Chapter 583: Was eliminated, the knife position is particular

  In fact, in every hospital, in addition to the famous doctors and experts of the older generation, the outstanding doctors of the younger generation will also be vigorously cultivated by the hospital.
  The only way to ensure that a hospital has a successor will last forever.
  Sun Dasheng and Pang Qing are both rising stars of Yuanyang Hospital.
  The current national-level medical skill contest is a good exercise opportunity for them. It is also a good opportunity to get ahead.
  As long as you can show good results when answering any questions, you can go back and play for several years.
  In the game yesterday, Sun Dasheng and Pang Qing hardly answered questions.
  Because it is a rush answer, when they are still wondering what disease this patient has? When it was time to treat it, Li Quan and the veteran experts and professors of major hospitals had already rushed to answer in the first place.
  Today, they know their shame and courageously. It is only the first question. Sun Dasheng has already bitten his cheek and clapper and started to answer desperately.
  It's just that Li Quan's words are a bit damaged.
   Satire Sun Dasheng changed his course and changed his teacher.
He does not mean that.
  Look at Xu Tiangao's gloomy and gloomy face, and you know that his provocation has had an effect.
  At least Xu Tiangao has a thorn in his heart.
"Expert Xue Minqing, the director of surgery at the Beijing First Hospital, Li Quan from the Huier Hospital, and Dr. Sun from the Yuanyang Hospital, all support the same answer. After the patient has been examined, he has been diagnosed with a huge liver hemangioma. Congratulations to the three contestants. The answer is correct. Please see the film of the examination below and give the treatment plan."
  A bright smile appeared on the host’s face.
  All three players answered correctly, which is very rare.
  As the host’s voice just fell, the projection on the screen changed.
  The patient had a color Doppler ultrasound examination and a spiral-enhanced CT scan. The diameter of the blue area of ​​the liver definitely exceeds 15 cm.
  The hemangioma is more than 30 cm long.
  Everyone took a breath.
  Such a huge hemangioma, it looks scary.
  In medicine, those smaller than 5CM are called small hemangioma. Those larger than 5CM and smaller than 10CM are called large hemangioma. Those larger than 10 cm and smaller than 15 cm are called giant hemangioma.
  More than 15CM, it is called extra large hemangioma.
  In terms of the difficulty of surgery, the difficulty of surgery is very high for huge hemangioma larger than 10cm.
  Because the larger the hemangioma, the easier it is to rupture.
   is completely a bomb.
  Surgery is too difficult and the risks are extremely high.
  At present, the patient’s hemangioma is probably 30 to 40 cm in length. The difficulty of this treatment can be imagined.
  "Surgery is the only way to treat such a huge hemangioma. It's just that the operation is too difficult. If I perform surgery on the patient, I am sure it will not exceed 60%.
  Xue Minqing is a surgeon expert and a top presence among surgeons.
  Even he said that he is not more than 60% sure of the operation.
  In other words, there is a 40% chance of failure.
   "My surgery is about 70% certain." Li Quan didn't say anything to death, as long as he was 10% higher than the Xue Minqing expert's certainty.
After listening to Li Quan's words, the audience was in an uproar.
  There was a lot of discussion.
  Many people accused him of being too mad. Even Professor Xue Minqing was only 60% sure. Li Quan, a young doctor, said that he was 70% sure.
  Who believes it?
   "Li Quan, really shameless, invincible, you are shameless!"
  Sun Dasheng looked at the video data on the big screen, his palms were sweating.
  The hemangioma of this patient is so huge that he is not even sure about 20%.
  Li Quan boasted in public, saying that he was 70% sure, which made Sun Dasheng anxious and angry.
  The host and judges don’t care whether you brag or not.
  In these years, the timid are starved to death, and the courageous.
  Sun Dasheng told the host and the judges truthfully that he was not even sure of 20%, and he would be smashed immediately. There is no chance even to enter the operating room.
   "Hey, you can be more shameless than me. Even if you say you are 100% sure, I will not laugh at you." Li Quan sneered.
"you……"
  Sun Dasheng flushed with anger.
   gritted his teeth, he only felt the blood surge up and his scalp exploded.
   Buzzing in the ears.
   "I'm 80% sure!" Sun Dasheng was really shocking and dying.
  People are not ruthless and unstable.
  In order not to be eliminated, in order to get the opportunity to enter the operating room, he actually directly exaggerated the success rate of his surgery by four times.
  Xu Tiangao, as well as the nearly 30 participating doctors from Yuanyang Hospital, all looked at Sun Dasheng with shocked expressions.
