Although it is a simulation competition, the simulator is extremely sensitive to feeling blood pressure and blood volume!

This will undoubtedly increase the difficulty of the game!

People and simulators seem the same, but in fact there is a big difference in essence. The failure of the simulator's judgment is very intuitive. Once the numerical value changes, it is failure!

However, because of the existence of human compensation mechanism and self-rescue mechanism, many miracles will occur.

The Simulator won't!

When Chen Cang saw the situation in his chest, his scalp became numb.

No wonder we have to choose a unified operation, because such an operation is very representative.

That's the time!

The vena cava is damaged in multiple places, accompanied by direct rupture of the ascending aorta and the nameless artery arch, resulting in multiple bleeding!

The alarm sound on the electrocardiogram monitor reminds Chen Cang at all times.

Blood pressure as of 100/70!

It seems that blood pressure is very safe, but so many large blood vessels are ruptured, it won’t take long to reduce the blood pressure to a very dangerous value!

Chen Cang's eyebrows are tight!

How to choose surgery has become a very difficult problem.

Active injury and nameless artery damage are generally necessary to block blood flow!

However, vena cava blood flow cannot be directly blocked. When repairing its damage, non-invasive vascular forceps can only be used to clamp the tube wall, or under internal shunt.

At the same time, due to severe damage to the vena cava, the long-term embolization rate of venous transplantation of blood vessels is high, so it is not suitable to use it!

But the blood vessels were damaged very seriously at this time!

How to choose?

Looking at the box of the simulated extracorporeal circulation machine beside him, Chen Cang fell into deep thought.

If an extracorporeal circulation machine is used, it is obvious that the surgical time will be extended.

However, venous damage is so serious that it cannot block blood flow, so venous transplantation is not suitable.

Injuries at the ascending aorta and the nameless arterial arch need to be dealt with quickly.

At this time, blocking becomes very troublesome. If the blood vessel bypass is built, it will undoubtedly aggravate venous bleeding...

In a few seconds, Chen Cang had been thinking about a variety of ways in his mind!

Finally, Chen Cang looked at the electrocardiogram monitor and suddenly had an idea!

yes!

The blood pressure is still 100 now!

What are you afraid of?

Direct and reckless!

Thinking of this, Chen Cang decided to do something bold.

...

...

At this time, on the stage outside, several experts were sitting together, with surgical operations videos on the large screen.

The audience seats were filled with doctors in the field of cardiothoracic surgery, master's and doctoral students and further studies.

The host smiled and said, "To be honest, I am very excited every time the National Cardiac Surgery Skills Competition, because I can see batches of young cardiac surgeons rising continuously, taking over the baton from the older generation, becoming the leader in our field of surgery and the mainstay!"

"The operation has begun now, and I believe everyone can't wait. Let us give our voice to all experts and let them comment on this operation."

In fact, they have a list of some seed players.

Soon the video switched to the operating room in a room.

The audience was talking about it below.

After seeing the picture, Li Wenbin immediately said: "To be honest, I just saw the competition question, and it was a bit difficult. This should be a car accident injury, with multiple vena cava injuries, accompanied by contusion and laceration of the ascending aorta and tearing of the unknown arterial arch!"

"You can see that the upper vena cava, the upper vena cava, the upper vena cava, the left and right lung vena is very wound!"

"This year's difficulty is very high! Professor Yang, what do you think?"

Everyone frowned after seeing the picture.

Yang Guangdong nodded: "Yes, the difficulty of this year's competition is much more difficult than last year, but this is a trend. Changing a simple operation into a systematic operation has increased the difficulty, but it can better reflect the operator's ability and avoid some coincidental scores of doctors who are biased towards the doctor."

"But... this surgery is very challenging. There are many injuries in the arteriovenous veins, so it is particularly important to choose the method and rhythm of the surgery!"

"Hey? This candidate was very good and very stable. He chose an extracorporeal circulation machine to take the lead in treating the arteries and use non-invasive hemostasis forceps to narrow the holes for venous bleeding. In this way, while blood transfusions, the blood pressure should not be reduced too quickly!"

