Chapter 205: : Saliva is toxic!

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"Give me the knife!"
Yuanyuan looked at Chen Cang's hands stretched out, could not help but blushed, and quickly nodded.
Sure enough, as they said, a long and slender hand, how many gloves do you need?
And ... is he really fast?
Thinking of this, Kong Yuanyuan had infinite expectations for this operation.
Although he had surgery with Chen Cang for the first time, the legend of this great spread.
You know, the operating room is the place where gossip news and news spreads the fastest, but Chen Cang has been a hot topic in recent time.
It has even become a yy target for major young women in the operating room.
Especially in the night shift, the night when the night is quiet and there is no surgery, in order to expel the dark fear brought by the operating room, this group of women always like to talk about some men with masculinity to invigorate yang.
Anyone who has seen Chen Cang's operating room nurses will come to gossip when he comes back to talk about sleeping at night.
"Chen Cang is amazing. Once Zhou Xiaodong had surgery, he couldn't do it anymore. As a result, Chen Cang came in, and he got rid of the two, and the solution was neat and clear. It was really amazing!"
"What's the matter, you don't know, there was an important operation in our operating room 3 that needed fast suture of blood vessels. You don't know the speed of Doctor Chen's hands, and it would never be possible without a single person for one hundred and eighty years! "
"That night, Chen Cang tried to turn the tide and rescue Dean Fang. To be honest, it was really amazing ...!"
Kong Yuanyuan looked at Chen Cang. Is it really so powerful?
...
...
After this one-by-one cut.
Chen Cang entered the chest and the surgery really started.
Although it was less than five or six hours, there was already a little pleural effusion.
"Aspirate!"
Wang Yong nodded, took the washer, and started the operation carefully.
Chen Cang's fingers are long and light.
At this time, the esophagus was exposed in front of everyone, and Liu Jian in the distance was a little worried and did not leave the operating room.
Liu Jian has been mumbling since he entered.
Will Chen Cang have a chest surgery for a while?
Don't mention Chen Cang in the emergency department, even Director Li Baoshan has never been engaged in surgery in the field of chest.
Chen Cang is a half apprentice of old Chen, so Liu Jian can be considered a bit.
Because of understanding, I am more worried about something.
After the esophagus was exposed, Xiao He stood there: "Xiao Chen, in the position of the flat chest and four ribs, about 2 o'clock in the rear."
Liu Jian could not help reminding: "Xiao Chen, be careful, the vagus nerve is too messy."
Chen Cang nodded and carefully separated the esophagus.
It went smoothly without any surprises.
After turning over, the wound was exposed.
"Microscope Tweezers"
"scissors"
"Hemostasis"
"Saline"
Kong Yuanyuan nodded quickly and sent them over one by one.
Chen Cang took tweezers and scissors.
Place the esophageal cleft muscle layer towards the upper and lower ends and extend the wound until the exposed mucosa is exposed.
This operation made Xiao He inevitably swallow.
a little nervous……
He just prepared to say how Chen Cang enlarged the wound, so it is!
"Fourth Silk Thread"
Then comes the time when stitching is needed.
Because the esophagus has mucosal damage, if you don't pay attention, it is not a wise choice to just suture the muscle layer.
To put it plainly, it will not be stable after stitching!
Even in the late stage, the ulcerated mucous membrane originally had, and it will continue to be damaged, leading to secondary damage to the esophagus. At that time, it will be troublesome to want treatment!
Others don't understand this, but Xiao He is an endoscope himself and knows the physiological structure and anatomy of the esophagus very well.
This set of operations that Chen Cang cut the card just now is really eye-catching!
In this way, after the esophageal ulcer is sutured, the esophagus will not be narrowed because the wound area is too small.
Thinking of this, Xiao He was instantly excited.
At this time, although the operation had just begun, he already felt half successful.
The next step is stitching.
The success rate of suture is directly related to the function of the esophagus in the later stage.
Chen Cang carefully picked the No. 4 thread. This suture is actually similar to the suture of the intestinal fistula.
Between the pins and leads, like a butterfly game, it is extremely lightweight and embellished.
Chen Cang's suture is very clever. He chose the technique of suture of the broken end without occupying too much esophagus.
In this way, the recovery of esophageal function in the later stage will be very convenient.
Liu Jian didn't know anything else, but he knew how to stitch!
Chen Cang's suture can be said to cleverly make the available space of the esophagus larger, and the effect will be better after recovery.
Doesn't anyone know how to sew like this?
of course not!
Everyone knows how to sew like this?
But how many people are sure to sew like this.
The esophagus is not the same as other organs. He is a channel and must be kept open at all times.
Eating esophageal stenosis is a very troublesome task.
Maybe everyone understands that when you are choked, when the esophagus is narrow, you just eat rice and you are choked!
The patency of the esophagus is extremely important.
Why do patients with esophageal cancer feel esophageal obstruction in the first place? Many of them don't even hurt, and simple obstruction can be upset.
Therefore, Chen Cang's set of suture skills and capabilities, Liu Jian bet, is better than the experts who came to the Second Hospital of the province to help perform thoracic surgery!
A lot of things are very obvious at a glance.
Everyone is engaged in medical science, and nothing needs to be said.
After seeing this, Liu Jian couldn't help but tell Wang Yong: "Xiao Wang, take a good look at your teacher Cang's suture, that esophagus suture technique ... really amazing!"
Wang Yong nodded, staring at every detail of Chen Cang without blinking.
Chen Cang didn't speak, because after all, it was the first operation to get started, and he still had to do his best to complete it.
It took seven or eight minutes for Chen Cang to complete the stitching.
This may seem to others, a little ridiculous. It takes you seven or eight minutes to sew an esophagus, which is really a bit slow.
But this time is not the time to measure technology.
Chen Cang quickly got up and didn't know how fast!
Again, stabilize ... as a dog!
The slow suture does not mean that the suture is dense. On the contrary, the reason for Chen Cang's slowness is that the mucosal layer and the muscular layer are sutured separately.
Chen Cang said to Wang Yong at this time: "Esophageal sutures should not be too dense and not too tight. They should also be moderately tight when knotting."
Wang Yong is unknown so ~ EbookFREE.me ~ can only go down to check the book, but remember now.
Next, after the suture is completed, the repaired gap needs to be covered with a pedicled pleural flap, just like a tire repair. In fact, it is a insurance effect!
The operation has now come to an end.
Place a closed chest drainage tube for drainage, others still need to wait for recovery.
Chen Cang gave the suture to Wang Yong, and he took off the gloves first. He looked at Xiao He and said, "Director Xiao, let the patient be hospitalized. Don't get the nasogastric tube temporarily, and continue to decompress. I'm still worried about mediastinum Infection, use some broad-spectrum antibiotics during this time. "
"You can't eat for ten days, fast, do an esophageal angiogram after ten days, and then have a liquid diet."
"After all, saliva is poisonous!"
ps: Drool is really poisonous. Many patients with esophageal hiatus are poisoned by not paying attention to their saliva infection. Therefore, from a medical point of view, drool can really kill people! So ... when you spray me, rinse your mouth and spray.