A mitral valve replacement surgery is done.

Addition and subtraction dropped 10% of the degree of completion.

At this rate, after 10 surgeries, it is estimated that the copy will be finished.

This copy of cardiothoracic surgery not only involves a wide range of operations, but also is much more difficult than before.

Monday lifted the spirit. You have to take it more seriously.

Take a closer look at Lao He's presentation and make fewer mistakes!

There isn't much time to grieve on Monday.

The second operation of the copy was immediately launched.

Monday didn't even go out of the operating room. As soon as the picture changed, there was a wave of people in the operating room, from patients to anesthesiologists to nurses.

The surgical equipment has also changed.

Only Lao He is still Lao He.

The system loads the patient information.

The patient, 56-year-old Mr. Liu, a native of Qinzhong, developed symptoms of chest tightness and chest pain with no obvious cause 6 years ago, especially when the weather changes.

Symptoms require rest in place to be relieved, but no systemic treatment is given. This year, he had symptoms such as "chest pain and tightness accompanied by dry cough", and came to the hospital for hospitalization, and was diagnosed with aortic dissection during the examination.

When he saw this illness on Monday, his head immediately turned into two.

Cardiothoracic surgery is indeed wide-ranging, and as soon as the heart surgery is over, there is another vascular operation.

The surgeries involving the aorta are all fourth-level surgeries, which are one level higher than the mitral valve replacement surgery just now.

Listening to the name of a disease, you can know that this disease does not seem to have much to do with the heart. Mainly a problem with the aorta.

The physiological structure of blood vessels is divided into three layers, the intima, the media, and the adventitia.

When blood in the aortic lumen enters the aortic media from the aortic intima tear, the medial membrane separates, forming the true and false lumen separation of the aortic wall. This condition is called aortic dissection.

If it is subdivided, this disease should belong to vascular surgery.

But vascular surgery is only available in very few large general hospitals. The aorta comes out of the heart. Therefore, if there is a problem, it is generally the cardiothoracic surgeon who does it for you.

For example, the central hospital is like this.

Similarly, there is no classification of vascular surgery within the system. So it was also placed in the copy of cardiothoracic surgery.

Cardiothoracic surgery copies, it's really all-inclusive.

Again, as long as it is in the chest, whether it is the heart, lungs, esophagus, or aorta, it is all within the scope of cardiothoracic surgery.

The best way to treat aortic dissection is surgery.

In the medical community, there are generally two types of aortic dissection according to the location of the occurrence, type A and type B.

The aorta exits the heart and ends in the abdominal cavity and is shaped like a hook. The "hook tip" that connects the heart is called the ascending aorta (coming out of the heart upward), and the part that curves immediately after it is called the aortic arch, which leads almost straight to the abdominal cavity.

Type A occurs in the ascending aorta and aortic arch. Close to the heart.

Type B is in the descending aorta.

From here, it can be seen that Type A is much more dangerous than Type B.

Type A usually requires thorough thoracotomy surgery. Minimally invasive stent surgery with type B can achieve good treatment results.

The patient who is currently being treated by Zhou Zhou is in relatively good condition. The site of aortic dissection is in the part of the descending aorta.

All the circumstances have been understood.

Replica surgery begins immediately.

……

The patient is placed in a supine position.

Percutaneous radial artery puncture under local anesthesia......

Puncture again.

Minimally invasive interventional surgery is often done.

Compared with pericardiocentesis and thoracentesis, this puncture is more meticulous and skillful, and the blood vessels of the human body are not very thick.

The main thing is to use instruments skillfully.

The old rules, He Congshuang still took the lead in the operation.

Zhou Yi looked carefully, but the process was quite cumbersome.

Even if Zhou Zhou has a good talent, his hands-on ability is also good.

It is also a frequent deduction of points.

5% reduction in completion......

Reduced completion by 10%......

Reduced completion by 15%......

A puncture is performed, and the diameter of the aorta is measured, and a guidewire is placed......

Finally, the stent is placed.

The whole process is not long, only less than 2 hours.

It doesn't take long because there is no chest opening, and the operation of opening and closing the chest is a waste of time.

The time for a truly delicate operation is no less than that of a mitral valve replacement.

After the surgery is done.

Monday is a big sweat.

During the operation, 20% of the completion was deducted, and after the operation, 20% of the completion was rewarded.

The result was quite satisfying on Monday.

Zhou Zhou predicts that the more he does the surgery, the less likely he will be deducted points.

So as long as you are stable and not waved, you will definitely be able to clear the customs smoothly.

Replica surgeries one after another.

In this copy, Zhou Sheng fought for a whole year.

In reality, 8 hours have passed.

At twelve o'clock in the morning, Monday returned to reality from the virtual world of the dungeon.

The intermediate copy of cardiothoracic surgery was completed, and the final completion rate stayed at 70%, and the growth of Monday breathed a sigh of relief.

Looking at the time, it was only more than 6 hours before dawn.

I have to go to the morning shift tomorrow, and the last remaining advanced copy of cardiothoracic surgery is too late to brush up today.

At this time, Monday's stomach growled.

Hurry up to the restaurant to warm up the prepared supper, and after eating, go back to the room and sleep until dawn.

……

Early the next morning.

Daddy's knock on the door woke Zhou Zhou up from his sleep.

Daddy's voice outside the door: "What time is it, don't get up yet, don't you want to go to the morning shift today?"

Monday opened his eyes yawning and looked at the time, my God, it was almost time to go to work.

I slept so soundly that I didn't even wake myself up with the alarm on my phone.

Monday quickly got up and washed. When I came to the restaurant, my grandfather and father were eating. Monday ate two bites of breakfast and hurried to the hospital.