medical simulator

"Director Lu, which operating room is the patient in?" Zhou Cheng didn't take Lu Bin's words, but sighed with emotion about life, without too much expression on his face, without too much anger, and without hating the world.

"In operating room 12, Dr. Zhou."

Lu Bin turned his head: "But it is estimated that our orthopedic problems have been dealt with now. I have to go back and explain it to the patient's family."

Although the amputation was done and the informed consent of the family was obtained in order to save his life, after the operation was completed, an explanation was still required.

"Doctor Zhou, let's go together."

Zhou Cheng didn't say much, and then no one stopped the two of them, and they went straight to Changshi Hospital of Traditional Chinese Medicine.

Meanwhile, outside the operating room.

A middle-aged man in a suit and tie, after listening to a phone call, held the phone tightly with his right hand. Under ischemia, the color of the pads and sides of his fingers changed from red to purple, and then turned to purple again. become extremely pale.

Beside him, a woman's eyes were red, and her teeth were clenched.Weeping softly.

After a while, the man looked at the time and said, "I have to go to work. There are still some important things that I haven't dealt with."

The middle-aged man is explaining to his wife.

The woman turned her head when she heard the words, her voice hoarse: "Fang Chujun, how long are you going to be busy? Now that your daughter has been amputated, you only know about work. Do you still have this family in your heart?"

"When Mom was in the hospital, you didn't care, and your daughter had such a big car accident, and you didn't plan to care?!"

"Do you only know your job?"

The middle-aged man, hearing the words, paused, his body trembling slightly.

"I can only use my spare time to take care of it, and I can't help it. But I really can't spare so much time. I still have urgent things to deal with now."

"It's been so hard for you these years." The person named Fang Chujun closed his eyes after finishing speaking, and then walked down to the hospital without hesitation!

The woman did not rush to catch up, but was about ten minutes after the middle-aged man left.

I made a phone call and said, "Let's get a divorce. I'm really fed up with this kind of life. My daughter is everything to me. You don't love her, but I love her. She has become like this now. It's mine. You don't get along with me." I'll grab it."

"Muyin, listen to me, I love you and my daughter, but we are now working on a big poverty alleviation project. As the person in charge, I must be present."

"I'm done with my work. I'll come back to accompany you and my daughter. Don't be impulsive." The person opposite was very calm, just talking about the problem without any emotion.

"I don't want to be impulsive. When did I become impulsive? Your daughter was blocked at the door by the doctor who rescued her because of you. You don't even dare to fart, do you? Are you still a man?" The woman's emotions slightly Kind of exploded.

Fang Chujun frowned fiercely, and covered his forehead with his left hand: "Muyin, this Xu Kairan, other people don't know what's going on, how can you not know?"

"Last time, it was my mother who had a sudden cerebral infarction and had to be monitored urgently. After being sent to Changshi No. [-] Hospital, the director there could only spare a bed. You know who it is."...

"Originally, there was a high-ranking ward, an ICU, and a vacant bed, but it was reserved. What do you say about this matter? Xu Kairan's family is not of the same generation. In the end, it was not the secretary who personally took care of this matter. Now that the matter is down, how do you think this matter is going to make trouble? Is the trouble going to end?"

"Muyin, when a person has the ability and financial strength, he pays attention to a reputation and a filial piety. That matter itself is not kind."

"What does that have to do with my daughter?" The woman named Muyin broke out completely.

"She's just a child, so what does that have to do with us? You're a coward."

Fang Chujun took a deep breath, and then continued to calmly analyze to Muyin: "The daughter's amputation has nothing to do with Fang Chujun? Do you blame him for stopping Dr. Zhou from Director Lu's mouth? Or did he give Director Lu to the doctor?" Delayed?"

"Changshi Traditional Chinese Medicine Hospital, except for Director Lu and Dr. Zhou, can't continue to operate?"

"If I can find his fault, do you think I will sit idly by?"

