When a doctor opened a plug-in

656 Speed ​​of Life and Death (3)

Time is tight and tasks are heavy, Chen Cang dare to delay one minute and one second!

After learning that the patient was pregnant, Chen Cang hesitated slightly, frowning a little!

This is really not a simple thing!

Heart disease in pregnancy is a very serious complication in itself, and it is also one of the important causes of death of pregnant women and perinatal babies!

The proportion accounts for the first non-obstetric death of pregnant women.

Similarly, due to changes in hemodynamics, blood hypercoagulability, and metabolic changes during pregnancy, the burden on the heart of pregnant women increases, which can worsen the condition of the original heart disease or cause complications, such as cardiac decompensation and acute lung disease. Edema, heart failure.

However, at this time, Huihui itself may have serious heart damage. In addition to the burden of pregnancy, the difficulty, risk and prognosis of the operation will increase proportionally!

Li Weiyan suddenly said: "Or, let's establish cardiopulmonary bypass first, and wait for the director to arrive?"

Chen Cang didn't say a word, just raised his eyes and glanced at Li Weiyan. He was so ashamed that he dared not say a word.

He also knew that he was wrong!

But he has no way to do such an operation. He can only maintain the patient's vital signs and wait for the arrival of the expert director as much as possible!

But Chen Cang had too much meaning in this eye!

After a heart rupture, it is not only bleeding that is the most terrible!

The most frightening thing is that after the heart ruptures, there will be large areas of necrosis of myocardial cells around!

The heart is necrotic, can it be used after being saved?

Therefore, at this moment, for every additional minute of delay, the probability and risk of death of patients, including infants, will increase proportionally!

Or, the risk of the heart will greatly increase!

Chen Cang glanced at the anesthesiologist and said, "Intubate the trachea, prepare for anesthesia!"

The anesthesiologist nodded solemnly!

Huihui was not in shock at this time, but she was in a coma because she was scared.

Just as he was preparing, Huihui woke up suddenly.

His eyes were full of tears. After seeing Chen Cang, it was like seeing a straw for life.

"Doctor! Please..."

"Save the child!"

"Please, save my child..."

"I don't want to die, my child is only five months old, I can't die!"

"I'm fine when I die, but my child..."

At this time, Huihui seemed to have forgotten the pain caused by her injury.

The most uncomfortable thing for her was the unborn child!

As a new mother, she had too many expectations, too many surprises, too many longings, and too many worries!

But at this moment, this knife pierced all her illusions about the future.

Feeling the severe pain, she was not afraid!I don't even feel the pain comes from there!

Because the most terrible thing is not death.

It's that the unborn child has to die with himself at this time.

This is the greatest fear and sorrow!

When sad, blood rushed out.

Chen Cang took the initiative to reach out, shook her hand, looked at Huihui, and said, "Trust me!"

Feel the faith and firmness from these eyes, feel the trust in the depths of the soul, and at the same time feel the body temperature of life in those hands!

Suddenly, Huihui relaxes a lot, and feels more at ease.

At this time, Chen Cang's soul lived in a 99-level big boss. He knew well that at this moment, contact, body temperature, and power transmission were the best means!

All, he held Huihui's hand.

This is a kind of experience, not a skill, it is better than a skill, but the essence of many people in the world.

Body temperature makes people feel comfortable, contact makes people relax their vigilance, and strength makes people full of confidence!

When Chen Cang held her hand, it was actually the most powerful treatment and the most effective comfort.

There is a sentence in English called: givemefive, which is actually the same.

Chen Cang turned to look at the anesthesiologist and said:

"I'll be anesthetized first, you will see the situation later, prepare for tracheal intubation, and general anesthesia! Is it okay?" Chen Cang asked more!

The anesthesiologist nodded, he knew what Chen Cang meant!

Although I am curious about who this young man is, I am even more curious about why I feel a fear from him?

But at this moment, the most important thing is not other, but rescue!

Chen Cang's meaning is very clear: At this time, Huihui is often in a state of low cardiac output and has very poor tolerance to anesthetics!

Cardiac arrest can easily occur during induction.

Therefore, at this time, Chen Cang had better open his chest under local anesthesia, and then complete general anesthesia when conditions permit!

Chen Cang took a deep breath, and after some preparations, he turned around, put on his clothes, and picked up the scalpel.

Glancing at the anesthesiologist: "Give me the anesthetic."

The other party nodded and handed Chen Cang the prepared lidocaine local anesthetic.

Chen Cang looked at the wound on Lele's chest. After some consideration, he started to inject the anesthetic. After waiting for the anesthetic to be absorbed, Chen Cang made an incision in the middle of his chest!

After opening his chest, Chen Cang glanced at Li Weiyan: "Prepare your own blood!"

Li Weiyan was taken aback, and he instantly reflected what Chen Cang meant!

At this time, if there is not enough blood, it is best to use autologous blood.

After a good opening, the 4 chambers of the heart and the ascending aorta are instantly exposed.

Chen Cang hesitated slightly and cut his happy bag.

To Tang Lingling, he said, "Open your breastbone!"

Tang Lingling nodded, fully exposing the surgical field of vision.

At this time, Chen Cang cut the happy bag and immediately saw the patient's wound!

Ding!King-level boss: Heart rupture monster, pregnant women's heart suddenly ruptured, accompanied by irregular wounds, the ventricular septum is obviously ruptured... The wound is severe, please repair it immediately!

Chen Cang squinted his eyes and prepared for the operation!

The requirements for hemostasis and suture of the heart are very high!

It is directly related to the later repair and the restoration of the normal function of the heart.

Moreover, if special parts are damaged, even the difficulty will increase proportionally.

Just like this time!

How much pressure does the king-level boss bring?

Chen Cang couldn't imagine it at all.

This wound has damaged the coronary blood vessels, and this will undoubtedly be a heavy blow to the entire heart.

As I said last time, the coronary arteries are actually channels that provide blood and oxygen to the heart.

If there is damage, this is myocardial ischemic necrosis!

This is much faster than his myocardial infarction!

The preparations before the operation have been made, and everyone is staring at Chen Cang, because at this moment, everyone has lost their backbone.

Even Li Weiyan, Tang Lingling and others can't help it, things have reached this point.

Is there a way back?

And the confidence and aura of Chen Cang made everyone around him amazed.

Perhaps, he really has a way!

At this moment, all hopes rested on Chen Cang!