Chapter 330: :Grandmaster!

Prepare for emergency surgery!
It sounds a terrifying concept to everyone's ears.
Emergency surgery, also known as rescue room surgery, is not performed in the operating room.
Super urgent!
What is super urgent?
Super-urgent means that for every second, the probability of death will increase a lot.
You know, the rescue room is not an operating room, not a sterile environment!
Surgery here means taking risks and urgent surgery, risking infection and the like.
In this way, we can see how important the surgery is.
When Zhang Tao's face changed, even Qin Yue was frightened.
Why are you so anxious?
what is the problem?
At this moment, they have not responded.
And the doctor B ultrasound looked at the picture and suddenly thought of a terrible thing: "Doctor Chen ... you mean ... hernia in the pericardium ????
Chen Cang looked dignified, solemnly: "Yes! This should be a diaphragmatic hernia in the pericardium."
As soon as this word came out, all the doctors in the rescue room changed their faces!
Zhang Tao panicked. Zhang picked up the phone and called the cardiac surgery.
After all, he knew well what the disease was. !!
This can cause acute death!
And Chen Cang looked at Zhang Tao and Qin Yue and said loudly: "Don't panic! Xiaolin prepares the equipment, Chang sister prepares the items, prepares to disinfect ...
At this time, everyone in the hospital was at work, and Chen Cang suddenly requested such a rescue room operation, which immediately caught everyone's attention.
Zhang Tao is already the attending physician, but still a little overwhelmed at this moment.
Because this emergency is really thundering.
What is the mortality rate of this happening in his emergency department?
Too high too high!
This disease is often misdiagnosed due to missed diagnosis, or even because various tests are not kept up, which leads to death due to inadequate treatment.
Maybe someone is curious, why is a hernia so serious?
Isn't that the heart going out?
Of course not, it was when the heart wanted to go out that he didn't go out and was suddenly jammed by the door!
Pericardial diaphragmatic hernia actually means this!
Pericardial rupture is usually located at the base of the heart. When violent, pericardial rupture occurs.
And what is the biggest danger at this time?
The heart is incarcerated through a ruptured hernia outside the pericardium. (Note: Hernia: read shan, cover, suddenly remembered someone asked how to read the word.)
Big heart!
But the hernia may not be that big!
This will cause the heart to be stuck by the pericardium, and the surface of the heart is not smooth, but there are many blood vessels. If the heart is incarcerated by the pericardium, the blood vessels will be directly stuck!
This is a physical disguised myocardial infarction!
After the heart is incarcerated, it can cause venous reflux disorders, pericardial tachycardia and even hypotension, and the coronary arteries are compressed by the pericardial rupture opening, which causes a sudden insufficient blood supply to the heart.
Therefore, in this case, it is necessary to open the chest urgently, reset the heart, and then close the pericardium.
Seemingly simple thing, but the danger is very high.
The diagnosis is particularly important in the first place.
If the discovery is late, giving normal MI treatment will likely delay treatment and cause death.
After all, this is faster, more urgent, and more critical than a MI.
In other words, it's equivalent to your neck getting stuck in your clothes. If you don't fix your clothes, you may be strangled.
The emergency room was caught in a quick and orderly arrangement.
The curtain is pulled up, and a simple operating room is set up!
The surgery is ready to start soon!
Qin Yue stood opposite, uneasy. This was the first time she had performed this kind of heart surgery.
In the surgical field, there are several surgical instincts that can be difficult.
One is heart surgery, and one is brain surgery.
Any operation involving these two areas, people instinctively feel very dangerous.
This is true not only for patients, but also for medical workers.
Therefore, when Chen Cang chose a full-time direction, he first chose cardiac surgery and thoracic surgery.
Because the heart and the chest are not separated, if you want to be proficient in the surgery in the heart, you must have surgery outside the chest.
Qin Yue was worried about Chen Cang. After all, Chen Cang had only learned cardiac surgery for a few days.
But I don't know why, when Qin Yue met Chen Cang's eyes, he felt a kind of instinctual trust and practicality. This feeling was wonderful, but he couldn't tell.