  The other contestants in the venue also focused on Sun Dasheng’s face.
  Everyone began to solemnly re-acquaint the rising star of Yuanyang Hospital.
  Even the host was shocked.
  Li Quan said that he was 70% sure, which was amazing enough.
  However, Li Quan performed very extraordinary yesterday, answering many questions in succession. And in a number of difficult surgery or diagnosis and treatment programs, show their skills.
  So, even if he said that he was 70% sure, everyone scolded him, he still recognized it in his heart.
   But Sun Dasheng was different. He suddenly appeared as a newcomer, saying that his surgical ability was even better than that of Xue Minqing and Li Quan.
  Who believes it?
  "Okay, all the three contestants who participated in the rush answer will cure this patient with more than 60% certainty. Please let the three contestants enter the number seven operating room together."
  The host sent all three of them into the operating room to participate in the treatment of patients.
  Sun Dasheng enjoyed the vanity that he had never had before. This kind of highly anticipated taste is really cool.
  Following the staff, Sun Dasheng only felt that his feet were light and light as if they were stepping on cotton.
  Into the operating room on the 7th, I saw the male patient on the screen who looked like a pregnant woman in October, lying on the operating table, waiting for them to perform surgery on him.
  "The patient is currently in stable vital signs and is under general anesthesia. Do the three contestants immediately perform surgery on the patient?"
  The anesthesiologist and Li Quan are both old acquaintances.
  Because Li Quan answered many questions yesterday.
  There are only two anesthesiologists in total.
  For every major operation, this male anesthesiologist in his forties is responsible for anesthetizing the patient.
   "Which one of you will come first?"
  After the anesthesiologist has introduced the situation, ask who will perform the operation on the patient first?
"The kidneys are filled with essence, and the liver contains blood. The patient’s hepatic hemangioma is particularly huge. Expert Xue Minqing is a top expert in surgery and a senior. This kind of operation is extremely risky and extremely difficult. It should be first performed by the expert Xue Minqing. Come. As a junior, I’m already contented by watching and learning from the sidelines."
  Li Quan was outside just now, very crazy.
  But when he arrived in the operating room, he gave enough respect to the Xue Minqing expert.
   even gave each other a hand.
   "Dean Li Quan is too humble." Expert Xue Minqing had a good impression of Li Quan.
  Huahua sedan chair lifts people, everyone loves it.
  Thousands of wear, but not flattering.
  Li Quan, a powerful up-and-coming star, touted the words that made Xue Minqing expert especially useful.
   "I, I'll fight it too." Sun Dasheng followed up with Li Quan.
  "When did Dr. Sun become a follower? To be a doctor, especially if you want to be the chief doctor, it is better to have your own opinions. If you can't say anything, you just follow."
  Li Quan raised his eyebrows. This is Sun Tzu’s strategy of attacking the city and the heart.
  Today, this is determined. He wants to use words to stimulate Sun Dasheng and mess up his position.
  The anger that Sun Dasheng finally suppressed, began to rise again.
  "Don’t teach Lao Tzu here. If so, then I will perform surgery on the patient first. Professor Xue, this can’t blame me for taking you first, just blame this kid surnamed Li for not speaking human words."
  Sun Dasheng’s head is full of smoke.
  A black face, two steps ahead, stood directly in front of the operating table.
   "Please!"
  Xue Minqing expert's face and tone were a little cold.
  Sun Dasheng’s words seemed to deliberately let him and Li Quan. This made Xue Minqing's expert very upset.
  "The difficulty and risk of this operation are extremely high, are you sure you are sure?" On the opposite side of the operating table stood a 60-year-old male doctor, very imposing.
  The blue veins on both hands are blooming, and you can see that the strength of the arms is amazing.
  When you see this kind of doctor in the operating room, you don’t have to think too much about it. It must be the director level who does frequent operations. The lowest is also the deputy director level.
  Because the blue tendons on people's hands are all obtained through long-term surgery.
  To operate on the patient, but it is an individual effort.
   "Nonsense, if I can't do it, can I come in here?" Sun Dasheng was getting angry, and being so questioned, he went back angrily.
   "Okay, we can start."
  The elderly doctor who asked the question nodded indifferently.
  Sun Dasheng asked the nurse to help put on sterile gloves, and then began to determine the position of the knife.
  Because you want to remove the super huge liver hemangioma, you must open your chest and open your abdomen.
  I saw Sun Dasheng turned around and looked at the film hanging on the wall during the inspection. Then begin to determine the position of the knife in the patient's chest and abdomen, as well as the length of the wound.