"Muyin, let me tell you that the reason why that Xu Kairan didn't make a fuss is to a certain extent, it's because of the face of what I'm doing now. They didn't make a fuss, it's already giving face."

"But for this kind of thing, it is inevitable to have hatred in your heart. You must wait for the opportunity to retaliate and use your own methods. If you want to use evil, what can you do? Can you kill people without leaving a trace or lock them up?"

"Who do you think you are, now is a society ruled by law!"

"Do you think I don't want to kill that animal? But if you do, how can you ensure that your daughter will not be harmed by anything other than an accident? This time it was just an accident."

"This time it's just Xu Kairan's uncle, what about next time? Where's his father? Where's his uncle? Have you thought about these issues?"

"Also, the reason why Xu Kairan couldn't find him in this matter is because Xu Kairan had always created this character design in Changshi, and he just wanted revenge!"

"But others retaliate within the rules." Fang Chujun was so calm that he analyzed the pros, cons and importance of the matter to Muyin.

At the same time, on the other end of the phone, Mu Yin was crying so desperately that she leaned against the wall slowly, and when she squatted down, she imagined that her daughter might lose her legs in the future, and might even turn into a vegetative state.

She was also very desperate, and shouted: "Ah!~~~~~~"

"Muyin, calm down, the matter is not over yet, it's hard to conclude, let's think about our daughter's condition first, survive first, and then think of other ways."

"On Xu Kairan's side, I'm still collecting details, and this car accident, whether it was an accident or not, if I find any doubts, he, Xu Kairan, should be punished, and he won't be able to escape at all."

"Plus, he's going to have to bear the wrath of a father."

"Don't get mad at yourself. Think about your daughter. After the operation is over, when you wake up, you want to see you, eat, be encouraged, and maybe be afraid."

"I will come back as soon as possible, but if I haven't, I hope you can keep her from being alone." After Fang Chujun finished speaking, he breathed a sigh of relief. …

"Mayor, shall we go directly to the meeting place now?"

"Well, finish the meeting first. Then complete the reception procedures."

"Xiao Wang, by the way, in two days, when the inspection team is gone, you can arrange for me to prepare a car, preferably a gas-burning car. I plan to drive for a self-driving tour. Relax." Fang Chujun Tell your driver.

The person named Xiao Wang slammed on the brakes.

Your daughter has become like this?You go on a road trip to relax?

But then, he seemed to think of something again and dared not speak.

"Remember this." Fang Chujun leaned his back against the leather chair, and slowly closed his eyes.

……

At the same time, Zhou Cheng and Lu Bin also arrived in the operating room.

On the operating table, Yang Yifeng meticulously asked the itinerant nurse for various instruments. The patient's chest and abdomen were split open, and the intestines, liver and spleen inside could be seen at a glance. In the center of the body, it was the aorta. exposed to the public eye.

On the lower extremity, both teams are doing post-amputation cleaning operations, trimming stumps, thinning muscle, and smoothing bone stumps.

Beside the operating table, two large-scale extracorporeal circulation equipment in the heart surgery department are in operation...

At the same time, Zhou Cheng also saw that the dialysis equipment was running slowly in the operating room.

Seeing this, Lu Bin took the initiative to walk towards a person, who was Director Tong in the department, asking something.

After Zhou Cheng glanced around, he went out, washed his hands, and asked Xun Xun to dress him.

In the operating room, there were as many as five patrolling nurses. Seeing now, Zhou Cheng was about to come on stage suddenly, and they looked at each other in blank dismay.

Yang Yifeng glanced at Zhou Cheng, but said nothing.

Then, the orthopedics, thoracic surgery, and cardiac surgery teams all looked at Zhou Cheng curiously.

In the end, a person on stage said, "Dress Dr. Zhou."

"Okay, Director Guo." The roving nurse moved immediately, and the person who spoke was the chief director of the orthopedics department, Director Guo, and I still have to give this face.

