Chapter 717: : Everywhere

After Yu Yingcai heard the news, she was dumbfounded!
Is this good?
The highest cure rate is less than 20%, which is a horrible nightmare for talents!
Thinking of this, Yu Yingcai was a little apprehensive and disturbed!
Qin Xiaoyuan urged for a while: "Time is limited, you make a decision quickly!"
Thinking of this, Yu Yingcai nodded quickly: "Okay! I sign ... Doctor, you must treat, how much money you need to treat!"
Qin Xiaoyuan nodded: "We will go all out!"
...
...
After giving the operation notice, Chen Cang took the lead to call Jing Ran.
At this time, the more reliable thoracic surgeon he could think of was well.
Young and tense!
At this moment, 9:30 pm!
Ran dropped the phone and hurried in.
And Chen Cang also began to arrange related operations in an orderly manner.
"Intravenous infusion of isoproterenol at 0.5 to 5 μg / min improves the cardiac output!"
".Input colloidal solution to expand blood volume to raise blood pressure!"
"High concentration oxygen inhalation to increase partial pressure of arterial oxygen!"
...
Chen Cang began to make various pre-operative doctor's orders continuously, ready, Qin Xiaoyuan nodded with satisfaction.
He found that his son-in-law was really expected!
In fact, pulmonary embolism is more than 50 years old, and young people are rare. Chen Cang can judge that it is already very good.
Moreover, there are many and many symptoms that can be found in this disease, and they have no specificity! And the point is that many checks are not obvious!
Chest radiographs, electrocardiograms, and bedside ultrasound are likely to be the same as normal.
Many exceptions are also a long time later!
As for the symptoms, there are too many symptoms of pulmonary embolism, and different patients will have different reactions. The kind of allergic rash and laryngeal edema that most people would never expect, if it had not been seen by Qin Xiaoyuan for over 30 years of clinical experience Guarantee!
Too many diseases!
Who can see clearly?
What Chen Cang obtained from Mr. Fang Lao was only perfect in the interpretation of physiology and biochemistry, and later he obtained the perfect electrocardiogram and physical examination.
These things alone, it is very good to think of pulmonary embolism.
Chen Cang's reasoning process all depends on his own accumulation.
Moreover, even if the diagnosis is pulmonary embolism, how much does Chen Cang know about the disease?
The diagnosis seems simple, but it is very difficult!
The symptoms of each disease are specific, not one layer is unchanged!
Operating room!
The patient was in a supine position, and Liu Jian became silent after learning of the condition.
Anesthesia at this time is the most tested anesthesiologist!
The patient has had cardiac arrest. Now if the trachea is directly intubated, it is likely that the heart will be stopped again because it stimulates the chest during intubation.
Thinking of this, Liu Jian took a deep breath!
Start the emergency partial external flow, first perform femoral arterial and venous intubation under local anesthesia, and then perform tracheal intubation under general anesthesia!
In this way, the stimulation of the heart is completely avoided.
The ability of the anesthesiologist is directly related to the success of the operation.
Therefore, do not underestimate an anesthetist. Liu Jian has a high status in the surgical department of the Second Provincial Hospital. Even if he is not the director now, all directors must smile at Liu Jian.
It's because of his anesthesia power!
With Liu Jianzai, the success rate of surgery can increase a lot.
And the most respected and most respected person by Liu Jian is Chen Cang, and every time Chen Cang is operated, Liu Jian will basically appear!
After extracorporeal circulation is established.
Chen Cang directly blocked the ascending aorta for coronary arteries, cardiac cardioplegic fluid perfusion, and local myocardial hypothermia.
Soon, this heart finally quieted down.
Chen Cang looked at the heart and suddenly felt grateful to Professor Jr. If it were not for his research on the extracorporeal circulation machine, perhaps humans have not been able to open the door to the heart.
At this time, Ran came in without any nonsense, and immediately began to change clothes and get ready.
The condition has been explained on the road!
This operation was performed by Chen Cang, Wang Kaian and Jing Ran.
The operation has officially started!
The surrounding directors, including Qin Xiaoyuan, looked at the operating table nervously and uneasily.
Watching three young people undergo this operation with a mortality rate of 80%!
Can't help cheering on them!
They didn't know, the patient's condition was very poor, and it was an accident to persist until the operation, not to mention the success rate of the operation.
Wang Kaian and Jing Ran are very good. Chen Cang has no idea why Wang Kaian was leaving the office. Such an excellent young man should reasonably be valued everywhere.
Minutes and seconds elapsed after the operation. After some operations, Chen Cang finally saw the emboli!
The red [emboli] name is clearly visible across the blood vessels, which undoubtedly saves too much time for Chen Cang.
The next most important thing is to remove the emboli!
Chen Cang looked for a moment above the pulmonary valve annulus. At this time, how to remove the plug cleverly is very important!
It is necessary not only to avoid major bleeding, but also to prevent the emboli from being crushed by the emboli to aggravate the condition again.
The whole process is delicate and worrying.
But Ran really trusted Chen Cang very much. He knew that with Chen Cang, he only needed to do what he had to do with his heart. Thinking of this, he took a hemostat and said, "Are you ready?"
Seeing Chen Cang nod!
Surgery begins!
Between electric light flint, Chen Cang made a longitudinal incision of the anterior wall of the pulmonary artery with a raw scalpel about 2cm!
Later, he took the common bile duct in Wang Kaian's hand and took the stone forceps directly into the bilateral pulmonary artery.
At this moment, everyone was holding their breath!
There is only one idea in my heart, don't go wrong!
The entire emboli is of medium size, but it just happens to be blocked on the vessel wall. You need to carefully remove it with forceps.
Otherwise, it will undoubtedly aggravate the illness and even be detrimental to the later rehabilitation!
At this moment, Chen Cang directly became the key to the operation.
The texture of the emboli must be felt in his hands, the strength is too small to be out, the strength is too large, and it is easy to be crushed.
When several directors around saw Chen Cang's operation, they began to feel nervous!
Could this be directly related to the success of the operation?
In everyone's expectations, Chen Cang actually felt a kind of pressure.
He clearly felt that the stability of his right hand was insufficient, and his strength was prone to deviations!
It seems ... I still have to strengthen my training in the future ~ EbookFREE.me ~ sec ... 20sec ...
Finally Chen Cang took the plug and successfully removed it!
Everyone was relieved.
The operation was successful!
However, success does not mean that the patient must be okay.
In general, in patients without other important cardiopulmonary diseases without cardiac arrest, the results after emboli removal are satisfactory, and they can quickly recover the circulation breathing function and maintain stability.
However, about 15% of patients, especially those who have suffered asystole, have not recovered their cardiogenic shock in time, which is the leading cause of postoperative death.
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