Teacher Meng's words made this group of "Chen Cang support team" stunned!

Director Tao closed his eyes and rested without saying a word, Xia Gaofeng looked even more like I didn’t know, please ask him.

Cui Yuanwu looked at Meng Xi: "Director Meng, don't lie to us. Director Tao has explained everything to us. Xiao Chen is preserving his strength and breaking out at critical moments, right?"

Speaking of this, Cui Yuanwu lowered his voice and said with a smile: "It's okay, we have a very strict mouth!"

Seeing this, Meng Xi rolled her eyes!

How could these people be blindly confident about Chen Cang?

As soon as Meng Xi turned around, she saw Cui Yuanwu and his teacher Yang Jianshu had already opened.

Meng Xi couldn't help but sigh.

...

...

Chen Cang just came in, and the two examiners were stunned for a moment because they had met Chen Cang yesterday!

Chen Cang just used ascending aortic injury repair surgery yesterday to make the two examiners discuss it all night and couldn't fall asleep. Unexpectedly, he met Chen Cang again today!

The two examiners were both surprised and happy!

Even... I still have a little expectation in my heart.

However, under the surveillance camera, the two of them could not show it too clearly.

The examiner Sun Gaoxing looked at Chen Cang, feeling a little happy, but still said lightly: "Candidates, please note that at this time, another operation is being performed in the operating room of the emergency center. There is not enough centrifugal pump to use. Please use the available instruments to start your operation!"

After hearing this, Chen Cang nodded immediately.

"Are the candidates ready?"

Chen Cang: "It's ready!"

"Start now!"

As soon as the words were finished, the sound of the electrocardiogram monitor began to sound, and blood was constantly flowing out of the descending aorta!

When Chen Cang saw the wound, he was stunned!

This... this wound is completely different from what I encountered yesterday...

The difficulty of the surgery has been greatly improved.

Although both descending aorta repair surgery are performed, the repair methods that need to be used are different in different locations of the injury and the wound size.

Today's surgery is obviously no longer as simple as vascular repair and suture, and the difficulty is greatly increased!

Chen Cang stared at the bleeding point of the wound, did not stop the bleeding rashly, nor did he use hemostatic forceps directly!

All these surgical methods are constantly thinking about in my mind!

The wound has a large crack and multiple injuries. The direct blocking of blood flow is a suture method. In emergency situations, it is only suitable for wounds with small cracks. They can be repaired directly, but the time is strictly controlled!

Similarly, there is also this requirement for forceps to close the aorta to suture the cleft, and the time for the aorta to receive closure is very limited!

Chen Cang's stitching speed is very fast, but this is not an optimal choice.

Sometimes, the method you choose must have a fault tolerance rate, which is the best choice for surgery!

It’s not that this kind of adventurous rapid suture is not good, it can only be said that this is the only option when there are no other surgical methods available.

You should know that doctors are humans and have a chance of making mistakes. They are not machines, and humans will have great randomness.

After a few seconds of consideration, Chen Cang made a choice instantly!

At this moment, in this state, it is the best choice to use a centrifugal pump to perform partial flow transfer!

Heparinization is not required, only the flow from the left atrium or upper left pulmonary vein to the descending aorta at the distal end of the torn according to the patient's condition.

Unfortunately, there was no centrifugal pump on site for Chen Cang to use!

This tests a doctor's ability to adapt to changes!

Chen Cang thought for a while, turned around without hesitation, and said to the nurse:

"Hemostatic forceps!"

The nurse immediately handed it over.

Sun Gaoxing looked at Chen Cang's operation and frowned slightly. What exactly should Chen Cang do?

Deputy Examiner Hou Liang also thought about whether he had to challenge his limits, give full play to his advantages of rapid suture, and directly choose to quickly suture the blood vessels with hemostasis forceps?

In this way, even if it is successful, the two of them may not necessarily give the highest score, because Chen Cang did not use the optimization principle to deal with the operation selection.

After Chen Cang stopped the bleeding, he said to the nurse: "Transfer tube heparin treatment!"

As soon as these words were spoken, the two examiners breathed a sigh of relief and nodded with relief.

He didn't take any risks!

Choose the gett shunt method!

After the operation began, Chen Cang directly incited the pericardium in front of the left phrenic nerve, revealing the ascending aorta from the pericardium!

Carefully separate the ascending aorta and descending arches, free and block the distal rupture, proximal thoracic aorta and proximal left subclavian artery.

Although the simulator is not very similar to humans, Chen Cang still pretends to be nervous and carefully avoids it...

Well, although you are a simulator, you have to pretend to be very much like a real person.

Chen Cang feels that he is now the actor Chen!

Chen Cang inserted the proximal lumen of the plastic tube into the ascending aorta, the distal end of the descending aorta, and then inserted the 3-0 non-invasive thread suture two layers of purse lines, carefully tightening!

After eliminating gas accumulation in the pipeline, open the intubation and flow!

In this way, the wound is just separated, and the operation will naturally have enough time to repair the descending aorta!

but!

The gott shunt method has a fatal disadvantage!

That is, the traffic transfer cannot be controlled.

What does it mean?

Once the flow is opened, there is enough blood flow in the pipe, which is not only unfavorable for the operation, but may even coagulate!

Even if the blood flow is too fast, it will have some impact.

Chen Cang's previous operations were very accurate, just like a textbook gett shunt surgery.

However, the examiners Sun Gaoxing and Hou Liang looked at Chen Cang with great interest, because what was waiting for Chen Cang next was not just a difficult operation!

There was even an accident!

That's right!

Do you think the Sims won't have any accidents?

These are all programmed...

After all, human surgery is also unexpected, but this high-priced human accident can be simulated.

really!

Just as Chen Cang was about to suture, the operation immediately encountered an accident. The patient had problems with the flow rate because his blood pressure was already very low!

Even... caused reflux!

Sun Gaoxing looked at Chen Cang with great interest, wanting to see what he should do.

But……

Chen Cang was unmoved and gently adjusted the diversion tube to an angle, and suddenly a one-way valve appeared!

At this moment, the two examiners were stunned!

When will this kid place a one-way valve in the diversion pipe?

Could it be that he had guessed it?

Sun Gaoxing keenly realized that Chen Cang did not guess, but designed it himself based on the patient's blood pressure.

This is the basic professional quality that a great surgeon should possess.

This is a high degree of grasp and control of the operation!

Any accident must be prepared for any accidents.

However, at this moment, Chen Cang said to the nurse: "Give me two silk threads!"
Chapter completed!