Doctor Started a Plug-in

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The nearly 60-kilometer high-speed road is a severe test for several people in the car!

The alarm sound of the monitor continuously sounded.

Sweat soaked Chen Cang’s clothes, Little Lin’s temple hair was also wet, and the whole person was beowed with sweat, all working hard for rescue!

In such a cold winter day, the car is full of warmth!

The man did not dare to say anything, for fear of disturbing 2 people.

However, fortunately, the rescue was effective after all. When going down the highway, the elderly’s lifeform sign finally came smoothly.

This time, everyone is relaxed.

However, here Chen Cang started to contact the Provincial Second Hospital emergency department quickly, opened the green channel, improved the relevant examination as soon as possible, and prepared for surgery!

The old man has completed various physical and chemical tests in the township health center. This is good news, and there is no need to delay too much time.

At 8 o’clock in the evening, the car stopped at the door of the Provincial Second Hospital emergency department, and the entire group quickly came out to prepare.

After Chen Cang entered the door, he began to organize the doctor’s orders in an orderly manner!

“Lele, you take your family to go through the formalities first.”

“Xiaoyan, prepare a notice of illness.”

“Brother Qian, and Wenfu go to the Operation Theatre, get ready…”

“Little Lin, call the Color Doppler Imaging room phone, bedside ultrasound!”

……

After Chen Cang arrived, he sent the Patient to the rescue room.

At this time, Tao Mi and Xia Gaofeng suddenly came down, and Chen Cang suddenly froze: “Director Tao? Director Xia, why are you here?”

Tao Mi frowned: “We just had surgery at Eastern University First Hospital. Director Li told us that you received a Patient from outside who had an acute myocardial infarction that caused a ventricular septal rupture. Let us come and see if we need help. He During the operation, we can’t take care of it, so we hurried over to see it.

Chen Cang was grateful for the nodded and did not delay time. He directly said: “Trouble 2 directors, this is the case. Patient 70 is one year old, an old woman, 7 days ago…”

Chen Cang explained the disease in detail.

Tao Mi directly said: “Little Chen, I suggest that this acute injury of ventricular septal rupture should be observed for a period of time, and then elective surgery is better!”

Xia Gaofeng is also nodded: “Well, this is also the reason why Director Tao and I came over. We are afraid that you are young and anxious and eager for surgery.”

“It is the acute phase. Not only is the operation difficult, but it will significantly increase the risk of surgery and the mortality rate. Moreover, the Patient is an elderly woman, 70 years old, with a history of heart disease, and an acute myocardial infarction 7 days ago.”

“It’s too difficult for you to go for an operation like this Patient. I suggest that when the scar tissue at the edge of the fracture is formed, elective surgery. Now go to the Department of Cardiology and be hospitalized.”

Chen Cang was silent, and the words of the two directors were correct.

At this time, Li Baoshan called Niu Tianfu, director of the Department of Cardiology, to Niu.

The four directors went to the emergency room and began to discuss the Patient.

At this time, when it was not reckless at all, Chen Cang was not stupid. It was the most important to formulate the most appropriate rescue plan, not impulsive surgery.

Treatment surgery is only a way, and before surgery, it is best for the Patient to have a preparation that can provide a safe environment for surgery.

Soon the Color Doppler Imaging results came out, and Chen Cang also took the CT of the heart.

In the rescue room, Tao Mi read the Patient’s heart function and directly said: “The heart function is now OK, and the ejection fraction can also meet the daily consumption. I suggest to stabilize first, and do not recommend surgery.”

Niu Tianfu directly hooked the head: “Director Tao, you see, the risk of acute myocardial infarction, whether it is interventional surgery or thrombolysis, is very high. When the time comes, if the ventricular septum ruptures, the heart function will only worse and worse.”

“According to the situation of the old lady, it can’t be delayed for a few days, where can it be delayed!”

Tao Mi immediately argued with Niu Tianfu!

“Your Department of Cardiology cannot sustain this situation, and our Department of Cardiothoracic Surgery operation will only be risky!”

