Doctor’s Life Simulator

However, Qin Lang didn't care about these at all, and directly took over the dominance of endoscopy.

Under the aura of the main sword, Zu Liang stood in the position of a helper, and there was no surprise at all.

I saw that Qin Lang was controlling the front end of the endoscope. While Zu Liang was still waiting anxiously, Qin Lang's first command had already sounded:

"The macular guidewire, catheter preparation..."

Hearing these two words, Zu Liang was naturally familiar and could no longer be familiar. Obviously, Qin Lang had pushed open his valve and the endoscope had entered the appendix cavity.

In the simulated world, Qin Lang had experienced a hundred battles, and he was able to handle the appendicitis series of operations.

"It's too fast."

Zu Liang was a little uncomfortable, but considering that Qin Lang had watched Professor Liu Bingrong's surgery video repeatedly, Professor Liu must have taught the technique of pushing away in the video.

Thinking of this, Zu Liang felt better.

Soon the instrument nurse sent the macular guide wire over. The zebra guide wire is generally used to explore the path of non-vascular lumen, and it also has the effect of expanding channels of different widths.

For example, it is like the vanguard of the marching troops, the scout troops, first explore the road or pave a road, and the regular troops behind can proceed smoothly.

At first glance, the Zebra guide wire looks like a circle of steel wire with excellent flexibility and flexibility wrapped in plastic skin.

The guide wire in Qin Lang's hand is very flexible and not easy to bend. The lubricity of the PTFE-coated layer is very good, which is conducive to insertion.

Looking at the zebra guide wire Zuliang, I thought of the joke of my female superior doctor:

The first use of the scene, at that time, I cooperated with the chief surgeon to dilate the urethra of a male patient. For the first time, I tried to find the urethral opening. Under the guidance of the chief surgeon, I finally found it, and I had to insert a long zebra guide wire into the patient's stenosis. Urethra, the female doctor was embarrassed and wished to cremate on the spot.

You can imagine the picture of a young girl holding a guide wire and screeching into the male patient's urethra. It's really raw.

The hand was shaking, the guide wire was still slippery, and the thing was still soft, so I didn't dare to squeeze it hard.

However, after a few years, I have never seen any strange shapes that are crooked left and right. Let the female doctor insert the urethra. By the way, I can also evaluate the surgeon who performed the bag + skin operation on the patient. The technique is good, and the aesthetics are OK.

When Zu Liang was sighing with emotion, Qin Lang had already inserted the guide wire of the zebra horse quickly, and Zu Liang was taken aback by his awkward posture.

"Qin Lang, please slow down. Although the zebra guide wire is flexible enough, you may damage the plastic skin outside if you are so reckless. If it remains in the lumen, it will leave sequelae."

"It's alright, I know what to do."

Qin Lang had a bashful expression on his face driving his newly bought yellow sports car to 180 miles on the country road.

"You're called a number!"

Zu Liang slandered a few words in his heart, if his lower-level doctor dared to speak, he would never think of going to the operating table again.

However, after all, he is now relying on Qin Lang, Zu Liang reminded him a few words, and no longer stopped him.

After all, Qin Lang quickly and accurately placed the zebra guide wire into the appendix cavity, and then with the guidance of the guide wire, the catheter naturally entered the appendix cavity easily.

“Zizzizi~”

The catheter opening has seen purulent secretions gushing out.

"When was endoscopic retrograde appendicitis so easy to treat ERAT?"

Zu Liang was a little confused. Although ERAT had a good reputation, it was because of the complicated operation, extremely high requirements for the operator, and restrictions on patients, so the Hecheng First Hospital was delayed.

"Appendix Cavity Irrigation Preparation..."

Qin Lang calmly ordered, prompting the next step to start, Zu Liang immediately began to cooperate.

Director Zu's level is naturally unquestionable. With his cooperation, the two quickly rinsed the appendix cavity.

The next step is to enter the very joint, and it is the heart of this procedure: endoscopic retrograde appendicography (endrade, ERA).

"Contrast preparation..."

Qin Lang ordered the next step to point out precisely.

Contrast agents (also known as contrast agents, edia) are chemicals injected into human tissues or organs to enhance image observation.

The density of these preparations is higher or lower than the surrounding tissue, creating a contrast that facilitates the visualization of the patient's appendix cavity.

This operation is naturally the most commonly used iodine preparation.

With the injection of the contrast agent, an oval coil, which is the shape of the appendix cavity, quickly appeared on the monitor.

"One bezoar was found during the operation, and balloon lithotripsy was performed to confirm that there was no perforation of the appendix."

Zu Liang, as an assistant, reported the truth during the operation to Qin Lang, the chief surgeon, so that he could judge and analyze the entire operation.

Wang Xinxin's acute appendicitis, in addition to the pus that has been rinsed, is the culprit. As long as it can be removed, the operation will be 90% completed.

"Balloon Catheter..."

Qin Lang originally wanted to use the net basket stone extraction technique, but the balloon catheter method mentioned by Zu Liang was almost the same.

The so-called balloon catheter, also known as balloon expansion catheter, is a very classic interventional device. There is a balloon on the head of the conventional catheter, which looks like a lollipop. to expand the lesion site.

Under Qin Lang's operation, he very skillfully completed the intervention of the balloon catheter.

"Plastic stent implantation and preparation for pus drainage..."

Qin Lang is still in the style of not leaving any breathing time between steps, and Zu Liang on the side is also a little surprised.

This guy has rehearsed this technique hundreds of times in his head, right?

Under the expansion of the balloon catheter, the placement of the plastic stent is naturally very easy. With the perfect operating space, Qin Lang naturally fully took out the bezoar.

