Chapter 706: : Too harsh for myself!

The highway of nearly 60 kilometers is a severe test for several people in the car!
The alarm of the monitor sounds continuously.
The sweat was soaked in Chen Cang's clothes, and the hair of Kobayashi's horns was also wet. The whole person was sweating hard, and they were working for the rescue!
The car is full of warmth in such a cold winter!
The man was afraid to say anything, for fear of disturbing them.
However, fortunately, the rescue is effective after all. When going down the highway, the vital signs of the elderly finally came over smoothly.
At this moment, everyone was relieved.
However, Chen Cang started to contact the Emergency Department of the Second Provincial Hospital to open the green channel, perfect related examinations as soon as possible, and prepare for surgery!
The old man has finished various physical and chemical tests at the township health centers. This is good news, so do n’t delay too much time.
八 At eight o'clock in the evening, the car stopped at the entrance of the emergency department of the Second Provincial Hospital.
After Chen Cang entered the door, he began to organize the medical order in an orderly manner!
"Lele, you take the family to go through the formalities first."
"Xiao Yan, prepare a notification letter."
"Qian Brother, and Wen Fu go to the operating room, get ready ..."
"Kobayashi, call the ultrasound room, echocardiography at the bedside!"
Uh ...
After Chen Cang came, he took the patient to the rescue room first.
At this time, Tao Yan and Xia Gaofeng came down suddenly, and Chen Cang suddenly hesitated: "Director Tao? Director Xia, why are you here?"
Tao Yan frowned: "We just had surgery at the First Hospital of Dongda University. Director Li told us that you picked up a patient with an acute myocardial infarction that caused a ventricular septal rupture from the outside. Yes, he was in the operation, and he couldn't bother, so we both hurry and come and see. "
Cang Cang nodded gratefully, without delay, and said directly: "Trouble the two directors, this is the case. The patient is seventy-one years old, an elderly woman, seven days ago ..."
After Chen Cang explained the disease in detail.
Tao Tao said directly, "Xiao Chen, I suggest that acute injury such as ventricular septal rupture is first observed for a period of time, and then elective surgery is better!"
Yi Xia Gaofeng also nodded: "Well, this is why I and Director Tao came over, we are afraid that you are young and anxious, and anxious for surgery."
"This is the acute stage. Not only is the operation difficult, but it will also significantly increase the risk and mortality of the operation. Moreover, the patient is an elderly woman, seventy-one years old, has a history of heart disease, and had an acute myocardial infarction seven days ago."
这样 "Such a patient, you are now undergoing surgery, the difficulty is too high, I recommend waiting for the formation of scar tissue on the edge of the laceration, elective surgery, and now go to cardiology and hospitalization."
沧 Cang Cang was silent, and the words of both directors were correct, which made sense.
At this time, Li Baoshan called the director of the Department of Cardiology, Niu Tianfu and Niu.
Four directors went to the emergency room and started discussing with patients.
At this time, it is not reckless at all. Chen Cang is not stupid. It is the most important to formulate the most appropriate rescue plan, not impulse surgery.
手术 Surgery is only a way. Before the operation, it is best for the patient to have a preparation that can provide a safe environment for the operation.
The results of the color Doppler ultrasound came out soon, and Chen Cang also took the CT of the heart.
In the rescue room, after reading the patient's heart function, Tao Yan said directly: "The current heart function is okay, and the ejection fraction can meet the daily consumption. I recommend that it be stabilized first, and surgery is not recommended."
Niu Tianfu shook his head directly: "Director Tao, you see, the risk of acute myocardial infarction is high, whether it is interventional surgery or thrombolysis. If the ventricular septum ruptures, the heart function will only increase. Worse. "
"According to the situation of the old lady, it will be gone within a few days. Where can I afford it!"
Tao Tao Yan and Niu Tianfu argued immediately!
"This situation in your cardiology department can't be maintained, our cardiac surgery will only be at risk!"
