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Prepare for emergency surgery!

This sentence is a terrifying concept in everyone’s ears.

Emergency surgery, also known as emergency room surgery, is a super emergency surgery that is not performed in the Operation Theatre.

Super urgent!

What is super urgent?

Super urgent means that the probability of death increases a lot every second.

Be aware that the rescue room is not an Operation Theatre, not a sterile environment!

Surgery here means taking risks, as well as performing emergency surgery at the risk of infection.

In this way, it can be seen how important surgery is.

Zhang Tao complexion changed, even Qin Yue is also turning pale with fright.

Why should you be so anxious?

what is the problem?

At this moment, they have not responded.

While Dr. B looked at the picture, he suddenly thought of a horrible thing: “Doctor Chen…you mean…diaphragm hernia in the pericardium??”

Chen Cang facial expression grave, solemnly: “Yes! This should be a diaphragmatic hernia in the pericardium.”

As soon as this remark came out, all the Doctors in the rescue room had their complexion changed!

Zhang Tao panicked and picked up the phone, he would call the Department of Cardiothoracic Surgery.

After all, he knew very well what disease this was? !

This can lead to acute death!

Chen Cang looked at Zhang Tao and Qin Yue, loudly said: “Don’t panic! Little Lin prepares equipment, Chang sister prepares items, prepares disinfection and sterilization…”

At this time, it was the time when the staff of Hospital were at work, and Chen Cang suddenly asked for this rescue room operation, which instantly caught everyone’s attention.

Zhang Tao is already a Chief Physician, but in this brief moment there is still some not knowing what to do.

Because this emergency is really like thunder piercing the ear.

What is the mortality rate of such things in the emergency department?

Too high too high!

This disease is often misdiagnosed because of missed diagnosis, or even because various tests are not kept up, resulting in death without timely treatment.

Some people may be curious, why is a hernia so serious?

Isn’t the heart going out?

Of course not, when the heart wanted to go out, he didn’t go out, and was suddenly stuck by the door!

Diaphragm hernia in pericardium actually means this

The rupture of the pericardium is usually located at the base of the heart. When violent, the pericardium will have a hole.

And what is the biggest danger at this time?

It is the incarnation of the heart through the ruptured hernia outside the pericardium. (Note: hernia: read shan, cover your face, and suddenly remembered that someone asked how to read the word.)

The heart is big!

But the hernia may not be that big!

This will cause the heart to be blocked by the pericardium, and the surface of the heart is not smooth, but there are many blood vessels. If the heart is embedded in the pericardium, then the blood vessels are directly stuck!

This is a disguised myocardial infarction of physical nature!

After the heart is incarcerated, it can cause venous reflux obstacles, too fast pericardium or even low blood pressure. It will also cause the sudden lack of blood supply to the heart because the coronary artery is compressed by the pericardial rupture.

Therefore, in this case, it is necessary to open the chest urgently, reset the heart, and then close the pericardium.

It seems a simple thing, but the degree of danger is very high.

The diagnosis is particularly important first.

If the discovery time is late, giving normal myocardial infarction treatment may delay treatment and lead to death.

After all, it is faster, more urgent, and more urgent than the heart attack.

In other words, it is equivalent to that your neck is stuck by the clothes. If you do not fix the clothes, you may be strangled.

The emergency room was caught in a fast and orderly arrangement.

The curtain is pulled up and a simple Operation Theatre is built!

The operation is ready to start soon!

Qin Yue was standing opposite, uneasy, this was her first heart surgery.

In the field of surgery, there are several surgical instincts that can feel difficult.

One is heart surgery and one craniocerebral surgery.

Any operation involving these two parts will instinctively feel dangerous.

This is true not only for Patients, but also for medical workers.

So when Chen Cang chose the full-time direction, he first chose Department of Cardiothoracic Surgery and Department of Thoracic Surgery.

Because there is no separation of minds and chests, there is no shortage of surgery outside the chest if you want to master the surgery in the heart area.

Qin Yue is a little worried about Chen Cang. After all, Chen Cang only learned Department of Cardiothoracic Surgery for a few days.

But I don’t know why. When Qin Yue met Chen Cang’s eyes, he felt a kind of instinctive trust and down-to-earth. This kind of feeling is very wonderful, but he couldn’t tell.

