Chapter 309 of 308

Seeing Sun Sheng wake up, Chen Cang was really relieved.

After arriving in the operating room, Chen Cang suddenly heard a system prompt.

【Ding! Congratulations, you succeeded in blindly piercing the pericardium, and the pericardial tamponade was extracted, level 40, leader level; since the difficulty is too high, and there is no system prompt, you will get: 1. Thoracotomy and hemostasis; 2. A white skill book. 】

Chen Cang was slightly taken aback.

Seeing a flash of purple flash, the system prompt sounded again.

[Hemostasis through thoracotomy: master level; do you want to start training? 】

Chen Cang hesitated for a while, and did not choose to train immediately, and talk about it another day.

Chen Cang is very satisfied with this reward!

Why do you say that?

Thoracotomy hemostasis is a type of thoracic trauma surgery, and hemothorax is one of the most serious complications of thoracic trauma. In thoracic trauma, at least 70% of the wounded are combined with different degrees of hemothorax .

Intrathoracic hemorrhage is one of the important causes of early traumatic death!

So this skill is very useful for emergency department!

Better than giving Chen Cang a liver transplant.

After all, what you can use is the best.

Even if you have top surgical skills in liver transplantation or heart transplantation, it is very likely that you will not be able to use it in three or five years.

And this thoracotomy hemostasis is a good skill for emergency rescue!

There is also a white skill book, which means that the skill level is only elementary.

Therefore, Chen Cang did not expect too much, and chose to activate it at will.

[Spleen repair: primary. 】

Spleen repair?

Chen Cang was instantly overjoyed!

Not bad.

Unexpectedly, I got two emergency skills.

After pushing the door into the operating room, the three directors were ready. When they saw Chen Cang coming in, the three paused slightly, then looked at each other.

Tao Mi: Do you want the C position?

Li Baoshan: I don't know either...

Xu Tianfu: Don't look at me, I'm an assistant.

Tao Mi hesitated for a while, but still asked, "Xiao Chen, do you want to be the chief knife?"

Chen Cang was stunned for a moment, then shook his head quickly: "Director Tao, you look down on me too much. I have never been exposed to heart surgery before, and I'm just starting to learn. There will be."

As soon as Chen Cang said these words, Li Baoshan and Tao Mi looked at each other and heaved a sigh of relief.

so far so good.

And you won't.

But Tao Mi thought about it: "Come on, Xiao Chen, come here, I'll teach you to do pericardial repair surgery."

【Ding! Trigger special situations, Tao Mi's teaching mode, pericardial exploration, debridement and repair;]

Chen Cang was stunned, triggering a special situation?

This is the first time I have encountered this teaching mode!

It's just... what's the difference between the teaching mode and ordinary surgery?

But it's definitely not a bad thing. Thinking of this, Chen Cang nodded and said, "Thank you, Director Tao!"

Yuanyuan's night shift, after seeing Chen Cang, just like a little daughter-in-law, she prepared the surgical gown, dressed and fastened the straps thoughtfully.

Looking at the three directors, I was stunned!

They weren't treated so kindly just now, were they?

...

Chen Cang walked to Tao Mi's side. This place is better to observe Tao Mi's surgical field of vision, and it is also more convenient to study.

Tao Mi, as a veteran cardiology director, can be said to have seen a lot of pericardial surgery.

The difficulty of the operation is very small in his eyes.

This operation is performed under local anesthesia, and the injured person lies on their back.

When Tao Mi was about to start, Chen Cang suddenly heard the system prompt.

【Ding! The teaching mode is turned on, and the analysis and explanation functions are activated. 】

At the beginning of the surgery, Tao Mi held the knife and glanced at Chen Cang: "Xiao Chen is optimistic. Generally, the opening for pericardial surgery is in the fourth or fifth intercostal space on the left side, and the incision is made from the posterolateral direction into the chest."

While speaking, Tao Mi began to cut slowly.

At this time, the picture in the teaching mode is constantly evolving, including how to choose a cut, which cut is the best, and the meaning of the cut...

Chen Cang had a huge amount of information in his mind at this time!

A series of news rushed into my mind, and every small operation was a key point.

Tao Mi pushed open the pleura on both sides and part of the diaphragm.

After entering the chest cavity, Tao Mi began to carefully probe the pericardium, trying to find the location of the pericardium injury.

At this time, the broken ribs have been seen on the pericardium, with puncture marks.

Fortunately, the broken end of the rib is not very sharp, and after injuring the pericardium, no serious laceration was caused.

But you can vaguely see the scene inside the pericardium.

At this time, Tao Mi began to cut the pericardium along the torn wound, extremely light...

【Ding! Captured: Pericardiotomy... Please study carefully...]

Chen Cang carefully observed, and Tao Mi stopped talking at this time, and started to check the wound on the pericardium with all his attention.

"Saline"

"Aspirate"

"gauze"

"Hemostatic Yarn"

...

The tacit cooperation between Tao Mi and the two directors made Chen Cang really stunned.

This kind of cooperation can be said to be seamless, and each other seems to be able to understand what each other wants to say.

Surgery continues.

At this time, the pericardium was suspended by Li Baoshan and Xu Tianfu with four-needle traction wires, while Tao Mi was carefully removing the accumulated blood in the pericardium.

The whole process was very subtle and delicate, and Chen Cang didn't dare to make a sound.

Soon, after cleaning up, red words suddenly appeared in Chen Cang's eyes.

That's the bleeding point!

The blood vessels in the pericardium were still bleeding slowly at this time. Tao Mi was very calm and dealt with the broken blood vessels one by one.

Either ligation to stop the bleeding, or anastomosis...

At this time, Chen Cang's virtual screen seemed to be conducting in-depth analysis and exploration of Tao Mi's surgical process, and transformed it into various knowledge points into Chen Cang's mind.

...

【Ding! Pericardioplasty has been detected, please study hard...]

The operation has now come to an end.

【Ding! Teaching mode is over! Mission obtained: Complete five pericardial exploration, debridement and repair operations within five days, and the reward: Pericardial exploration, debridement and repair operations have been upgraded to: Advanced! 】

Chen Cang looked happy!

Does this count as homework or a mock exam?

The reward is very rich, advanced pericardial surgery.

Surgery is over soon!

Everything is going smooth.

After returning to the ward, it was past three in the morning.

From a little tossing to now, everyone is a little tired. This kind of high-precision and high-intensity work makes Chen Cang a little tired.

But at least one person was saved.

Thinking of this, Chen Cang couldn't help feeling a lot in his heart.

That's what it's worth to be a doctor.

After arriving in the ward, Niu Hui fidgeted in the emergency room and walked around.

Seeing everyone coming back, they hurried over and were about to ask the director about the operation.

Suddenly I saw the man on the hospital bed looking at him and smiling stupidly.

Suddenly Niu Hui was angry and wanted to laugh.

This man always makes himself angry.

However, the surgery must have been successful...

Thinking of this, Niu Hui snorted and cried...

Tears streamed down his face.

And the raised corners of his mouth smiled like a flower.