Niu Tianfu directly said: “Patient is a ruptured ventricular dilatation tumor caused by acute myocardial infarction! Once the disease occurs, it can lead to refractory heart failure, severe arrhythmia and peripheral arterial embolism. The prognosis is extremely poor. How can you give medical treatment?”

Xia Gaofeng and Chen Cang did not speak, patiently listening to the argument, sometimes, the answer will appear in the argument!

Studies have shown that when humans are arguing, their head reactions are several times higher than usual!

Especially when the male and female friends quarrel, women often play better!

After seeing 2 people arguing for a long time, Xia Gaofeng concluded, and suddenly said: “In fact, it is not impossible to operate. The Patient has been treated with cardiac diuresis. At this time, the heart function is okay. If dopamine is injected intravenously before surgery Sexual muscle strength maintains blood pressure to ensure coronary perfusion, which is not impossible.”

“However, Director Tao is right, the risk of surgery is indeed great.”

“Now there are risks on both sides, I think we still fully respect the opinions of Patient’s family!”

At this time, Tao Mi calmed down, looked at Niu Tianfu, nodded, and said to Chen Cang: “Little Chen, please tell the Patient, let him make a decision.”

Chen Cang nodded.

These old directors are national treasures, and with them, it is like a ship has a route!

All risks and countermeasures can be mentioned in advance, and even if a problem is encountered for a while, the situation can be guaranteed.

This is to avoid and reduce the risk of surgery.

After some discussion, the old lady’s son had already prepared for a desperate fight and signed to prepare for surgery!

Chen Cang stood up, and Tao Mi and Xia Gaofeng looked at each other: “I will go too!”

Niu Tianfu clearly was washing dishes at home, and the apron on his body was not removed, and he took it off and put it on the nurse station: “I will go too!”

Chen Cang unable to bear grateful to nodded.

Tao Mi told Chen Cang: “Little Chen, we can only remind you that the surgery still has to be done by you. Now the Patient has a ventricular septal rupture and it has a myocardial infarction. You must remember to not damage the coronary arteries. The incision must be small! Must avoid Affect left ventricular function!”

Tao Mi continuously told…

Chen Cang is also grateful for nodded.

This operation, due to the old woman’s own reasons and the presence of complications, increased the risk and complexity of the operation, so that the difficulty increased and the risk factor increased proportionally.

In Chen Cang’s heart, there is no bottom!

Perhaps this is what surgery should be like?

This is full of risk and uncertainty!

No one can control life and death, all they can do is go all out that’s all.

Even Tao Mi and Xia Gaofeng cannot guarantee the success of the operation!

……

……

The operation started, the hypothermic cardiopulmonary bypass machine was running, and the heart officially stopped working.

After opening the chest, looking at this aging heart, Chen Cang’s eyebrows were tight!

Extensive anterior wall infarction, now you can see the color change of the heart!

Chen Cang didn’t care about the others, only cautiously judge the surgical opening and range.

Try not to damage the ventricle.

This heart is already aging, covered with bruises, ischemia and hypoxia, and the left ventricle serves as the heart muscle pumping the heart. If he is injured again, the old man will be gone!

Chen Cang knows the difficulty.

At this time, it is necessary to determine the extent and extent of myocardial damage and observe whether there is any other damage.

Chen Cang supported the heart with his hand and explored the ruptured ventricular septum from the left ventricular surface.

Try to find a suitable opening for surgery!

Patient is a ruptured ventricular dilatation tumor caused by acute Myocardial Infarction, and the surgical treatment effect is better than conservative treatment, which is why Chen Cang made up his mind to operate.

Everyone around is staring at the heart. Now we need to find the most suitable opening for surgery!

Chen Cang kept thinking in his mind, his hands touched the heart for a long time, and finally!

He found a place where the right ventricle face meets the atrium, where it can just avoid the coronary arteries, and most importantly, minimal damage to the left ventricular wall.

