Doctor’s Life Simulator

"Is this really something that can be done just by watching the video a few times?"

"Maybe, this is the real genius."

A chief physician of Xiehe Hospital sighed with emotion, but when he said such words, he also felt absurd. After all, he was the director of Xiehe Hospital. He had seen talented young people like crucian carp crossing the river, but he never I have never seen one like Qin Lang.

If Qin Lang is a genius like this, what are they?

If they are already geniuses, what is Qin Lang?

Goods, finesse!

"Look down."

On the other side, the chief physician of the Affiliated Hospital of Yenching University simply became patient and quietly observed.

"It's still President Zhong's vicious vision that he found such a good seedling."

"After Director Qin's operation, I will ask for it from Union Medical College Hospital."

The director of the department of Union Hospital said very domineeringly.

Hearing what the director of Xiehe said, the chief physicians on the other side were a little unhappy, but they really didn't have the confidence to rob people.

After all, very few young people can refuse the invitation from Xiehe Hospital.

In the operating room, Qin Lang has already started the next step, and the instructions are clear and precise: "Heparin...Intubation..."

"Right now, Director Qin."

Regarding the high rhythm of Qin Gallery, the equipment nurses are a little out of breath. After all, everyone has always been very cautious when operating such a difficult operation, and a certain breathing time will be reserved between steps to ensure the operation time. , with enough focus.

Like Qin Lang, who seems to be as crazy as she has never had an operation in her life, she has never encountered it before.

"Director Qin, the patient's systemic heparinization has been completed, and the aortic intubation, superior vena cava intubation, and right femoral vein intubation have been started..."

"This is too confident. Have you noticed the little details of Director Qin? In order to prevent air intake in the right room, the intubation was not passed."

"Yeah, this guy's experience seems to be no different from that of an old doctor who has studied for decades. You see, he relies on those **** to handle the operation of the control wire leading out of the body, so dexterously!"

Unconsciously, these experts have been convinced by Qin Lang's technology, and they have discovered a lot of ingenious thinking and unique handling at the end of the details.

"Look, Director Qin is about to start the cuff blocking of the superior and inferior vena cava!"

"This is a difficult point!"

"Cardiac... scalpel... hemostat..."

On the screen, Qin Lang was already carrying out difficult operations.

"In addition to the blocking position and blocking speed, this operation is more important to grasp the perfusion of the aortic root cardioplegia, which is very experience-intensive and rhythmic."

One of the chief physicians of Union Hospital lamented that even if he came, he had to confirm before he dared to take action.

However, what he didn't expect was that Qin Lang didn't think too much at all. He completed the block as quickly as a reckless man, and then poured cardioplegia. Ventricular groove ventricle side resection bilateral ventricle.

"Crazy, crazy! This... This is really not afraid of making mistakes, and the bilateral ventricles are removed one after another, God!"

Even Academician Zhong in the operating room had a thumping heart and became nervous, but this was the end of the matter, and it was too late to stop it.

"Qin Lang, slow down and be steady."

After all, Academician Zhong couldn't hold back, said something, and then asked worriedly:

"Pay attention to keep the atrioventricular annulus and part of the ventricular muscle intact, cut off the bicuspid and tricuspid valve tissue, suture the coronary sinus, and cut off the aorta and pulmonary artery from above the semilunar valve..."

Qin Lang didn't respond, just quietly carried out his own operations, and then perfectly showed what Academician Zhong had instructed. There were some small operations, and more appropriate treatments were made according to the instantaneous situation of the incision during the operation. .

"sutures...needle pliers..."

Qin Lang didn't turn his head back, and stretched out one hand. The equipment nurse hurriedly presented the equipment made by Qin Lang. At this moment, he was shocked. It was the level of this young doctor, which was too high.

At the age of 30 like her, she has experience and physical strength. When all kinds of skills are the most mature, it is very easy to deal with those old directors and old men. The high frequency and the stubbornness of the corridor can only take advantage of some small gaps to quickly take a few breaths and restore physical strength.

"Director Qin, is this?"

"Understood, since the foramen ovale was still open, he chose to suture them together and ligated the left atrial appendage simultaneously. He was very alert."

Next, Qin Lang placed the left atrial pressure measuring tube through the right upper pulmonary vein, and then began to cut the sewing ring of the left atrium.

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"This... Director Huang, what do you think?"

"What else can I look at? Kneel down and watch. In this operation, the sewing ring is trimmed according to the actual situation. This is not a big old man who dares to try."

"Amazing..."

It was only a little over halfway through the operation, and these chief physicians were completely convinced and learned a lot of little skills.

"4-0prolene stitches...outer felt strips..."

Qin Lang has completely entered the state, and before he knew it, he also took away many operations of the main knife.

It made Academician Zhong on the side to stop it was not good, and it was not good not to stop.

"That stinky boy. That's all, that's all."

Academician Zhong simply moved the position, Qin Lang honestly occupied the position of the main knife, and began to perform continuous suture of the left atrial tissue.

"A good first-hand suture technique, especially in this fragile area, where fast, uniform, and stable sutures are particularly important."

