After adding and subtracting, I lost 10% of the completion level.
At this rate, after 10 surgeries, the copy will probably be finished.
This copy of cardiothoracic surgery not only involves a wide range of operations, but is also much more difficult than before.
Zhou Sheng refreshed his energy. He must be more serious.
Watch Lao He's demonstration carefully and avoid making mistakes!
There is not much time for sorrow in Monday's life.
The second operation of the copy will begin immediately.
Zhou Sheng did not even leave the operating room. As soon as the scene changed, a wave of people had changed in the operating room, from patients to anesthetists to nurses.
The surgical equipment has also changed completely.
Only Lao He is still Lao He.
The system loads patient information.
The patient, 56-year-old Mr. Liu, is from Qinzhong. Six years ago, he developed symptoms of chest tightness and chest pain without obvious triggers. The symptoms were more obvious when the weather changed.
The symptoms were relieved after resting in place, but no systemic treatment was given. This year, symptoms such as "chest pain and tightness accompanied by dry cough" appeared again, and I went to the hospital for hospitalization. During the treatment, CT and CTA examinations were performed and I was diagnosed with aorta.
mezzanine.
When Zhou Sheng saw this disease, his head immediately became two.
Cardiothoracic surgery is indeed a wide range of operations. Just after the heart surgery, another vascular surgery came.
Surgery involving the aorta is a level 4 surgery, which is one level higher than the mitral valve replacement surgery just now.
Listening to the name of the disease, you can tell that this disease does not seem to have much to do with the heart. It is mainly a problem with the aorta.
The physiological structure of blood vessels is divided into three layers: intima, media, and adventitia.
When the blood in the aortic cavity enters the aortic media from the tear in the aortic intima, causing the media to separate, forming a separation of the true and false cavities of the aortic wall. This situation is called aortic dissection.
If we break it down, this disease should belong to vascular surgery.
However, vascular surgery is only available in a few large general hospitals. The aorta comes out of the heart. So if there is a problem, it is usually the cardiothoracic surgery department that takes care of it.
For example, the Central Hospital is like this.
Similarly, there is no classification of vascular surgery in the system. Therefore, it is also placed in the copy of cardiothoracic surgery.
The cardiothoracic surgery copy is really all-inclusive.
Again, as long as there is something in the chest, whether it is the heart, lungs, esophagus, or aorta, they are all within the scope of cardiothoracic surgery.
The best way to treat aortic dissection is surgery.
In the medical community, aortic dissection is generally divided into type A and type B according to the location where it occurs.
The aorta comes out from the heart and ends in the abdominal cavity, shaped like a hook. The "hook tip" connected to the heart is called the ascending aorta (going out from the heart and upward), and the next curved part is called the aortic arch. After the curve, it is almost straight to the
Descending aorta in the abdominal cavity.
Type A occurs in the ascending aorta and aortic arch, very close to the heart.
Type B is in the descending aorta.
From here we can see that Type A is far more dangerous than Type B.
Type A generally requires thoracotomy for thorough treatment. Type B minimally invasive stent surgery can achieve good therapeutic results.
The patient Zhou Sheng is currently treating is in relatively good condition. The aortic dissection occurred in the descending aorta.
All circumstances are understood.
The copy operation will begin immediately.
…
The patient is placed in a supine position.
Percutaneous radial artery puncture under local anesthesia...
Another puncture.
Things that are commonly done in minimally invasive interventional surgery.
Compared with pericardiocentesis and thoracentesis, this puncture is even more meticulous and skillful. The blood vessels of the human body are not that thick.
The main thing is to use the equipment skillfully.
Following the old rules, He Congshuang took the lead and went through the operation again.
Zhou Sheng looked at it carefully, but the process was quite cumbersome.
Even Zhou Yisheng is very talented and has good practical skills.
Points are also deducted frequently.
Reduce completion level by 5%...
Reduce completion by 10%...
15% less completion...
A puncture is made, then the diameter of the aorta is measured, and a guidewire is placed...
Finally the stent is placed.
The whole process doesn't take long, only less than 2 hours.
It didn't take long because there was no time-consuming operations such as opening and closing the chest.
The time required for a truly delicate operation is no less than that of mitral valve replacement.
After the surgery is completed.
I was sweating profusely on Monday.
During the operation, 20% of the completion degree was deducted. After the operation, a 20% completion degree reward was given. Once calculated, there will be no deduction or deduction.
Zhou Yisheng was quite satisfied with this result.
Zhou Sheng expected that the more surgeries he performed, the less likely he would be deducted points.
So as long as you stay steady and don't wave, you will definitely be able to pass the level smoothly.
Duplicate surgeries one after the other.
Zhou Sheng was born in this copy and fought hard for a whole year.
In reality, 8 hours have passed.
At twelve o'clock at midnight, Zhou Yisheng returned to reality from the virtual world of the copy.
The intermediate copy of Cardiothoracic Surgery was completed, and the final completion level stayed at 70%. I breathed a sigh of relief on Monday.
Looking at the time, there are only more than 6 hours until dawn.
I have to work the morning shift tomorrow, and I don’t have time to finish the last remaining advanced copy of Cardiothoracic Surgery today.
At this time, Zhou Sheng's stomach growled.
I quickly went to the restaurant to heat up the late night snack I had prepared. After I was full, I returned to my room and slept until dawn again.
…
Early the next morning.
Dad's knocking on the door woke Zhou Sheng from his sleep.
The father's voice outside the door: "What time is it now? If you haven't gotten up yet, don't you want to go to the morning shift today?"
Zhou Sheng yawned and opened his eyes. When he looked at the time, it was like, my God, it was almost time to go to work.
I slept so soundly that night that I didn't even wake up because of the alarm on my phone.
Zhou Sheng quickly got up and washed up. When he came to the restaurant, his grandfather and father were eating. Zhou Sheng took two bites of breakfast and hurried to the hospital.
…
Zhousheng arrived at the emergency center just in time to change his shift. After changing into a white coat, he was not busy sitting in the doctor's office. He was going to the ward to check on Boss Zhu's recovery.
Although the prediction given by the system is that the condition will recover quickly.
However, the system prediction is only for the condition, not for predicting the future.
For example, the surgery went perfectly at that time, but if the subsequent treatment is not effective, the condition may change.
This patient was the first cardiac surgery performed independently by the emergency center. Zhou Sheng did not dare to be careless at all.
Come to the ward.
I saw Boss Zhu half lying on the bed, awake and looking good. His wife was also by his side.
In addition to the old couple, there was actually another person in the ward.
This person is none other than Dean Cheng.
Zhou Shengsheng felt nervous, why did Dean Cheng come? Could it be that he did this heart surgery without consulting his superiors.
Dean Cheng heard this and came here. Do you want to criticize yourself?
But how did Dean Cheng know that the emergency center had performed this operation? Although he was still the director of the emergency center in name, he actually didn't care about the specific business of the emergency center at all now.