Chen Cang thought of this, took the scalpel directly, and spoke!

And Tao Mi frowned!

“Little Chen, this position… is it good?”

Xia Gaofeng also frowned: “Yeah…the damage is small here, the side effects are small, but it is not easy to operate!”

Chen Cang nodded: “Try it!”

Thinking of this, Chen Cang took a double needle non-invasive suture with a small gasket through the vital tissue of the ventricular septal defect to make an intermittent mattress Suture!

This process needs to be very cautiously, 10000000 can not damage the broken heart.

Chen Cang didn’t dare to shake his hands, right hand couldn’t start, he had to pick up his left hand!

The directors who watched suddenly widened their eyes!

Left hand? ? ?

Needle holding forceps enter the needle from the right ventricular surface, first Suture ventricular septal defect and the posterior edge of the patch, and the suture patch is ligated on the left ventricular surface.

This process is all completed under the left hand.

Although it seems clumsy, everyone can imagine the difficulties.

The left-hand operation itself is unstable, and as a result, it will increase the risk of surgery, and if it is improperly operated, it will be worthless!

So Chen Cang is very careful.

Throughout the process, a few people watched thrilling!

Even Yuanyuan, the nurse, frowned a little, was her left hand… so powerful?

An intermittent mattress suture with a small spacer was placed on the right side of the anterior descending coronary artery, then through the right ventricular wall and through the anterior margin of the ventricular septal defect patch, and then through the left margin of the left ventricle incision.

Because of the opening, it must be divided under the operation of the left hand.

The sweat on Chen Cang’s head is not left behind, and the hat and mask are soaked, and the atmosphere is afraid to sip!

Right hand propped up in the air even more dare not move a cent, fearing damage to innocent myocardium!

The time went by like this.

Chen Cang feels that today’s consumption is more than 2 3 times more than in the past!

Finally, when the Suture line was ligated, the ventricular septal defect and the left ventricular incision were completely closed.

Everyone is relaxed!

Chen Cang is impatient now.

Thoroughly stop bleeding, rinse the pericardial cavity, after cardiac repetition, stop extracorporeal circulation, and observe the effect!

At this time everyone is staring at the data on the ECG monitor, waiting for a signal of success.

Anaesthetist Liu Jian said: “The lifeform sign is completely normal!”

At this moment, everyone’s tense hearts were released.

too difficult!

This moment is really too difficult.

Chen Cang himself feels really difficult.

Liu Jian unable to bear gave thumbs up to Chen Cang: “Director Chen, the older you are, the more awesome you are! More and more like a director!”

Several directors around were also laughed at the nodded gratification.

Chen Cang grew up watching them.

It’s just… this speed is a bit like fast forward X4! Instead of normal growth rate.

But…genius is always different from ordinary person!

No one can intervene in this operation, because once the left ventricular wall is damaged, the consequences are very serious, and if the coronary artery is injured, it is even more troublesome!

Therefore, it can only be Chen Cang singlehanded, solo riding within 1000!

The moment of successful operation.

Everyone laughed!

They found that this youngster is more and more like a director.

It’s just that several of them now have a problem lingering in their heads.

When washing his hands, Tao Mi unable to bear asked: “Little Chen…is your left hand so powerful?”

Xia Gaofeng nodded: “Yes! I think your left hand is very stable, have you practiced!”

Chen Cang thought for a moment and thought of his young foreign woman Teacher who trained her left and right hands, nodded: “Well, often used.”

After hearing several directors, they suddenly realized.

Sure enough, success is no accident!

How much effort have people paid?

At this moment, everyone saw Chen Cang’s eyes full of appreciation.

This youngster is too harsh on himself!

……

……

ps: Thanks to the “Mo Chen age” “xiaolei1028” 2 friends for 10000 rewards, thank you.

I originally wrote half of it for uploading, but I still decided to finish the operation. It looked comfortable and I wrote almost 2 chapters at once.

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So, ask for monthly tickets! Ask for monthly tickets! Ask for monthly tickets!