medical simulator

Long Yu has spent more time with the old man, so he knows more details.

The patient's daughter seems to have been beaten into a coma, and her life is in danger. She is currently hospitalized in the Jin City People's Hospital and is undergoing emergency surgery.

Then, Jin City People's Hospital submitted invitations for consultation and surgery to Chang City First Hospital and Traditional Chinese Medicine Hospital. Zhou Cheng's itinerary was rejected by Lu Bin because Zhou Cheng was going to have surgery today.

As for the Changshi No. [-] Hospital, Yang Yifeng was originally in the outpatient clinic on Monday, but because of other things yesterday, the outpatient clinic was temporarily rescheduled to Tuesday, so he couldn't go there either.

At present, there is a person from the Department of Vascular Surgery who went to the People's Hospital of Jin City for surgery, but there was still no way. Later, the old man heard from nowhere that there were experts from the Magic City in Chang City, so he found him in the ward.

"The old man is very pitiful, but there is no way to do it. The medical procedure is like this. If we want to go down to do consultation surgery in our hospital, we must first ensure the normal operation of our own hospital."

Long Yu continued: "I contacted Director Lu Bin as soon as possible this morning. Director Lu Bin said, according to Dr. Zhou, if you are willing to go to Jin City People's Hospital, then go."

"He persuaded the patients who are about to undergo two fracture operations today to adjust their operation times. If you don't want to go, Dr. Zhou, then Director Lu can still refuse."

"The main reason is that if you refuse continuously, it seems inhumane, so I still hope that Dr. Zhou can make up his own mind."

Just as Long Yu was speaking, Lu Bin had already rushed to the ward. After hearing Long Yu's speech, he added: "Doctor Zhou, this patient has been undergoing surgery for four hours, and he rushed over from Changshi now. More than an hour more."

"At that time, the situation may not be optimistic!"

Zhou Cheng smiled wryly when he heard this: "Director Lu, is this an ordinary conflict? Why did it involve the issue of vascular surgery?"

Lu Bin said: "Oh!~"

"No way, the old man's daughter just doesn't agree to sell the house to treat her husband's illness. The man's parents really have no choice but to make a bad decision. In fact, you can find a lawyer for this kind of problem, but they don't have the awareness."

"So I acted harder. Now, I guess I'm still regretting it in the bureau."

"Doctor Zhou, I think that this kind of thing is thankless, and there is no need to mix it up. Every patient has his or her own difficulties, but we doctors are just human beings. It is impossible for us to say that we can solve everything we encounter. of."

Lu Bin still gave his own suggestions in a timely manner, but the right to choose was still left to Zhou Cheng.When Zhou Cheng heard this, he nodded and said, "Thank you, Director Lu."

Lu Bin probably received a call last night, but he didn't forward it to him, probably because he didn't want to embarrass himself.Emergency surgery, human life is at stake, and at critical moments, it sounds good to step forward, like a god descending from the earth, hanging the pot to help the world.

But, in fact, who really has such a great ability? "Doctor Zhou, what about this old man?" Lu Bin asked.

"Director Lu, this is how I think about it. I am in the ward, and I also have my own medical and surgical tasks to undertake, so I have to complete their operations first, and then go there."

"Since the patients in our ward have signed informed consent for surgery, we are responsible for them."

"Then I will go to Jin City People's Hospital. As for whether the patient can survive, it depends on God's will." Zhou Cheng replied.

Lu Bin frowned.

This is indeed a two-way approach.

Zhou Cheng could imagine that he is now in Changshi, first of all the instructor of the Trauma Surgery Department of the Hospital of Traditional Chinese Medicine, and this is the designated practice place.Mentally mature, and then go to Tsu City, this is called affection.

Zhou Cheng continued: "Director Lu, thank you for asking the operating room to pick up two patients. I will go down to perform operations on them now, and then ask the anesthesiologist to let them work overtime in advance. Do you think it is appropriate?"

"The time is urgent, so there is no need to delay!" Lu Bin said, "Okay! I will arrange it."

Lu Bin knew that Zhou Cheng would definitely go to Jin City. In such a special situation, it is really not good to refuse directly, but he must do his own things well first.

Then Lu Bin directly talked with Zhou Chengxian (this chapter is not finished, click on the next page to continue)
Went to the operating room.

When Long Yu relayed this information to the old man, the old man froze and panicked. "Doctor, can't my daughter wait?"