After Zhou Cheng put on his clothes and double-layer sterile gloves, he walked towards Yang Yifeng and said, "Yifeng, how is the situation here?"

Zhou Cheng actually imitated some of Yang Yifeng's skills, but he definitely didn't have Yang Yifeng's mastery. He has already seen that Yang Yifeng has treated several abdominal aortic wounds, and is now suturing the partial damage.

There is also a section of the aorta with a torn intima, and it is estimated that a blood vessel replacement operation must be arranged.

"It's not bad. The current state is better than when I first came in, but whether I can save my life in the end is another matter. Moreover, the patient's head hematoma has not yet been treated in time. Changshi No. [-] Hospital Neurosurgery is heading here."

"Before, there was a large area of ​​embolism in both lower extremities, a large amount of necrotic material refluxed, resulting in electrolyte imbalance, and a large amount of creatinine and other wastes accumulated, so I had to amputate the limbs. Now the situation is better." Speaking, while operating seriously, it seems that the two sides have no influence at all.

"That's good!"

Zhou Cheng nodded: "Neurosurgery, what diagnosis are you considering? Is it fatal?"...

"She is lucky. The intracranial hematoma is just a relatively small intradural hematoma, but it does not rule out other traumatic brain injuries. This needs to be seen by a professional. I don't have time to deal with it."

"Lung contusion in the thoracic surgery department is not a big problem. Now, the blood circulation is undergoing heparinization and extracorporeal circulation. If you still can't survive this situation, then there is really no other way."

"The intracranial problem, at present, should be fine. Although the patient is currently in a coma, it is considered to be caused by insufficient blood volume, which has little to do with neurological shock. Now that the blood volume has recovered, the blood pressure has gradually stabilized. "Yang Yifeng continued to explain that during this period, he had already stitched up another gap.

At the same time, Yang Yifeng said: "The ischemic time of the kidney should not be too long, otherwise it will lose its activity. Let's do a temporary transfer of blood vessels first."

Yang Yifeng is very professional. In order to ensure the priority supply of blood volume to the brain and lungs, he cut off the renal artery. It is estimated that there is still a thrombus. Therefore, he first made a transfer of the renal artery to temporarily restore the renal artery. blood supply, and then consider others.

Seeing that Yang Yifeng was busy, Zhou Cheng had dealt with many more fatal points at this moment, and now belonged to the stage of repairing and rescuing organ functions, so he also breathed a sigh of relief.

Said: "Then you deal with this side, and I will transplant the amputated limbs."

Yang Yifeng was stunned when he heard the words, the movements of his hands froze, and he slowly turned his head.

At the same time, the two orthopedic teams who were dealing with the stump after amputation were there in a daze.

In order to save the patient's life, they amputated the limb. What is Zhou Cheng talking about now?He wants to re-transplant the amputated limbs.

My brother, can we not make trouble?

You will make us very passive like this.

Moreover, the limbs that have been amputated, can they still be revived?Can the nerve still be used?Aren't you forcing difficulty?

Zhou Cheng saw that everyone reacted differently, although he understood what they were thinking, but now he came to Changshi Traditional Chinese Medicine Hospital as an instructor, not a low-level doctor.

He has the authorization of all levels of surgery, and belongs to the right to be the chief surgeon after the chief orthopedic director. Therefore, Zhou Cheng doesn't have to feel guilty.

Just said: "When there is too much blood loss, temporarily puncturing the patient's artery to ensure blood supply to vital organs and redistribute arterial blood is an emergency avoidance."

"Because of the large-scale necrosis of the limbs, amputation is adopted to improve blood circulation and reduce the burden of cleaning the body. It is also a kind of first aid measure, which is nothing."

"When the patient's vital signs are stable, we then transplant the severed limb. Even if it only restores the patient's original shape, it is better than amputation in terms of the patient's aesthetics."

Lu Bin's scalp was numb, and then he had to stop talking with Director Tong, walked over, first greeted Director Guo, and then helped to explain: "Director Guo, Dr. Zhou is the current instructor of our department. The theory and operation level are very solid, we might as well listen to Dr. Zhou's strategy to deal with the massive necrosis of both lower extremities."…

"Let's make a final decision."

