Chapter 640： : Is it all over?

Although it is a simulation game, the simulation person is extremely sensitive in feeling blood pressure and blood volume!

This will undoubtedly make the game more difficult!

Humans and simulated people seem to be the same. In fact, there is a big difference between them. The simulated person's failure is very intuitive. When the value changes, it is failure!

However, because of the existence of the human body's compensation mechanism and self-rescue mechanism, many miracles will occur.

Simulators don't!

When Chen Cang saw the condition in his chest, some scalp became numb.

No wonder it is necessary to choose a unified surgery, because such a surgery is very representative.

Just like this!

Multiple vena cava injuries, accompanied by direct rupture of the ascending aorta and innominate arterial arch, resulting in multiple bleeding!

The alarm sound on the ECG monitor reminds Chen Cang at all times.

Blood pressure is 100/70!

Seemingly safe blood pressure, but with so many large blood vessels ruptured, it won't take long for blood pressure to drop to a very dangerous value!

Chen Cangmei was nervous!

How to choose surgery has become a very difficult problem.

Active injury and innominate artery injury are generally required to block blood flow!

However, vena cava blood flow cannot be blocked directly, and only non-invasive vascular forceps can be used to clamp the tube wall when repairing its damage, or under internal shunt.

At the same time, because the vena cava is severely damaged, the long-term embolization rate of venous transplantation of blood vessels is high, and it should not be used!

But at this time the blood vessel was damaged!

How to choose?

Looking at the box of the simulated extracorporeal circulation machine, Chen Cang was lost in thought.

If an extracorporeal circulation machine is used, it is obvious that the operation time will be prolonged.

However, the venous injury is so severe that the blood flow cannot be blocked, and vein transplantation is not suitable.

Injuries at the ascending aorta and innominate arteries require rapid management.

At this time, blocking becomes very troublesome. If the vascular bypass pathway is established, it will undoubtedly increase venous bleeding ...

In a few seconds, Chen Cang has been thinking about many ways!

Finally, Chen Cang looked at the ECG monitor and suddenly had a clever idea!

Yes indeed!

Blood pressure is still 100!

What are you afraid of?

Directly reckless!

Thinking of this, Chen Cang decided to do something bold.

...

...

At this moment, on the outside stage, several experts are sitting together, and a video of the operation is displayed on the big screen.

Sitting in the auditorium are doctors in the field of cardiothoracic surgery as well as master and graduate students and fellows.

The host said with a smile: "To be honest, I am very excited every time the National Cardiovascular Surgery National Skills Competition, because I can see a batch of young cardiology surgeons continue to rise, take the baton in the hands of the older generation, become The mainstay of our surgical field! "

"Now that the operation has begun, I believe everyone can't wait. Let us give the experts the right to speak and let them comment on this operation.

In fact, they have a list of seed players.

Soon the video switched to the operating room in a room.

There was a lot of discussion in the audience.

After seeing the picture, Li Wenbin said immediately: "To be honest, I just saw the title of the game. The difficulty is a bit high. This should be a car accident injury, multiple vena cava injuries, accompanied by contusion injuries in the ascending aortic isthmus, innocent arteries The tear of the bow! "

"As you can see, the wounds of the superior vena cava, left and right superior pulmonary veins are very big!"

"It's very difficult this year! What do you think, Professor Yang?"

Everyone frowned when they saw the picture.

Yang Guangdong nodded: "Yes, this year's competition is a lot more difficult than last year, but this is a trend. Changing from a simple surgery to a systematic surgery, although it increases the difficulty, it can better reflect the skill of the surgeon. Ability can also circumvent some coincidences of partial doctors. "

"But ... this operation is a test for people. There are many injuries to the arteries and veins. How to choose the operation method and rhythm is particularly important!"