  After holding the strokes, he seemed to be satisfied with the wound position he chose.
  "Disinfect the marking area immediately."
  Sun Dasheng told the assistant next to him.
   "No need, you have been eliminated."
  It was the old doctor Sun Dasheng who was angry just now.
  Life is a matter of life, and there will surely be a powerful surgeon here.
  Sun Dasheng entered the operating room for the first time, but I don’t know the details. This old man is actually a hidden examiner in the operating room.
  Have the right to suspend any player's surgical plan or operation at any time.
  Just like when we took the third course of driving license test, the safety officer sitting next to him, if he thinks your driving behavior is dangerous, he has the right to put on the brakes for you.
  Of course, the consequences of stepping on the brakes are very serious.
  As long as he stepped on the brake, it was basically out of play.
  Sun Dasheng just came in and slammed the hidden examiner. If it is not cleaned up, there will be ghosts.
   "I'm not convinced. The operation has not been carried out yet, why do you say that I was eliminated?" Sun Dasheng only felt angry and wanted to beat the old man and vent his breath.
  He found that it seemed that everyone was deliberately making enemies and bullying him.
"Why? It depends on the scalpel position you choose. The hemangioma fills the entire abdominal cavity. The cortex here is the thinnest. It seems that the wound is the easiest to open, but it is also easy to cut the hemangioma inside. Also, the length of your wound It is also obviously unreasonable.
  With such a long wound, do you want to learn about Caesarean section of islanders?
  Boy, young and energetic is understandable, but you have to have real skills first. I'm not exaggerating to say that if I don't stop in time, this patient will have to be put to death by you today. "
  The old man can become the examiner of this operation, and his skills are naturally not weak.
  A word, let Li Quan gain a great deal.
  Choose the surgical wound, which is very particular.
  There are many factors to consider. First of all, it must be safety first. The selected position of the knife should be decisively abandoned if it poses a threat to the patient's life.
  Secondly, as much as possible to ensure that the operation can be completed successfully, while making the surgical wound smaller.
  In theory, the smaller the surgical wound, the better.
  This is why interventional surgery in modern medicine, minimally invasive surgery, is becoming more and more popular.
  The surgical wound is small, the patient recovers quickly, and the risk is small.
   "Child, go back and ask your teacher if you don't understand, goodbye." Li Quan waved to Sun Dasheng.
   "Huh, I want to see, where is your knife position?" Sun Dasheng didn't argue any more, and gave Li Quan angrily. He stood by and watched unconvinced.
  Despite being eliminated, viewing is still allowed.
  "The position of the incision is moved 6cm to the left. The initial length of the incision is about 20cm. It can be adjusted according to the situation at that time. Because the removal of such a large hemangioma, more than ten hours of surgery is normal.
  As long as it does not affect the surgical removal of hemangioma, the smaller the wound, the better.
If the    is too large, hemostasis during the operation is a big problem. "
  Xue Minqing expert is worthy of being an expert. Whether it is the selection of the knife position or the reasonable reduction of the initial surgical wound, they are all very old.
  These rich surgical experience is not comparable to Sun Dasheng.
  Sun Dasheng's arrogance faded a lot after listening.
  "Professor Blood, can you tell me why the position of the knife edge has to be shifted to the left by 6cm?"
  Sun Dasheng lowered his posture and asked Xue Minqing for advice.
"Because the heart is on the left, it is convenient to rescue or stop the bleeding when necessary. In addition, the incision is moved to the left by 6cm, this position is cut next to the ribs, and it is not easy to cut the hemangioma. Boy, liver hemangioma, that is a bomb. .You must be careful when you encounter this type of patient in the future.
Once    is cut, it is very likely that a life is lost. "
  Xue Minqing expert said earnestly.
   "Taught, thank you." Sun Dasheng has calmed down.
  Xue Minqing made a very reasonable point, and he accepted it humbly.
  After choosing the position of the knife, Xue Mingqing was calm and calmly opened the chest to the patient.
  Li Quan watched from the side.
  People bring their own assistants, and they don’t need his help at all.
  Generally, a good outpatient doctor will have a medical team of his own.
   Including anesthesiologists, instrument nurses, first assistants, etc.
  After opening the chest, the huge hemangioma has been exposed.
  It looked like a huge heart, still beating suddenly.
  Blood sweat gushes out of the expert's forehead.
   "Wiping sweat!"
  He shouted to the nurse next to him.
  In just five minutes, he has yelled four times to wipe sweat. I must be very nervous inside.