Doctor Started a Plug-in

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“Noninvasive blood vessels forceps.”

“Gauze!”

“Hemostasis!”

……

The operation was carried out, Tao Mi personally beat him, Qian Lin looked at Chen Cang, dare to speak out, but… he has now successfully promoted to 2 of his biggest enemy.

First, the first one is Dad!

The second is Chen Gou!

It’s not that Chen Cang is as important as his father.

Not that his father is as dog-like as Chen Cang!

Anyway… this is the goal of Qian Lin’s life.

Tao Mi now likes to hit Chen Cang, even if the Chief Surgeon coefficient is given to Chen Cang.

After all… Stealing a teacher always has to be a little bit aware of stealing a teacher.

You don’t have to pay tuition, you can’t still earn money?

Since Chen Cang will perform cardiac surgery, Tao Mi always feels that he is the second beneficiary and has learned a lot of good things.

In the previous consultations in the province, Xia Gaofeng was always invited first, then Tao Mi, but… it has been different recently.

Let’s start inviting Director Tao!

It has been realized outside that his director Tao has accumulated knowledge and deliver it slowly.

This made Director Tao happy.

However, there are not many good days. I think Chen Cang will go far away after the Chinese New Year. In fact, the one I miss the most is Tao.

It’s just that before you leave, you don’t expect to learn Chen Cang’s 2 mitral valve surgery.

It’s learning, but it’s actually inspiration.

To get what you need from other people’s surgery, this is what Director Tao needs.

When the atrium was opened, and after entering the right atrium, Chen Cang took a scalpel and cut the oval fossa longitudinally, expanding up and down.

Chen Cang glanced at Qian Lin and said:

“It’s better to be biased towards the direction of the lower cavity when extending downward, and to avoid inward deviation when extending upward, because this way, you can avoid accidental injury to the aortic sinus.”

This operation is also Chen Cang’s perception and may not be useful for Tao Mi speaking of which.

But for Qian Lin and Classmate A, it is a rare experience.

Qian Lin suddenly realized that the look in Chen Cang’s eyes softened a bit…

Do you want to let him go?

Qian Lin hesitated!

In fact, Chen Cang is also quite good many times.

Chen Cang continued: “You have to lose weight, after all, your hands are too fat to affect your performance.”

Classmate A suffocated, but did not dare to laugh, paid a fart to pay tribute!

Qian Lin shook his hands, what about my knife? !

Tao Mi is laughed.

It’s normal for Operation Theatre to make jokes. Chen Cang is okay. Zhang Youfu likes to talk about meat. At first, he often makes nurses blush, but now little nurses often talk to Zhang Youfu and director Zhang blushes.

2 The mitral valve replacement surgery is actually that the 2 mitral valve becomes narrow, the valve has been severely contracted, and the subvalvular lesions are heavy and cannot be repaired by plastic surgery. The valve must be replaced.

There are many valves in the heart. Between the atrium and the ventricle, the valve is used to circulate blood. This is the door of the heart, but the door is opened unidirectionally. Once the heart contracts, it opens once. Same as the machine.

Because the blood can only flow in one direction, and he cannot be allowed to flow back. The function of the valve is to block the flow.

However, the 2 mitral valve is a one-way door from the left atrium to the left ventricle. When the 2 mitral valve is narrowed or incompletely closed, blood flow back to the heart, which causes heart disease.

What Chen Cang needs is to replace this valve with a new artificial door, so that it can also play the same role.

However, the 2 mitral valve is redundant, but the contracture is so serious that it can no longer be used, even if it is not meaningful.

Chen Cang simply cut it. This process, referred to as cutting the flap, can not be removed too much to avoid damage to the ventricular wall.

When the operation was carried out slowly, Chen Cang suddenly froze!

He found a problem!

That is, there are some small blood clots left on the wall of the left ventricle.

Suddenly Chen Cang froze.

If you do not observe carefully, it is difficult to find this problem!

And it was due to Chen Cang’s vision improvement of 50%, which was discovered.

How is this going?

Then Chen Cang quickly looked at the original 2 mitral valve.

Suddenly reacted to one thing, if the blood flow is normal when the heart is normal, but when the 2 mitral valve is narrowed, blood cannot flow into the left ventricle from the left atrium at a normal rate!

Moreover, blood accumulates and rotates in the enlarged left atrium, and the flow rate slows down, and small thrombi may form.

And all these thrombi are time bombs!

To the coronary artery, it is coronary heart disease, to the brain blood vessels is the cerebral infarction!

2 The stenosis of the mitral valve for a long time can lead to changes in the heart structure, such as the enlargement of the left atrium!

The enlargement of the left atrium is closely related to atrial fibrillation, which is the most common cause of cardiogenic embolism.

No wonder Patient will have 2 cerebral infarctions in a row.

Everything has a reason.

However, this Patient is a special condition caused by 2 mitral stenosis.

Where is the meaning of cough water?

correct!

Chen Cang started to observe along the big blood vessels.

wrong!

Chen Cang suddenly realized that he might have gone astray.

I have been going to connect the infarction with the cough water.

The cause of Chen Cang is always the cause of the formation of emboli and cough water, and the direct cause of infarction is ignored!

That is atrial fibrillation!

Suddenly!

Chen Cang just responded to this, he found that the progress of Mission in his mind suddenly increased by 5 points!

This time, Chen Cang was overjoyed!

Is it…

Is this cough water the cause of atrial fibrillation?

Correct!

Probably!

Codeine phosphate itself is a medicine that excites the central nervous system. Taking it in large amounts can cause adverse reactions to tachycardia.

these all are acceptable.

But if you induce atrial fibrillation, this will not be accepted.

What is atrial fibrillation?

It is the irregular and irregular contraction of the atrial disorder that changes the atrial rhythm, and the ventricular contraction also becomes irregular, and atrial fibrillation accelerates the ventricle.

This can induce a series of serious diseases such as cerebral artery embolism, peripheral blood vessel embolism, pulmonary embolism, sudden cardiac death and so on!

So, often, Patient feels panic.

But when atrial fibrillation often occurs, complications will appear.

Associated with the first Patient, pulmonary embolism, atrial fibrillation has also occurred!

The second Patient is also palpitation, atrial fibrillation induces multiple cavity infarction.

Now it’s the third Patient, still infarct!

Chen Cang at first thought that cough water might induce the destruction of blood vessel endothelium. Now it seems that it directly acts on the heart.

Thinking of this, Chen Cang suddenly worried.

How many patients in the country have the original disease of infarction?

If this kind of cough water is prevalent, what kind of ending will it lead to?

Everything seems so serious!