Long Yu explained: "Auntie, look, there are so many patients in our ward, they are all patients too? We have made an appointment for the operation in advance. If Dr. Zhou leaves at this time, what will they do?" ?”

"Now that we have agreed to adjust the time, Director Lu and Dr. Zhou can think of a better way."

The old man was still anxious, but a group of family members in the ward also persuaded him.

"I think the head nurse is right. Your daughter is in a hurry, but Dr. Zhou also has his own patients. You can't just ignore other people's operations for your daughter's sake."

"Everyone is human, just understand."

It took less than half an hour for Zhou Cheng and Lu Bin to go down, and the time pointed to five past eight.

Lu Bin looked at Zhou Cheng in astonishment, took off his gloves, and said to him: "Director Lu, please sew it up, the postoperative doctor's orders for these two patients are nothing special, they can be done on the second day." In the doctor's order of the patient who underwent surgery, add mannitol and hormone dehydration once."

"Okay!" Lu Bin nodded numbly.Scalp tingling.

In the past, he thought that he had already seen Zhou Cheng at his peak.

But, today, Zhou Cheng used two operating rooms at the same time, working on both sides, one operation, and the battle was resolved in about 10 minutes, and the postoperative effect was excellent. How can this be justified?
So, before, Zhou Cheng just slowed down the pace of the operation just to take care of their emotions.Today, the whole process of Zhou Cheng's operation is his normal state, and he can't understand it at all!

"Thank you, Director Lu." Zhou Cheng walked out of the operating room.

Only then did Lu Bin react: "Doctor Zhou, wait a moment. You can find a phone number on my mobile phone. Let him take you there."

"This time, the old man came by himself, but there is no car arranged for you to go down for consultation." Zhou Cheng turned around after hearing this, and entered the operating room.

Then, after writing down the phone number, he dialed the number, and after explaining his intention, the person on the other side was very polite, and quickly took Zhou Cheng to the car.

At the same time, Zhou Cheng also called Qin Ming, who was in the department, and asked him to tell the old man that he had already gone to Jin City, and asked her to go back to Jin City as soon as possible.

Qin Ming replied I got it, Doctor Zhou.

Then, I contacted the people in the medical department and asked them to agree to the consultation invitation from the TJ City People's Hospital yesterday. After contacting the other party's medical department, I shook my head slightly and silently prayed for the patient.

The driver drove so fast that he even went over the speed limit on the highway, so he arrived at Jin City People's Hospital within an hour.

When getting out of the car, Zhou Chengcai asked: "Thank you, Master Gu. Is it okay to speed so fast?"

"Hey, on this road, where there is a camera and where the speed test is taken, I have known it for a long time, and I remember it clearly. And, Doctor Zhou, you don't know that my car is registered in the traffic police system."

"I'm speeding on the highway, which is within the permitted range, because I often pick up and drop off doctors and specialists for such consultations, and I usually don't speed too much, so they don't check much." Master Gu patted his own chest.

"Hard!"

After Zhou Cheng got off the car, someone soon came down to greet him.

The visitor saw that Zhou Cheng was the only one here, a little surprised, but he still warmly received Zhou Cheng, and then quickly brought Zhou Cheng to the operating room.

When he arrived in the operating room, Zhou Cheng frowned after seeing the specific situation.This is definitely not just an ordinary conflict, it's a knife attack.

The flat incision not only cut through the back, abdomen, thighs, and calves, but also had knife wounds! Damn, what hatred, what resentment?

This is also a poor woman.

When Zhou Cheng arrived, the general surgery staff almost shut down the abdomen, saying: "The intestinal damage in the abdomen has been basically treated, but fortunately there is no real organ damage."

"But I lost a lot of blood before, and I'll have to take care of the back and lower limbs later. I'm going to step down first?"

"(This chapter is not finished, click on the next page to continue)
No abdominal artery damage? Zhou Cheng asked again. "No!" "The general surgery doctor is very determined.

Only then did Zhou Cheng stand on the table of the chief surgeon, and then he realized that, the patient's unilateral femoral artery was injured, and it was a segmental injury. Before entering the hospital, he did not know how much bleeding .

This complex vascular problem is best treated by amputation.

However, they did not dare to amputate before the patient's life was guaranteed.In addition, the current blood pressure is still not stable.

