"Thoracotomy, aortic clamp, anesthesia injection!"
With Chen Qun's instructions, he found that this time Dongfang Wenxin handed over a surgical forceps, and then remembered that he had only a simple first aid kit, most of which were lack of professional tools.
What's more, to make matters worse, the first lady said it directly.
"There are only four forceps. You have to plan first."
"Believe me, don't forget that I'm an old military doctor. I'm good at field emergency rescue! Give me the needle holder and the suture
Chen Qun said a cold joke, not to his girlfriend, but to other passers-by. In one or two words, Chen Qun opened the chest of the patient and exposed the lower esophagus. A large pool of accumulated blood came out, and he pressed it with cotton yarn.
With his palms extended into his small chest, his fingers lifted up the sutures like a spinning needle, and he weaved them up and down a few times. Then he saw that the blood in his chest was gradually reduced, and in a twinkling of an eye, the aorta and other organs and tissues close to the esophagus were exposed.
In a clearly visible field of vision, Yangling Beitiao and Qi Hong clearly saw that there was an abnormal swelling part in the middle end of the esophagus, and the thoracic aorta behind the compression had a large area of deformation. On both sides of the point where the aorta was squeezed, there was a one centimeter long gap, and a little blood gushed out of the blood vessels.
At both ends of the thumb's big artery, Chen Qun had already used sutures directly to prick it to death, and the effect was the same as that of hemostatic forceps. But we all know very well that the thoracic aorta can not be closed for a long time. Now there is a tear, so we need bypass surgery to solve this problem.
Beitiao Yangling glanced at the location and size of the torn artery. She found a section of hose in the first aid box and began to cut it. In a twinkling of an eye, she cut out a piece and handed it to Chen Qun.
"Wait a minute, the patient hasn't entered the deep anesthesia state, and needs another unit of anesthetic."
Chen Qun, who is preparing for the operation, suddenly changes his mind when he sees a situation in the corner of his eye, and his heart beats suddenly. He has made two mistakes today. If it wasn't for systematic cheating, even if the patient is still rescued by him in the end, it will inevitably leave sequelae and cause great harm to the body.
The reason why he makes mistakes frequently is that the constitution of the fat man in front of him is a little different from that of ordinary people, which leads to a few mistakes in his estimation. From a rational point of view, he still used the original parameters to estimate the fat man, which naturally led to some deviations.
Of course, the deeper reason is that he has been carrying out "standardized" exercises all the time. The simulated patients in the system space are all in a normal state, and there is very little abnormal contact. Even if there are one or two operations, they all succeed after a thorough simulated operation and one failure in the system space.
Now the function of the broken system should not be completely upgraded. At least he can't enter the system space now. The only thing he can use is the diagnostic panel of the broken system, which has twice reminded him of his mistakes. In other words, it is a big reminder to him that under special conditions, when he encounters a specific patient, he can't analyze it according to the routine situation.
As a lesson from the past and a teacher for the future, he naturally needs to be careful to deal with every step of the next situation. In addition, he has a system to project three-dimensional images. If this is still wrong, he can simply buy a piece of tofu to kill him.
What's more, now he just needs to solve the problem of vascular rupture. Other esophageal tumors and other lesions need professional surgical equipment. He can't do it here, so he can naturally let the local hospital take over.
"Give me the forceps. I'll have a thoracic aortic bypass replacement to keep my vision clear."
After Chen Qun finished his command, Qi Hong looked around and motioned to the two young people who followed him.
"You also come to help. The patient is too fat. We girls don't have enough strength to fix the position of his chest. We need you to work harder next to him."
Hearing Qi Hong's statement, Chen Qun immediately changed his mind and handed the surgical instruments to Beitiao Yangling.
"No, I'll fix the field of vision. Miss kitao, you'll take over the whole thoracic artery replacement, otherwise it's hard for others. Start with the lower artery. The first incision is one centimeter from the end of my thread. "
Chen Qun stepped over the stone slab and jumped to the opposite position. He gently pulled his hands on the patient's chest and adjusted the patient's chest opening to a small angle, so that Beitiao Yangling standing inside was more suitable for suturing.
Beitiao Yangling knew that this was still Chen Qun's personal instruction, or a test. It was the continuation of heart surgery the day before yesterday. If she changed to another doctor, it was absolutely impossible to teach her how to operate with a different operation after a few days. However, since she knew that Chen Qun's style was comprehensive and simple, she also vaguely knew that her suture, in fact, was a supplement to the last heart and aorta replacement operation, and she immediately took it.Sure enough, after Beitiao Yangling started, Chen Qun corrected her several movements in succession. At first, she was still a little awkward. But in a twinkling of an eye, she found that it was easier and faster to use this method to sew and replace. Instead, she just blindly imitated Chen Qun's way, which was directly denied by Chen Qun and adjusted to her most suitable style.
make no social distinctions in teaching!
Beitiao Yangling suddenly understood why Chen Qun gave her a "make-up lesson" on this occasion. Her fundamental purpose was to let her form her own surgical style and build a solid foundation for her to buy Surgical masters, rather than blindly imitate others. In other words, Chen Qun is aware of her surgical style, should be in-depth study of her every operation, in order to know her habits and mistakes.
This is the fundamental reason why she was surprised and a little depressed. At least from what she knew, Chen Qun had never looked at any of her operation videos, and it was impossible to watch them in private after she went back. After all, the female tiger in his family was extremely powerful. Chen Qun deliberately alienated other girls for this reason, It's also a well-known thing.
Where did Chen Qun take the time to watch her operation video? Perhaps the greater probability is that Chen Qun just glanced at her once or twice, then built her operation model in his mind, and directly used his imagination to simulate the revision. This ability is too strong.
Perhaps, this is the fundamental reason why Chen Qun has made rapid progress in just over a year.
A few minutes later, Beitiao Yangling made an official announcement.
"Thoracic aorta replacement operation is officially completed, Dr. Chen, thank you!"
Chen Qun Cai let go of his body, which he supported with all his strength, and sighed with some vanity.
"This fat man is really dead. I can't support another two minutes. Well, I'm left to close my chest. This guy's only solved the first fatal problem, and the remaining two need to be sent to the operating room. When the ambulance comes, you tell the doctor that he has not only esophageal cancer, but also liver tumor hyperplasia. It's better to send him to the provincial hospital or our Xiangyun hospital for surgery. "