Pericardiocentesis.

The greatest difficulty lies in mastering the direction and depth of the puncture.

It's a skilled job.

In urgent care centers, there is naturally no opportunity for such operations. This job is in the central hospital, and it is completely wrapped up outside the heart.

At this moment, without the help of the system, Zhou Zhou was also cautious.

But fortunately, there is He Congshuang by his side.

On Monday, when the operation was correct, she was silent.

But Monday is a little off. He Congshuang immediately corrected himself.

Anesthesia, the same as 2% licardoin local anesthesia.

Cover with disinfectant drapes.

On Monday, depending on the patient's condition, apical puncture is chosen.

He Congshuang reminded on the side: "Insert the needle about 2 cm within the dullness boundary of the 5th or 6th intercostal space on the left side, and enter the pericardial cavity along the upper edge of the rib cage to the back and slightly to the midline. ”

"Understood!" replied Monday earnestly.

The needle is inserted slowly, as is the case with thoracentesis.

By the time the sensation of-for-tat resistance suddenly disappears, the needle has entered the pericardial cavity.

……

Half an hour later, the operation was completed.

Monday took a deep breath.

This interdisciplinary surgery is indeed more difficult.

This is only a small first-level extracardiac surgery, which makes Zhou Sheng have to lift his spirits.

I want to make a difference in cardiothoracic surgery. It's so necessary to brush this copy.

Pericardiocentesis is over.

Monday continued to fight in the dungeon.

During this period, a large number of first-level surgeries followed.

Chest wall wound debridement and suture, patent ductus arteriosus ligation...... And so on, one after the other.

Surgery, the basic operation is the same, and the rest is the process of skillful specific surgery.

There are no shortcuts.

In the blink of an eye, more than two months have passed in the dungeon. In reality, only 2 hours have passed.

The two-month dungeon career, because there is no worldly world of eating and drinking, is very efficient. Even in reality, a resident doctor who has been cultivating outside his heart for two or three years may not be as effective as a two-month dungeon career on Monday.

Now Zhou Yi has directly advanced from a layman outside his heart to the level of an excellent resident doctor.

"Forever! Don't get up to eat yet! If you don't get up, you won't eat!" Daddy's voice sounded outside the door again.

Monday is just out of the dungeon at this moment.

The Medical Achievement Points for the completion of the Cardiothoracic Surgery Quest are refunded in full, and no achievement points are spent at all.

In the dungeon, Zhou Yi's mental power is very exertional, and it is replaced by the actual feeling of the body, which is that the stomach growls with hunger.

Daddy's voice.

Monday was even more hungry.

He rolled over and got out of bed, saying, "It's coming!"

Monday opened the door in a hurry.

Dad was outside the door, with a sullen face, "What did you do today, when you go home, you just sleep." I didn't even eat. ”

"Dad, I wasn't sleepy from the last night shift. There's also a big night shift tonight. You have to recharge. ”

Zhou Congshu expressed understanding: "Hurry up and eat." People are iron, rice is steel, and if you don't eat a meal, you will be hungry. ”

"Uh-huh!" Zhou nodded repeatedly.

At this time, where is the dad still talking, Zhou Zhou is already hungry like a wolf.

Monday and Daddy came to the restaurant. Grandpa and Sister Liu have already eaten.

There are also four dishes on the table, and there is still a half-pot of rice in the rice cooker.

It was unbearable to relieve hunger, and he couldn't take care of his father on Monday, so he served a big bowl of rice first.

Sit down, and begin to sweep the food on the table.

I ate three bowls in a row.

Only then did Monday give a full burp to his heart's contentedness.

Zhou Congshu, who was also eating on the side, had not finished eating a bowl of rice at this time.

There is not much left of the dishes to be cooked.

Zhou Congshu frowned slightly, and said, "All your life, you have been hungry for a few days, and you eat so fast." ”

Zhou Yi wiped his mouth and said with a smile: "Dad, it's mainly the food at home, it's so delicious." ”

Zhou Congshu was skeptical.

After eating and drinking, Zhou Zhou remembered his copy again.

Copies of this kind of thing, once brushed up, the feeling of not being able to stop at all.

Cardiothoracic surgery was completed only one. There are still 3 more that need to be worked on by yourself.

Time was pressing, so Zhou Zhou got up and said, "Dad, I'm going to take a nap." ”

Zhou Congshu was surprised: "You just eat, just sleep!"

"Dad, you don't know how tiring emergency work is. I also have a night shift today. Let me rest a little more. ”

Tired from the emergency department. It's what all doctors know.

Zhou Cong surgery was also mixed with the hospital for a few days. He's such a precious son. Naturally, I feel very distressed.

He said slowly, "Well, let's go and rest." If you think it's too hard. Dad will give you a way. Let's see if I can change the department for you. ”

Changing departments?

Monday is not required.

The emergency center is tired. But the challenges of the clinical front line are the love of Zhou Sheng.

"Then there's no need. I'm used to the emergency, so I'm going to change departments, so let's wait a while. Don't say anything, Dad, I'm leaving. ”

Leave your dad on Monday.

Go back to your room and lie down on the bed.

Continue on the second leg of his quest tour.

The second copy.

【Cardiothoracic Surgery Primary (Attending Level) Experience Career Dungeon】

Seeing the name of this copy, Zhou Sheng's spirits lifted.

Although this is only a primary copy of cardiothoracic surgery, it is already a copy of the attending level.

When they hear the word "director", there must be people who disdain it, it is an officer, not a director.

Actually, for surgeons.

The attending physician is already a very high level.

For example, most of the consulting doctors who participated in the rescue in the middle of the night were middle-aged and high-ranking attending doctors.

In each department, the attending physician is the main force of diagnosis and treatment.

In particular, there is often a difference between senior attending physicians and chief physicians.

I also have to work night shifts at night.

Zhou Yi didn't dare to waste time and went directly to the dungeon.

This quest can be opened with 1200 achievement points.

Zhou Zhou smiled, anyway, as long as you clear the customs, it's free, and Zhou Zhou feels that it doesn't matter if you want to achieve something.

Achievement points were paid.

Monday went smoothly into the dungeon.

This time, there was a clear improvement in Monday's treatment.

No more penalty stops.

On Monday, he had his own small consultation room.

There are still superior leaders, and they are still Lao He.

Monday doesn't have to work under Lao He's surveillance at this moment.

Of course, as a doctor who still needs to grow.

I still need someone else's guidance.

According to the prompt of the system, on the desk in front of Zhou Zhou, in addition to the office computer, there is also a red landline.

If you encounter a problem that cannot be solved on Monday, you can simply call for support.

He Congshuang, the leader, will appear to help Zhou Shengsheng solve the problem.

Compared to the intern copy, it's so heartwarming!

Learn the basics of replicas.

Monday began his career as a primary copy.

……

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