medical simulator

Page 453



Page 453

However, there were more people on the stage, nine of them, and the itinerant nurses all took two bags of surgical clothes, so they were able to wear them all.

Not to mention four assistants and eight assistants, all the equipment nurses were kicked out of the stage, and there was no need to go up. An associate professor personally stepped forward and snatched the job of the equipment nurse. Everyone stood on tiptoe and looked inside.

Zhou Cheng didn’t get angry because Landscape Star sneaked past him for surgery, but after seeing this scene, he still patiently explained it to everyone, from plain film to operation reset, from reset to internal fixation device The placement and other points.

Zhou Cheng had been familiar with this case for a long time, so he knew it at his fingertips, and the medical history was clearer than all of them.

When Zhou Cheng got to the point, Jing Jingxing clapped his hands fiercely with excitement, as if he was a little annoyed, with an expression that was just like that.

Zhou Cheng turned his head and gave him a strange look.

Landscape Star immediately realized his gaffe, his old face continued to blush, and he bit the bullet: "Xiao Zhou is really good, I feel that when I am grinding the operation process, I always feel that there is something wrong."

But I didn't mention that I had surgery, but failed.

Zhou Cheng continued to talk. After talking about the whole operation process, he summed it up again: "I won't go into too much detail about the reset and manual reset, and then the intermuscular space enters the end of the bone, and the bone breaks into the bone marrow cavity."

"Then there is a mirror, you can take the third mirror window..."

Everyone followed Zhou Cheng's words and nodded.

The foundation is not weak, so you can understand it naturally, first understand it, and then understand it.

After the lecture, Zhou Cheng looked around and did not hear anyone asking any questions, and then he started to operate, still saying to himself: "I like to dismantle such operations, but dismantling is only Ideas, not processes.”

"It's actually not difficult, and it doesn't require a lot of strength."

After Zhou Cheng finished speaking, the redefined fracture reduction operation was launched, and the original deformity of the fracture disappeared instantly.

In order for everyone to understand, Zhou Cheng deliberately slowed down the operation process.

C-arm fluoroscopy, when the result came out, the remaining fracture line surprised everyone.

The only one who has seen Zhou Cheng's surgery is Jingxing Xing, so he, the head of the orthopedics department, doesn't change his face now.

Seeing this situation, the others understood a little bit why Landscape Star had to do the small incision surgery in private.

Without further explanation, Zhou Cheng made two more small incisions, on the same axis and on different axes.

"I said, why is the patient holding on to the small incision? It turns out that the incision can really be so small. I saw it in the morning." Zhou Yin, who had contact with the patient, half-spoken and realized that the content was slightly wrong.

So shut up right away.

in silence.

Zhou Cheng continued, he was very familiar with these surgical procedures, so he quickly completed all kinds of movements, only the step of moving the internal fixation instruments closer to the middle.

Zhou Cheng has not hidden his secrets yet. The purpose of his taking this subject out is to use it for patients. Otherwise, he can just hide it and squat in the third hospital for a while. Why are there so many twists and turns?

However, Zhou Cheng still found that he has too much technology now, and he must realize it as soon as possible, in an appropriate amount, and in a moderate amount. If it cannot be used in reality, everything will be fake.

Zhou Cheng spoke out the essence of what he taught Xue Xiude.

After the fixation, Zhou Cheng didn't do anything else, but took out the mirror: "Actually, we can judge whether the fixation is good or bad with the naked eye. If we try this way, whether there will be any movement and friction noise in the fracture."

"It has disappeared now. If there is a slight movement, then it needs to be adjusted again. At this time, we can use the C-arm machine to visually see the fracture situation, and then perform fine-tuning in the opposite direction."

"Professor Jing, come and feel it."

Jing Jingxing's expression was tight, and he carefully tested the touch of the fractured end, sighed and said: "Xiao Zhou's skills are still amazing."

Then, Landscape Star and Zhou Cheng left the stage, and all the deputy senior officers went up to test their senses as if they had seen a novelty. Like interns, the more they realized that the gap between the broken bones basically did not exist, the more they felt.

This kind of skill is really terrifying, let's look at the wound?

Add up to one centimeter!

Such wounds should only exist in sports medicine, but now it is estimated that trauma surgery has to be rewritten.

Before sports medicine first came out, many people sneered at it, thinking that they all solved the same problem.

However, sports medicine is so hot nowadays, and the popularity brought about by its minimally invasive surgery is beyond the reach of ordinary surgery.

After the operation, Zhou Cheng and Jingxing Xing were still discussing the key points of the operation. Although Jingjing Xing had witnessed it in detail again, he still had doubts.

However, after Zhou Cheng unraveled them one by one, Landscape Star, who had been pondering for many days, had mastered some tricks.

"Professor Jing, the next operation will be performed by you, and I will assist." Zhou Cheng said.