Seeing this, Zhou Cheng immediately thought of a possibility, it might be a hematoma in the pelvic cavity!That is to say, although the patient has undergone blood transfusion and has guaranteed certain vital signs, he still has active bleeding.

"Did you take an MRI or CT before the operation?" Zhou Cheng asked quickly. "It's been taken, there is no other problem."

"The femoral artery has been tied. Doctor Zhou, tell me, in this situation, amputation or limb salvage?" asked the orthopedic doctor at Jin City People's Hospital.

Zhou Cheng said: "Do you have a specialized vascular surgery here?"

The director of the orthopedics department shook his head: "Doctor Zhou, in our hospital, there is no vascular surgery department, only thoracic surgery department. They can't handle such vascular injuries."

He thought that Zhou Cheng just wanted the vascular surgeon to deal with the vascular injury of the lower limbs.

Zhou Cheng said: "Then let the general surgery doctor come over again. This patient has active bleeding in the pelvic cavity. We need to deal with the vascular problem in the pelvic cavity together."

Zhou Cheng himself is an orthopedic doctor, without authorization in this regard, he must have someone to perform the surgery on the surface! "what?"

"But?" The director of the orthopedics department was slightly taken aback.

"It's too late to explain too much. The patient's current blood pressure is unstable, and there must be active bleeding. It is estimated that it was occult before, so it is delayed."

"If the bleeding problem can't be solved, then there's nothing to do in the future. No matter how much blood is transfused, it won't help."

"By the way, call again and ask if there are any tools for interventional surgery." Zhou Cheng continued to order.

In fact, he knew that it was useless to ask. Interventional surgery is an immature department in the city's top three hospitals. Although interventional therapy is the most suitable, it is difficult for a clever woman to cook without rice. It is estimated that there are few neat sets of equipment in Changcheng.

If you can't wait, you can only open your stomach again!
The director of the orthopedics department hurriedly said, "Doctor Zhou, it's best not to move the hematoma in the pelvis casually?"

If there is another type of surgery that is called by the god of death, then retroperitoneal hematoma and pelvic hematoma are definitely one of them!

This is no less than a hemorrhage in the abdomen.

Zhou Cheng said: "Director Hu, I know what you mean. The patient lost too much blood before, which is an open injury, and the hematoma in the pelvic cavity has the highest blood loss that is uncontrollable. We must stop the bleeding. You go and talk to the patient. Let the family talk about the operation."

"By the way, are there any other family members of the patient who signed?"

"Yes, the patient's uncle has the right to sign. The patient's mother has authorized it before the operation." Director Hu hurriedly said.

"Then go talk to the patient's family. The current situation is very dangerous!" Zhou Cheng took a deep breath.

Director Hu immediately followed suit. There was no other way. Although Zhou Cheng was a bit too courageous, he could only pin his hopes on Zhou Cheng at the moment. Otherwise, the patient would be given for nothing, and all the previous surgeries would have been done for nothing. Yes!

How did Zhou Cheng judge the active bleeding in the pelvis?
The director of the general surgery department just left and was called over again. He was not in a good mood, but considering Zhou Cheng's special status, he didn't complain.

He just said: "Doctor Zhou, isn't it a bit too risky to move on the hematoma in the pelvic cavity?"

"In order to save my life, I can only fight. Otherwise, according to the patient's existing high pressure, if we don't control it, she will go into shock before our operation is over." Zhou Cheng is very sure of his judgment.

He has extraordinary knowledge of vascular surgery. This kind of judgment is not understandable by ordinary people, nor is it the time for in-depth explanation and analysis.

Time is precious.

The director of general surgery, also only (this chapter is not finished, click on the color on the next page to continue)
Maybe he had to bite the bullet and come on stage.

However, when he just came up, he saw that Zhou Cheng had already opened an opening at the pelvis, and he quickly entered the pelvis.

All that was waiting for him was to pull the hook and wait for operations.

After Zhou Cheng opened the contents of the pelvic cavity, the huge hematoma tissue he saw lay quietly in the retroperitoneum, the blood was dark, like a huge blood-colored cyst, and it was pulsating with the beating of the heart. !

"This?" The director of the general surgery department was startled.

Such a big lump of blood, he didn't notice it at all before?What's going on?

However, the next moment, he saw the scene where his scalp was numb again. Zhou Cheng saw the huge hematoma, instead of being frightened, he went straight to move the knife towards the scary thing.
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