I Can See Health

   Chapter 186 Score points only if you don't operate!

   A community in Jiangcheng.

  Lu Wenguo and Luo Meizhen were sitting in front of the TV.

   "Wen Guo, Xiao Chen, he really advanced?"

   From the beginning to be determined, to entering the resurrection.

   From the twelfth in the preliminary round to the first in the resurrection competition.

   Things change so quickly that it is too late for people to react.

   Actually, both Lu Wenguo and Luo Meizhen were about to give up.

   Unexpectedly, Jinghua Medical University came with a Jedi counterattack.

   "Really advanced!"

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

   From the hands of the other nine teams, they stole the promotion spot, and Jinghua Medical University has already earned enough attention this time.

  Luo Meizhen took out her mobile phone and immediately sent Lu Chen a message of blessings.

  …

   "Captain, look, they made the cut!" Qi Ruilin pointed to the ranking on the screen.

   Zhang Yunzhe stared closely at Lu Chen and Gu Xinyue.

   These two are not easy!

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

   Among the three items that Lu Chen operated, two of them were full marks!

  Gu Xinyue performed a full score in one of the three items, and the other two were close to full score!

   This kind of result is even more shocking than the first place!

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

  …

   All games on the first day are over, and the semi-finalists are out.

  First place, Kyoto University School of Medicine.

   Second place, Huachuan Medical College of Northwestern University.

  The third place, Pingjin Medical University.

  4th place, Magic City Jiaotong University.

  5th place, Jinghua Medical University!

   This is the first time Jinghua 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.

  This afternoon is the day he smiles the most.

   "Tomorrow morning semi-final, five to three! Tomorrow afternoon final, three to one!"

   "This time, everyone's performance is very good, and the school leaders are very satisfied!"

   Wang Zihao hurriedly came out and flattered.

   "Mr. Cai, it's you who led the team well!"

  Cai Guangming glanced at Wang Zihao.

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

  The crowd came to a restaurant near the hotel.

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

   After eating and drinking, everyone returned to the hotel.

  Lu Chen and others started their review journey again.

   was speechless all night.

  …

   The next day.

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

   The semi-finals, like the semi-finals, are also track-style competitions.

   But there are only three semi-finals.

   These three exams are combined with the actual clinical situation, and are no longer a simple skill operation.

   The referee will give a lift, and then let the students judge the condition and analyze the patient, as the best treatment operation.

   The final score is scored by three judges.

  Each station is operated by two students, and two students answer questions.

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

   All teams will start the assessment at the same time.

   "First stop, case topic."

  The patient, male, 63 years old, was admitted to the hospital with the main complaint of "vomiting 400ml of bright red blood 2 hours later".

   Symptoms of the patient on admission: stomach discomfort, nausea, dizziness, fatigue, palpitation, lucidity, and poor spirit. The patient has a history of liver cirrhosis and ascites, no history of hepatitis, and a history of long-term alcohol consumption, and has now quit.

   Physical examination on admission: P112 times/min, R20 times/min, blood pressure 80/60 mmhg, anemia appearance, sane, poor activity, no tenderness, and mild upper abdominal tenderness.

  …

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

On the console next to   , there is a dummy model.

Next to the    console, there are many operational items.

   Including three-chamber two-capsule tube bag, infusion needle, indwelling needle, stethoscope, syringe, etc., as well as sodium chloride and omeprazole.

   Seeing the items and medicines given by the operating table, Wang Zihao immediately responded: "Lu Chen, this patient has the possibility of upper gastrointestinal bleeding, so he should use a three-lumen two-bag tube to stop the bleeding in this test."

  Lu Chen nodded slightly.

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

   Now the most important thing is to stop the bleeding!

   On the operating table in front of you, the most conspicuous is the three-lumen two-capsule tube bag.

  Three-lumen two-capsule tube, suitable for compression and hemostasis in patients with bleeding from esophageal and gastric varices.

Among them, the three-lumen two-bag tube includes a three-lumen tube, a gastric balloon and an esophageal balloon. The gastric balloon and the esophageal balloon are attached to one end of the three-lumen tube. The three-lumen tube consists of a semicircular lumen and two quarters. A circular cavity is formed.

   Watching Wang Zihao pick up the three-lumen two-capsule tube from the console, Lu Chen suddenly felt something was wrong!

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

  According to the urine nature of these tests, is it possible to test a knowledge point at the same time?

  Have you passed the knowledge of the three-lumen bicapsular tube, will you take the test again?

the answer is negative!

   "Zihao, wait a moment, don't unpack the operation package yet!"

   Hearing Lu Chen's words, Wang Zihao's hands stagnated for a while, and then he put down the three-lumen two-capsule tube.

   "Lu Chen, what's wrong?"

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

   "Don't use this? Then what are we going to do?" Wang Zihao wondered.

  Lu Chen lowered his head and pondered: "I remember the indications for the triple-chamber two-capsule tube. One of them is that after the drug has failed to stop the bleeding, I will consider the three-chamber tube!"

   "This..." Prince Hao paused.

  Lu Chen is right, it fits 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 test?

   At this time, Lu Chen said, "It's for me to take charge, Zihao, you help."

   "Well, that's fine." Wang Zihao nodded.

  …

  Lu Chen stepped forward and informed the patient's "dummy" of his condition first.

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

   The second step is to stop the bleeding.

  Lu Chen glanced at the three-lumen two-capsule tube that was close at hand, but gave up using it.

   Embed the indwelling needle first, then use omeprazole, and do a lot of fluid rehydration at the same time!

  …

   Offsite.

   Everyone saw Lu Chen's operation,

  Cai Guangming was very puzzled, the other four teams had already started to use the three-lumen two-capsule tube to stop the bleeding.

  Lu Chen did not hurry to perform the hemostasis operation on the three-lumen two-capsule tube.

   Just like this, do you use medicine to stop the bleeding?

   What kind of operation is this?

   There is no technical content!

   Not only Cai Guangming didn't understand, but Wang Zihao also didn't understand!

  …

   However, after eight minutes, the first operation was completed.

   On the big screen, the ranking of each team is displayed.

  The score of Jinghua Medical University actually ranks first for the time being!

   is 20 points more than the other four teams!

   (end of this chapter)