The game starts in the afternoon!
Everyone is full of ambition!
Guo Yunfei was full of confidence. He sat in Chen Cang''s position and enjoyed the praise from strangers around him.
Chen Cang couldn''t help yawning!
A little sleepy.
However, Meng Xi still indomitably asked Chen Cang to give a lecture.
The next competition will not draw lots, but match directly according to the PK of the same group and the number!
It''s already arranged.
The afternoon competition is still the same test question, which is also convenient for unified management.
Because the difficulty of the national competition is much higher than that of the provincial competition, these examination questions are carefully considered and designed by the expert group and are representative.
When the time came, everyone got up one after another!
The audience burst into warm applause.
Guo Yunfei is in good shape today. He is relieved to learn that his secret has not been revealed.
The operation officially begins!
The eliminated students sit in their seats as spectators.
The host looked at three professors Li Wenbin, Xiong Kangyu and Yang Guangdong.
"In the afternoon, we still have three experts to explain the wonderful game for us."
"The second round of the competition is PK competition system. Such a competition is more ornamental. To tell the truth, I can''t wait."
"After all, there are two operations on the big screen. Under PK, you can see it clearly."
"The next game may be very fierce. Let''s wait and see!"
After that, the host picked up the remote control: "directors, are you ready? We''ll start randomly clicking on the video right away."
Li Wenbin smiled and nodded: "well, let''s start."
At this moment, the operation has just begun. Through the camera, you can see the state in the chest and judge the disease!
I have to say that Li Wenbin and others are senior directors with rich experience. After seeing the wound, they knew it well soon.
After pondering for a moment, Yang Guangdong nodded and smiled: "this year''s examination questions are very interesting. To tell the truth, this operation makes my hands itch!"
Li Wenbin nodded: "yes, the damage of thoracic aorta is accompanied by serious arterial dissection. This operation looks very simple, but it is still very difficult. Let''s see here."
"As an important component of the descending aorta, the thoracic aorta is designed with an adhesive separation from the trachea and esophagus. This is not an acute bleeding operation, but it is a difficult operation!"
"You see, long-term adhesion will lead to the adhesion of trachea, esophagus and thoracic aorta, but the initiative has chronic injury. Here the aortic dissection is obvious!"
"There are several difficulties in this operation. The first is adhesion separation, the second is the treatment of thoracic aortic trauma, and the third is the treatment of aortic dissection!"
Xiong Kangyu frowned and suddenly said, "in fact, there is a more important problem behind these three points, that is, the treatment of embolus!"
"You see, because the injury and adhesion exist at the same time, accompanied by aortic dissection, there is thrombosis in the dissection at this time. We must prevent the falling off of thrombus, otherwise it will cause important systemic artery embolism!"
After these words came out, everyone in the world immediately began to think!
If they face this operation, what will they choose to do?
It''s a little difficult!
The audience suddenly became quiet.
At this time, the host began to switch the screen, looked at the anxious game and said, "Dear directors, who can win this group PK?"
Li Wenbin said directly: "I can''t see it now. The competition is a little anxious. After all, up to now, the level of all players is very high. Let''s start with the details."
Yang Guangdong nodded: "indeed, there are several places for this operation. The first is the details of the operation, such as thrombus treatment, and the second is the operation."
The first operation was too anxious to give up!
Although wonderful, it is not comparative.
It was switched soon!
After switching, this time, there were many deviations in the operation of the two people!
Because the operation is different!
Li Wenbin pointed to the picture and said, "the two players have completed the separation. The next is the most important operation to deal with aortic dissection! That is the key point of the operation! Let''s see how the two players deal with it!"
"The player on the left chooses a typical ''elephant trunk'' operation, which is universal! Generally speaking, acute or chronic type I dissection can be used to replace the ascending aorta and aortic arch!
However, the latest research shows that compared with surgery, for those whose intimal rupture is located in the descending aorta, when the "elephant trunk" operation is applied to chronic descending aortic dissection, it should be prevented from insufficient blood supply of the left renal artery opening in the false cavity after closing the inlet, resulting in acute renal failure.
Let''s see if this player''s has done so! "
Li Wenbin moved the picture down and immediately smiled: "well, it''s a beautiful operation. It seems that our players are excellent."
Xiong Dailin suddenly frowned, pointed to the picture on the right and said, "in fact... The player on the right is better! Professor Yang and Professor Li, look at what method she uses!"
They looked at it together. After a minute, they were stunned!
Li Wenbin said curiously: "this is also elephant trunk surgery? It''s not different from the left."
Yang Guangdong suddenly said, "director Li, look at the wound!"
Li Wenbin looked at it and stared: "this is... ''sandwich technology''? My God, it''s a genius to think of using the ''sandwich'' method to deal with anastomoses!"
Xiong Kangyu nodded: "yes, Sanming treatment may be an appropriate and effective method at present! First, it can prevent postoperative anastomotic bleeding, and second, it can effectively reduce the intimal tear at the secondary anastomotic site, resulting in a new false cavity entrance!"
"Obviously, the candidate has taken this into account!"
Li Wenbin couldn''t help smiling and shaking his head: "Hey, I really think it''s comprehensive. Even I can''t think of it. It''s even possible to use the Sanming method here!"
"Who is this player? And... I''m curious who can think of now?"
The host smiled and opened the introduction of the player on the right.
"Group D player No. 38: Meng Xi!
30 years old, graduated from Karolinska college in Sweden, doctor and master supervisor.
Employer: the First Affiliated Hospital of Dongyang Medical University;
Position: Director of cardiac surgery. "
"Let''s switch the perspective and see who else?"
Then they nodded.
After screen switching.
"No!"
"Neither!"
"Not yet!"
Li Wenbin smiled: "maybe we are too demanding of the players. This sandwich treatment is very rare! Even I can''t think of it."
At this time, the picture suddenly appeared again!
Xiong Kangyu hurriedly said, "the player on the left appears. Who is this?"
"A-007 Chen Cang!"
Everyone was surprised!
"Chen Cang again?"
"Chen Cang is so powerful?"
At this time, Xiong Kangyu looked at the crowd, suddenly sighed and said, "I have a gossip here. I don''t know if you want to hear it or not!"
When they heard the gossip, their eyes lit up.
Xiong Kangyu suddenly smiled and said, "this Meng Xi is Chen Cang''s master''s supervisor!"
As soon as this remark came out, everyone was stunned!
Chen Cang is so awesome. How awesome is his mentor?
Heifer take off?
……
……
PS: Hey, hey, there are more alliance leaders. Hey, happy SA!
Thank you for the 110000 reward of "poison I" and add an alliance leader to this book!
Thank you also for the 10000 reward of "Sakura ah, Sakura ah" alliance leader, "alove", "Douding egg", "forgotten love" and "give you a bite to eat"!
Continue to rise tomorrow!
Brothers, cow force, the heifer has gone to heaven!
The "elephant trunk" technology and the "sandwich" processing method are real. In fact, I have checked the data and even watched the operation video for all the operations, including the skills. Therefore, these terms can be taken out and used for coercion at ease!