"Then Director Qin, what is the operation of the felt strip on this hand?"

"You don't understand this. Because the patient's condition is not very good, Director Qin added this step to prevent bleeding or air intake."

"It turns out that, I didn't expect that Director Qin was so calm and thoughtful during the operation."

"Yes, have you noticed that Director Qin has silently arrived at the position of the chief knife, and Academician Zhong has not issued an order for a long time."

"It's really, that doesn't mean that Director Qin is not only competent to help, but can even try artificial heart transplantation as the main surgeon!"

After several directors discovered the truth, they were once again shocked by Qin Lang's comprehension ability.

"The next step is the implantation of the artificial heart. Look at Director Qin, and start to cut the artificial blood vessel, and use 4-0 prolene sutures to perform pulmonary artery anastomosis first, and then aortic anastomosis."

"The level of vascular anastomosis is really amazing, it's almost textbook level."

After this step is completed, it is time to enter the connection of the sensing electrodes and artificial heart leads to the internal controller.

"Qin Lang, in this step, first the left atrium is connected to the ring, then the aortic connection ring is connected, and then the pulmonary artery connection ring is connected, and the right atrium is not connected for the time being..."

At this point, Academician Zhong finally started to guide him, and even he was envious of Qin Lang's almost blind exercises.

After all, under the super skill field, Qin Lang needs far less space to operate than the average person.

After seeing Qin Lang complete this step, Academician Zhong was also excited. When he got here, it has been explained that the whole operation has been completed two-thirds, and the high-risk key points have been successfully passed most of them. .

"Saline... forceps..."

Normal doctors would take a break at this point to slow down their energy, but Qin Lang had no intention of stopping at all.

"Director Qin, you are sure not to rest and replenish your energy."

Academician Zhong asked with concern, so far, Qin Lang's performance has far exceeded his expectations, so I also hope that Qin Lang can make a good start and not fall short.

"It's okay, Academician Zhong, it doesn't feel anything to me."

Qin Lang said a rare thing that had nothing to do with the surgical order.

Hearing that Qin Lang was still in such high spirits, and the equipment nurse's legs were weak, the young man just didn't know how to restrain himself! Exhausted old lady.

Qin Lang continued to the next step, injecting normal saline through the inlet of the artificial heart's right ventricle to expel gas, opening the superior vena cava occlusion band and temporarily clamping the superior vena cava drainage tube to fill the right atrium with blood, connecting the right atrium connecting ring, and removing the upper vena cava. Vena cava cannulation.

The movements are very coherent, and the operation is particularly skilled.

All the directors in the observation room were stunned.

"Beautiful, so smooth!"

In the operating room, Qin Lang started to drive the artificial heart again, exhausting the residual gas through the exhaust pipes on the artificial blood vessels of the aorta and pulmonary artery at the same time.

"Clamp..."

Because the artificial heart material is transparent, it is possible to observe whether there is gas inside. Soon Tanglou completed the full exhaust of the right ventricle, and then very alertly clamped the pulmonary artery artificial blood vessel exhaust channel.

Continue to drive the artificial heart, open the aortic artificial blood vessel exhaust pipe, and fully discharge the left ventricular gas.

After 2 minutes, Qin Lang had completed most of the operations.

"Fully exhausted, the artificial heart works normally, and the left and right atrial pressures are normal..."

Qin Lang directly played the role of the chief knife and first assistant, and at the same time gave an order: "Prepare protamine, neutralize heparin..."

"Sterile plastic bags..."

Hearing Qin Lang's instructions, the chief physician in the observation room was stunned. What is this operation?

Soon Qin Lang gave them the answer~www.readwn.com~ It turns out that they can also wrap the external electric energy induction in a sterile plastic bag and transmit it to the coil... Awesome! "

Ten minutes later, Qin Lang removed the diseased heart, anastomosed the patient's aorta and artificial heart, and stopped cardiopulmonary bypass.

"After being sent to the intensive care unit, closely observe arterial pressure, central venous pressure, ventilator-assisted ventilation, and pay attention to water and electrolyte balance."

"Watch your chest drain closely."

"Use of antibiotics to prevent infection."

"Conventional anticoagulation therapy."

Qin Lang has completely released himself, directly issued a doctor's order, and then turned around and went to the changing room. Academician Zhong suddenly followed a few steps before he realized it.

"I'm the main sword! Hey! That's my line!"

Academician Zhong smiled bitterly and looked back at the operating table:

This difficult ventricular assist device and artificial heart implantation was a complete success!

ps: This chapter has been updated. I wish everyone a happy holiday. Those who have objects will spend the holidays with objects. If there are no objects, just read the book. Also, thank you to everyone who has supported me along the way. Nangong Yi, Tunnel Dangerous, Ziji, Yun Ziji, Uncle Cauliflower, Four Points, Xi Rushui, Sleeping Handsome Wild Bird, a big winner in life, n, the promise of happiness, the one in the pants, yy goodbye, heaven and hell, Fang Yi Fei and so on, not to say one by one. Thank you everyone!