Following.

Lu Cheng got up early, and after brushing his teeth and washing, he quickly rushed to the department from the dormitory, first went through all his patients, and then looked at the number of surgeries.

The platelet level of the emergency re-examination yesterday has reached 35, which is slightly higher than the lowest level in the literature.

After studying overnight and reading Lu Chengfa's past data processing results, Professor Min directly decided to operate on the patient.

Today's ward rounds were very fast, and after the ward rounds, a group of people came to the operating room one after another.

As early as yesterday, Professor Min had already made thorough preparations, prepared 4 platelets during the operation, in case of emergency, and in addition, Professor Min had contacted the best anesthesiologist in the anesthesiology department, Professor Dai, to anesthesia the patient personally.

After Professor Min explained his condition to Professor Dai again, Professor Dai said, "There is no risk of anesthesia for thrombocytopenia, even if it is a patient after pulmonary infarction, I have been anesthetized abroad, what are you afraid of? ”

I don't know if Professor Dai is an artist who is bold enough to say this.

The speaker was unintentional, the listener was intentional, and Lu Cheng obviously felt that Professor Min was moved.

In his hand, there is a patient with a pulmonary infarction, and he is still before the operation.

"Xiao Lu, today you raise your legs, and your master will disinfect them personally. ”

Total hip replacement book, leg lift before and during surgery is hard work.

However, the person who lifted the leg must be the one who understands the operation best besides the chief surgeon.

After the tiring work before the operation was handed over to Lu Cheng, he didn't dare to be so careless during the operation, but Professor Min was also called to his side by Professor Min, that is, the position of the second assistant, and he could clearly see Professor Min's every step of operation.

The subcutaneous fascia is incised and bluntly separated, the muscle space is separated, and the joint capsule is opened......

Osteotomy, grinding acetabulum, shank mounting......

Lu Cheng saw the operation process clearly, almost broke down every step, and then compared it with the surgical explanation of total hip replacement last night, and instantly had a lot of understanding.

It turns out that there are these techniques for polishing the acetabulum.

It turns out that separating these soft tissues can also avoid some blood vessels and nerve endings that are otherwise at risk of bleeding.

It turns out that when the medullary cavity is dilated, it can be like this.

What is the purpose of doing this?

What are the benefits of doing this, and what are the things to avoid.

With a medical record collection system, Lu Cheng's thinking in extracting knowledge reserves is particularly fast, and he can accurately record the process of surgery......

The harvest was big, especially big.

Even, there are many places where Lu Cheng didn't understand too much, or only partially understood, but Professor Min didn't give Lu Cheng more time to react.

As the operation progressed, Lu Cheng seemed to be more and more able to integrate into the role of the second assistant.

Although Lu Cheng was only pulling the hook, the process of his hook pulling had always been very stable, and when he was in the back of the operation, he seemed to bring in the perspective of the surgeon, and easily and naturally exposed the field of vision that needed to be exposed.

Of course, Professor Min could clearly feel the clumsiness of Lu Cheng when he first started to pull the hook, but it was only a short operation, and it was not over yet, and he lacked the ability to know what part he wanted to open and how to expose his field of vision.

It's really the grandfather's person who appreciates food, right?

Even if the logic of this thinking is appalling, the clinical talent is so terrifying, it's just!

It's so flattering to me.

If I'm a student?

Professor Min was stunned for a moment, and then continued the operation, shaking his head slightly, and there was no pity in his heart.

In fact, Lin You's actions yesterday, he saw it in his eyes, as a person who has lived more than ten years than Lin You, he naturally said that Lin You wanted to take Lu Cheng into his door in the future, and he actually had this idea yesterday.

Right now?

Professor Min had already subconsciously regarded Lu Cheng as his own disciple.

Now it is said that education should start from the baby, so who stipulates that doctoral students can't start from graduate school?

"The tension of the hand is a little bigger, you just need to put on the gluteus medius retractor gently, too much tension, may make the patient postoperative muscle ischemia, or pull off the muscle fibers, we have to try to minimize similar things. Professor Min's voice was still very cold, and he didn't deliberately reveal too much kindness.

Then move on to the surgery.

I don't know if the patient was too lucky, or because Lu Cheng's summary was really useful, the operation went exceptionally smoothly, and it only took five minutes longer than usual, which made everyone breathe a sigh of relief.

After the patient stepped down, Professor Min and Lin Youyou still advised for insurance: "Xiao Lu, this patient should continue to use TPO after surgery, and after extubation tomorrow, anticoagulation will continue as usual, but for the sake of conservatism, first half a dose of anticoagulation, and then regularly review the coagulation function, and then adjust it according to the situation." ”

"Pay attention to the nurse, you must lift and put it gently, do not make any mistakes, wait for this patient you to pick up in person, personally go to bed, personally explain to the family, she must not get out of bed today, tomorrow under your guidance, can get out of bed to walk with a walker. ”

"I don't have to go down for surgery, and I'm not in a hurry. ”

Lu Cheng listened to such a solemn explanation, as if he was carrying a heavy object on his shoulders, and said yes.

Then I followed the patient to the resuscitation room.

The management of patients is the business of the doctor in charge of the bed, and it is also the business of the senior doctor, and it must be comprehensive and meticulous.

Half-dose anticoagulation is 2500U of low-molecular-weight heparin sodium prophylactic anticoagulation, in order to prevent postoperative thrombosis.

Of course, Lu Cheng can also understand Professor Min's intention of half-dose anticoagulation, although theoretically speaking, the correlation between the modification of postoperative coagulation function and the number of platelets is not too large, but who can guarantee that everyone can walk in theory?

……

It wasn't until the patient was taken to the ward unharmed that the third joint replacement was nearing completion.

Lu Cheng leaned up to take a look, and as a bystander, he had a special understanding of this kind of operation, and it seemed that some things that he didn't understand before suddenly became clear.

After suturing the rotator cuff with the third unit, which did not have much professional foundation, he finally came to the meniscus surgery that Lu Cheng was most familiar with.

When it comes to the understanding of diseases, Lu Cheng's understanding of meniscus is the deepest.

is still Lin You's main knife, and Lu Cheng is helping.

But this time, Lu Cheng didn't give Lin You a chance to scold him.

From preoperative to postoperative, Lu Cheng was almost able to read minds, and almost before Lin You could speak, he had the corresponding preparations and body odors in place.

Compared with the silence of Yaqi in the operating room the day before yesterday and Lin You's roar, today, there are only two nurses driving Lin You's car.

And Lin You didn't know if he was deliberately looking for a mistake in Lu Cheng's operation, so he rarely didn't talk back.

"Whew!"

Finally, when Lu Cheng sent the patient back to the ward, Lu Cheng let out a long breath.

"It's good that I didn't get scolded today. Growing is a good thing. ”

But Lu Cheng's words had just fallen, and a somewhat sharp voice rang out at the door: "Do you really understand today's operation?"