medical simulator

Zhang Xingze knew Zhou Cheng, but he only met Zhou Cheng once, and that was at Zhou Cheng's defense meeting last year. Although he had heard of this name occasionally, after all, he didn't have deep contact with him.

It was a coincidence that Zhou Cheng was now armed with a mask and a hat. It was indeed normal for him not to recognize Zhou Cheng's identity.

However, although he has not personally contacted Zhou Cheng, as one of the few bigwigs in the field of orthopedics, he has heard Zhou Cheng's name too many times.

Today, the development of the medical industry can break the current deadlock to the point where it is now. It can be said that it is the Zhongzheng Group’s credit on the surface, but behind the scenes, the biggest contributor is Zhou Cheng’s team.

Zhou Cheng is not alone, because all research must be carried out in a team as a unit to complete and smoothly.

"Dean Wang, since Xiao Zhou is here, Professor Zhang and I don't have to go on stage." After seeing what Zhang Xingze was looking at, Tong Dawei took the initiative to tell Dean Wang.

It would be best for him to mention this, otherwise he might be thought Zhang Xingze was putting on airs.

Moreover, even if Zhang Xingze is an academician, such a code name is not used in regular chats, and he is more often called a professor.

Dean Wang is not a fool, there must be a reason for so many professors to speak for such a young man.

He didn't come on stage, he wasn't from the surgical system, but he was watching quietly from the side.

If he is allowed to continue to grow, it will definitely not be difficult to become a master of vascular surgery in the future.

Thinking too well, right?
……

At this time, Zhou Cheng is from the orthopedics department, so it sounds really comfortable.What do people in general surgery and other surgeries call people in orthopedics?carpenter?artisan?Hercules, reckless?
Anyway, I basically think that orthopedics is the kind of existence with great strength and no brains.

Tong Dawei immediately turned bitter, frowning.

The reason why I talked about how to complete the circulation after arterial embolism was just opening my mouth out of desperation.

Tong Dawei felt emotional in his heart.

When Tong Dawei heard this, he coughed violently, and interrupted Fang Jingsheng's voice directly: "Xiao Zhou is a serious orthopedic doctor, he is a handsome guy from our orthopedic department!"

Especially when the third thrombus was taken out, Professor Lu even clapped his hands and said, "Beautiful!"

Because I don't understand!
Zhou Chengcheng just took out the thrombus in this way.

Anyone can do it.

When the operation got here, not only Fang Jingsheng was worried, but Professor Lu who came from Fuwai Hospital was also quite worried about the current situation.

This is his specialty!

Professor Lu hurriedly asked, "Radial artery?"

It is even a kind of luck, this is probably one of the most difficult to treat frequently-occurring diseases that can rank among the top in the world at present!

Fang Jingsheng honestly acted as an assistant, and placed Zhou Cheng with a sheath catheter for blood vessel thrombus removal. He felt strange why Zhou Cheng required such a simple and traditional way of thrombus removal.

"The current CVP remains stable."

"The intracranial drainage fluid has also been stable, and there is no need for ubiquitin treatment even after surgery."

He has saved the amputated leg once, and he is very familiar with Lu Ganzhou's situation now.

Ordinary patients with embolism only have single or multiple embolisms.

However, in fact, I don't have too many regrets to be able to witness the process of such a serious trauma being able to be rescued in the end.

Although Fang Jingsheng was able to embolize the major arteries, but under the current circumstances, he was unable to unblock these arteries again.

For Zhou Cheng, this is becoming more and more routine, especially when he has the professional level of redefining the perfect blood vessel thrombectomy, it is more handy. This time, the thrombectomy process was very smooth and peaceful. Silky smooth, basically without any frustration...

Zhang Xingze, Professor Nong next to him, and even Du Li and the others all looked at Professor Lu curiously.

That can still be handled easily. If a section of embolism is blocked like this, unless the blood vessel is dissected to remove the thrombus, and the entire limb is embolized, then the only choice is amputation.

I succeeded, I have tried my best, I just hope that I didn't leave any sequelae for you, Mr. Lu, right?
In the operating room, there was an extremely loud applause instantly. After the applause, Fang Jingsheng said, "The blood flow of the last left lower limb is also excellent. And Xiao Zhou has solved all the previous bleeding points just right. Already!"