The person named Director Guo stared blankly. He knew that Zhou Cheng's background was unusual, and he was also an instructor. Otherwise, even if Lu Bin said this, he would be angry. What are you?
Think of yourself as a fairy?
Zhou Cheng continued: "We all know that after the thrombus in the affected limb recanalizes the thrombus, the necrotic tissue and a large amount of metabolic waste in the blood reperfuse the internal blood circulation, which will lead to irreversible vascular recanalization—perfusion injury. It's the nature of the damage."

"Metabolism wastes have a strong burden on our body's normal cells, cleaning system, heart, lungs, and kidneys. The most serious ones can lead to death."

"In such a situation, it is a very dangerous thing. But if we make good use of the hemodialysis machine, we can avoid this problem to a certain extent."

"If we can put multiple venous dialysis devices into the venous return of the lower limbs at the same time, so that the multi-level metabolic waste can be cleaned up during the blood return process, then this problem can be avoided to a large extent."

"Let's not underestimate the capabilities of dialysis equipment. Whole-body hemodialysis is just a matter of a few hours. Our patients don't need whole-body hemodialysis at present, so it is still feasible."

"In addition, such an operation costs a lot. I don't know if the patient's family is willing to bear the cost?"

The cost of dialysis is not low. This kind of operation idea is not prepared for ordinary people at all.

But there was no way, Zhou Cheng was very angry and angry.

But what he was angry with was not Xu Kairan, but Xu Kairan, who actually judged other people's life and death and the right to be treated from the sidelines.

Zhou Cheng finds this unacceptable.

The bad guys have their own way, Zhou Cheng didn't go against Xu Kairan, it's wrong, but he still wanted Xu Kairan, so he couldn't achieve it.

Obviously, Xu Kairan held him back just to make the little girl's condition worsen, amputation, and vegetative state are all mild, and it is very likely that she will directly gg Smecta.

That Zhou Cheng would definitely not do what he wanted. If this little girl died before he entered the operating room, or there was no possibility of resuscitation, then it can only be said that life and death depend on life and wealth.

But since he arrived in the operating room and the little girl's condition is still stable, it can only be said that the little girl's luck is not bad, and Zhou Cheng just has the ability to prevent her from encountering all this.

Although what Zhou Cheng said seemed to be true, Director Guo still hesitated: "Is this feasible? Doctor Zhou, is the risk a bit too high?"

Before Zhou Cheng could reply, Yang Yifeng became angry: "Director Guo, if you think the risk is a bit too high, why don't we go out to rest together now, and forget about giving up the rescue. Anyway, if you don't continue to do anything, it won't be troublesome." .”

"Everyone can go back early and sleep late."

What Yang Yifeng said didn't give Director Guo any face at all. The meaning was obvious. If you think the risk is too high, don't call me here in the first place. The person is gone immediately, and all the troubles are gone. …

How comfortable are you going directly to the patient's family to talk about death?

Once it's done, it's a dish and a love to talk, you play a der!

Director Guo's face immediately became cloudy and uncertain.

But he didn't say anything. Since Yang Yifeng came in, he sorted out the patient's condition one by one, and now the vital signs have stabilized. This ability and ability is obvious to all.

So Yang Yifeng complained so much, everyone has no temper, otherwise, there is no need for surgery now, people are gone, and a fart surgery?
Zhou Cheng didn't talk too much nonsense, and now time is money: "Director Lu, you and Director Tong have worked hard to strictly disinfect the affected limb, and then move it to the stage. We can fight for it. Anyway, today is the weekend, and there is no need thing."

In the past, Zhou Cheng had to seek the opinion of the superior doctor when he wanted to undergo surgery, because he did not have the absolute right to operate, but now, it is different, he has the authority to operate.

You can say no, but you can't stop me from doing it.