Landscape star was taken aback, and asked back: "Is this appropriate? The article from the Ninth Academy has not yet come out?"

Zhou Cheng said: "The No. [-] Hospital of Shanghai is the main body, but this technique must go out as soon as possible. Now at this time, it must have caused a lot of fluctuations in the industry."

"If it is not promoted as soon as possible, some colleagues and teachers will have a lot of difficulties."

"If all the patients are crowded into the devil's capital, then there may be problems. Compared with running around and working hard, a topic, as long as it can be settled in China in the end, and the sooner it can benefit the patients, it is the right way." Zhou Cheng This is the truth.

"Professor Xue Xiude and Professor Yu Qiuhua also think so."

If it weren't for the reason Xue Xiude said, Zhou Cheng would not have agreed to that kind of counter-propaganda, but it seems that Professor Xue Xiude's concept has changed a little.

This is a good thing. If you set your sights on a solid foundation and then raise it up, you will go international.

The torrents of this world must compete with each other on the international stage, not in the rivers and lakes of China.

Landscape star blushed suddenly and said: "Xiao Zhou, go back and give me a thank you note to Professor Yu and Professor Xue. I was a little short-sighted before."

"Mainly in this position, there's a lot of pressure. But pressure isn't an excuse for everything."

The landscape star took a deep breath.

In the sixth hospital of Shanghai, the orthopedics department ranks first in Shanghai. He is the chief director of the department of orthopedics. If he can't keep this position, he will be sorry for the reputation of the seniors of the department of orthopedics in the sixth hospital.

How can there be no pressure?

It is definitely not possible to simply keep the old, and you must go out to break through, but the idea of ​​breaking out is right, but the way is wrong.

Zhou Cheng didn't make fun of Professor Jingxing. He was able to organize the small academic conference before and let him spread this technology at least in the magic circle, which at least represented that he had a certain pattern.

Ask people to be selfless and be saints.

That's too much to ask for.

"Professor Jing, it's up to you to say this yourself. I'm just a little doctor, and I can't do errands for you. In the future, the teaching of these two techniques may have to rely on you and Professor Xue." Zhou Ting confessed .

There are two hospitals that can maturely carry out this type of surgery. With the size of the Ninth Hospital, Renji Hospital and the Sixth Hospital, there will inevitably be a large number of trainee doctors. Their teaching is very mature. A video teaching mode.

Far from what Zhou Cheng can do alone, a single spark can start a prairie fire.

As long as Zhou Cheng ignites this fire, he can stay out of things for a while, and he is not afraid of picking peaches.Without Gui Yuanping or Zeng Lao, Zhou Cheng would not have made such a choice.

But after all, I have such a relationship, who would dare to pick peaches at will?

This is the background, every cent, every cent must be grasped and used well.

Zhou Cheng did not imitate the inner potential power of Landscape Star, for fear of provoking an extra reaction, but one of the motivations is to let the Sixth Hospital continue to be the number one in orthopedics in Shanghai, not to be outdone.

Chapter 269 When you take away the chaff, give someone new rice

Professor Jingxing chatted with Zhou Cheng for a while, and then discussed some professional issues with Zhou Cheng.

After calculating that the time was about the same, the two went to the operating room again.

Landscape star turned sideways and said: "Xiao Zhou, I need your advice later. This is my first experience with this kind of surgery, and I'm not as proficient as Professor Xue."

Zhou Cheng saw that the landscape star surface did not change, and he secretly admired it: "Professor Jing, your level, overall, must surpass mine. It's just that I took a chance on the fracture."

"Xiao Zhou, the trick you took is not ordinary. If ordinary people want to achieve such a skill, I don't know how many years it will take to accumulate." Landscape Star smiled, but didn't take it seriously.

In the operating room, Associate Professor Gu Kaifa and others have already done all the preparations before the operation.

The first operation was a fracture of the humerus, which was a fracture of the tibia. It was given spinal anesthesia, and the patient was awake.

At this moment, with the large surgical order on his face, he lost all vision, and asked nervously, "Is Professor Jing here?"

"Master, don't worry, I'm here. This operation." When Jing Xing wanted to appease the patient's emotions.

But the patient interrupted him: "Professor Jing, we still think, why don't we continue to work hard on this operation, Dr. Zhou? I'm very nervous."

After walking around the Ninth Hospital and coming to the Sixth Hospital, even he understood that the young-looking Doctor Zhou is not a small doctor in the traditional sense. Professor Jing from the Sixth Hospital invited experts to treat Zhou Cheng Called to the Sixth Hospital for surgery.

On the contrary, looking at it, it was the first time for Jingxing to have such an operation, and it was also the first time for him to have an operation. Thinking about it, Zhou Cheng might as well do it for him.

At any rate, Zhou Cheng had at least a few operations in the Ninth Hospital for practice.

Landscape star's expression was suddenly awkward, and the corners of his mouth twitched.

He was despised.