Chen Cang looked at Qin Yue: "I'm going to puncture, you're pumping fluid!"
Qin Yue nodded!
Doctor B ultrasound carefully started the echocardiographic monitoring. Chen Cang took the pericardial puncture needle, took a deep breath, and slowly penetrated it.
This location will never be a puncture point!
But at this moment, it must be punctured from here.
Zhang Tao wanted to speak, but stopped talking.
"Little Chen ..."
Chen Cang did not wait for him to finish, explaining directly: "The heart has been displaced, this is the safest place for puncture."
Zhang Tao suddenly realized it.
This pumping liquid pumped about 100ml!
Zhang Tao looked a little dumbfounded.
How much pressure does the 100 ml of blood fill the pericardium?
How horrible!
The heart was originally stuck, and this blood gave a lot of pressure. At this time, the blood was drawn out, and the patient's blood pressure began to rise!
This move instantly pulled the patient back from the danger!
However, this is the beginning of the rescue.
Chen Cang turned and pulled the puncture needle aside, Qin Yue already passed the scalpel.
Chen Cang lifted the knife and made an incision in the middle of the chest!
The choice of this position was carefully considered by Chen Cang.
Not only can it expose the origin of all the heart cavities and large blood vessels, but it can also facilitate the operation of cardiac reduction.
A few minutes later, the chest was opened, the pericardium was soon exposed, and a red and purple heart was exposed outside the pericardium, shaking and beating!
It seems to stop in the next second!
The heart is bright red, the color of blood.
But at this moment, it was dark purple!
What is happening is clear to everyone.
Fortunately, it was discovered in time ... if it is delayed, even if it is restored, whether it will be necrotic is a problem.
Myocardial infarction only infarcts a coronary artery.
And now?
Can get stuck in the lower half of the entire heart!
The consequences of this are really hard for you to think about.
Everyone saw this moment, and suddenly felt the cold sweat behind him constantly seeping.
Fortunately, Chen Cang found it!
Everyone is fortunate and feeling.
Even Chen Cang was a little afraid, and a red, purple name appeared in his eyes.
[Inner pericardial diaphragmatic hernia: level lv55, leader strange, pericardial tampon compression, leaving the heart in an incarcerated state, accompanied by coronary artery obstruction and ischemia, leading to venous return obstruction! 】
When he saw the system prompt, Chen Cang himself felt scared!
The 55th-level leader blame Chen Cang for the first time. This may be the most advanced operation that Chen Cang has ever encountered.
The pericardial diaphragmatic hernia surgery is a tertiary operation in cardiac surgery, and the difficulty is self-evident!
The most important thing is to repair the pericardium and give the heart a good house.
With a clever move, Chen Cang quickly opened the purple skill book, selected the diaphragmatic hernia in the pericardium, and immediately activated.
The reason why Chen Cang chose to activate now is to know the fear first and then learn!
Only when you see the incarceration of the heart and then special training, you will understand targeted learning.
After all, special training does not consume real time and will not affect first aid at all.
Thinking of this, Chen Cang immediately chose to enter.
The so-called practice makes perfect, Chen Cang has undergone countless exercises, learned countless operations, and undergoes various cardiac incarceration and pericardial diaphragmatic hernia surgery. After that, Chen Cang's level and technology have been continuously improved.
...
I don't know how long it has been in the virtual space ~ EbookFREE.me ~ After the assessment, Chen Cang's skills have changed!
【Ding! Pericardial diaphragmatic hernia repair: master class; special effects: 1. precision repair: precision repair can make the pericardium firm and not easily damage the surrounding tissue; 2. prevent adhesion of the heart: repaired pericardium will not affect the function of the heart and pericardium, preventing Adhesion occurs. 】
In the blink of an eye, Chen Cang returned to reality, but this time.
When he looked at the incarcerated heart again, Chen Cang's mind had already planned and designed the surgical plan for the situation of the patient at this moment.
Chen Cang took a deep breath, picked up the scalpel, and started the operation!
And at this time, no one noticed that several people had come in behind him, all staring at each other with wide eyes, staring at this purple heart, after a while I was afraid to spread my heart!
This ... it really can't afford to delay!