Director Guo did not step down, but other people in the orthopedics department have already stepped down.

Then, Lu Bin and Director Tong also started a new round of disinfection. Zhou Cheng was checking the condition of the patient's stump after amputation. The arteries were all tied up one by one. All the tiny arteries were found.

The amputation plane of this amputation is in the middle and lower part of the femur, so there are still some limbs left. In the middle and lower part of the femur, the blood vessel structure is relatively simple, and the shape of the nerve is also quite simple. Amputations below the tibial plateau are a little easier to handle.

Because Zhou Cheng couldn't explain it, he created a new dungeon called limb transplantation, and the so-called limb transplantation was not about transplanting other people's limbs, let alone transplanting limbs of other species into patients.

It is an evolutionary version of the replantation of severed limbs. With Zhou Cheng's current abilities and technical background, it does not take too much time to simulate simple skills, and it is easy to simulate perfect skills.

Therefore, Zhou Cheng has simulated this skill to perfection.

This operation is very difficult, even in the minds of ordinary people, most professional people, it is unheard of. Its design is based on the bone replantation of bone tumors!

Amputation first to save life, and then replant the limbs to restore limbs, sounds appalling, but in fact, in principle, it is not impossible.

This kind of surgery is a pioneering surgical concept, and the creation of the surgical concept is actually not difficult, far less difficult than subverting the foundation...

The most difficult part of replantation after amputation is not the proximal stump of the amputation, but the distal end of the amputation. There is a time limit, that is, it must not exceed 24 hours.

Otherwise, if the time spent outside the body is too long, the immortal will really be unable to save him.

The steps are also relatively complicated, but in general, the principle of replantation of severed limbs is still followed. First restore the overall structure, then restore blood supply, and finally restore nerves, muscles, tendons and other tissues.

Of course, there will be many more steps. The first step is to pan-heparinize the amputated limb at the distal end of the amputation, so that the coagulated blood supply can be recanalized. …

This operation is difficult to say, but it is not easy, so when they heard that Zhou Cheng needed a large amount of heparin, several itinerant nurses were almost desperate, but they had no choice but to break the bottle first and clean up the stock. Finally, the goods have to be transferred, but this is not difficult.

Use it first, stockpile, just enough for Zhou Cheng to remove the blood from one leg first.

Zhou Cheng began to look at the amputated limbs. The knee joints and calves were relatively well-proportioned. In addition to fractures and soft tissue injuries, there was also some edema. The patient's own skin condition was quite good.

If you put aside the concept of a patient, these legs are actually a bit nice.

Of course, Zhou Cheng didn't observe this shape to make himself more evil or have other ideas. He needed to find the corresponding blood vessel shape based on the shape to evaluate the size of the vascular cavity.

Immediately afterwards, after the heparin was put on the stage, Zhou Cheng asked the vascular surgery department to bring a lot of thrombectomy instruments.

Now, the blood supply at the distal end of the amputation must be in a coagulated state, so the thrombus must be removed, and then the thrombus in the small arteries and veins can be recanalized through pan-heparinization...

Director Lu and others looked at Zhou Cheng's thrombus removal operation, and their eyes were a little dumbfounded.

Then he looked at Yang Yifeng, then at Zhou Cheng, his eyes wandered back and forth, and his heart was drumming secretly, where did these two freaks come from?

One is from the department of orthopedics, and the professors of vascular surgery think that he has done an excellent job.

Zhou Cheng is a genius in orthopedics, but he is still doing so well in vascular thrombectomy in vascular surgery?You two are here to hit people.

When Zhou Cheng was taking out the thrombus, Yang Yifeng stood on tiptoe and looked at it, his eyes fixed for a while, and then he said casually: "Not bad, Zhou Cheng, I've started to dabble in vascular surgery. It seems that I'm speeding up my own Your studies are progressing, otherwise, vascular surgery may be a little short of you."

"But now, you are still a little bit worse."