Yak Tianfu said directly: "The patient is a ruptured ventricular tumour caused by an acute myocardial infarction! Once the disease occurs, it can lead to refractory heart failure, severe arrhythmia, and peripheral arterial embolism. The prognosis is very poor. What medical treatment do you want?
Wu Xia Gaofeng and Chen Cang didn't say a word, listened to the argument patiently, sometimes the answer appeared in the quarrel!
Research shows that when humans argue, their brains respond several times more than usual!
Especially when men and women are arguing, women often perform better!
After seeing the two arguing for a long time, Xia Gaofeng concluded his conclusion and said suddenly: "In fact, it is not impossible to operate. The patient has been treated for cardiac diuresis. At this time, the heart function is still OK. If the dopamine is infused intravenously before surgery, Sexual inotropic drugs maintain blood pressure to ensure coronary perfusion, which is not impossible. "
"But Director Tao is right, the risk of surgery is indeed high."
"Now there are risks on both sides, I think we still fully respect the opinions of patients' families!"
At this time, Tao Yan calmed down, looked at Niu Tianfu, nodded, and said to Chen Cang, "Xiao Chen, go tell the patient and let him make a decision."
Chen Cang nodded.
These old directors are national treasures. With them, it's like a ship has a route!
I can tell all the risks and countermeasures in advance, and even if I encounter a problem, I can guarantee the situation.
This is to avoid and reduce the risk of surgery.
After a long discussion, the old lady's son had already been prepared for a desperate fight and signed for surgery!
Cang Cang stood up, while Tao Yan and Xia Gao looked at each other: "I will go too!"
The yak Tianfu knows how to wash dishes at home, and the apron on his body has not been removed. He took it off and put it at the nurse's station: "I will go too!"
Chen Cang couldn't help but nodded.
Tao Yan told Chen Cang: "Xiao Chen, we can only remind you that the surgery still has to be done by you. Now the patient has a ventricular septal rupture injury and a myocardial infarction. You must remember not to damage the coronary arteries and the incision must be small! Be sure to avoid affecting left ventricular function! "
Tao 宓 keeps telling ...
Chen Cang nodded gratefully.
This operation, because of the old lady's own reasons, and the existence of complications, increased the risk and complexity of the operation, so that the difficulty increased, and the risk factor increased proportionally.
Chen Cang's heart has no bottom!
Perhaps this is what surgery should be like?
The book is full of risks and uncertainties!
No one can control life and death, all he can do is go all out.
Even Tao Tao and Xia Gaofeng cannot guarantee the success of the operation!
Uh ...
Uh ...
The operation started, the low-temperature extracorporeal circulation machine was running, and the heart officially stopped working.
After opening his chest, looking at this aging heart, Chen Cang frowned!
Extensive anterior wall infarction, and now you can see the color change of the heart!
沧 Chen Cang couldn't care less about others, so he could only judge the surgical opening and scope carefully.
Try not to damage the ventricle.
心脏 The heart is aging, scaly all over, ischemia and hypoxia, and the left ventricle is the heart muscle that pumps blood. If he is damaged again, the old man will be gone!
Chen Cang knows the difficulty.
At this time, it is necessary to determine the scope and extent of myocardial injury and observe whether there are other injuries.
沧 Cang Cang held his heart in his hand and explored the ruptured ventricular septum from the left ventricle.
Strive to find a suitable opening for surgery!
The patient has a ruptured ventricular dilatation tumor caused by acute myocardial infarction. The surgical treatment is better than conservative treatment. This is why Chen Cang decided to undergo surgery.
所有人 Everyone around is staring at the heart, and now needs to find the most suitable opening point for surgery!
Chen Cang's mind kept thinking, his hands touching the heart for a long time, finally!
发现 He found a place where the right ventricle surface and the atrium intersect. This is just to avoid the coronary arteries, and most importantly, the left ventricular wall is minimally damaged.
想到 Chen Cang thought of this, took the scalpel directly, and spoke!