Chen Cang looked at Qin Yue: “I’m going to puncture, you’re going to pump fluid!”

Qin Yue nodded!

B ultrasound doctor cautiously started the echocardiogram monitoring, Chen Cang picked up the pericardial puncture needle, took a deep breath, and slowly penetrated it.

This position is never a puncture point!

But at this moment it must be pierced from here.

Zhang Tao wanted to speak, but hesitated.

“Little Chen…”

Chen Cang didn’t wait for him to finish, and explained directly: “The inlay of the heart has shifted. This is the safest place to puncture.”

Zhang Tao suddenly realized.

This pumped liquid, pumped about 100ml!

Zhang Tao looked a little dumbfounded.

How much pressure does the 100 ml of blood fill the pericardium?

What a horror!

The heart was originally stuck, and the blood was put under a lot of pressure. At this time, the blood was drawn out, and the patient’s blood pressure suddenly began to rise!

This move instantly pulled the Patient back from the edge of danger!

However, this is the beginning of the rescue.

Chen Cang turned around and pulled the puncture needle aside, Qin Yue had handed the scalpel.

Chen Cang lifted the knife and made a cut in the middle of the chest!

The choice of this location was carefully considered by Chen Cang.

Not only can it reveal the entire heart cavity and the origin of large blood vessels, it can also facilitate the resetting of the heart.

After a few minutes, the chest cavity was opened, and the pericardium was quickly exposed, and a red and purple heart was exposed outside the pericardium and trembling and beating!

It seems that it will stop in the next second!

The heart is bright red, the color of blood.

But at this moment, it turned dark purple!

Everyone knows exactly what this is.

Fortunately, it was discovered in time… if it drags on, even if it recovers, it will be a problem whether it will die or not.

Myocardial infarction just blocked a coronary artery.

And now?

It can get stuck in the lower half of the whole heart!

The consequences of this are really hard for you to think about.

Everyone saw this moment, and suddenly felt the cold sweat behind him constantly seeping out.

Fortunately, Chen Cang found it!

Everyone is thankful and emotional.

Even Chen Cang was a bit afraid, a red and purple name appeared in his eyes.

[Intrapericardial diaphragmatic hernia: lvLevel 55, leader monster, under the pressure of pericardial tamponade, the heart is incarcerated, accompanied by coronary artery obstruction ischemia, resulting in blocked venous return! 】

When he saw the system hint, Chen Cang felt scared himself!

The leader of the 50 Fifth Level, Chen Cang, met for the first time. This may be the most advanced level operation Chen Cang has ever encountered.

As a Department of Cardiothoracic Surgery Tertiary Grade Surgery, pericardial diaphragmatic hernia surgery is self-evident!

The most important thing is to repair the pericardium, and give the heart a good house.

Chen Cang quickly opened the purple skill book, selected the diaphragmatic hernia in the pericardium, and activated it immediately.

The reason why Chen Cang chose to activate now is to know fear first and then learn!

Only when you see the incarnation of the heart first, and then special training, you will understand targeted learning.

After all, special training does not consume real time and will not affect first aid at all.

Thinking of this, Chen Cang immediately chose to enter.

The so-called practice makes perfect. Chen Cang has undergone countless exercises and learning of numerous operations. After undergoing various cardiac incarceration and intrapericardial diaphragmatic hernia surgery, Chen Cang level and technology have been continuously improved.

……

I don’t know how long it has been in the virtual space. After the assessment, Chen Cang’s skills have changed!

[Ding! Intrapericardial diaphragmatic hernia repair: Master Level; special effects: 1. Precision repair: precise repair can make the pericardium firm and not easy to damage the surrounding tissue; 2. The heart prevents adhesion: the repaired pericardium will not affect the heart and pericardium Function to prevent the occurrence of adhesion. 】

In the blink of an eye, Chen Cang returned to reality, but this time.

When he looked at the incarcerated heart again, Chen Cang had planned and designed a surgical plan for the Patient at this moment.

Chen Cang took a deep breath, picked up the scalpel and started the operation!

But at this time, no one noticed that there were several people coming in from behind, each and everyone stared at this purple heart, and they were afraid to catch their hearts after a while!

This… really can’t afford any delay!


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