Yang Yifeng was still in the mood to make a joke, but Zhou Cheng ignored it, and just said in his heart, it's okay, it's okay, you study hard, how much you learn, how much wool I will squeeze you, I will definitely squeeze you bald, even a scum Not left!

Don't you believe me?
Zhou Cheng was serious about the operation, and Yang Yifeng didn't bother him any more. Instead, he continued to deal with the gap between the abdominal aorta and the thoracic aorta after the drainage of both renal arteries was completed.

The patient was seriously injured in a car accident, and his ribs were broken in a large area. Except for the head, there is really nothing good about the whole body.

As time passed slowly, Zhou Cheng and Yang Yifeng's hands seemed to be on the hook. They moved quickly and accurately, but people couldn't understand, they couldn't understand at all, what exactly were these two little ones doing? What.

Yang Yifeng's is okay, after all, he knows Yang Yifeng's purpose, so he can understand the result.

However, on Zhou Cheng's side, facing a dead leg, he operated it for a while, it was really a bit psychedelic, and he was a little confused. Is this still an operation that a human being should have?

However, just half an hour later, Zhou Cheng was overjoyed: "Finally, the thrombus in the arteries and veins has been cleared."

"Come on, syringe, 50ml, remove the needle, draw heparin!"…

As Zhou Cheng spoke, he was quickly sent up.

Zhou Chengcheng began to inject heparin into the artery. After filling seven or eight tubes, he saw that the heparin liquid was slowly flowing out from the vein, and by the way, it also carried a little thrombus residue, which was pitch-black. , and slowly melted into the liquid, turning into a dark, dark cooking-like soup.

Kind of like a black pepper sauce...

When he arrived here, Zhou Chengcai slowly let out a sigh of relief.

Then he said, "Director Lu, can you find someone to help you find a hemodialysis machine? I'm sorry."

Lu Bin nodded naturally. He has put all his hopes on Zhou Cheng now, and the operation has already been carried out, so it is impossible to stop it.

He was also curious whether the extremity transplant mentioned by Zhou Cheng could be realized.

If this can be achieved, then Changshi Hospital of Traditional Chinese Medicine will be on the news this time. Even if such an operation cannot be replicated, it is still enough to be on the news.

Moreover, it will 100% become an academic earthquake. Perhaps most of the benefits are due to Zhou Cheng, but Changshi Traditional Chinese Medicine Hospital will definitely be famous.

Because it is the unit that makes this miracle!

After a while, the hemodialysis machine was pushed over. The principle of the hemodialysis machine is actually not difficult. It is to re-purify the blood in the body, so that the substances in the blood that exceed the standard are cleaned up.

Use steps, buttons, etc. to puncture blood vessels; puncture the vein first, and then puncture the artery. The puncture point at the arterial end is more than 3 cm away from the arteriovenous fistula, and the distance between the arteriovenous puncture points is preferably more than 10 cm. Fix the puncture needle .

This is the operation specification of the blood purification instrument, and the working principle of the blood purification instrument is divided into two types.

The solute is removed through the removal principles of dispersion, convection, and adsorption, and the solution is removed through ultrafiltration.

Ordinary patients, but in the case of weak kidney function, there are too many "toxins" in the body, which can be resolved through dialysis.

And this patient is unusual, most of her lower limbs may be necrotic, and if the necrotic substances flow back into the normal blood supply, it will cause a burden on the body, and the current physical condition of the little girl cannot bear such a condition. some burden.

Let's go and give it a try. 】

Therefore, Zhou Cheng plans to use a few more sets to solve such problems, and perform multiple filtration and dialysis to avoid various situations...

Soon, Zhou Cheng completed the connection of two dialysis machines. In fact, Zhou Cheng initially considered three dialysis machines. However, in the case of two now, let's check the efficiency and status of the work first!
After temporary and rapid anastomosis of the artery and vein to form recanalization, blood supply resumed.