"Very well! The surgical skills are also very skilled. Just looking at these operations, you should be promoted without any problem!"

The director smiled and said, "Well, the picture is Ding Yu from Anzhen Hospital, who ranked fifth in the final last year."

I suddenly realized that no wonder there was such a choice and operation.

I saw the screen turn again, and another surgical operation appears in the video.

Li Wenbin looked at the picture and immediately smiled and said, "This young man's idea coincides with me. The arterial damage is not serious. I chose to divide the injured area into the diversion tube to block the injured area in advance and take the lead in dealing with the vein. After all, venous damage to this surgery is the key, and repairing is also very difficult...

Great idea, I think he must have a high score!”

Everyone below also looked at the host curiously, looking forward to who this is?

The host smiled: "Well, Director Li has a vicious look. This is Peng Lu from West China Hospital. She is a female doctor who is as good as a woman. She won the third place last year!"

Everyone suddenly realized that it was her!

That round and chubby Peng Lu!

However, at this time, the big screen appeared again, and in the screen, a man was crazily suturing the nameless arterial arch!

Suddenly, the host was stunned: "This contestant did not use the extracorporeal circulation section, and he directly blocked the suture of the aortic arch. This is too exaggerated! This is a risk, right?"

Several experts frowned immediately, and suddenly Xiong Kangyu said, "No! Close the camera and look at the details!"

Xiong Kangyu stretched the picture into his chest cavity and said, "See, his orderly hemostasis method is a hemostasis method being studied at the World Cardiac Surgery Forum. The reason why he did not use a circulation machine, the low-temperature suture blocking method he used, and the reason why he did this was because he was confident enough about suture."

"Also, this operation is very difficult to isolate, and any choice is risky. If this direct low-temperature repair is completed within a certain period of time, it is the best solution, but...there are extremely high requirements for the surgeon!"

Li Wenbin also nodded: "Well, this player's suture speed is so exquisite, fast, tight, and accurate! It's amazing. Let's take a look at his blood pressure. In fact, even if he did not use an extracorporeal circulator, his blood pressure was maintained at 90. I guess after the repair is completed, it will be maintained at around 75. This is safe."

Everyone looked at the pair of slender hands in the picture and kept suturing. The nameless arterial arch and ascending aorta had been repaired in the ups and downs!

The picture did not turn because everyone found that watching his stitching at such a close distance would be addictive!

Xiong Kangyu suddenly asked curiously: "Who is this player? I suddenly felt that my stitching may not be faster than his!"

Professor Yang nodded: "Yes, I don't want to switch videos anymore. Watching this kind of stitching is a pleasure!"

Li Wenbin nodded: "Haha, I believe everyone has this feeling! Then let's watch it for a few more minutes..."

The host smiled: "Okay, I believe everyone is curious about who it is. Then, let me reveal the answer. This is our runner-up last year, deputy director of the Department of Cardiac Surgery of Fuwai Hospital, and a newcomer in the field of cardiac surgery: Sikong!"

The audience couldn't help but cheer: "Sikong! Sikong!"

The supporter couldn't help but shook his head and joked: "It seems that Sikong is still very popular. Yes, this is also a popular person to win the championship this year, but... if I don't cut the screen, my leader will criticize me!"

Everyone laughed.

"After watching last year's seed player, let's switch one randomly!"

The picture was beating, and a surgical picture appeared in everyone's sight.

Everyone was shocked!

Not only the audience, but also the expert commentator, or the host, they all looked at the scene with shock.

After a while, the host was stunned: "Is this... the operation completed?"

Li Wenbin swallowed: "Probably?"

Professor Yang coughed: "Is there something wrong with this...is it so fast? The stitching is over?"

...

...

ps: Cough cough, I really don’t want to be out of context. My mother asked me to have dinner and I will write it tonight.

Thank you: "Book Friends 20171208063955163" for the 50,000 reward, and additional updates!

Thank you: "plahao" brothers for 15,000 rewards, and "Half-Black Rose" for 10,000 rewards.

Thank you to the leader for his 10,000 reward for "Sweet Candy is Not Sweet", thank you lady.
Chapter completed!