When doctors have a simulated operating room

The doctor said that the money was not enough, but he was still very busy.

Zhang Yi looked at her. After a night, the dark circles under his eyes seemed to have worsened.

"Okay, since you have signed the contract, from now on, this money is what you owe to the hospital, and you can't leave until you pay it off.

If you are willing to continue working in the hospital after paying it off, you can discuss it with the head nurse."

"Okay! Okay! I will definitely pay it back, don't worry!"

"Thank you, Doctor Zhang... I... I really don't know how to repay you... Thank you so much!"

The woman nodded repeatedly, not knowing what to say with gratitude.

Zhang Yi waved his hand and put away the contract expressionlessly, and then called the operating room to ask if it was ready.

At two o'clock in the afternoon, the little girl with congenital heart disease was sent to the operating room.

Before going to the operating room, the little girl was in good spirits and would giggle if you teased her.

Oh, this child is really a good child, but her father is a scumbag.

I hope you can grow up healthy and healthy from today onwards.

The main surgeon of this operation is Zhang Yi, the first assistant is Lu Jing, and the second assistant is Chen Fang.

These two are assistants selected by Zhang Yi himself.

Of course, in addition to these people, there are many other doctors and interns who come to watch in the operating room.

For example, Shen Lingyue sneaked in with her teacher.

Looking at the assistants standing next to Zhang Yi, not only Shen Lingyue, but many doctors around are envious.

They also want to be Zhang Yi's assistants!

Woo! But there is no chance!

On the operating table.

After systemic heparinization, anesthesia is first applied, the surgical entry point is marked with a marker, and then a large area is disinfected and the surgical towel is laid.

There are two types of surgery for congenital heart disease, one is shunt surgery and the other is radical surgery.

Zhang Yi believes in himself more and chooses direct radical surgery.

"Scalpel."

Make an incision between the fourth and fifth intercostal spaces.

Use curved forceps to pull open the skin, use a spreader to expand the field of vision, and apply bone wax to the broken ends of the ribs to stop bleeding.

Fully expose this deformed little heart.

"Suction, clean the surgical field."

"Okay."

Lu Jing is Zhang Yi's assistant, so the suction job is given to Chen Fang.

Generally, the assistant and the main surgeon have to use the knife to take the thread.

After cleaning the surgical field, start to establish extracorporeal circulation, confirm the ventricular flow, then cut the anterior wall of the right atrium, remove the wall bundle and the fibrous diaphragm ring, and expose the septal defect.

The problem of the triad is mainly in the right heart.

In addition to the atrial septal defect, it also has right ventricular hypertrophy and pulmonary artery stenosis.

This child is still a typical atrial septal defect combined with pulmonary artery stenosis, which can easily lead to progressive obstruction of the right ventricular outflow tract.

At the same time, the right atrium and right ventricle pressure will also increase significantly, and the blood flow will be shunted from right to left under pressure. The clinical manifestations of hypoxemia such as systemic cyanosis and clubbing will gradually worsen.

As long as the pulmonary artery stenosis is resolved, the child's condition will improve a lot.

Pulmonary artery stenosis undergoes valvulotomy to expand the outflow tract.

Right ventricular wall hypertrophy can be appropriately resected to relieve ventricular pressure.

The operating room was silent.

There were quite a lot of doctors watching, but Zhang Yi didn't drive them away.

They are all young people, so it's okay to learn.

Soon, everyone showed an expression of worshiping the boss.

This is obviously a heart surgery!

How come Zhang Yi's hands become as simple as practicing suturing pig skin in the operating room? !

Are you kidding me!

Why is the gap between people so big? !

On the operating table, Zhang Yi moved quickly. After repairing the defective atrial septum, he began to check one by one and prepared to suture the heart cavity.

"Anesthesiologist, please report the vital signs."

"P: 112 beats/min, R: 22 beats/min, BP: 86/65mmhg, vital signs are normal."

(Infants and young children have lower blood pressure than normal people.)

Hearing that the values ​​were normal, Zhang Yi was relieved.

"I'm going to suture the ventricle, pay attention to extracorporeal circulation."

"Understood."

Swish, swish, swish.

Except for the assistants closest to Zhang Yi, the doctors watching around him stretched their necks and couldn't see how Zhang Yi sutured.

They only saw his hands rise and fall a few times, and it was over!

Ouch!

Doctor Zhang, you don't have to be so fast, we didn't see it at all!

Of course, Zhang Yi didn't notice the complaining eyes of those behind him.

"Attract, clear the surgical field."

"Good

. "

Zhi~zhi~

The entire area around the heart was flushed again.

"Get ready to wean off the cardiopulmonary bypass machine."

First, the pipelines of the superior and inferior vena cava are evacuated, and then the pipelines of the aorta and pulmonary artery are evacuated.

Soon, the blood vessels of each tube began to flow into the small heart that had just been temporarily suspended.

One second,

Two seconds,

Three seconds...

Everyone waits with bated breath!

finally!

‘Gudong’ ‘Gudong’!

At the fourth second, my heart started to beat!

And it beats very energetically. It seems that the operation was very successful!

"Okay, get ready to close your chest."

Zhang Yi said calmly.

The young doctors around him couldn't help but started talking excitedly!

"Wow! It's my first time to see Dr. Zhang's surgery! It's amazing!"

"It's amazing, how did Assistant Zhang do it so quickly and stably? When I watched the video before, I didn't feel that the impact was big. When I came to the scene today, I realized, my God, is this the difference between me and the top doctors? ?”

"Hiss! This is a height that I will never reach in my lifetime!"

In the corner, Shen Lingyue stared at Zhang Yi's hand with burning eyes.

Zhang Yi is really awesome!

It shocked her again and again!

She had never had any idols before because she thought she was excellent.

But now, in addition to her father, Shen Lingyue has another admirer and a goal to strive for!

Zhang Yi is her target!

This is her future goal in the medical field!

She must work hard, one day she will become Zhang Yi's assistant!

…

Another series of suturing operations that made the people around him stunned.

In less than ten minutes, the sutures were completed and the operation was over.

Apply a pressure bandage to prevent the wound from bleeding.

"Send him to the neonatal ICU ward and monitor the child's condition closely. If anything goes wrong, let the ICU notify me as soon as possible."

Zhang Yi took off his gloves and ordered while disinfecting his hands.

"OK."

"Okay, the operation is over. You all have worked hard. Go back to the department quickly."

Zhang Yi waved to everyone in the operating room.

These young doctors looked at the operating table with unfulfilled interest, and then at Zhang Yi.

Then, a brave female intern stood up and asked:

"Doctor Zhang, do you... still need assistants? Do you think I can do it?"

Zhang Yi glanced at the little girl: "Which department are you in?"

"I'm an anorectal surgeon!"

Zhang Yi smiled and shook his head and said: "No need, I have enough assistants for now. Keep working hard and try to give me a chance to choose you first in the future."

"Huh?" Seeing that there was no chance of becoming an assistant, the intern quickly asked:

"Then... Zhang Yi, do you need a girlfriend? Since I can't be your assistant... can I be your girlfriend?"