Chapter 346: : Everyone

Ge Huai now takes care of Chen Cang a lot more than before!
In other words, I feel a lot of responsibility, and think that Chen Cang is a half student.
Chen Cang cannot be taught with prejudice and underestimate.
After all, they are only 27 or 8 years old and they are in their 30s.
Therefore, Ge Huai is now more responsible for teaching Chen Cang than he was a while ago.
"Xiao Chen, today's patients are special. It's a challenge for you. If you don't feel good, let me come, don't be embarrassed!" Ge Huai took the lead before introducing Chen Cang to his illness.
Chen Cangyi: "Well, okay, thank you Ge, right ... what's so special about patients?"
Ge Huai sighed and said cautiously: "The patient was in his seventies and was hospitalized with acute pericarditis. The patient was originally considered to be older, conservative treatment-oriented, and had no planned surgery."
"However, the puncture treatment has been effective and antibiotics have been used, but ... it is impossible to extract anything now."
"The puncture effusion has thickened and has purulent discharge, so after considering too much, in order to prevent further disease, the patient's condition can only be performed by pericardial incision and drainage."
After speaking, Ge Huai summed up Chen Cang and solemnly said: "The current situation is that there are three major difficulties!
The first point: the patient is 70 years old, the risk is higher, and the prognosis may be poor;
Second, the operation of purulent pericarditis is more complicated than ordinary acute pericarditis;
The third point is also the most important. Be sure to prevent uncleanness and chronic adhesions, leading to complications of the heart and pericardium! "
Ge Huai said here that he was a little embarrassed, worried about Chen Cang, and also worried about the patient, so he looked up at Meng Xi: "Director Meng, let me do this operation, Xiao Chen has only been a few days, I worry about him ... After all, the patient's situation is also special. "
Ge Huai is telling the truth!
Because acute pericarditis surgery is okay, there is no need to consider too much prognosis, and even the difficulty of surgery is relatively small.
But once acute pericarditis develops into acute suppurative pericarditis, things turn around. This is a very difficult operation in pericarditis.
After acute suppuration, two issues are most worried about. One is that adhesions affect the adhesion of the pericardium and the heart. The prognosis is poor and it is easy to cause related complications.
The second is the most serious, which is causing chronic constrictive pericarditis!
This is more troublesome.
Chronic constrictive pericarditis requires a partial pericardial resection and then repairs the pericardium, which will increase the difficulty of the operation proportionally.
Meng Xi is also more worried.
But after thinking about it, she decided to let Chen Cang get started. Once Chen Cang encountered a problem, he would take over halfway.
After all, the difficulty lies in the operability of post-processing, not the beginning.
Although the later stage is difficult, the danger is not much different from ordinary pericardial incision and drainage.
Let Chen Cang come first, and then when Chen Cang can't do it, make another substitution.
After all, it is a rare opportunity to exercise.
For medical staff, the most important thing is to encounter different diseases and then find ways to solve them.
This is important!
Thinking of this, Meng Xi looked at Chen Cang: "Little Chen, come on, don't worry, there is us."
Meng Xi didn't say how difficult the operation was. It was enough to have Ge Huai say it alone. Too much talk became stress.
So Meng Xi just encouraged Chen Cang to say a few words.
The three were washing their hands next to the sink together, and Meng Xi suddenly found that Chen Cang's hands were large, with long fingers and beautiful hands.
Seems familiar ...
Chen Cang watched Meng Meng stare at his hands, and suddenly hesitated!
As soon as my heart is tight, even the seven-step washing method that I usually practice to perfection is a bit stuck.
Dao was almost unstable.
Chen Cang couldn't help sighing, Teacher Meng, can you wear a fitting gown in the surgical gown, or it will be too small and tight, or it will be too empty.
Thinking of this, Chen Cang suddenly felt that the most stressful place for surgery with Teacher Meng was not on the operating table, but in the sink ...
...
After entering the operating room, the three wore surgical gowns.
At this point, the anesthesiologist is ready for anesthesia and is waiting for the operation to begin.
Ge Huai looked at Chen Cang and whispered: "Little Chen, come on!"
Meng Xi nodded surely.
The anesthesiologist smiled awkwardly and walked carefully to a place with a good field of vision. It was a joy to watch Xiaochen's operation.
Chen Cang looked at the three and couldn't help but defam a few words.
As a group of you, be prepared for surprise!
Thinking of this, Chen Cang took a special look at Teacher Meng. After all ... this is the one who really needs to be frightened, the other two ... the audience.
Looking at Teacher Meng's faint expression, Chen Cang suddenly looked forward to ...
Chen Cang turned and looked at the equipment nurse.
His eyes radiated the strong, his hands opened, and he groaned softly: Come!
At this moment, the sword broke through the sky, and the momentum was like a rainbow,
When Chen Cang laid out the POSS, the door opened suddenly, and a figure hurried in.
Xia Gaofeng froze and saw Chen Cang just reach out his hand, grinning suddenly: "Just the beginning, just right! Old money come in."
I saw Qian Liang and Xia Gao sneaking in sneakily, not wearing surgical clothes, but standing behind the crowd.
"It's okay, I'm not late!"
Qian Liang nodded: "Well, let's calculate the time."
Some words made Chen Cang dumbfounded.
I Cao, you people are so bullying, are you addicted to theater?
Xia Gaofeng smiled: "Xiao Chen start."
Chen Cang rolled his eyes: "Sword comes!"
The nurse who was ready for the scalpel stunned slightly, looking at Chen Cang like this, couldn't help sighing, hey, it's useless to pose again ... Unfortunately, there is a smelly skin bag.
Chen Cang took the scalpel and started his own operation!
The operation was a local anesthesia. When the old man saw so many directors coming in, he immediately felt happy, and it seemed that the operation was stable.
After the anesthesia, Chen Cang started to slowly raise the knife and started to prepare, while Ge Huai had already prepared the hemostatic gauze.
Chen Cang's open chest is the highlight of surgery!
After all, every time Chen Cang opened his chest ~ EbookFREE.me ~ The skin was cut open and the tissue was separated, which was very delicate.
Chen Cang carefully removed the left sixth costal cartilage. At this time, the internal mammary artery was exposed and Chen Cang looked at Ge Huai.
"Ligature the arteries!"
Ge Huai nodded with accuracy.
After the ligature cuts off the internal mammary artery, the tissue is separated and the exposed pericardium can already be seen.
At this time, the pericardium needs to be cut through the costal cartilage bed to clear the pus from the pericardium.
Xia Gaofeng couldn't help but whispered to Qian Liang: "Here I am!"
Not only is Xia Gaofeng, several people are looking forward to it.
After all, Chen Cang's pericardium ...
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