When a doctor opened a plug-in

"Chen Cang, come over right after get off work at noon! Take a taxi!"

At eleven o'clock in the morning, Chen Cang received a call from Meng Xi.

Chen Cang, who had just walked out of the operating room, nodded and agreed, then asked, "What's wrong with Ms. Meng?"

Meng Xi said: "The results of the patient's culture yesterday showed up. It was a pneumococcal infection. The conversion to staphylococcus should be caused by a direct infection in the chest."

Chen Cang breathed a sigh of relief. Now that the infection is determined so quickly, the next step is very simple. All he needs to do is to use targeted antibiotic treatment.

Symptomatic treatment is also the most appropriate measure.

After speaking, Meng Xi added: "Pus is cultured in pericardial effusion."

Chen Cang said, but he was taken aback!

"Purulent fluid in pericardial effusion?"

I'm Cao!

Chen Cang suddenly became nervous.

Thinking of the words Meng Xiyun said lightly just now, Chen Cang almost choked to death.

After all, if you can talk about such a big thing so lightly, maybe Meng Xi can do it?

Because no matter it is systemic antibiotic treatment, or injecting antibiotics into the pericardial cavity, neither can prevent the formation of pus in the cavity!

It can even cause cardiac tamponade due to a large amount of pericardial effusion, or develop constrictive pericarditis due to the formation of encapsulated empyema.

Therefore, once it is determined to be pus, pericardiotomy should be performed immediately, debridement should be performed, and then drainage tube should be prevented.

Chen Cang has learned the theoretical knowledge very well these days, and the dangers of every operation are clearly understood.

Therefore, when he wanted to fight here, Chen Cang became nervous inexplicably: "Or... Ms. Meng, would you hurry up for surgery?"

Meng Xi was taken aback for a while, and said lightly: "What is it?"

Chen Cang was instantly dumbfounded by a fluttering panic. When he looked at the phone again, the phone had already hung up.

Chen Cang is a little speechless...

What a panic sentence... makes Chen Cang feel that he is a weak scum in the field outside his heart.

Why do you say that?

The growth of any clinical doctor will go through three stages.

The first stage is the medical treatment Xiaobai, who is stunned by everything, does not know the severity, does not know the urgency, or even the severity!

The second stage is the theoretical madman, who knows the theoretical knowledge well. The masters of this stage are basically back to the theoretical knowledge. They have a good understanding of the dangers of diseases and the terrible diseases. They are anxious to look at everything and feel very heavy.

The third stage is clinical old age. Based on years of clinical experience and grasp of various data, I have a good idea of ​​the patient's condition and state, and have a high degree of confidence in the disease.

As for Chen Cang, although he is not the first stage in the field of cardiac surgery, he does not understand anything.

But it's only the second stage that I am anxious about everything, and I always feel very dangerous when encountering something.

In fact, this is not to blame Chen Cang, because bacterial pericarditis itself is often an acute and fulminant disease, and the prodromal symptoms are only 3 days on average!

The manifestations are also obvious, usually with symptoms of high fever, chills, systemic poisoning, and difficulty breathing. Most patients do not have typical chest pain. The occurrence of chest pain may mean that the severity of the situation will increase and the disease is more dangerous.

As Meng Xi said, the physiological, biochemical and cultural results showed purulent pericardial effusion, which means that the degree of crisis has increased a bit.

Because purulent pericardial effusion can develop into pericardial constriction, which is constrictive pericarditis!

The risk of constrictive pericarditis will also increase a lot!

It is not conducive to the recovery of patients at all!

Even the surgery for constrictive pericarditis is much more difficult than ordinary pericarditis. Thinking of this, Chen Cang is still a little nervous.

The most important thing is that he cannot delay the patient's condition just because of Teacher Meng waiting for himself.

He felt that Teacher Meng Xi was actually waiting for himself, and the more so, the more worried Chen Cang was.

Chen Cang is still very grateful for this kindness.

in fact……

No matter how great Meng Xi is, it will not delay the patient's optimal diagnosis and treatment time. The reason for this arrangement is that she has a good understanding of the patient's various indicators and is very clear about the occurrence and development of the disease.

That's why I told Chen Cang!

To put it bluntly, a doctor's judgment on a disease is generally the result of his own experience.

Director Meng is so confident, but Chen Cang dare not.

The little doctor must have the consciousness of the little doctor, and the novice village must also have the novice village gameplay.

At this time, the hospital was fine anyway, and Chen Cang greeted him and ran away!

Since Corey lost Yuan Fan, the entire department has become much cleaner, and Chen Cang has become more and more unscrupulous.

After all, Qin Yue has become a licking dog under his milk tea offensive.

Director An is now being abused by his own Chen.

As his little apprentice, Wang Yong devoted himself to practicing and working hard.

In the department, Chen Cang feels like he is a master now!

Well, it should be called Chen Yige!

...

A taxi to the First Hospital of Dongda only cost a starting price of eight yuan.

After rushing to the heart surgery, Meng Xi happened to prepare medical records at the nurses' station.

Chen Cang ran over, "Thank you, Teacher Meng, for waiting!"

Meng Xi was also taken aback for a moment, then looked at his watch: "So early."

After speaking, hand over the surgical consent form to Chen Cang:

"The consent forms are all signed, let's start the operation as soon as possible."

Chen Cang smiled gratefully.

Although Ms. Meng is more strict, he works day and night, and asks students to come over and follow the surgery after get off work.

If this is the average student, there must be complaints.

But Chen Cang understood that he was just to learn technology, and no one's teachers complained. What qualifications do you have to complain.

When Ge Huai saw Chen Cang coming, he smiled surprisingly: "Xiao Chen, don't be nervous, there is me."

Chen Cang was taken aback, this teacher Ge...seems to have changed sex?

Actually caring for myself so much.

Chen Cang said quickly, "Thank you, Teacher Ge, I have to trouble Mr. Ge today."

Ge Huai shook his head: "It's hard at the beginning when it's finished. Just learn more and do it a few times."

After preparing everything, everyone in the operating room.

Along the way, Meng Xi emphasized the importance of many pericardiotomies and drainage operations to Chen Cang.

While talking, the three Chen Cang went to the operating room.

Meng Xi is actually very curious about Chen Cang. Although Chen Cang has rarely been used, Chen Cang's performance is very eye-catching every time.

Especially the diagnostic skills, both times have made Meng Xi's eyes bright, and his hands-on ability is also very strong, whether it is vascular suture or pericardiocentesis, the operation... it is difficult to do without decades of experience!

Therefore, although Meng Xi didn't say anything about Chen Cang, he knew it well.

She also wanted to see how Chen Cang's surgery was.