Start as an Emergency Physician

After the removal of the cryogenic bypass, Zhao Mingshi's body temperature still recovered.

Zhou Yuan re-buried his head for surgery.

After more than ten days of toe transplantation and thumb reconstruction, Zhou Yuan now feels a little deformed when he looks at his fingers...

Occasionally, I can have an aortic dissection operation, which is a bit new to Zhou Yuan.

Look at this wonderful innominate artery, short but strong, it can also send out the common carotid artery and the right subclavian artery, which crosses the anterior wall of the trachea and is separated from the trachea by only a small amount of loose tissue.

The familiar ascending aorta, since the last elephant trunk surgery, Zhou Yuan has not seen what the ascending aorta looks like for almost a month, compared to the small blood vessels in the hand, the ascending aorta is like a tall and mature young lady...

Zhou Yuan really thinks these blood vessels are good-looking.

System: "Host, I have a concise mental illness here..."

Zhou Yuan: "Get out." "

I don't let go of cross talk, and I suspect that the host is mentally ill every day, so I'm sick.

Zhou Yuan once again reinforced the distal anastomosis to prevent bleeding, and then used the remaining aortic adventitia to wrap the artificial blood vessels.

The principle of this step is actually very simple, the artificial blood vessel is a foreign object after all, and the artificial blood vessel is wrapped with the patient's own aortic adventitia, just like wearing the clothes of the enemy.

This is also to minimize the body's rejection response.

Of course, the protection of artificial blood vessels, the reinforcement of anastomosis and other functions can not be ignored.

Zhou Yuan finished wrapping the artificial blood vessels and glanced at the chief physician.

At this point, he is undergoing retroperfusion of the superior vena cava.

The replacement of the ascending aortic arch is generally done after this step, but in order to save time, Zhou Yuan directly began to examine the ascending aortic arch and prepare for the replacement.

"Why did you start again?" the chief physician was stunned.

Replacement of the aortic arch during superior vena cava counterperfusion requires a high degree of technical requirements for the main knife...

Even he himself is not absolutely sure to try.

During reverse perfusion, the blood vessels themselves will pulsate due to the perfusate, and the aortic arch will be replaced after this time, which is difficult to imagine.

For example, it is like writing on a swaying chain bridge, and ordinary people can't even stand on their feet, so they have to hold on to the bridge rope next to them.

And the ability of most surgeons is to stand firm on a rocking chain bridge and write with a pen.

If you are a little better, you can write words that make people understand the content.

And the level of the chief physician is that he can write better words, at least he can write the strokes clearly and will not be crooked.

Zhou Yuan's replacement of the aortic arch during superior vena cava counterperfusion is as difficult as writing regular script on a violently shaking iron cable...

The chief physician thinks he can't do it.

Cursive can be tried.

"The intima of the three branch vascular openings of the aortic arch has ruptured..."Zhou Yuan sighed.

That's the most important part of this surgery, which is to repair the gap.

Zhou Yuan didn't expect that there were three gaps.

Also surprised was the chief physician.

"I'm glad I brought you here... Three ruptures..."The chief physician was a little afraid.

If he hadn't invited Zhou Yuan in time, he wouldn't have been able to solve this rupture.

Rupture of the aortic arch is not a simple 1+1=2. With each additional rupture, the difficulty increases exponentially.

This is because each fracture needs to be repaired and then anastomosed with the artificial blood vessel.

The more incisions that need to be anastomized, the more difficult it is to control the balance between the artificial blood vessel and the human blood vessel.

"You have to be careful about the anastomosis, if you don't pay attention, one anastomosis will be good, and the other will infiltrate," said the chief physician.

Zhou Yuan nodded, twisted his hand, and directly matched the three branch blood vessels with the artificial blood vessels, "Oh, it's anastomosed." "

The chief physician was stunned for two seconds, and his expression was extremely shocked: "Okay?!"

What the hell... The reverse perfusion has not been completed, and you have already anastomosed?!

Zhou Yuan glanced at the chief physician.

If you're so shocked, you'll be rewarded with an intermediate chest, right?

Chief physicians generally start with intermediate treasure chests, and there are only a few people like Wu Guohui who reward junior treasure chests after all.

Zhou Yuan still hasn't figured out why Wu Guohui only has a primary treasure chest.

In terms of the degree of praise, Wu Guohui himself has a very good character, and it is impossible to be jealous or unconvinced behind Zhou Yuan's superficial appreciation, but he must be truly admired.

In terms of surgical techniques, although Wu Guohui has no specialization, but... All hand surgery has two brushes, except for Director Wang, hand surgery is his world, and the technique is not bad...

Could it be... This guy doesn't have a discipline?

Zhou Yuan sighed and looked at the chief physician of the thoracic surgery department again: "Director, hurry up, I have to go back to the hand surgery department after I finish stitching." "

Chief physician:......

"This is the first time that someone has accused me of being slow to do surgery..."

"You're really slow to do surgery. Zhou Yuan glanced down and said, "Now it's the second time, right?"

Chief of Thoracic Surgery: ???

What's in it for you to slap me?

"Why don't you stitch it to us?"

The most difficult step has passed, and he, as a chief physician, is still competent for suturing.

Zhou Yuan shook his head.

It is impossible to get the approval of the superior without the surgery.

Moreover, after the aortic dissection surgery is done this time, it can accumulate to 2/10., and if it is not completed seriously, it will lose the toe graft and reconstruct the thumb on the hand surgery side, and there will be no aortic dissection on this side, and the blood loss...

Wu Guohui and Zhou Yuan are actually very relieved, it has only been more than an hour now, and there are only a few easy large blood vessels that have been stitched up, and it is unlikely that there will be problems.

"Hurry up... Forget it, I'll do it. "

Zhou Yuan took over, and the chief physician stopped his two hands in his chest, looking confused.

Yourself are disliked?!

Zhou Yuan's speed was very fast, and after a few minutes, the reverse perfusion was completed.

The chief physician next to him silently stared at Zhou Yuan, who was seriously operating.

Surgical techniques, techniques, and simple techniques, to pick on any aspect, with the vicious eyes of his director, he couldn't find a place to spray.

No...... Actually, it's still a little.

Like what.

"Damn, why can you just anastomoses the artificial blood vessels?"

"Damn! The false cavity of the mezzanine has been emptied? Are you human!"

Zhou Yuan didn't pay attention to the surprised gazes around him, picked up the needle forceps and forceps, and began to suture the chest cavity layer by layer.

After more than ten minutes, the stitching was completed.

Zhou Yuan put down the needle forceps and looked at the aortic dissection that jumped into 2/10 and the suture of 9/10.

He looked at the chief physician again, his eyes shining.

Sure enough, the voice of the system also sounded at this moment.

"Congratulations to the host for receiving the praise of the superiors!"

Zhou Yuan's gaze skimmed to the reward. _

Feilu reminds you: there are three things to read - collection, recommendation, and points