【1566】意见老练(1 / 1)

李晓风告诉陈医生:“是申老师的师妹,是个外科生,姓谢。”

一个外科生对介入手术技术滚瓜烂熟了吗?陈医生讶异着。

申友焕笑吟吟地转过脸,对着小师妹弯了弯嘴角,眼里的亮光写着:小师妹是牛。

谢婉莹的视线落在申师兄按着对讲器通话键的那只手上,知道申师兄是人好帮杨医生留了条路,故意全程打开对讲器给杨医生听。为此,她才敢一口气说完提醒。

临床老师不喜欢出考卷的时候同学帮同学作弊的。.孤星

扫视完小师妹从容应对的神情,确定小师妹似乎是猜到他的意图,申友焕的眉毛飞了飞,对她吐了声:“我突然发现你有点狡猾。”

被申师兄说了她狡猾。谢婉莹想说申师兄最狡猾,明明是师兄你觉得不好亲口下场指导让我代替你说完的。

“解剖学的很好。”这道声音来自偷偷摸摸跟来的石磊。

其余两人听见声音回个头,方意识到有个人站在那里。

申友焕哼一下掉回头去。这个石头说这话,大概是想说他们外科生比内科生解剖学学的强些,是叫内科前辈不太服气。

事实上,临床上对解剖学能学到随时运用到临床实践上的医学生几乎没有,有的都被前辈称之为天才了。课本上的东西想变为千变万化的患者,难到无以形容,只能是医生在临床实践中慢慢积累下来经验。可能是想到这个缘故,他申友焕脑子里有一瞬间冒出和靳天宇一样的念头:把谢同学拐到内科来。

念头闪完,申友焕是不敢。

在国陟没人敢得罪张华耀的。谢同学是张华耀亲自盯着的人。后面这块石头今晚一直留在这里,肯定是受到张华耀的委托充当张华耀盯谢同学的眼线,否则干嘛不下班。

手术间里头,杨医生经过清晰的提点后恍然大悟,手术思路瞬间打开,手头不慌了。

“老师,我要透视。”杨医生申请道。

“行。”陈医生一边允许,一边在脑子里继续想那个提点的家伙老练死了,一说就到厉害处。要不是李晓风说了对方是谁,他真误以为是哪个大师级人物过来指导杨医生了。

按照谢婉莹口述的方法,确定好了股动脉可能所在的位置,杨医生胸有成竹地下针,有回血。按照既有的医学步骤,放入导丝。股动脉地方分支很多,为避免导丝误入小血管,最好在透视下进行。j型导丝要一路送到主动脉弓,这个和前面说过的经桡动脉冠状动脉造影的步骤大同小异,血管扩张后沿导丝放入鞘管。

做到这一步后,对iabp零上手经验的杨医生先撤了,由有经验的陈医生上手。陈医生要把球囊导管中心腔穿过导丝,顶端沿鞘管送至降主动脉内左锁骨下动脉开口远端一定距离处,大概1到2厘米左右,这里的位置是第二三肋骨间。

把球囊导管送到位,接下来是导管连接反搏机器。

<--di--!>
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