Doctor Started a Plug-in

Chapter 596

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Teacher Meng’s words directly made this group of “Chen Cang Support Group” dumbfounded!

Director Tao closed his eyes and raised his mind without saying a word, Xia Gaofeng even looked awkward, I didn’t know, you asked him.

And Cui Yuanwu looked at Meng Xi: “Director Meng, don’t lie to us. Director Tao gave us all. Little Chen is preserving his strength. It broke out at a critical time, right?”

Speaking of which, Cui Yuanwu lowered his voice, said with a smile: “It’s okay, our mouth is very strict!”

Meng Xi saw it, rolled the eyes!

How can this group of people feel confident about Chen Cang!

Meng Xi just turned around and saw that Cui Yuanwu and Teacher Yang Jianshu had opened.

Meng Xi unable to bear sighed.

鈥︹€?/p>

Chen Cang just came in, and the two examiners were stunned for a moment, because they had seen Chen Cang yesterday!

Chen Cang just used the ascending aortic injury repair surgery yesterday to let the two examiners discuss the delay in falling asleep all night. Didn’t expect met Chen Cang again today!

The 2 examiners were surprised and happy!

Even… there is so little expectation in my heart.

However, under the surveillance camera, neither of them can perform too obviously.

Head Examiner Sun Gaoxing looked at Chen Cang and was a little bit happy, but still said lightly: “Candidates please note that at this time, there is another operation in the Operation Theatre of the emergency center, there are not enough centrifugal pumps, please use Available instruments to start your operation!”

After Chen Cang listened, it was immediately nodded.

“Is the candidate ready?”

Chen Cang: “Ready!”

“Start now!”

tone barely fell, the sound of the ECG monitor has suddenly started to ring, and the descending aorta continuously flows out of blood!

After seeing the wound, Chen Cang was dumbfounded!

This… this wound is completely different from what I encountered yesterday…

The difficulty of surgery has been greatly improved.

Although they are all descending aorta repairs, the repair methods need to be different for different injury sites and different wound sizes.

Today’s operation is obviously no longer simple blood vessel repair and Suture, so much more difficult!

Chen Cang stared at the bleeding point of the wound, did not rush to stop the bleeding, and did not directly use Hemostatic Forceps!

I keep thinking about all the surgical methods in my mind!

The wound has a large gap and many injuries, and the direct interruption of blood flow. Suture method is only suitable for wounds with small cracks in an emergency. It can be repaired directly, but the time is strictly controlled!

And similarly, to close the aorta to Suture rupture, also has this requirement, the aorta has limited time to receive occlusion!

Chen Cang’s Suture is fast, but it is not an optimal choice.

Sometimes, the method you choose must have a fault tolerance rate, which is the best choice for surgery!

This is not to say that this adventurous quick Suture is not good, it can only be said that when there are no other surgical methods available, this is the only option.

It should be known that doctors are humans, and there is a chance of making mistakes, not machines, and the randomness of people will be great.

Chen Cang made a choice in a matter of seconds!

At this moment, in this state, it is the best choice to choose a centrifugal pump for partial circulation!

Heparinization is not required, it only needs to be diverted from the left atrium or the left upper pulmonary vein to the descending aorta at the distal end of the tear according to the patient’s condition.

Unfortunately, there is no centrifugal pump on site for Chen Cang to use!

This tests a Doctor’s ability to adapt to random situations!

Chen Cang thought a little, turned around without hesitation, and said to the nurse:

“Hemostatic Forceps!”

The nurse handed it over immediately.

Sun Gaoxing looked at the operation of Chen Cang, slightly frowned, what should Chen Cang do?

Deputy examiner Hou Liang is also contemplating. Do you want to challenge your limits and take advantage of your rapid Suture? Do you choose to use Sumostatic Forceps to clamp blood vessels?

In this way, even if it is successful, the 2 people will not necessarily give the highest score, because in terms of surgical selection, Chen Cang does not use the optimization principle to deal with.

After Chen Cang stopped bleeding, he said to the nurse: “Shunt heparin treatment!”

As soon as this remark came out, the two examiners were relaxed and comfortably nodded.

He has no risk!

Use the Gott shunt method!

After the operation started, Chen Cang cut the pericardium directly in front of the left phrenic nerve, revealing the ascending aorta from the pericardium!

Cautiously separate the ascending aorta and the descending arch, free and block the distal rupture, proximal thoracic aorta, and proximal left subclavian artery.

Although the simulation dummy is not very similar to humans, but… Chen Cang pretends to be nervous, and avoids carefully…

Well, although it is a simulation dummy, it must also be pretended to look like a real person.

Chen Cang feels like Chen Yingdi now!

Chen Cang inserted the proximal lumen of the plastic tube into the ascending aorta and the distal end into the distal end of the descending aorta, and then inserted a 3-0 non-invasive suture with 2 layers of purse lines, tighten it carefully!

After removing gas from the pipeline, open the cannula and circulate!

In this way, the wound site is just separated, and the surgery can naturally have enough time to repair the descending aorta!

but!

The Gott shunt method has a fatal flaw!

That is, it is impossible to control the transfer flow.

What does that mean?

Once there is enough blood flow through the tube after opening and diverting, it is not only not conducive to the operation, but even coagulation will occur!

Even if the blood flow is too fast, there will be some effects.

Chen Cang’s previous operation was very precise, just like the textbook Gott’s shunt surgery.

However, Head Examiner Sun Gaoxing and Hou Liang looked at Chen Cang with great interest, because the next waiting for Chen Cang is not just a difficult operation!

There was even an accident!

That’s right!

Do you think that simulation dummy will not cause an accident?

these all are the program settings are good…

After all, there are accidents in human surgery, and this kind of high-cost simulation dummy accidents can be simulated.

really!

When Chen Cang was preparing for Suture, the operation immediately encountered an accident. Patient had a problem with the flow rate because the blood pressure was already very low!

Even… caused a reflux!

Sun Gaoxing looked at Chen Cang with interest and wanted to see how he handled it.

but鈥︹€?/p>

I saw Chen Cang remain unmoved, and gently adjusted the shunt tube to an angle, and suddenly a unidirectional valve appeared!

This time, the two examiners were dumbfounded!

When will this kid put a one-way valve in the shunt tube!

Is he already guessed?

Sun Gaoxing was keenly aware that Chen Cang was not guessing, but designed himself according to Patient’s blood pressure.

This is the basic professional quality that a powerful surgeon should possess.

This is a high degree of control and control of the operation!

Be prepared for any accidents.

However, at this time, Chen Cang said to the nurse: “Give me 2 silk threads!”