Seeing the bezoar taken out, Zu Liang's heart was completely relieved.

"Saline, antibiotic preparation..."

Qin Lang waved his hand and threw the last pus drainage and appendix cavity irrigation to Director Zu.

Under normal circumstances, the main knife removes the bezoar, and the task has indeed been completed, and the next auxiliary work is a help.

If Zu Liang was still young, the final finish of the main sword reward would naturally be a thousand gratitude. But now, he is the director.

Zu Liang was embarrassed to say that, after all, Qin Lang saved himself, but there was a kind of grievance.

I want to give Qin Lang a wink, but the latter has long been accustomed to the eldest boss cutting himself off, and he has helped him all the way from the resident doctor, to his own attending physician, the chief physician of each hospital, and now there is one more Ancestor Liang, it doesn't seem to be a big deal. of.

Watching Qin Lang walk directly to the bathroom, without looking back, Zu Liang was dumb and ate Huang Lian.

Zhuang Tong and Li Ming on the side, without blinking!

Zu Liang's eyes suddenly lost its brilliance, and he bite the bullet and attack Qin Lang. Ten minutes later, Zu Liang completed the final steps.

ERAT surgery is a non-invasive surgery. After the pus is aspirated and the bezoar is removed, the abdominal pain is naturally relieved immediately, and no knife is used, and there is no healing problem.

After getting off the operating table, Wang Xinxin has recovered as before, and she is naturally excited, which means that it will not affect her work tomorrow and the day after tomorrow.

After getting his mobile phone, Wang Xinxin called Chai Shanshan as soon as possible, thanking her for her recommendation.

At the beginning, when Wang Xinxin said to let Director Zu operate without using Qin Lang as the main surgeon, Chai Shanshan was a little unhappy, but when she heard that during the operation, Director Zu couldn't do it any more. It was Qin Lang who stepped forward and finally completed Wang Xinxin. The surgery, Chai Shanshan suddenly changed her hair with glory.

The person I introduced is really reliable, and the beauty is very good!

After putting down the phone, Chai Shanshan was not satisfied, and told Ma Shuya the matter directly.

"Dr. Qin from the First Hospital of Hecheng City is really amazing. Today, he performed an endoscopic retrograde appendicitis treatment for ERAT. The patient is still the female star Wang Xinxin. The operating table that has been advanced not long ago is now able to move freely. It's amazing! "

After a while, Ma Shuya's prestige came back: "No, endoscopic retrograde appendicitis treatment of ERAT, I remember that this surgery was not carried out in Hecheng No. 1 Hospital, even in our Zijingang No. 1 Hospital, only the deputy director A technique that only doctors dare to try. Three surprised expressions!"

"Hey, hey, bow your head to the eldest man of our city's first hospital! Let you, the great Dr. Hangcheng, look down on our Hecheng Hospital. Three cool expressions."

"Admiration! Admiration! I will tell our director Han Hu in a while, speaking, our hospital has just held an academic conference on acute abdomen. Maybe, director Han can bring exchange experts to Hecheng First Hospital. It’s an inspection visit! After all, this Hecheng No. 1 Hospital has just completed the suspension laparoscopic appendectomy, and now it has done the famous ERAT! I’m really looking forward to seeing Dr. Qin with superb skills!”

Ma Shuya issued a long prestige.

"Hehe, do you admire Dr. Qin's skills? You are just greedy for his good looks. Three grinning expressions."

Ma Yashu backhanded: "Three shy expressions, and a body."

Chai Shanshan: "Isn't it only Cantonese who eats people. An expression that I don't understand when I'm still young."

...

...

After Qin Lang walked out of the operation, Weixin directly received a WeChat message from Chai Shanshan: "Dr. Qin, that's amazing! An expression like handing tea to the old man."

Qin Lang looked at it and smiled slightly, and put the phone in his pocket.

It is still very rewarding to be able to successfully operate an endoscopic retrograde appendicitis to treat ERAT.

Originally, Qin Lang was resting today, but after an operation, he was in good spirits and rushed to the duty room of the emergency department.

As soon as he entered the duty room, he saw Liu Peichun frowning at a medical record.

Hearing the footsteps, Liu Peichun raised his head: "Qin Lang, aren't you resting today?"

"Today, I went to Yuehe with my friends to participate in the recording of Lantai's "Ace". I originally wanted to make a cameo role as a passerby. Who knew that Wang Xinxin suddenly had acute appendicitis, so I rushed back and performed surgery on her with Director Zu. Wang Xinmin has already been discharged from the hospital."

Qin Lang described it calmly.

Liu Peichun was shocked: "You said that after the operation, Wang Xinxin can already be discharged from the hospital?"

"Well, because there is a magazine shoot tomorrow and the day after tomorrow, Wang Xinxin finally decided to treat ERAT for endoscopic retrograde appendicitis after discussion."

Qin Lang took his seat~www.readwn.com~ was about to knock out this case. As the first endoscopic retrograde appendicitis treatment ERAT, it is indeed worth writing about.

After listening to Liu Peichun, he threw away the difficult case in his hand, and his eyes were full of envy: "You said that you followed the director of general surgery to get an ERAT for endoscopic retrograde appendicitis? The first one developed by our city's first hospital. Endoscopic retrograde appendicitis for ERAT?"

Liu Peichun followed Director Pang to mainly participate in the operation of appendicitis, but now he is still in the stage of laparoscopic appendectomy.

Endoscopic retrograde appendicitis treatment of ERAT is an operation that requires skilled endoscopic techniques to perform. With his current level and experience, he can only look at it from afar.

"How do you feel? Talk about it!"

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