I Can See Health

A certain community in Jiangcheng.

Lu Wenguo and Luo Meizhen sat in front of the TV.

"Wen Guo, Xiaochen, has he really advanced?"

From the start to be determined, to entering the playoffs.

From fourteenth in the preliminary round to first in the playoffs.

Things often change so quickly that people have no time to react.

In fact, Lu Wenguo and Luo Meizhen were almost giving up.

Unexpectedly, Jinghua Medical University launched a desperate counterattack.

"Really advanced!"

Lu Wenguo looked excited. He was not on the playing field, but he could fully feel the excitement in the playing field.

Having snatched the promotion spots from the other nine teams, Jinghua Medical University has already earned enough attention this time.

Luo Meizhen took out her mobile phone and immediately sent a congratulatory WeChat message to Lu Chen.

…

"Captain, look, they've advanced!" Qi Ruilin pointed to the rankings on the screen.

Zhang Yunzhe stared closely at Lu Chen and Gu Xinyue.

These two people are not simple!

What he noticed was not only Jinghua's first place, but also the scores obtained by Lu Chen and Gu Xinyue in each skill.

Among the three items that Lu Chen operated, two were perfect scores!

Among the three items Gu Xinyue performed, one got a perfect score, and the other two were close to perfect scores!

This kind of achievement is even more shocking than the first place in the ranking!

It seems that on their way to winning first place, they will have another strong rival!

…

After all the games on the first day, the list of semi-finalists came out.

First place, Kyoto University School of Medicine.

Second place, Huachuan Medical College of Northwestern University.

Third place, Pingjin Medical University.

Fourth place, Shanghai Jiaotong University.

Fifth place, Beijing Medical University!

This is the first time that Beijing Medical University has entered the top ten, and the first time it has entered the top five!

Inside the hotel.

Cai Guangming smiled and said to Lu Chen and the other five people.

This afternoon was the most smiling day for him.

"Tomorrow morning in the semi-finals, five will advance to three! Tomorrow afternoon in the finals, three will advance to one!"

“This time, everyone performed very well and the school leaders are very satisfied!”

Wang Zihao quickly came out and flattered him.

"Teacher Cai, you are still good at leading the team!"

Cai Guangming glanced at Wang Zihao.

"In the next game, don't put too much pressure on everyone and perform well. Tonight, I will invite everyone out for a drink to reward everyone!"

Everyone came to a restaurant near the hotel.

Cai Guangming ordered several big dishes, and everyone enjoyed them.

After eating and drinking, everyone returned to the hotel.

Lu Chen and others started their review journey again.

A night of silence.

…

The next day.

At nine o'clock in the morning, the semi-finals started.

The semi-finals, like the semi-finals, are both track-style games.

But there are only three semi-finals.

The examinations at these three stations are combined with the actual clinical situation and are no longer a simple skill operation.

Instead, give a lift.

Then let students judge the condition and analyze the patient to make the best treatment operation.

The final score is given by three judges.

At each station, two students are operating, and two students answer questions.

Lu Chen and Wang Zihao were selected for the first operation!

All teams started assessment at the same time.

"First stop, case questions."

The patient, a 63-year-old male, was admitted to the hospital with the main complaint of “vomiting 400 ml of bright red blood 2 hours later”.

The patient's symptoms upon admission were: stomach discomfort, nausea, dizziness, fatigue, palpitation, clear mind, and poor energy. The patient had a history of liver cirrhosis and ascites, no history of hepatitis, and a history of long-term drinking, which he has now quit.

Physical examination on admission: p112 times/min, r20 times/min, blood pressure 80/60mmhg, anemic appearance, clear mind, poor activity, no tenderness, and slight tenderness in the upper abdomen.

…

After introducing the condition, the referee asked a question: "Please choose the items given and treat them urgently!"

There is a dummy model on the operating table next to it.

Next to the operating table, there are many operating items.

Including three-lumen two-bag tube bags, infusion needles, indwelling needles, stethoscopes, syringes, etc., as well as medicines such as sodium chloride and omeprazole.

Seeing the items and medicines provided on the operating table, Wang Zihao immediately responded: "Lu Chen, this patient should have gastrointestinal bleeding. If you pass the test at this station, you should use a three-lumen two-capsule tube to stop the bleeding."

Lu Chen nodded slightly.

From the patient's chief complaint, symptoms, and physical examination, it is currently considered that the upper gastrointestinal tract is suffering from shock and bleeding!

The most important thing now is to stop the bleeding!

On the operating table in front of me, the most conspicuous thing is the three-cavity, two-capsule tube bag.

The three-lumen and two-cyst tube is suitable for compression and hemostasis in patients with esophageal and gastric variceal rupture and massive bleeding.

Among them, the three-lumen two-cavity tube includes a three-lumen tube, a gastric balloon and an esophageal balloon. The gastric balloon and esophageal balloon are attached to one end of the three-lumen tube. The three-lumen tube consists of a lumen with a semicircular cross-section and two quarter-sections. It is composed of a circular cavity.

Seeing Wang Zihao pick up the three-chamber two-capsule tube from the operating table, Lu Chen suddenly felt that something was not right!

He remembered that in the preliminary round, he seemed to have passed the three-lumen and two-cyst tube test!

According to the usual nature of these exams, is it possible that one knowledge point will be tested at the same time?

If you have passed the test on the three-chamber dicystic tube, will you take the test again?

the answer is negative!

"Zihao, wait a moment, don't open the operating package yet!"

After hearing Lu Chen's words, Wang Zihao's hand movements stopped and he put down the three-cavity two-capsule tube.

"Lu Chen, what's wrong?"

Lu Chen quickly whispered: "I think this patient may not need a three-lumen, two-cyst tube."

"We don't need this? Then what are we going to do?" Wang Zihao asked the graduate student in confusion.

Lu Chen immediately said: "I remember the indications for the three-lumen and two-cyst tube. One of them is that the three-lumen tube should only be considered after the drug is ineffective in stopping bleeding!"

"This..." Wang Zihao paused.

What Lu Chen said makes sense and is in line with the actual clinical situation, but it is an exam after all!

If you don’t take the three-chamber hemostasis test, what else can you take?

At this time, Lu Chen spoke up: "I will be the main operator, Zihao, you will assist."

"Okay." Wang Zihao nodded.

…

Lu Chen stepped forward and analyzed the patient's condition first.

The first step is to conduct an emergency blood test (blood type determination and cross-matching), open multiple venous channels, replenish blood volume, and correct shock.

The second step is to stop bleeding. Lu Chen looked at the three-lumen, two-capsule tube and gave up on using it.

First bury the indwelling needle, then use omeprazole, and at the same time give a lot of fluids!

…

Off the field. UU Reading www.uukanshu.net

Everyone saw Lu Chen's operation.

Cai Guangming was very confused. The other four teams had already used three-lumen and two-cyst tubes to stop the bleeding.

Lu Chen didn't waste any time and performed the hemostasis operation with the three-lumen and two-bag tube.

Just add fluids and use medicine to stop the bleeding?

What kind of operation is this?

Not only Cai Guangming didn't understand, but the person involved, Wang Zihao, didn't understand either!

But eight minutes later, the first operation was completed.

On the big screen, the rankings of each team are displayed.

The score of Beijing Medical University is temporarily ranked first!

Twenty points more than the other four teams!

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