The patient's own request should not be careless, so Landscape Star looked at Zhou Cheng. If the patient had the initiative, he would rather let Zhou Cheng be the surgeon than make trouble.

Otherwise, if there is any accident, the patient can go from the ninth hospital to the sixth hospital, and it will be difficult for him to sleep.

Zhou Cheng thought for a while and said, "Master, thank you for your trust in me. I will also be on the operating table. This operation is performed by me and Professor Jing. Professor Jing is a well-known great professor."

"I have eaten more salt than the rice I have eaten. The quality of the operation is not bad. The operation cannot be done by one person. Now we have to form a temporary team."

The uncle's muscles are still trembling, and the sterile drapes are also trembling slightly.

After thinking about it for a while, he said, "Then Doctor Zhou, you have to pay attention to how hard it is. Sigh, if I knew it was like this, I would just stay in the Ninth Hospital."

Going back to the Ninth Court now, one is tossing, and the other is that the Ninth Court may not have an empty bed to accept him, so that's the only way to go.

I can only hope that Landscape Star can give him some help, and don't spend a big hole on him, planting a centipede.

Jing Xing secretly scolded Xue Xiude and Yu Qiuhua for not talking about martial arts, and did not speak again.

The patient has dispelled most of his worries, and it is time for the operation to begin.

Professor Jingxing is four or five years older than Professor Xue Xiude, and has a big belly, but he is not fat.After all the preparations were completed, Landscape Star continued to look at Zhou Cheng and patiently asked for advice.

"Xiao Zhou, for this operation, do we still need to perform closed reduction first?" If you take the trouble to ask one more question, you won't make a big mistake.

Zhou Cheng nodded: "Professor Jing, basically, except for the very few cases I listed, you need to make preparations for fixation first, and then reset them. Most of the fractures still follow the principles of fracture treatment."

Reset, immobilization, rehabilitation training.

The same goes for the sequence.

Landscape star took a deep breath, and then said: "Then I will start, Xiao Zhou, don't laugh at me, I haven't had a fracture operation for a long time."

Long time no fracture surgery?

"Professor Jing was joking." Zhou Cheng replied with a pun.

The landscape star knows that his words are wrong, and words can't cover up what he has done. Everyone is not a fool, but there is no need to uncover that fig leaf.Still learning is the most important thing.

With a calm mind, Landscape Star quickly found his own rhythm, and said in a cold tone: "Professor Gu, help me do a good job of reverse fixed traction."

Gu Kaifa is the old partner of Landscape Star, and he has a deep knowledge of the reset technique, so he found a suitable position without much hesitation.

Zhou Cheng's eyes frowned slightly, and Jing Jingxing's method of reset concept was different from Xue Xiude's.

The rivers and lakes are so big, it turns out that my knowledge is too short, and the simulator can only bring me skills, but not detailed knowledge.

Same way.

The strength of the Sixth Hospital is not blown out by itself. As the director of orthopedics department, Professor Jingxing, who enjoys special allowance from the State Council, is not easy to match.

After a while, Landscape Star finished resetting the technique. Zhou Cheng was thinking about things, but he lost his mind for a while and didn't see the principle clearly.

After resetting, to be on the safe side, C-arm fluoroscopy was used.

As soon as the result came out, Landscape Star laughed: "Fortunately, after so many years, I haven't lost my basic skills. Xiao Zhou thought that internal fixation is appropriate for such a reset situation?"

Zhou Cheng's face froze slightly, and the secret road landscape star can become the leader of the trauma group in the magic city, and he really has his own way.

If Xue Xiude's skill is more than mastery, but not perfect, this landscape star has already reset the fracture technique and practiced to the extreme in this world.

As far as his philosophy is concerned, it has reached the level of perfection, but it is slightly inferior to Zhou Cheng's redefined perfection!

Zhou Chengcheng joked: "Professor Jing, after opening my eyes, is he coming to test my criteria for judging fractures after reduction?"

Anyone with a little experience can see that the reset effect of Professor Jingxing's technique is excellent.

The landscape star blushed slightly: "I'm showing my ugliness. In front of you, Xiao Zhou, I dare not say the word evaluation. I really learn from you."

Gu Kaifa interjected and said, "Professor Jing ended up many fracture emergency cases for me during his treatment. It's a pity that we don't do fracture reduction anymore, and we have only learned a little bit."

Landscape star said: "The times are different. When I was working, there were many patients with fractures, but now, medical resources are divided, and patients with fractures have rarely come to our hospital."

"This is something that is not necessary to teach you, but if graduate students are interested, you can get in touch with it a little bit."

In the end, there are not many masters who can study for a Ph. D., and even fewer can stay in the hospital. It will be useful to go out to work.

Gu Kaifa hurriedly said to a group of students: "Why don't you thank Professor Jing quickly? Professor Jing's manual reset operation is quite impressive to the three hospitals in Kyoto."


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