Chapter 1081: : I ... not fast enough yet?

He Chao is a doctor, a doctor who graduated from Ruijin Hospital of Shanghai Jiaotong University, did not stay in Shanghai and returned to his hometown in the capital.
Full of blood for the first aid, he came to the emergency center, and successfully became an ordinary resident doctor!
This is the capital!
A doctor who hasn't graduated long can only work as a resident.
In He Chao ’s eyes, the most powerful in the emergency center is Dean Wu, who is a wizard and a generalist.
After coming to the emergency department six, the hero in He Chao's eyes was Yu Yonggang, a man who generally refused to lose.
And now, the idol in He Chao's eyes is Chen Cang!
This man is full of mystery and legend!
'S age is similar to his own, but the calmness and calmness facing the patient is his dream quality.
Chen Cang glanced at He Chao with a smile: "I don't have you to believe me! Go and prepare!"
After speaking, Chen Cang turned around and said to Xu Ziming and Ma Yuehui: "Contact the operating room and prepare for surgery!"
Xu Ziming heard Chen Cang say this, naturally he was a little more excited!
Marfan syndrome surgery!
Ascending aorta + total aortic arch replacement surgery!
The top difficulty surgery in domestic cardiac surgery, the number of masters can be counted with two hands!
Xu Ziming felt that with Chen Cang, he could really learn a lot.
Ma Yuehui was not idle, and began to prepare.
Cang Cang walked to the bed, looked at Tian Zhengkai, took a deep look, did not speak, got up and walked towards the operating room.
"Prepare for surgery!"
……
……
At this moment, Chen Cang suddenly thought of Director Li Baoshan Li!
He and his teacher are experts in the field of abdominal aortic replacement surgery.
At this moment, he finally understands how it feels to lose trust?
When his teacher is ill and is lying in front of him, it is really difficult to face this kind of surgery!
Teacher believes in you and is willing to give yourself to you!
Chen Cang was standing in the locker room and was about to lock up his mobile phone. He was serious about performing this operation, and suddenly hesitated, picked it up, and edited a text message to Li Baoshan:
"We have organized tens of thousands of rescues, succeeded and failed, and it is precisely through the pain of this skin-cutting that I can resolutely and decisively guard the last acre of the heart of the guardian. The doctor is a person, not a god!
Chen Cang didn't say anything, just sent it lightly. He believed that Director Li would understand.
He hopes to untie Director Li's knot.
Operating room, Zhou He is an anesthesiologist.
Chen Cang, Xu Ziming, Ma Yuehui and He Chao are ready.
Surgery is about to start.
Chen Cang spent his favorability to learn the master class.
【Ascending Aorta Replacement】 + 【Total Arch Replacement】!
The goodwill disappeared, but fortunately, some goodwill can come out from time to time, otherwise it is really not enough.
Now Chen Cang suddenly misses Meng sometime. If she is here, she will be shocked from time to time, and there is no problem in brushing your favorability.
Surgery begins!
Chen Cang was attentive at this moment, and now it is useless to think about anything.
Gently make a midline sternum incision, and then extend the incision to the left supraclavicular fossa appropriately, because a full arch replacement must be done.
Fortunately, this time, do not perform abdominal aortic replacement, otherwise, this incision should be more than one meter long, from the chest around the large abdomen, along the abdomen to the anterior iliac spines!
Such a surgery is really too difficult.
"Establish cardiopulmonary bypass!"
"In a while, the deep hypothermic circulatory stop technique should be used to handle the venous catheterization."
Cang Cang made an orderly arrangement, and a few people on the side were silently remembering it.
……
These are preparations. When everything is done, Chen Cang finds the culprit!
This tympanic sac's aortic dissection aneurysm.
However, when Chen Cang saw the whole aorta, he couldn't help but brow tight.
Crimson ascending aortic dissection, red aortic arch, and the color of descending aorta below can feel a touch of color.
What does it mean?
[Aortic dissection: lv85, elite strange, aortic dissection caused by the damage of the aorta intima in the early manifestation of Marfan syndrome, the scope is large, it is recommended to replace! 】
85-level surgery, the level is not low!
And the lord blame ... It seems that the system believes that abdominal aortic replacement is not involved, so it is considered that the operation is not difficult, just the elite blame.
Cang Cang estimated that a complete set of Marfan syndrome surgery should be a lord monster above level 95!
I am currently only a stage operation.
Cang Cang blocked the ascending aorta 3 cm away from the beginning of the innominate artery and cut the dissection of the artery.
"Cardioplegia!"
After taking Cang Chen, carefully infuse the cardioplegia through the left and right coronary arteries. After the cardioplegia, switch to continuous reverse perfusion to protect the myocardium.
This is a kind of protection for cardiomyocytes.
Because the dissection has involved the aortic valve junction at this time, Chen Cang must reinforce the junction with cushion sutures at the corresponding junction.
Then add a circle of felt strips directly to the intima and adventitia of the aorta, and said to Xu Ziming on the side: "Use 4-0 polypropylene thread to reinforce the suture."
When Xu Ziming heard it, he quickly prepared!
Chen Cang was not idle, he took a moderately sized artificial blood vessel, and sutured the artificial blood vessel and the aortic root with 3-0 polypropylene thread!
This process is very delicate, you need to pay careful attention to the opening of the left and right coronary arteries to avoid affecting the opening blood supply.
Chen Cang is still very researched in the field of vascular anastomosis, so that the replacement and anastomosis work is relatively smooth.
It's time for anastomosis of intercostal arteries!
Several people were silent, because the intercostal arteries must be fast and orderly anastomosed, otherwise the spinal cord ischemia may cause paraplegia for a long time!
And the intercostal artery is more difficult to cut and suturing, so cardiac surgery is always fighting for time with death!
Chen Cang glanced at Xu Ziming: "I'll fix it!"
Ended ~ EbookFREE.me ~ Cang Cang took the suture and said to him: "Prepare to clamp!"
Ma Yuehui nodded and agreed to come down!
Chen Cang glanced at He Chao: "You help me hold it with my hand, I will stitch it."
He Chao was a little uneasy, fearing he could not do well.
Chen Cang gave a glance of encouragement: "The surgeon must not only have a steady hand, but also a stable heart, even if he knows that he will fail, he must be calm!"
He Chao took a deep breath and nodded!
There are eleven pairs of intercostal arteries. In addition to the first and second intercostal arteries from the subclavian artery branch, the remaining nine pairs of intercostal arteries and a pair of subcostal arteries are all from the thoracic aorta.
Although Chen Cang does not need to deal with it all this time, after all, he did not replace the thoracic aorta, but now he looks at so many blood vessels, he wants the suture to be completed in a short time without affecting the blood supply to the spinal cord. Marfan syndrome will definitely face this situation during surgery.
It seems that he is not fast enough!
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Ps: Recently at home, people often come to see a doctor. After seeing a few patients this afternoon, they were taken to another person's house again and saw a few patients.
It's already evening to go home, so I'm sorry to write so far.

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