When a doctor opened a plug-in

The words of Teacher Meng directly made this group of "Chen Cang Support Group" dumbfounded!

Director Tao closed his eyes and said nothing, and Xia Gaofeng had a face that I don't know. You can ask him.

And Cui Yuanwu looked at Meng Xi: "Director Meng, don't lie to us, Director Tao gave us all the explanation. Xiao Chen is preserving his strength and breaking out at a critical time, right?"

Having said that, Cui Yuanwu lowered his voice and said with a smile: "It's okay, we are very strict!"

Meng Xi rolled his eyes when he saw this!

How can this group of people be blindly confident in Chen Cang!

Just as Meng Xi turned around, he saw Cui Yuanwu and his teacher Yang Jianshu have opened the market.

Meng Xi couldn't help sighing.

...

...

Just when Chen Cang came in, the two examiners were taken aback, because they had seen Chen Cang yesterday!

Yesterday, Chen Cang used the ascending aorta injury repair technique to make the two examiners discuss the delay in falling asleep all night, but he did not expect to meet Chen Cang again today!

The two examiners were surprised and happy!

Even... there is such a small expectation in my heart.

However, under the surveillance cameras, the two of them could not be too obvious.

The examiner Sun Xinxing looked at Chen Cang, feeling a little happy in his heart, but still faintly said: "Examinees please note that at this time, another operation is going on in the operating room of the emergency center. There are not enough centrifugal pumps to use. Please use the available Start your operation with the instrument!"

After Chen Cang listened, he nodded suddenly.

"Are the candidates ready?"

Chen Cang: "Ready!"

"Start now!"

As soon as the voice fell, the sound of the ECG monitor began to sound, and blood was continuously flowing out of the descending aorta!

After Chen Cang saw the wound, he was dumbfounded!

This...this wound is completely different from the one I encountered yesterday...

The difficulty of surgery has been greatly improved.

Although they are all repairing the descending aorta, the repair methods are different due to different injury sites and different wound sizes.

Today's surgery is obviously no longer a simple vascular repair and suture, and the difficulty is greatly improved!

Chen Cang stared at the bleeding point of the wound without rushing to stop the bleeding, let alone using the hemostatic forceps directly!

Keep thinking about all these surgical methods in my mind!

The wound has a large gap and many injuries, and the direct blood flow suturing method is only suitable for small gap wounds in emergency situations. It can be directly repaired, but the time is strictly controlled!

In the same way, the aorta is clamped to suture the gap. This is the same requirement, and the time for the aorta to be blocked is very limited!

Chen Cang's stitching speed is very fast, but this is not an optimal choice.

Sometimes, the method you choose must have a fault tolerance rate. This is the best choice for surgery!

This is not to say that this kind of risky quick suture is not good. It can only be said that this is the only option when there are no other surgical methods available.

You must know that doctors are humans and have a chance of making mistakes. They are not machines. Humans are very random.

After several seconds of consideration, Chen Cang made a choice instantly!

At this moment, in this state, choosing to use a centrifugal pump for partial flow is the best choice!

There is no need for heparinization, and only need to divert from the left atrium or left upper pulmonary vein to the descending aorta at the distal end of the tear according to the patient's condition.

Unfortunately, there is no centrifugal pump for Chen Cang to use!

This will test a doctor's adaptability!

Chen Cang thought for a moment, turned around without hesitation, and said to the nurse:

"Hemostatic forceps!"

The nurse handed it over immediately.

Sun Xingxing watched Chen Cang's operation and frowned slightly. What exactly would Chen Cang do?

Associate examiner Hou Liang also thought about it. Should he challenge his limits, give full play to his advantage of rapid suturing, and directly choose to close the blood vessel with hemostatic forceps.

In this way, even if it is successful, the two will not necessarily give the highest score, because Chen Cang did not use the optimization principle to deal with the choice of surgery.

After Chen Cang stopped the bleeding, he said to the nurse: "The shunt tube is treated with heparin!"

As soon as these words came out, the two examiners were relieved and nodded in relief.

He has no risk!

Use the Gott shunt method!

After the operation started, Chen Cang directly cut the open heart sac before the left phrenic nerve, revealing the ascending aorta from the pericardium!

Carefully separate the ascending aorta and the descending arch, free and block the distal and proximal thoracic aorta and the proximal left subclavian artery.

Although the simulators are not very similar to humans,...Chen Cang still pretended to be nervous and avoided...

Well, even though it is a simulant, you have to pretend to look like a real person.

Chen Cang feels that he is now the actor Chen!

Chen Cang inserted the proximal lumen of the plastic tube into the ascending aorta, and the distal end into the distal end of the descending aorta, and then sutured the two-layer purse-string with a 3-0 non-invasive suture and tightened carefully!

After removing the air in the pipeline, open the intubation and circulation!

In this way, the wound is just separated, and the operation will naturally have enough time to repair the descending aorta!

but!

The Gott diversion method has a fatal flaw!

That is, the transfer flow cannot be controlled.

What does that mean?

Once the bypass is opened, there is enough blood flow through the pipeline, which is not only unfavorable to the operation, but even coagulation!

Even if the blood flow is too fast, there will be some effects.

Chen Cang's previous operations were very precise, just like the textbook Gott shunt surgery method.

However, the examiners Sun Xinxing and Hou Liang looked at Chen Cang with great interest, because what awaited Chen Cang was not just a difficult operation!

There was even an accident!

That's right!

Do you think there will be no surprises for the simulator?

These are the settings of the program...

After all, there are accidents in human surgery, and such high-priced human-simulation accidents can be simulated.

really!

Just when Chen Cang was preparing to sew, the operation immediately encountered an accident. The patient had a problem with the flow rate because the blood pressure was already very low!

Even... caused a reflux!

Sun Xingxing looked at Chen Cang with interest, and wanted to see how he handled it.

but……

I saw Chen Cang staying unmoved, and gently adjusted the angle of the shunt tube, and suddenly a one-way valve appeared!

All of a sudden, the two examiners were dumbfounded!

When will this kid put a one-way valve in the shunt pipe!

Could it be that he has guessed it?

Sun Xingxing keenly realized that Chen Cang did not guess, but designed it according to the patient's blood pressure.

This is the basic professionalism that a powerful surgeon should possess.

This is a high degree of grasp and control of surgery!

Be prepared for any accident.

However, at this moment, Chen Cang said to the nurse: "Give me two silk threads!"

Sun Xinxing and Hou Liang looked at each other, what are they doing with silk thread?