In the end, there was only one professor of orthopedics who was only qualified to accompany him to watch the whole process, and touched his hat very depressingly, Tong Dawei: "So when I came down, I just watched a few of your professors perform a demonstration operation, just Is there nothing about our orthopedics?"

Everyone is watching the operation process quietly...

The chief resident can do it with his eyes closed.

"You went straight from the brachial artery to the radial artery????"

The whole process of thromboembolism, the difficulty of thrombectomy is not to remove the first thrombus.

"Xiao Zhou, come here."

"The liver is partially contused, and there are a few bleeding points. I have basically resolved it here. Although the spleen was removed for safety reasons, at least it will not have much impact on the follow-up."

These words not only made Professor Lu's eyes stiff, but also the neurosurgery professor Nong's expression became frightened.

Zhou Cheng was able to go blindly from the femoral artery to the intracranial, there may be basically no place in the whole body that Zhou Cheng could not go to.

It is not a good thing that there are too many chief surgeons on the operating table. Each has his own ideas, one chief surgeon and several assistants. Now that several people on the operating table have formed a team, it is difficult to dismantle them again.

They called people over to help. Although they are not on stage now, Dean Wang still doesn't want to remove these people directly.

Each professor is responsible for reporting the situation in his field.

He originally wanted to ask how Zhou Cheng did it?Can you, during the operation, just a little, uh, a little bit, not too much, as long as it doesn't affect Zhou Cheng's own operation speed.

Especially in an extremely stressful surgical situation, no one wants to hear some nonsense.

However, Professor Lu still found that during the micro-manipulation, the micro-manipulation is also full, and the movements are swift, the rotation of the wrist and the movement of the fingers are very natural.

This Fang Jingsheng and others can understand. After all, Zhou Cheng is short of time now, and he has to do surgery at the same time.

This is also why Zhou Cheng didn't see what he did before.

Zhou Cheng didn't explain, his life was saved, and now he has to save his legs.

Professor Lu knew that he had lost his composure, so he stopped speaking as a commentator.

can not see.

Zhou Cheng thought about it for a while, and still used quite professional language, with a little bit of explanation, on the premise that it would not affect his operation.

Otherwise, Lu Ganzhou's life might have been saved, but his limbs would not exist.

Here begins the 'regular' intra-arterial thrombectomy!

Now Zhou Chengcheng can really answer this question!
Because it does not affect the process and operation of the operation, Zhou Chengcheng said: "Now the radial artery is being harvested."

With the cooperation of extremely professional operating terms, it doesn't sound like a pain in the ass. All the people in the vascular surgery department immediately pricked up their ears solemnly, for fear that they might miss a word. Drunk!
However, during this explanation, Zhou Cheng did not talk to them about the basic theory, that is to say, the approximate distance and blood vessel deviation can be calculated in a special way!Instead, otherwise it would really affect Zhou Cost's own operations.

Then he said: "Professor Nong and Professor Zhang, thank you for making a trip today, I just hope to delay you a little longer."

What he said seemed to be blaming, but in fact it was also to enliven the atmosphere.

However, it feels like Zhou Cheng has hidden the most critical part, as if a pile of ants dug a nest in his heart, and then crawled around in it, eating, drinking and having fun, it was so itchy, I really want to ask next week What exactly is that special way, but I feel that I am too reckless and shameless.

Fang Jingsheng immediately said: "Tong Dawei, you just repeat what you say, isn't Xiao Zhou from your orthopedics department?"

Currently, the only arteries embolized in Lu Ganzhou are the femoral artery and the brachial artery. However, the arteries on the heart can communicate with the blood vessels in the head, and the arteries and veins of the lower limbs can also form a return flow through the internal iliac artery and a series of veins in the pelvis. Unicom.

It's one thing for Zhou Cheng to be very powerful, but in case of any accident, these few people must be the best powers to save lives.

The voice was awkward, even a bit secondary, maybe except for Fang Jingsheng, no one else could empathize with him!

"The drainage fluid in the chest cavity has been gradually reduced, and only 5ml of blood was drained in the last half an hour."

Even if the limbs are gone, it is considered at all costs.

