When a doctor opened a plug-in

The game starts in the afternoon!

Everyone is complacent!

And Guo Yunfei was even more confident, sitting in Chen Cang's position, enjoying the gaze of approval from strangers around him.

Chen Cang couldn't help but yawned!

A little sleepy.

But Meng Xi still insisted on asking Chen Cang to give a lecture.

The next game does not draw lots, directly according to the pk of the same group, according to the number!

It has been arranged.

The competition in the afternoon is still the same question, which is also convenient for unified management.

Because the difficulty of the national competition is much higher than that of the provincial competition, these exam questions are carefully considered and designed by the expert group and are representative.

When the time was up, everyone got up!

The audience burst into applause.

Guo Yunfei was in very good condition today, and he was relieved to learn that his secret had not been revealed.

The operation officially begins!

The eliminated students sit in their seats as spectators.

The host looked at the three professors Li Wenbin, Xiong Kangyu and Yang Guangdong.

"In the afternoon, three of our experts are still invited to give us a wonderful game commentary."

"The second round of the game is pk format, this kind of game is more enjoyable, to be honest, I can't wait."

"After all, there are two surgeries on the big screen. Under the PK, you can see clearly immediately."

"The next game may be very intense, let us wait and see!"

After speaking, the host picked up the remote control: "Dear directors, are you ready? We will start to randomly click on the video immediately."

Li Wenbin smiled and nodded: "Okay, let's get started."

At this moment, the operation has just begun. Through the camera, the state of the chest cavity can be seen completely, and the disease can also be judged!

I have to say that Li Wenbin and others are all senior directors with rich experience. After seeing the wound, they knew it within a short time.

After Yang Guangdong pondered for a moment, he nodded and laughed: "This year's exam questions are very interesting. To be honest, this operation made my hands itchy!"

Li Wenbin nodded: "Yes, the thoracic aorta is damaged, accompanied by severe arterial dissection. This operation looks very simple, but the difficulty is actually very high. Look here."

"As an important component of the descending aorta, the thoracic aorta is designed to have an adhesive separation from the trachea and esophagus. This is not an acute bleeding operation, but it is a difficult operation!"

"Look, long-term adhesions can cause adhesions between the trachea, esophagus and the thoracic aorta, but there is chronic damage to the male initiative itself, and the aortic dissection is obvious here!"

"There are several difficulties in this operation. The first is adhesion separation, the second is the treatment of thoracic aortic trauma, and the third is the treatment of aortic dissection!"

Xiong Kangyu frowned and suddenly said, "In fact, behind these three points lies a more important problem, and that is the handling of emboli!"

"Look, everyone, because injury and adhesions exist at the same time, accompanied by aortic dissection, thrombosis is formed in the dissection at this time, and the thrombus must be prevented from falling off, otherwise it will cause important body artery embolism!"

After these words were said, everyone in the world suddenly began to think!

If they face this operation, what will they choose to do?

It's a bit difficult!

The audience suddenly became quiet.

At this time, the host started to switch screens, watched the anxious game, and said: "Dear directors, who can win this group of pk?"

Li Wenbin said directly: "I can't see it yet. The game is a bit anxious. After all, up to now, the level of all players is very high, so let's start with the details."

Yang Guangdong nodded: "Indeed, there are a few things that I want to shine in this operation. The first is the details of the operation, such as thrombus treatment, and the second is the operation."

The first operation was too anxious to be separated!

Although wonderful, it is not comparative.

Was switched soon!

After the switch, this time, there were a lot of deviations in the operation of the two people!

Because the operation is different!

Li Wenbin pointed to the screen and said: "The two players have completed the separation, and the most important thing is to deal with the operation of the aortic dissection! That is the key point of the operation! Let's see how the two players deal with it!"

"The contestant on the left chose a typical'elephant trunk' surgery, which is universal! Generally speaking, both acute and chronic type I dissections can be used to replace the ascending aorta and aortic arch. !

However, the latest research shows that compared with surgery for patients with intimal rupture located in the descending aorta, in the application of "elephant" surgery for chronic descending aortic dissection, the left renal artery that opens in the false cavity should be prevented from being closed to supply blood. Insufficiency, causing acute renal failure.

Let's see if this player did this!"

Li Wenbin moved the screen down and suddenly laughed: "Well! It's a beautiful operation. It seems that our player is very good."

Suddenly, Xiong Dailin frowned, pointing to the picture on the right and said: "Actually...the player on the right is even better! Professor Yang and Professor Li, please see what method she uses!"

The two looked at it together, and after a minute, they were taken aback!

Li Wenbin suddenly said curiously: "This is also an elephant trunk surgery method? It's not much different from the left."

Yang Guangdong suddenly said, "Director Li, look at the wound!"

Li Wenbin looked at it, his eyes widened: "This is...'sandwich technique'? Oh my God, it's a genius to think of using the'sandwich' method to handle anastomoses!"

Xiong Kangyu nodded: "Yes, the sandwich method may be the current proper and effective method! One is to prevent postoperative anastomotic bleeding, and the other is to effectively reduce the arterial intima tear at the secondary anastomosis, causing new false Cavity entrance!"

"Obviously, this candidate has taken this into consideration!"

Li Wenbin couldn't help but shook his head with a smile: "Hey, I really think so comprehensively. Even I can't even think of it. The sandwich method can be used here!"

"Who is this player? And... I'm curious who can think of it now?"

The host smiled and opened the player introduction on the right.

"No. 38 D player: Meng Xi!

30 years old, graduated from Karolinska Institute in Sweden, Ph.D., master tutor.

Work unit: The First Affiliated Hospital of Dongyang Medical University;

Position: Director of Cardiac Surgery."

"Let's switch perspectives and see who else is?"

After speaking, everyone nodded.

After the screen changes.

"No!"

"nor!"

"not yet!"

Li Wenbin smiled: "Maybe we are too demanding of the players, this kind of sandwich processing method is very rare! Even I can't think of it."

At this moment, another suddenly appeared on the screen!

Xiong Kangyu quickly said: "The player on the left has appeared, who is this?"

"A-007 Chen Cang!"

Everyone was shocked!

"Chen Cang again?"

"Is this Chen Cang so powerful?"

At this time, Xiong Kangyu looked at the crowd, suddenly sighed, and said: "I have a gossip message here. I don't know if you want to hear it!"

When everyone heard the gossip, their eyes lit up.

Xiong Kangyu suddenly smiled and said, "This Meng Xi is Chen Cang's master's tutor!"

As soon as this remark came out, everyone was shocked!

Chen Cang is so awesome, how awesome is his mentor?

Heifer takes off?

...

...

ps: Hey, there is another leader, happy!

Thanks for the 110,000 reward from "Poison I", and a new leader for this book!

Thank you too: "Sakura, Sakura", "AlovE", "Ding Ding Dan", "Forgotten Love" and "Give you a meal" for their 10,000 rewards!

Continue to rise tomorrow!

Brothers are awesome, the heifer is in heaven!

The "elephant trunk" technique and the "sandwich" method are real. In fact, I have checked the information for all operations, including techniques, and even watched the video of the operation, so you can take these terms out and use them with confidence Pretend to be forced!