Doctor’s Life Simulator

Looking at this reward, Lang is also a little happy. Heavy bleeding in chest surgery is directly related to the life safety of patients. It is a severe test for surgeons, especially for locally advanced swelling. The bleeding caused by intraoperative blood vessel damage is very fatal. In such a situation, it is very important to test the clinical experience and psychological quality of the physician. When major bleeding occurs, the surgeon must be very calm to avoid aggravating blood vessel damage by forceps. There are a lot of attention to the operation to turn the crisis into safety, such as blood pressure control, judgment of the severity of bleeding, search for bleeding points, suture techniques, and when severe bleeding is encountered, establish extracorporeal circulation through the femoral artery, such as ecmo and other corridors. After mastering the techniques for dealing with massive bleeding during chest swelling surgery, I can handle such emergencies with ease, even surpassing many senior chief physicians. "Wait for the right opportunity, I must surprise Professor Shen." After all, Shen Xi's research field is In the prevention and treatment of swollen chest, there will naturally be many opportunities to contact patients with swollen chest. With Shenxi's emphasis on Lang, of course, he will also be given many opportunities to participate. After learning about this reward, Lang began to assist Wang in solving this patient. In the diagnosis conference room of the hospital, Wang has exchanged opinions with the other attending physicians "... Director Wang, we have performed t-enhancement on the patient. By maintaining the content in the blood, we have enhanced the image of the organs and scissors. It is still difficult to tell the difference. "The MRI scan has also been adjusted to a higher rate, theoretically." However, the patient's situation is a bit ordinary, and it is still impossible to confirm listening to everyone's analysis. For a while, Jian also fell into "It's really not possible, I can only perform a left thoracic puncture, then only intraoperative exploration can be performed. After performing thoracotomy + Zuo Chenxi and coming to this conclusion, it is also a little empty, and I can do everything I can. It is possible to understand the patient's condition and symptoms in the chest, so similar to this kind of thoracotomy, the only thing to make further judgments during the operation is that Shen Xi has no better way of preoperative diagnosis after thinking about it. As for his own The team, there is a high probability that they will not be able to come up with any new ideas. If you ask another question in a procedural manner, Shenxi is ready to arrange the surgery. "Everyone, do you have any other ideas? If there are no other suggestions, then we will follow my decision. The plan and preoperative preparations Shen Xi is young, but after this period of running-in, he has established absolute authority. Several attending physicians, Wang, physicians and others have no objection to his words, "Jian, you What?" 81.m

Although he only participated in this consultation in a symbolic way, Jian also asked Lu Min. Although he knew that Lu Min's focus was the burn department, he still had to ask Lu Min on the scene. The brand-new punishment, this kind of skill of massive bleeding in chest swelling surgery, even if you use the mold, you will not encounter it many times in your life. If you want to reach the master level, at your current level, you have to think about a few modeling points. After a while, he said: "Director Wang, doctors, I have a little suggestion that is not very mature."

Hearing Jian's remarks, Shen Xi, Lu Ming, and the doctors all pricked up their ears in surprise and anticipation: Lu Min calmly explained: "The most commonly used clinical examinations are X-ray, CT, MRI. , The main difference is the imaging principle. In special cases, the commonly used imaging diagnosis is CT, which can observe the progress of the disease from various angles, and can also evaluate the location of the body and the degree of invasion, but there are also certain Limitations and shortcomings, it is relatively difficult to be infected by ionizing radiation, the error affecting diagnosis will not be affected by ionizing radiation, and the resolution of images can be improved…

However, there are still some shortcomings, and the diagnosis is also highly susceptible to the patient's vital signs."

"So, I think in addition to CT and MRI, we can try to add other auxiliary technologies: the new technology of CT virtual tracheal endoscopy!

Listening to Lu Min's well-founded analysis, it is obvious that several doctors were shocked by Lu Min's solid basic skills, especially Jian, who was a little surprised that Lu Min had such a profound understanding of the diagnostic techniques for swollen breasts, "He is not a doctor." A burn doctor?"

Shen Xi held the puzzlement in his heart, he was also very curious about this new technology, and directly asked: "Lu Min, can you talk about the new technology of t-simulated tracheal endoscopy you are talking about?

The other attending physicians, Lu Ming and others, are even more unclear. "CT virtual endoscopic imaging is a new three-dimensional reconstruction technology, which can fully display the infiltration of the surrounding tissues of the disease, and it does not require intubation. It is non-invasive, has few side effects, and can be observed multiple times, which makes the examination images more intuitive. In the examination of patients with chest diseases, it is non-invasive and can display the structure of the disease with high resolution. In addition to reflecting the pathological condition of the diseased tissue, it can also reflect the surrounding details and surface conditions of benign and malignant diseased tissue…

After Lu Min's introduction, Shen Xi's eyes lit up. This technology really has a new ability to break the game in some incurable diseases. Of course, conventional CT and MRI examinations are the foundation and are indispensable. Most cases It can also be diagnosed clearly. Only a small number of difficult cases will use this new auxiliary technology proposed by Lu Min. "If that is the case, then we will try again according to Ma Shuya's plan."