During the operation, any actions and words that disturb the operation of the surgeon are cumbersome, even if it is the explanation and praise of the operation, it is still the same.

This is the end stage of vascular embolism.

After more than 40 minutes, Zhou Cheng got off the operating table!
It was only when Zhou Cheng took off the surgical gown that Zhou Cheng breathed a sigh of relief!

Regardless of the presence of Zhang Xingze and Dean Wang, with an old-fashioned attitude, he said the quintessence of the country: "Wori!"

If so, can Zhou Cheng switch to vascular surgery?
No, he must come to our Department of Vascular Oncology!
However, when Zhou Cheng got the seventh thrombus strip, everyone's expressions changed!

It’s just that interventional surgery, or difficult vascular thrombectomy, is the source of operability from theory to practice, because it can open up a one-way arterial sheath. With this sheath, even if it is directly Inserted into the artery, there is no way for the blood inside to flow back.

After all, the current situation is special, and Lu Ganzhou's condition is urgent.

But Fang Jingsheng himself knew whether the operation was a teaching operation, and now Fang Jingsheng couldn't figure out where Zhou Cheng had removed the thrombus.

When Zhou Cheng started the operation and took out a small section of thrombus, no one felt anything.

"Doctor Zhou, can you give me an explanation? Where did the thrombus we removed come from?" Fang Jingsheng immediately seized the opportunity and began to ask Zhou Chenglai.

With them around, you can feel more at ease, not to worry about Zhou Cheng, but to increase insurance.

Now, there are many better, faster and more convenient thrombectomy methods than directly using the introducer sheath to remove the thrombus. Why did Zhou Cheng choose such a simple one.

Well, this little Zhou's skills in operation are already extremely terrifying, so it's not too surprising that he can perform such an operation.

It is how Zhou Cheng will solve the problem of multiple embolisms in the arteries after being embolized.

I don't have time now, even if I have time, can I just tell you so casually?

Although he came to be lonely, how much did he wish that he just came to be lonely?It's just that I didn't make much effort in the end, and I feel a little regretful.

The technique is very skillful, and the process looks very silky.

In this way, there is no need to worry about the circulation in the body.At least not as scary and terrifying as when I first heard this statement!
And the next most important thing.

"The micromanagement is good."

Zhang Xingze smiled, looked at Tong Dawei, an old hermaphrodite, and said, "Professor Tong might as well ask Xiao Zhou or Professor Fang to embolize another artery for you."

After all, the reason why he came to Huashan Hospital was not an invitation from President Wang, but a direct phone call from Kyoto. The reason why Lu Ganzhou is important is not only his life, but also his hands... …

The Vascular Surgery Department of Huashan Hospital can also rank among the top five in the country.This Zhou Cheng has reached such a terrifying level?
Du Li heard the words and said: "Xiao Zhou also went retrograde from the femoral artery to the intracranial hemostasis!"

But no matter what, this at least complied with the instructions handed down by the dean, to save Lu Ganzhou's life at all costs.

The second and third items are still indifferent. Isn't this just the thrombus removal of the common brachial artery and the inferior radial ulnar artery branch of the brachial artery?
There is nothing amazing about this. Attending physicians and associate professors with better foundations can also complete it. The difficulty is not here!
But even so, Fang Jingsheng and Professor Lu from Fuwai Hospital have been paying attention to Zhou Cheng's operation. They didn't carry any personal emotions, but simply observed Zhou Cheng's operation process from their own professional perspective.

Especially nowadays, the idea of ​​tumor embolization is becoming more and more popular!

After the vascular embolization, Professor Fang Jingsheng of the Department of Vascular Surgery suddenly felt that there was not much to do.

Now, why does Tong Dawei care about whether Zhou Cheng is the orthopedic department of Huashan Hospital? When he was in the industry, he would fight each other and find fault with you during academic conferences. .

Our operations are also very delicate. It is not our intention to use what you think of as a hammer and chisel. We are also delicate people, okay?

It just so happens that before growing up as the main surgeon, we have lifted hundreds of thousands of legs, posed in positions, put on steel plates, etc., to exercise our bodies.

This is us, the comprehensive development of morality, intelligence and physique...

The atmosphere at the end of the operating room became particularly subtle.