Chapter 749: : It seems, found!

"Noninvasive Vascular Forceps."
"Gauze!"
"Stop bleeding!"
Uh ...
The operation was carried out. Tao Yan gave his own hands. Qian Lin looked at Chen Cang and dared not to say anything, but ... he has now successfully promoted to two of his biggest enemy.
First, the first is Daddy!
Second is Chen Gou!
He did not mean that Chen Cang was as important as his father.
Not even his father and Chen Cang are dogs!
Anyway ... this is the goal of Qian Lin's life.
Tao Tao now likes to fight Chen Cang, even if it is the coefficient of the main knife to Chen Cang does not matter.
After all ... Stealing the teacher has to be a little stealing.
It's enough if you don't pay tuition fees, can't you still earn money?
陈 Since Chen Cang would undergo cardiac surgery, Tao Yan always felt that he was the second beneficiary and learned a lot of good things.
When consulting surgery in the province, I always invited Xia Gaofeng first, and then Tao 宓, but ... it's different recently.
I started to invite Director Tao!
外面 Outside, I have realized that Mr. Tao's director has accumulated a lot of talents and is late!
This makes Director Tao very happy.
However, there are not many good days. When I think of Chen Cang, he has to go high and fly high after the New Year. In fact, the most reluctant person is Tao.
Just, I didn't expect to learn Chen Cang's mitral valve surgery before leaving.
He said it was learning, but in fact he was preparing to say inspiration.
获得 Obtain what he needs from other people's surgery. This is what Director Tao needs.
When the atrial incision was made, after entering the right atrium, Chen Cang took the scalpel and cut the oval fossa longitudinally, expanding up and down.
Cang Cang glanced at Qian Lin and said:
"It is best to deviate in the direction of the lower cavity when extending downwards, and avoid inward deflection when extending upwards, because this way, you can avoid accidentally injuring the aortic sinus."
操作 This operation is also Chen Cang's perception, and it may be useless to talk to Tao Yan.
But for Qian Lin and classmate A, it is a rare experience.
When Qian Lin suddenly realized, Chen Cang's eyes softened a little ...
Will you let him go?
Qian Qianlin hesitated!
Actually, Chen Cang is also very good.
Cang Chen continued, "It's just that you have to lose weight. After all, your hands are too fat to affect your performance."
My classmate was stunned, but he didn't dare to laugh and put a fart to pay tribute!
Qian Qian shook his hands, what about my knife? !!
Tao Taoji smiled.
It ’s normal to joking in the operating room. Chen Cang is okay. Zhang Youfu likes to talk about Xunzi. In the beginning, he often blushed the nurse, but now the young nurse often tells Zhang Youfu the news, and Director Zhang blushes.
Mitral valve replacement surgery, in fact, is that the mitral valve has become narrow, the valve has severe contracture, and the subvalvular lesion is heavy and cannot be repaired by the shaping method. You must replace the valve.
There are many valves inside the heart. Between the atrium and the ventricle, blood is circulated by the valve. This is the door to door of the heart, but this door opens one way. Once the heart contracts, it opens once. Same as the machine.
Because the blood can only flow in one direction, he can not let him return, the function of the valve is to block during the return.
But the mitral valve is a one-way door from the left atrium to the left ventricle. When the mitral valve is narrowed or incompletely closed, the heart's blood flows back, which causes heart disease.
What Chen Cang needs is to replace this valve with a new artificial door, so that it can also play the same role.
However, the mitral valve is still redundant, but it is severely contracted and cannot be used, even if it is not significant for retention.
沧 Cang Cang simply cut, this process, referred to as valve flap, but you can not remove too much, so as not to damage the ventricular wall.
When the operation was so slow, Chen Cang suddenly stopped!
He found a problem!
That is, there are some small thrombus residues on the wall of the left ventricle.
Chen Cang paused for a moment.
It's hard to find this problem if you don't observe it carefully!
And this is due to Chen Cang's vision has been enhanced by 50%, and this was discovered.
How is this going?
Then Chen Cang quickly looked at the original mitral valve site.
Suddenly, one thing happened. If the heart is normal, blood will flow unimpeded, but when the mitral valve is narrow, blood cannot flow from the left atrium into the left ventricle at a normal speed!
And the blood is stagnated and rotated in the enlarged left atrium, and the flow rate is slowed down, and small thrombus may be formed.
And these blood clots are all time bombs!
When you reach the coronary arteries, you have coronary heart disease, and when you reach the cerebral vessels, you have a cerebral infarction!
长 The mitral valve stenosis is prolonged and can lead to changes in the heart structure, such as enlargement of the left atrium!
Enlargement of the left atrium is closely related to atrial fibrillation, which is the most common cause of cardiogenic embolism.
No wonder the patient will have two consecutive cerebral infarctions over a period of time.
Everything is for a reason.
However, this patient is a special condition caused by mitral stenosis.
的 What is the significance of cough water?
correct!
Chen Cang started observing along the large blood vessels.
Oh no!
沧 Cang Cang suddenly realized that one thing, he might have gone astray.
I have been linking the infarct with cough water.
Cause Chen Cang is always the cause of the formation of embolism and cough water, and ignore the direct cause of infarction!
That's AF!
Suddenly!
沧 Cang Cang just reflected this ~ EbookFREE.me ~ he found that the task progress in his mind suddenly increased by 5 points!
At this moment, Chen Cang was overjoyed!
I wonder ...
是 Is this cough water the cause of atrial fibrillation?
Correct!
Probably!
Codeine osmium phosphate is a drug that excites the central nervous system. Taking a large amount of it can cause adverse reactions to tachycardia.
These are all acceptable.
But if you have atrial fibrillation, this is not acceptable.
What is AF?
Scourge is the irregular and ineffective contraction of the atrial disorder, which changes the atrial rhythm, and the ventricular contraction also becomes irregular. Atrial fibrillation drives the ventricle to increase faster.
This can induce a series of serious diseases such as cerebral arterial embolism, peripheral vascular embolism, pulmonary embolism, sudden cardiac death and so on!
So often, patients feel panic.
But when atrial fibrillation occurs frequently, complications can occur.
Remembered the first patient, who had pulmonary embolism, also had atrial fibrillation!
The second patient was also flustered and atrial fibrillation induced multiple lumen infarction.
Now the third patient is still infarcted!
沧 Cang Cang thought at the beginning that cough water might induce damage to vascular endothelium. Now it seems that it acts directly on the heart.
When I thought of this, Chen Cang was immediately worried.
多少 How many patients in the country have the original disease of infarction?
If this cough water prevails, what will happen?
Everything seems to get so serious!