When a doctor opened a plug-in

Ge Huai now takes care of Chen Cang a lot more than before!

In other words, he has a lot of responsibility, thinking that Chen Cang is half of his student.

I cannot teach Chen Cang with prejudice and underestimation.

After all, he is only twenty-seven and eighteen years old, and he is in his thirties.

Therefore, now Ge Huai is more responsible for teaching Chen Cang than some time ago.

"Xiao Chen, today's patient is quite special. It is a challenge for you. If you don't feel good, let me come, don't be embarrassed!" Ge Huai first exhorted before introducing Chen Cang's condition.

Chen Cang was taken aback: "Well, okay, thank you Teacher Ge, yes... why is the patient special?"

Ge Huai sighed and said cautiously: "The patient is in his 70s this year and has been hospitalized with acute pericarditis. Originally, considering that the patient was older, conservative treatment was the priority and no surgery was planned."

"But the effect of puncture treatment is mediocre, and antibiotics are used, but...now I can't get anything out."

"The puncture effusion has thickened and there are purulent secretions. Therefore, after considering too much, in order to prevent further illness, the patient can only undergo pericardiotomy and drainage."

After speaking, Ge Huai summed up Chen Cang and said solemnly: "The current situation is that there are three main difficulties!

The first point: The patient is 70 years old, the risk is higher, and the prognosis may be worse;

Secondly, the operation of purulent pericarditis is more complicated than ordinary acute pericarditis;

The third and most important point is to prevent poor cleaning and the formation of chronic adhesions, leading to complications of the heart and pericardium!"

When Ge Huai said this, he was a little nervous, worried about Chen Cang, and also worried about the patient, so he looked up at Meng Xi: "Director Meng, or I will do this operation, Xiao Chen is only a few days old, I am worried about him... After all, the patient’s situation is also quite special."

Ge Huai is telling the truth!

Because acute pericarditis surgery is okay, there is no need to consider too many prognostic issues, and even the difficulty of surgery is relatively small.

But once acute pericarditis develops into acute purulent pericarditis, things have a turning point. This is a very difficult operation in pericarditis.

Because after acute suppuration, there are two problems most worried about. One is that adhesions affect the adhesion of the pericardium and the heart. The prognosis is poor and it is easy to cause related complications.

The second is the most serious, that is to cause chronic constrictive pericarditis!

This is more troublesome.

Chronic constrictive pericarditis requires partial pericardectomy and then repair of the pericardium. The difficulty of the operation will increase proportionally.

Meng Xi was also worried.

But after some consideration, she decided to let Chen Cang get started. Once Chen Cang encounters a problem, she can take over halfway.

After all, the difficulty lies in the operability of post-processing, not in the beginning.

Although the difficulty is high in the later stage, the risk is not much different from ordinary pericardiotomy and drainage.

Let Chen Cang come first, and then when Chen Cang fails, he will change.

After all, it is also a rare opportunity to exercise.

For medical staff, the most important thing is to encounter different diseases and then find ways to solve them.

This is important!

Thinking of this, Meng Xi looked at Chen Cang: "Xiao Chen, come on, don't worry, there are us."

Meng Xi didn't say how difficult the operation is. Ge Huai alone said that it was enough. If he said too much, it became pressure.

So Meng Xi just encouraged Chen Cang to say a few words.

The three of them were washing their hands next to the sink. Suddenly, Meng Xi found that Chen Cang's hands were very large, with very long fingers, and very beautiful hands.

Seems familiar...

Chen Cang looked at Teacher Meng staring at his hands, he was taken aback!

My heart tightened, and even the seven-step handwashing technique that I usually practiced to perfection was a bit stuck.

Dao Xin was almost unstable.

Chen Cang couldn't help sighing, Teacher Meng, can you wear a fitted surgical gown in the future, or it will be too small and tight, or too big and empty.

Thinking of this, Chen Cang suddenly felt that the most stressful part of the operation with Ms. Meng was not on the operating table, but in the sink...

...

After entering the operating room, the three put on surgical gowns.

At this time, the anesthesiologist is ready for anesthesia and is waiting for the start of the operation.

Ge Huai looked at Chen Cang and whispered: "Come on, Xiao Chen!"

Meng Xi nodded affirmatively.

The anesthesiologist smiled awkwardly, and carefully walked to a place with a good view. It was a joy to watch Xiao Chen's operation.

Chen Cang looked at the three of them and couldn't help but slander.

You people, be prepared to be frightened!

Thinking of this, Chen Cang took a special look at Teacher Meng. After all... this is the person who really needs to be frightened, the other two... audiences.

Seeing Teacher Meng's calm and empty expression, Chen Cang suddenly looked forward to...

Chen Cang turned around and looked at the instrument nurse.

His eyes burst out with the light of a strong man, his hands opened, and his heart groaned softly: Here comes the sword!

At this moment, the sword pierced the sky, the momentum was like a rainbow,

When Chen Cang set the POSS, the door suddenly opened, and a figure hurried in.

Xia Gaofeng was taken aback, and saw Chen Cang just reaching out his hand, and he grinned suddenly: "It just happened to be just right! Old money comes in."

I saw Qian Liang and Xia Gaofeng sneaking in, not wearing surgical gowns, but standing behind everyone.

"Fortunately, it's not late!"

Qian Guangming said: "Well, let's count the time."

Some words made Chen Cang dumbfounded.

I, Cao, you guys, deceive people too much, are you addicted to watching movies?

Xia Gaofeng smiled: "Little Chen, let's start."

Chen Cang rolled his eyes: "Come on!"

The nurse who had prepared the scalpel was taken aback for a moment. Looking at Chen Cang's appearance, she couldn't help sighing. Hey, the posture is useless... It's a pity that she has a stinky skin.

Chen Cang took the scalpel and started his own operation!

The operation was local anesthesia, and the old man suddenly felt happy when he saw so many directors coming in. It seemed that the operation was stable.

After the anesthesia, Chen Cang began to slowly lift the knife to start, and Ge Huai had already prepared the hemostatic gauze.

Chen Cang's thoracotomy is the highlight of the operation!

After all, every time Chen Cang opens his chest, he cuts the skin and separates the tissues, which is very delicate.

Chen Cang carefully removed the sixth costal cartilage on the left. At this time, the internal mammary artery was exposed, and Chen Cang looked at Ge Huai.

"Ligate the artery!"

Ge Huai nodded, accurate.

After the internal mammary artery is ligated and cut, the tissue is separated and the exposed pericardium can be seen.

At this time, the pericardium needs to be cut through the costal cartilage bed to remove the pus in the pericardium.

Xia Gaofeng couldn't help but whispered to Qian Liang, "I cut my heart!"

Not only Xia Gaofeng, but everyone is looking forward to it.

After all, the look of Chen Cangqi's heart...