Arterial blood soon entered the lower extremities and the distal end, and the blood purification device also started to work. Most of the venous blood was collected into the purification device, and then passed through the so-called 'plug' and returned to the blood circulation After middle school, he passed through the second blood purification device before returning to the blood circulation.

"Mr. Anesthesiologist, the venous flow is back. Please pay attention to the electrolyte status of the patient. If there is something wrong, I will stop the operation immediately." Zhou Cheng said to the anesthesiologist.

In fact, there is no need for Zhou Cheng to say anything. When Zhou Cheng started the operation, he scolded Zhou Cheng in his heart. Now, he is always watching the patient's vital signs, and he dare not blink for a while. …

I was afraid that if I was not careful, the patient would be lost by Zhou Cheng.

However, after running for a while, because the blood purification instruments are all automatic and the parameters can be adjusted, there is nothing wrong with it.

On the contrary, after some excess substances in the blood were cleaned up, the degree of purification of the blood was improved to a certain extent.

Seeing this, Zhou Cheng felt a little better.

Then, it took more than half an hour to use the same method to pass the blood supply to the other leg.

At this time, the neurosurgery staff of Changshi No. [-] Hospital had already treated the small hematoma, and they could have left, but at this time, they also looked at it in amazement.

That expression, extremely surprised: "This leg?"

"Cut it off, and put it back on?"

"You know how to play orthopedics."

"Is this a device?"

It's obviously a look of watching the excitement and not afraid of the excitement.

However, now, even Director Guo's heart is gradually calming down.

Now, the vital signs of the patient did not fluctuate much, which proves that the reperfusion injury was avoided by Zhou Cheng in another way. But there are still a small amount of tissues surviving, and they can rely on the re-established blood supply to continue to live.

And the next operation became a replantation of severed limbs that they could understand.

Director Guo and Director Lu came up to help one after another, Director Tong also squeezed onto the stage, and the orthopedic surgeons who had stepped down before all rushed to stand on tiptoe.

"The replanted muscles of this severed limb are sutured well. It basically restores the shape of the original muscles, and the joints are not deformed?"

"Doctor Zhou, your tendon reconstruction surgery seems a bit unpredictable? Can this tendon defect be filled in this way?"

"Look, Doctor Zhou's nerve suture? Hiss!~~~~"

"Director Lu, stop sewing." Seeing this, I originally thought that Zhou Chengyuan is a guest, and they are the hosts. Since the operation has reached the level that I can help, and I can help and speed up the progress of the operation, then I will help.

But now we can see that the level of Zhou Cheng's surgical technique is completely beyond their comparability.If Zhou Cheng's leg survived and theirs didn't, then it would be ridiculous.

Before seeing Zhou Cheng's operation, they really didn't know that the replantation of severed limbs could still achieve such a level. No wonder, Zhou Cheng had such confidence, what kind of limb transplantation was he doing.

With this ability in their hearts, they have enough confidence, right?

After skimming what he couldn't understand before, the expert began to look at the doorway and details.

Lu Bin said to Director Guo: "Director Guo, when the muscles are out of shape and reconstructed like this, it is easy to form depressions when we suture, but Dr. Zhou did not have any depressions at the stitches."

"This stitching technique is more than one grade higher than ours!"

Director Guo's full name is Guo Dashan. He is not tall and is quite honest, but his temper is not very good. If Lu Bin told him in normal times, who is more advanced in suture skills? Scolding Lu Bin is nonsense. …

But now, the truth is in front of us.

The so-called basic operations such as suture, incision, reduction, and anastomosis of nerves and blood vessels can be completely different if done by different people.

Zhou Cheng did not explain too much, but continued to complete the remaining operations one by one.

At this time, it was already past seven o'clock.

Zhou Cheng has already undergone high-intensity and rapid surgery for more than four hours.

After the amputated limb replantation and the blood purification apparatus were working normally, Zhou Cheng stepped down from the stage, rested for a while, then put on his clothes again, washed his hands aseptically, and came to Yang Yifeng's place.