Suddenly Tao Tao frowned!
"Xiao Chen, this position ... is it good?"
Yu Xia Gao also frowned: "Yeah ... here the damage is small, the side effects are small, but it is not easy to operate!"
Chen Cang nodded: "Try it!"
Thinking of this, Chen Cang made a double-needle non-invasive suture with a small gasket through the vital tissue of the ventricular septal defect to make an intermittent mattress suture!
This process requires great care and must not damage the broken heart.
沧 Cang Cang didn't dare to have any shake in his hands, his right hand was not easy to start, so he had to pick up his left hand!
The directors who looked at me suddenly widened their eyes!
Left hand? ? ?
Holding the needle forceps from the right ventricle, the suture of the ventricular septal defect and the posterior edge of the patch was sutured first, and the patch was sutured and ligated to the left ventricle.
This process is all done under the left hand.
Although seemingly clumsy, we can imagine the difficulties.
The left-hand operation is inherently unstable, and this will increase the risk of surgery. Once the operation is improper, it will pay more than you pay!
So Chen Cang himself was cautious.
The whole process is thrilling to see a few people!
护士 Even the nurse Yuanyuan frowned a little, and her left hand ... was it so good?
Use an intermittent mattress suture with small pads on the right side of the anterior descending coronary artery, then through the right ventricular wall and through the anterior edge of the ventricular septal defect patch, then through the left edge of the left ventricular incision.
Because of the opening, it must be divided by the left hand.
The sweat on Chen Cang's head was not left behind, the mask was soaked in the hat, and the atmosphere dared not spit it out!
With your right hand up in the air, you don't dare to move a little more, for fear of damaging the innocent heart muscle!
Time is just passing by every minute.
沧 Cang Cang feels that the consumption today is more than two or three times more than in the past!
Finally, when the suture was ligated, the ventricular septal defect and left ventricular incision were completely closed.
Everyone is relieved!
Cang Cang can't wait at this moment.
Thoroughly stop bleeding, rinse the pericardial cavity, stop the extracorporeal circulation after cardiac repulsion, and observe the effect!
At this time, everyone is staring at the data on the ECG monitor, waiting for a signal of success.
Anesthesiologist Liu Jian said: "Vital signs are completely normal!"
At this moment, all the tense hearts were loosened.
too difficult!
This moment is really too difficult.
Chen Cang himself feels really difficult.
Liu Jian couldn't help giving thumbs up to Chen Cang: "Director Chen, the older you get, the more cattle! More and more like a director!"
Several directors around him also smiled and nodded in relief.
Chen Cang grew up watching them.
Just ... this speed is a bit like fast forward X4! Instead of the normal growth rate.
But ... genius is always different from ordinary people!
手术 This operation, others can not intervene, because once the left ventricular wall is damaged, the consequences are very serious, and if the coronary artery is damaged, it is even more troublesome!
Therefore, Chen Cang can only go alone and ride alone!
的 The moment the operation was successful.
Everyone laughed!
They found that this young man became more and more like a director.
Just ~ EbookFREE.me ~ A few of them now have a problem lingering in their heads.
When Tao washes his hands, Tao Yan couldn't help asking: "Xiao Chen ... Is your left hand so powerful?"
Yu Xia Feng nodded and said, "Yeah! I see your left hand is very stable, have you practiced it?"
沧 Chen Cang thought for a moment, thinking of his young foreign female teachers who trained their left and right hands, and nodded: "Well, often."
After a few directors heard it, they suddenly realized.
Sure enough, success is no accident!
How much effort did people make?
At this moment, the eyes of Chen Cang were full of appreciation.
This young man is too demanding on himself!
Uh ...
Uh ...
Ps: Thanks to the two friends "Mo Chen Sui" and "xiaolei1028" for their 10,000 rewards. Thank you.
Originally wrote about half of it for uploading, but decided to finish the operation, and looked comfortable, and wrote almost two chapters at once.
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