When a doctor opened a plug-in

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

This will undoubtedly increase the difficulty of the game!

Humans and simulators seem to be the same, but in fact there is a big difference in essence. The failure of the simulator's judgment is very intuitive. When the value changes, it is a failure!

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

Sims will not!

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

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

Just like this time!

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

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

The blood pressure is 10070!

The blood pressure seems to be safe, but with so many large blood vessels ruptured, it will not take long for the blood pressure to drop to a very dangerous value!

Chen Cang's eyebrows are tight!

How to choose surgery has become a very difficult problem.

Health-active injury and innominate artery injury are generally necessary to block blood flow!

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

At the same time, because the vena cava is seriously damaged, the long-term embolization rate of vein transplantation is high, so it should not be used!

But at this time the blood vessel damage is very serious!

How to choose?

Looking at the simulated cardiopulmonary bypass machine box on the side, Chen Cang was lost in thought.

If an extracorporeal circulation machine is used, the operation time will obviously be prolonged.

However, the vein injury is so serious that it cannot block the blood flow, and vein transplantation is not suitable.

Injuries in the ascending aorta and innominate arches require rapid treatment.

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

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

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

Yes indeed!

The blood pressure is now 100!

What are you afraid of?

Directly!

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

...

...

At this time, on the stage outside, several experts were sitting together, with surgical videos on the big screen.

Sitting in the audience are doctors in the field of cardiothoracic surgery, postgraduates and fellows.

The host smiled and said: "To be honest, I am very excited every time the National Skills Contest for Cardiac Surgery, because I can see batches of young cardiac surgery doctors constantly rising, taking over the baton of the older generation and becoming A leader in our surgical field, the mainstay!"

"Now that the operation has started, 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 an operating room in a room.

There was a lot of discussion in the audience below.

After seeing the picture, Li Wenbin suddenly said: "To be honest, I also just saw the competition topic. The difficulty is a bit high. This should be a car accident injury, multiple vena cava injuries, and contusion and laceration of the ascending aorta isthmus and innominate artery. The tear of the bow!"

"As you can see, the superior vena cava, left and right superior lung veins have huge wounds!"

"This year is very difficult! What do you think of Professor Yang?"

After seeing the picture, everyone frowned.

Yang Guangdong nodded: "Yes, the difficulty of this year's competition is a lot harder than last year, but this is a trend. Changing a simple operation into a systematic operation. Although it increases the difficulty, it can better reflect the surgeon’s Ability, can also avoid some coincidence scores of partial science doctors."

"But... this operation is very challenging. There are many injuries to the arteries and veins. How to choose the operation method and rhythm is particularly important!"

"Hey? This examinee is very good and a very stable operation. He chose the extracorporeal circulation machine and took the lead in dealing with the arteries. The venous bleeding was narrowed with non-invasive hemostatic forceps. This way, the blood pressure should not drop too quickly while the blood transfusion. !"

"Very! Surgical skills are also very skilled, just looking at these operations, it should be no problem to advance!"

The director smiled and said, "Well, Ding Yu from Anzhen Hospital is on the screen. He was fifth in the final last year."

The following suddenly realized, no wonder there is such a choice and operation.

I saw the picture turned again, and a surgical operation appeared in the video again.

Li Wenbin looked at the picture and suddenly said with a smile: "This young man's idea coincides with me. The arterial damage is not serious. The shunt is chosen to divide the injured part and block it in advance, and take the lead in dealing with the vein. After all, this operation is the key to vein damage. It is also very difficult to repair...

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

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

The host smiled: "Well, Director Li has a vicious eye. This is Peng Lu from West China Hospital. She is a female doctor with no shame. She won the third place last year!"

Everyone suddenly realized that it was her!

The round face Peng Lu!

However, at this time, the big screen appeared again, and in the video, a man was frantically suturing the unnamed arterial arch!

Suddenly, the host was dumbfounded: "This player didn't use extracorporeal circulation, and he directly blocked and sutured the aortic arch. This is too exaggerated! Isn't this too risky?"

Several experts frowned, and suddenly Xiong Kangyu said: "No! Zoom in, you can see the details!"

I saw Xiong Kangyu stretch the picture into the chest cavity and said: "You see, his orderly method of hemostasis is a method of hemostasis being studied at the World Heart Surgery Forum, and the reason why he did not use the circulation machine , The low-temperature suture blocking method he used, he did so because he was confident enough in sutures."

"Moreover, this operation itself is very difficult to isolate, and any choice is risky. This kind of direct low-temperature repair, if completed within a certain period of time, is the best solution, but... Very demanding!"

Li Wenbin also nodded: "Well, the stitching speed of this contestant is too subtle, fast, tight, and precise! It's amazing. Let's take a look at the blood pressure. In fact, even if he does not use the cardiopulmonary bypass machine, his blood pressure remains at 90. I guess the repair is complete After that, it can stay around 75, which is safe."

Everyone watched the slender hands in the picture continue to stitch together, and between the ups and downs, the innominate arch and ascending aorta have been repaired!

The picture did not turn, because everyone found that watching his stitching up close would be addictive!

Xiong Kangyu suddenly asked curiously: "Who is this player? I suddenly felt that my stitching might not be faster than his speed!"

Professor Yang nodded: "Yes, I don't want to switch videos anymore, watching this kind of stitching is a pleasure!"

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

The host smiled: "Well, I believe everyone is very curious about who it is. Then, let me reveal the answer. This is our runner-up last year, deputy director of the Department of Cardiac Surgery of Fuwai Hospital, and an upstart in the field of cardiology: Sikong !"

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

The supporter couldn't help but shook his head, jokingly said: "It seems that Sikong's popularity is still very high, yes, this is also the hottest figure to win this year, but... if I don't cut the screen, the leader will criticize me. Up!"

Everyone laughed.

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

I saw the screen beating, and an operation screen appeared in everyone's sight.

Suddenly everyone was shocked!

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

After a while, the host was dumbfounded: "This is... the operation is complete?"

Li Wenbin swallowed: "Probably so?"

Professor Yang coughed: "Is this...is there any problem, so fast? The stitching is... over?"

...

...

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

Thanks: "Book Friends 20171208063955163" for 50,000 tips, plus more!

Thanks: 15,000 rewards from the "PLA Hao" brothers, 10,000 rewards from the "Half Rose".

Thank you for the 10,000 rewards from the leader of "Sugar is not sweet", thank you Miss Sister.

Today, six more arrived, please support from the big guys!