Said: "Yi Feng, go and take a rest, the rest of the operation, shall I come?"

Yang Yifeng glanced at Zhou Cheng, frowned, and pinched his fingers: "You can be my assistant, you don't have the authority for general surgery and vascular surgery."

In fact, he also wanted to rest, but he didn't dare to bully Zhou Cheng, thinking that he had to find a time to get Zhou Cheng authorized for vascular surgery.

When registering, the scope of practice will only write surgery, but vascular surgery and orthopedic surgery are two fields, and the authorization of surgery is different.

"Okay!" Zhou Cheng continued to assist.

The surgery he performed looks huge, but it is far less delicate than the blood vessels performed by Yang Yifeng. Moreover, Yang Yifeng's pursuit of surgery is also very perfect.

He had to recanalize the renal artery, and deal with the edge of the replaced blood vessel, as well as the various branches of the abdominal aorta in the abdomen, all of which had to be carefully handled.

Because of Zhou Cheng's help, although Zhou Cheng can't be the main surgeon, Yang Yifeng can be the first assistant. It's enough for the main surgeon to write about him, and the two of them can take turns to rest.

But even with the cooperation of the two of them, the operation was still carried out until one o'clock in the morning, and it took a full thirteen hours for the patient to get off the operating table...

Then he was sent to the ICU urgently, but before going to the ICU, Yang Yifeng still seriously explained to the anesthetist: "This patient's postoperative condition will definitely be very unstable, so the doctor may need to monitor him at the bedside for 24 hours. .”

"If there are any fluctuations in vital signs, please contact me!"

"You can also contact Dr. Zhou. After surgery, pay special attention to high blood pressure and low blood pressure. In addition, be ready to do abdominal color ultrasound at any time to evaluate the fluid inside the abdomen. If you can't do it, find a professional to do it. Monitor at any time."

"Avoid rupture of blood vessels, leading to sudden shock."

"In addition, the lung problem also..."

It was the first time for Zhou Cheng to see Yang Yifeng working so seriously. It could be seen that Yang Yifeng looked carefree, but in fact, he was as careful as a hair.

This time, it was all up to him that the girl could persevere.

On the contrary, in this process, the role of orthopedics in saving lives is not great.

When leaving the operating room, Lu Bin, Guo Dashan, and others surrounded the left and right. The general surgeon and vascular surgeon also surrounded the two of them in the center. While talking about where to eat in the future, he asked the surgeon for advice. some details in .

Both Zhou Cheng and Yang Yifeng looked at each other, a little helpless, because some of the questions they asked for advice were actually a bit too basic, but they had read too few books, so if they wanted to talk about it, it would take a long time.

Therefore, neither Zhou Cheng nor Yang Yifeng mentioned anything more.

Zhou Cheng and Yang Yifeng, after arriving at the place to eat, found a chance to go to the bathroom and calmed down.

Yang Yifeng asked, "Why did it take you so long to come to the operating room?"

"Don't mention it, I met a god! If I could come earlier, I don't think amputation is necessary, but there is no way, this is also a rescue operation."

Then Zhou Chengcheng told the story of Xu Kairan back and forth.

Yang Yifeng said solemnly: "A poor person must have something to hate, and a hateful person has a lot of pitiful things. But this is not the reason why they can judge whether others are guilty or not."

"This man, you have to be careful."

"Well, I know. I'm too lazy to inquire about the grievances between them, just do my own thing well, and we can't judge their right or wrong, or their sins."

"Do things by yourself, do your best, and be ashamed of your heart." After Zhou Cheng washed his hands, he sprinkled the water.

Just when they were about to say something more, their phones rang almost at the same time.

The two glanced at each other, shrugged their eyelids, and Yang Yifeng said, "I'll report to my girlfriend, you can arrange the time and talk yourself..."

"Okay, pay attention to your body." Zhou Cheng smiled at Yang Yifeng and joked.

Yang Yifeng sprained his ankle and almost fell down!
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