Chapter 656: : Speed of Life and Death (3)

Time is tight and tasks are heavy, Chen Cang dares to delay a minute and a second!
After learning that the patient was pregnant, Chen Cang hesitated slightly and frowned!
This is really not a simple thing!
Pregnancy with heart disease is a very serious complication in itself, and it is also one of the important reasons for the death of pregnant women and perinatal children!
The proportion of maternal non-obstetric deaths is the highest.
In the same way, because of changes in hemodynamics during pregnancy, high blood coagulation status, and metabolic changes, the burden on pregnant women's heart can worsen or cause complications such as decompensated heart disease, acute lung Edema and heart failure.
However, at this time, Huihui may have serious heart damage. In addition to the burden of pregnancy, the difficulty, risk, and prognosis of the surgery will increase proportionally!
Li Weiyan suddenly said, "Otherwise, let's set up extracorporeal circulation and wait for the director to arrive?"
Chen Cang didn't say anything, but looked up at Li Weiyan, he was so ashamed that he didn't dare to say a word.
He also knew he was wrong!
But he couldn't do such a good operation. He could only maintain the vital signs of the patient and wait for the arrival of the expert director as much as possible!
But in the eyes of Chen Cang, there is too much meaning!
After a heart rupture, it's not just the bleeding that is the most terrible!
The most terrible thing is that after the heart ruptures, there will be large areas of myocardial cells necrosis around!
The heart is necrotic. Can it be used after being revived?
So, at this moment, with every additional minute of delay, the probability and risk of death for patients, including births, increase proportionally!
Or, the danger of the heart will be greatly increased!
Chen Cang glanced at the anesthesiologist and said "tracheal intubation, ready for anesthesia!"
The anesthetist nodded solemnly!
Huihui was not shocked at this time, just because she was scared, and she was in a coma.
As he was preparing, Huihui suddenly woke up.
With tears in his eyes, after seeing Chen Cang, it was like seeing a straw for life.
"Doctor! Please ..."
"Save the child!"
"Please, save my child ..."
"I don't want to die. My child is only five months old. I can't die!"
"I'm fine, but my child ..."
Huihui at this time seemed to have forgotten the pain caused by her injury.
Her most and most uncomfortable is the unborn child!
As a mother, she has too many expectations, too many surprises, too many expectations, and too many worries!
But at this moment, this knife broke through all her fantasy about the future.
Feeling intense pain, she was not afraid! Don't even feel that the pain comes from there!
Because the most terrible thing is not death.
Instead, the unborn child had to die with himself.
This is the greatest fear and sorrow!
When sad, blood rushed out.
Chen Cang reached out and took her hand, looked at Huihui, and said "Trust me!"
Feeling the conviction and firmness from these eyes, feeling the trust of the soul, and also the body temperature of the life from that hand!
Suddenly, Huihui relaxed a lot, and she also worked a lot.
At this time, Chen Cang lived in a 99-level oss. He knew that at this moment, contact, temperature, and power transmission were the best means!
All in all, he took Huihui's hand.
This is an experience. It is not a skill. It is better than a skill. It is the essence of many people in the world.
Body temperature makes people feel comfortable, contact makes people relax and alert, and strength makes people feel confident!
When Chen Cang held her hand, it was actually the most powerful treatment and the most effective comfort.
There is a sentence in English called givefive, which is actually the same.
Chen Cang turned to look at the anesthesiologist and said
"I'll get a local numb first, you will see the situation for a while, prepare for tracheal intubation, general anesthesia! Is that all right?" Chen Cangduo asked!
The anesthetist nodded, he knew what Chen Cang meant!
Although I am curious who this young man is, I am even more curious why I feel a kind of fear from him?
But at this moment, the most important thing is not the other, but the rescue!
Chen Cang's meaning is very clear. At this time, Huihui is often in a state of low cardiac output and extremely poor tolerance to anesthetic drugs!
Cardiac arrest can easily occur during induction.
Therefore, at this time, Chen Cang is best to open the chest under local anesthesia, and then complete the general anesthesia when conditions permit!
Chen Cang took a deep breath, and after getting ready, turned in, got dressed, and picked up the scalpel.
A glance at the anesthesiologist "Give me the anesthetic."
The other party nodded and passed the configured lidocaine local anesthetic to Chen Cang.
Chen Cang looked at the wound on Lele's chest. After considering it, he started to inject anesthetic. After waiting for the anesthetic to be absorbed, he made an incision in the middle of the chest!
After opening the chest, Chen Cang glanced at Li Weiyan "preparing autologous blood!"
Li Weiyan hesitated and reacted to Chen Cang's meaning in an instant!
At this time, if there is not enough blood, it is best to use autologous blood.
After a good opening, the 4 chambers of the heart and the ascending aorta were instantly exposed.
Chen Cang hesitated slightly and was happy.
He said to Tang Lingling, "Spread the sternum!"
Tang Lingling nodded, fully exposing the surgical field.
At this time, Chen Cang cut happy bags and immediately saw the patient's wound!
【Ding! King-level boss heart rupture strange, pregnant women's heart suddenly ruptured, accompanied by irregular wounds, ventricular septal rupture obviously ... The wound is severe, please repair immediately! 】
Chen Cang narrowed his eyes and prepared for surgery!
For the heart's hemostatic suture, the requirements are high!
It is directly related to the later repair, the restoration of the normal function of the heart.
Moreover, even if the particular area is damaged, the difficulty will increase proportionately.
Just like this!
How much pressure does the king boss bring?
Chen Cang dare not imagine.
This wound has damaged the coronary vessels ~ EbookFREE.me ~ This way, no doubt it is a heavy blow to the entire heart.
As I said last time, the coronary arteries are actually the channels that provide the heart with blood and oxygen.
If there is damage here, this is myocardial ischemia!
This is much faster than his MI!
The pre-operative preparations have been made, and everyone is staring at Chen Cang, because at this moment, everyone has no backbone.
Even Li Weiyan, Tang Lingling, and others couldn't help it. Things have come to this point.
Is there a way back?
The self-confidence and aura of Chen Cang made everyone around me feel impressed.
Maybe he really has a way!
At this moment, all hope is pinned on Chen Cang!
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