretched the picture into the chest cavity and said: "See, his orderly method of hemostasis is a hemostasis approach being studied at the World Forum of Cardiac Surgery, and the reason why he did not use a circulatory machine , the cryogenic suture blocking method he used, and he did it because he was confident enough in the suture."

"Also, this operation itself is very difficult to isolate, and any choice has risks. This direct low-temperature repair, if completed within a certain period of time, is the best solution, but... Very demanding!"

Li Wenbin also nodded: "Well, the suture speed of this player is too delicate, fast, tight, and precise! It's amazing, let's take a look at the blood pressure. In fact, even if he does not use the cardiopulmonary bypass machine, the blood pressure remains at 90. I guess the repair is completed. After that, it's safe to stay around 75."

Everyone watched the pair of slender hands in the picture continue to sew, and between the ups and downs, the innominate aortic arch and the ascending aorta have been repaired!

The picture didn't turn because everyone found it addicting to watch his stitching up close!

Xiong Kangyu suddenly asked curiously, "Who is this player? I suddenly felt that my stitching might not be faster than his!"

Professor Yang nodded: "Yes, I don't want to switch videos now, watching this kind of stitching is a pleasure!"

Li Wenbin nodded: "Hehe, I believe everyone feels this way! Then let's watch for a few more minutes..."

The host smiled: "Well, I believe everyone is curious about who it is, then, let me reveal the answer, this is our runner-up last year, the deputy director of the cardiac surgery department of Fuwai Hospital, and an upstart in the field of cardiac surgery: Sikong !"

The audience couldn't help but cheer: "Sikong! Sikong!"

The supporter couldn't help but shook his head and joked: "It seems that Sikong's popularity is still very high, yes, this is also a popular figure to win the championship this year, but... If I don't cut the screen, the leaders will criticize me. It's gone!"

Everyone laughed heartily.

"After watching last year's seed players, let's switch one at random!"

I saw the screen beating, and a surgical image appeared in everyone's sight.

Suddenly everyone was stunned!

Not only the audience, but also the expert commentator, or the host, all looked at the screen in shock.

After a while, the host was dumbfounded: "This is... the operation is completed?"

Li Wenbin swallowed: "Probably?"

Professor Yang coughed: "Is there...is there any problem, is it so fast? The stitching is...over?"

...

...

ps: Cough, cough, I really don't want to break the chapter, my mother told me to eat, and I will write it later in the evening.

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