Doctor Started a Plug-in

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After hearing this news, Yu Yingcai was dumbfounded!

Is this the way it is?

The highest cure rate is less than 20%, which is a terrible nightmare for the heroes!

Thinking of this, Yu Yingcai was a little scared and uneasy!

Qin Xiaoyuan urged for a while: “Time is limited, you make a decision quickly!”

Thinking of this, Yu Yingcai quickly nodded: “Good! I sign… Doctor, you must treat, how much money you have to treat!”

Qin Xiaoyuan nodded: “We will do our best!”

……

……

After issuing the operation notice, Chen Cang took the lead in calling Jing Ran.

At this time, the more reliable Department of Thoracic Surgery doctor he could think of was Jing Ran.

Young and tense!

At this moment, 9:30 pm!

Jing Ran put down the phone and hurried.

Chen Cang also began to arrange related operations in an orderly manner.

“Intravenous drip of isoproterenol 0.5 ~ 5μgmin to increase cardiac output!”

“. Input colloidal solution to expand blood volume to increase blood pressure!”

“High concentration oxygen inhalation to increase the partial pressure of arterial oxygen!”

……

Chen Cang began to continuously issue various preoperative medical orders, be prepared, and see Qin Xiaoyuan satisfied with the nodded.

He found that his son-in-law is really expected!

In fact, the incidence of pulmonary embolism is more than 50 years old, youngster is rare, and Chen Cang can judge that it is very difficult to deal with.

Moreover, there are many symptoms that can be found in this disease, and there is no specificity! And the key is that many checks are not obvious!

Chest radiographs, electrocardiograms, and Color Doppler Imaging by the bed are probably the same as normal.

Many anomalies are also a long time away!

As for the symptoms, there are too many symptoms of pulmonary embolism, and different patients will have different reactions. The kind of allergic rash and throat edema can not be expected by ordinary people. If it has not been seen by Qin Xiaoyuan with more than 30 years of clinical experience, it cannot be guaranteed. !

There are too many diseases!

Who can see clearly?

Chen Cang Where he obtained from Fang Old Mister is only the perfect physiological and biochemical clinical interpretation, and later obtained the perfect ECG and physical examination.

With these things alone, it can be thought that pulmonary embolism is already very good.

Chen Cang’s reasoning process depends on his own accumulation.

Moreover, even if the diagnosis is pulmonary embolism, how much does Chen Cang know about this disease?

The diagnosis seems simple, but it is actually very difficult!

The symptoms of each disease are specific, not a single layer!

Inside the Operation Theatre!

Patient is supine, and Liu Jian is silent after learning of his condition.

This time the anesthesia is the most tested Anaesthetist!

Patient himself had a cardiac arrest. Now if he is intubated directly, it is likely that the heart will be stopped again due to the stimulation of the chest during intubation.

Thinking of this, Liu Jian took a deep breath!

To start emergency partial extracorporeal bypass, first perform femoral arterial and venous intubation under local anesthesia, and then perform general anesthesia after tracheal intubation after the bypass!

In this way, heart stimulation is completely avoided.

Anaesthetist’s ability is directly related to the success of the operation.

So 10000000 don’t underestimate an Anaesthetist, Liu Jian has a high status in Provincial Second Hospital surgery, even if he is not the director now, all directors have to smile at Liu Jian.

It is because of his anesthesia strength!

With Liu Jianzai, the success rate of surgery can increase a lot.

The person Liu Jian values ​​and respects the most is Chen Cang, but every Chen Cang operation, Liu Jian will basically appear!

After establishment of cardiopulmonary bypass.

Chen Cang directly blocked the ascending aorta for coronary arteries, cardioplegia perfusion and local myocardial cooling cardioplegia.

Soon, this heart finally became quiet.

Chen Cang looked at the heart and suddenly appreciated Professor Jr. If it were not for his research on the cardiopulmonary bypass machine, perhaps humans have not yet been able to open the door to the heart.

At this time, Jing Ran came in, no nonsense, and immediately began to change clothes to prepare.

The condition has been explained clearly on the road!

The operation was performed by Chen Cang Chief Surgeon, Wang Kaian and Jing Ran.

The operation officially started!

Several directors around and Qin Xiaoyuan looked nervously and anxiously at the operating table.

Watching three youngsters perform this operation with a mortality rate of up to 3%!

unable to bear cheer for them!

They have no idea whatsoever. Patient’s condition is very bad. It can be insisted that the operation is an accident, not to mention the success rate of the operation.

Wang Kaian and Jing Ran are very good. Chen Cang did not know why Wang Kaian had to leave. Such an excellent youngster should be taken seriously everywhere.

The operation lapsed one minute and one second, and after some operations, Chen Cang finally saw the emboli!

The name of the red [embolism] is clearly visible through the blood vessels, which for Chen Cang, undoubtedly saves too much time.

The most important thing next is to remove the emboli!

Chen Cang looked at the pulmonary annulus slightly for a moment. At this time, how to remove the plug cleverly is very important!

It is necessary to avoid heavy bleeding, but also to prevent the emboli from being crushed, which will aggravate the condition again.

The whole process is delicate and worrying.

However, Jing Ran believed in Chen Cang very much. He knew that he had surgery with Chen Cang. He just needed to do what he should do. Thinking of this, he took Hemostatic Forceps and said, “Are you ready?”

See Chen Cang nodded!

The operation begins!

in a flash, Chen Cang holding a raw scalpel to make a longitudinal incision of the anterior wall of the pulmonary artery about 2cm!

Afterwards, he took the common bile duct in Wang Kaian’s hands and took the stone forceps directly into the bilateral pulmonary arteries.

At this moment, everyone’s breath was held!

There is only one idea in my heart, don’t have a problem with 10000000!

The entire embolus is of moderate size, but it just happens to be stuck on the wall of blood vessels. It needs to be cautiously removed with forceps, and it cannot damage the inner membrane of blood vessels.

Otherwise, it will undoubtedly aggravate the condition and even hinder the later recovery!

At this moment, Chen Cang directly became the key to surgery.

His hand must feel the texture of the embolus, the strength is too small to be out, the strength is too large, and it is easy to crush.

Several directors around saw the operation of Chen Cang and began to feel nervous!

This may be directly related to the success of the operation, right?

As expected by everyone, Chen Cang actually felt a pressure.

He clearly felt that his right hand’s stability was insufficient, and his strength was easily deviated!

It seems…I still have to strengthen training in the future.

10 seconds… 20 seconds…

Finally Chen Cang held the embolus and successfully took it out!

Everyone was suddenly relaxed.

The operation was successful!

However, success does not mean that the Patient must be fine.

Generally speaking, in patients without other important cardiopulmonary diseases but without cardiac arrest, the effect after removal of the emboli is satisfactory, and they can quickly restore circulatory and respiratory function and maintain stability.

However, there are still about 15% of patients, especially those who have suffered a cardiac arrest, and their cardiogenic shock failed to recover in time, which is the first cause of postoperative death.