Shen Xi is also very interested in this cutting-edge technology. 6. The complete set of inspection equipment is now owned by the entire Zijingang No. 1 Hospital, and is only owned by the swollen prevention and treatment center under the command of Professor Shen.

Lu Min quickly got on the phone with Professor Shen. For this kind of multi-department joint diagnosis and treatment of patients, Lang is of course very cooperative, especially for such difficult patients with swollen chest, which is also a classic for the swollen prevention and treatment center. According to the medical records, Lang was a little surprised by Lu Min, who even thought of using CT virtual tracheal endoscopy technology to assist in the treatment of this new technology. I didn't expect that Lu Min was thinking about it. I have to say that Lu Min's bold innovation and habit of embracing cutting-edge technology made Lang very satisfied. After getting Professor Shen's approval, Jian also couldn't wait to arrange further auxiliary inspections. Quickly, the patient was sent to the swollen prevention and treatment center in the corridor. With the assistance of brand-new technology, Shen Xi had rich experience in the field of chest swelling, and quickly determined the patient's condition through the new impact data. It is a very common malignant fibrous histiocyte mfh, also known as fibrous histiocytic flesh, which is a highly malignant tumor derived from mesenchymal tissue. The etiology is unknown. Mfh has a high degree of malignancy, rapid metastasis, easy recurrence, and poor prognosis. , the peak incidence is 50-60 years old, the ratio of male to female is 2:1, and it occurs in the limbs, dry, retroperitoneal, etc. It occurs in the chest. The mhf of this patient is located in the deep tissue, with multiple nodules, no capsule, and intratumoral swelling. There is necrosis, the changes are rare, the edges are vague, but irregular, infiltrating and growing to the surrounding, invading the adjacent blood vessels and nerves. Due to the lack of characteristic imaging, the preoperative diagnosis is very easy, and it is difficult to misdiagnose. Fortunately, Lu Min proposed a new Jian is relieved of course, but he is also a little admired. Lu Min has such a keen sense in the field of chest swelling diagnosis. Zai Shen Xi informed the patient of the diagnosis. After the various doctors under him, everyone was very excited, especially Dr. Wang He: "Ma Shuya is too good"

"It's just that Ma Shuya isn't a burn doctor? When was the symptom of general surgery so bad, Jian Jian was a little puzzled, and the doctor on the side blinked, "Ah, isn't Jianyun a doctor in the emergency department, before? Following the director, I went to the city's first hospital to observe several surgeries performed by Jianyun. For tail resection and cholecystectomy, he has amazing skills. He is not inferior to Director Wang. After listening to the doctor, Shen Xi was completely Some Taoism is unstable. He always thought that Lu Min was only making achievements in the field of burns, but Lu Yu was overwhelmed. He didn't expect that he was an all-rounder?

The doctor described Lu Min's several operations vividly and vividly, and Lu Ming, as well as the other attending physicians, were all astounded. Mode?"

"By the way, Ma Shuya has been in the Swelling Prevention Center and General Surgery these days, learning about laryngeal dehiscence and swollen resection. I suspect that it will not be long before Ma Shuya will be able to show her skills in Swelling Surgery!

After listening to Shen Xi, the corners of his mouth twitched. For a long time, he thought that Lu Min was a special elite genius, but the department he studied was different, so he didn't communicate in depth, but it turned out that the burn department was only his. On the one hand, Shenxi has already made up his mind. After that, he wants to get close to Lu Min more, but when he thinks of Lu Min's age, he feels a little sour.

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"Brother Shen!"

"Um!"

Shen Changqing was walking on the road, and when he met someone he knew, he would say hello or nod to each other.

But no matter who.

Everyone's face has no superfluous expressions, as if they are very indifferent to everything.

to this.

Shen Changqing is used to it.

Because this is the Ministry of Suppression, it is an organization that maintains the stability of Daqin. Its main responsibility is to kill monsters and monsters. Of course, there are also some other side jobs.

It can be said.

In the Demon Suppression Division, everyone had a lot of blood on their hands.

When a person is used to seeing life and death, he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.

The town magic department is very big.

Those who can stay in the Town Demon Division are all powerful masters, or those who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppression Division is divided into two occupations, one is the guardian envoy and the other is the demon slayer.

Anyone who enters the Demon Suppression Division starts from the lowest level of demon slayer.

Then he was promoted step by step, and finally he was expected to become a guardian envoy.

Shen Changqing's predecessor was a trainee slayer in the Demon Suppression Division, and he was also the lowest-ranked slayer.

Has the memory of the predecessor.

He is also very familiar with the environment of the Town Demon Division.

It didn't take too long~www.readwn.com~Shen Changqing stopped in front of an attic.

Different from other places full of chills in the Demon Suppression Division, the attic here seems to stand out from the crowd, showing a different tranquility in the **** Suppression Demon Division.

At this time, the door to the attic was open, and occasionally people came in and out.

Shen Changqing just hesitated for a moment, then stepped inside.

Enter the attic.

Circumstances have changed in vain.

A burst of ink fragrance mixed with the faint smell of blood rushed towards his face, causing his brows to instinctively wrinkle, but then quickly stretched.

There is almost no way to clean the **** smell on everyone in the Zhen Mosi.

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