When a doctor opened a plug-in

This is the most critical patient Chen Cang has encountered in his life!

none of them!

The most critical is not the most serious. For many serious patients, there is no possibility of rescue before Chen Cang.

At this time, Chen Cang felt that there was a chance!

In fact, it is most appropriate to take an X-ray film at this time, but...Where can I go back and do it?

The patient's blood pressure is almost gone, the ascending aorta is ruptured, and the heart is tamponade. It is still uncertain whether the heart is damaged. If it develops according to the general situation, the patient may be really gone before being sent to the hospital.

During this time, Chen Cang made up for cardiovascular diseases, especially emergency treatment.

He clearly remembered the record in the latest report that the thoracic aorta incidence in traffic accidents in the United States last year was about 15%, and the ascending aorta rupture was only 5% of this number, and of the 5% figure, only There is a 10% chance of being sent to the hospital, and only 20% of those 10% can be rescued successfully!

What this means is self-evident!

Isn't Chen Cang not clear that there is a greater chance of infection from surgery on a car?

Doesn't Chen Cang know how to make a clear diagnosis under SCT or EBCT on chest radiographs?It is best to do an imaging of the aorta to identify the injury site?

However, all this is under the circumstances that the injury permits.

Don't talk about CT and radiography now, you don't even have a chance for a chest radiograph!

Chen Cang clearly remembered!

In the latest guidelines, if there is suspected aortic rupture, extremely unstable circulation accompanied by direct rupture signs and secondary penetration (hemothorax, cardiac tamponade), surgical exploration and rescue should be done immediately!

Therefore, Chen Cang will now choose to open his chest directly to detect bleeding.

When you have no choice, the guide is your support and your legal basis!

Doesn't he know that everything he is doing now will be accompanied by risks?

He knows it all!

However, what is passing at this time is life, there is time to delay!

Chen Cang said decisively: "Lao Yang, stop ahead."

The driver Lao Yang couldn't help but stunned:???

Through the rearview mirror, he saw that Chen Cang was about to undergo surgery, and his expression suddenly changed!

But he didn't say a lot of words, but directly found a suitable place to make the car good.

During the transfer of patients in the 120 ambulance, the doctor's words were like military orders, and Chen Cang was the leader of the rescue team.

Chen Cang raised his head and said to the two patients: "Get off the car, you hurry to the Second Provincial Hospital."

The expressions of the two suddenly changed, and the bald-headed man still wanted to talk. It was obvious that Wang Qian would not give them a chance and sent them directly.

Chen Cang took a deep breath, a little nervous.

This is the first time he has independently treated such a critical patient, and it is also the first time he has performed an operation in an ambulance.

In this case, anesthesia requires stability, with little or no use of drugs that inhibit the circulatory system. For the critically ill, the best is for local anesthesia to take the lead in related operations, and then to induce anesthesia or intubation.

At this time, limited by conditions, Chen Cang can only perform local anesthesia!

Local anesthesia took effect very quickly, not long.

Chen Cang picked up the scalpel and made an incision directly in the middle of his chest!

Wang Qian said nervously: "Not much gauze..."

Chen Cang nodded, and then carefully pulled his breastbone away... Gradually he saw the numbness of his scalp!

This is a sea of ​​blood.

Chen Cang turned to Wang Qian and said, "Draw blood!"

Wang Qian's expression also changed, but he picked up the syringe and began to draw blood!

And Chen Cang's eyes were staring straight at the pericardium area. At this time, the pericardium was like a big bun filled with blood. Chen Cang cut it open slightly, and a burst of blood poured out.

"Hemostatic forceps!"

Now the place of bleeding has been exposed, that is, the beginning of the left ventricular exit, where the part is relatively fixed, so it is easy to cause rupture after being subjected to violence or sudden deceleration!

Fortunately... the ribs didn't hurt the heart.

This may be the only thing to be thankful for.

The blood pressure was very low, and Chen Cang was helpless, but this was a battle with no choice. If he didn't work hard, the patient would undoubtedly die.

Chen Cang cut open the pericardium decisively, completely exposing the bleeding site.

"Are there non-invasive hemostatic forceps?"

Wang Qian was taken aback, then shook his head: "No!"

Who prepares these things in the rescue vehicle?

Chen Cang hesitated, then suddenly picked up his hands, pressed them on them, and pinched the tear with his hands. The blood stopped flowing.

The blood pressure is temporarily stable...

But the patient's life is still like the leaves of this season, swaying in the wind.

Fortunately, after the pericardial tamponade was in contact, the patient's bleeding was also controlled, and the blood pressure was gradually rising.

Chen Cang said to Lao Yang, "Go back to the hospital!"

Lao Yang glanced at Chen Cang from the rearview mirror, nodded solemnly, started the car steadily, started, and drove towards the hospital.

Through his hands, Chen Cang could clearly feel the power of blood flowing out of his hands, and he could clearly touch the traces of life.

A few minutes later, the car stopped directly at the special entrance of the emergency department of the Second Provincial Hospital.

Chen Cang didn't dare to move, but the driver Lao Yang jumped directly behind him, and Wang Qian carefully lifted the bed down.

Li Baoshan, Tao Mi, Xia Gaofeng and others below are already waiting anxiously!

Chen Cang said quickly: "Go to the operating room immediately!"

Everyone does not suspect him. In the operating room at this time, Wang Kai'an, Zhou Xiaodong, and Zhang Wenfu, who are outside their hearts, are already dressed and waiting for the arrival of this patient!

The blood transfusion department, laboratory department, medical department, anesthesiologist...all are waiting for Chen Cang's return.

With the arrival of Chen Cang, the rescue preparation officially kicked off!

Everyone started orderly preparations!

Blood draw, emergency test, blood matching...

Contact person of medical department, signature, authorization...

The anesthesiologist was Liu Jian. When he saw Chen Cang's chest open and his hands pressed against his heart, his eyes widened.

The extracorporeal circulation machine has been prepared.

At this time, Wang Kaian took a look at Chen Cang with a non-invasive vascular forceps, "I'm coming!"

The voice is not loud, but firm.

Chen Cang nodded and carefully completed the handover.

When Chen Cang went out, Wang Kaian led the three and an anesthesiologist to start related work.

Intravenous cannulation!

Establish cardiopulmonary bypass!

And Liu Jian started tracheal intubation and prepared for anesthesia.

This kind of operation needs to be performed under the condition of cardiac arrest. When everything is ready, Zhang Wenfu blocks the distal end of the ascending aorta and prevents blood from passing through.

When Tao Mi and Xia Gaofeng saw the patient's ascending aorta starting part, through the outer part and the torn opening under the pericardium, they were shocked.

This...really, as Chen Cang said, it is very difficult to return to the hospital.

Thinking of the appearance of Chen Cang and Wang Qian returning with blood, and of Chen Cang using his fingers to stop the bleeding, returning to the hospital all the way...

The two were amazed!

Xiao Chen, really is a character.