"Hey? This candidate is a very good, very stable operation. He chose the extracorporeal circulation machine to take the lead in treating arteries and reduce venous bleeding with non-invasive hemostatic forceps. In this way, blood pressure should not drop too quickly while transfusion ! "

"Very! Surgical skills are also very skillful. Just look at these operations and you should be fine!"

The director said with a smile: "Well, the picture shows Ding Yu from Anzhen Hospital, the fifth place in last year's final."

It suddenly dawned on me that no wonder there were such choices and operations.

I saw the screen turn again, and a surgical operation appeared again in the video.

Li Wenbin looked at the picture and immediately smiled and said, "This guy's idea coincided with me. The arterial injury was not serious. I chose the shunt to segment the injured site in advance and block the vein first. After all, the venous injury is the key in this operation. Difficult to repair ...

Great idea, I think he must have a high score! "

The following people also looked at the host curiously, who is looking forward to this?

The host smiled: "Well, Director Li's eyes are very hot. This is Peng Lu from West China Hospital. She is a female doctor who can't keep her eyebrows. She won the third place last year!"

Everyone suddenly realized that it was her!

That round-faced Peng Lu!

However, at this time, the big screen appeared again, and I saw in the video that a man was frantically stitching the innocent arterial arch!

Suddenly, the host was dumbfounded: "This player did not use extracorporeal circulation, and he directly blocked the suture aortic arch. This is an exaggeration! Is this too risky?"

Several experts frowned, and suddenly Xiong Kangyu said, "No! Zoom in, look at the details!"

I saw Xiong Kangyu stretch the picture into the chest cavity and said, "See? No, his method of orderly hemostasis is a way of hemostasis being studied at the World Heart Surgery Forum, and he did not use a circulation machine. He used the cryo suture block method, and he did it because he was confident in the suture. "

"Furthermore, the isolation of this operation is very difficult, and any option has risks. This direct low-temperature repair, if completed within a certain period of time, is the best solution, but ... Demanding is extremely high! "

Li Wenbin also nodded: "Well, this player's stitching speed is too subtle, fast and tight, and accurate! Great, let's take a look at blood pressure. In fact, even if he did not use an extracorporeal circulation machine, his blood pressure remained at 90. I estimate that the repair is complete After that, it's safe to stay around 75. "

Everyone looked at the pair of slender hands in the picture, stitched continuously, and between the undulations, they had repaired the innocuous aortic arch and the ascending aorta!

The picture didn't turn, because everyone found that watching his stitching at such a close distance would be addictive!

Xiong Kangyu suddenly asked curiously, "Who is this player? I suddenly felt that my stitching was not necessarily faster than his speed!"

Professor Yang nodded: "Yes, I don't want to switch videos now, watching this stitching is a treat!"

Li Wenbin nodded: "Oh, I believe everyone feels this way! Then let's watch for a few more minutes ..."

The host smiled: "Okay, I believe everyone is curious who it is. Then, let me reveal the mystery. This is our runner-up last year, the deputy director of cardiac surgery at Fuwai Hospital, and the upstart in the field of cardiac surgery: Si Kong ! "

The audience couldn't help cheering: "Sikong! Sikong!"

The supporter shook his head and joked: "It seems that Si Kong's popularity is still very high, yes, this is also a popular figure to win this year, but ... if I do not cut the screen, the leader will criticize me It's up! "

Everyone laughed.

"After watching last year's seed player, let's switch one randomly!"

I saw the picture beating, and a surgical picture appeared in the sight of everyone.

Suddenly everyone was shocked!

Not only the audience, but also the expert commentator, or the host, looked at the screen with shocked expression.

Halfway, the host was dumbfounded: "Is this ... the operation completed?"

Li Wenbin swallowed: "Probably?"

Professor Yang coughed: "Is this ... Is there any problem ~ www.novelhall.com ~ Is it so fast? Is the stitching all over ...?"

...

...

ps: Kekeke, I really don't want to break the chapter. My mother told me to eat and write at night.

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(End of this chapter)

High-speed text hand playing as a doctor opened a list of external chapters