When a doctor opened a plug-in

The highway of more than 60 kilometers is a severe test for the few people in the car!

The alarm sound of the monitor kept ringing.

Sweat soaked Chen Cang's clothes, Xiao Lin's hair was also wet, and his whole body was sweating profusely, all working hard to rescue him!

In such a cold winter, the car is full of warmth!

The man dared not make a sound, for fear of disturbing them.

However, fortunately, the rescue is effective after all. When the old man got off the highway, his vital signs finally stabilized.

At this time, everyone was relieved.

However, here Chen Cang began to quickly contact the emergency department of the Second Provincial Hospital, open the green channel, and complete the relevant examinations as soon as possible to prepare for the operation!

The elderly have already completed various physical and chemical tests in the township hospitals. This is good news, and there is no need to delay too much time.

At eight o'clock in the evening, the car stopped at the door of the emergency department of the Second Provincial Hospital, and the group hurried out to get ready.

After Chen Cang came in, he quickly began to organize the doctor's orders in an orderly manner!

"Lele, you take your family to go through the formalities first."

"Xiaoyan, prepare a medical report."

"Brother Qian, go to the operating room with Wenfu, get ready..."

"Xiao Lin, call the ultrasound room, bedside cardiac ultrasound!"

...

After Chen Cang came, he sent the patient to the emergency room first.

At this time, Tao Mi and Xia Gaofeng suddenly came down, and Chen Cang was taken aback for a moment: "Director Tao? Director Xia, why are you here?"

Tao Mi frowned: "We were performing surgery at the First Hospital of Dongda University. Director Li told us that you brought back a patient with an acute myocardial infarction that caused a ventricular septal rupture. Let us see if we need help. Yes, he is undergoing an operation and can't take care of it, so we two hurried over to have a look."

Chen Cang nodded gratefully, without delay, and said directly: "Trouble the two directors, the situation is like this, the patient is 71 years old, an elderly woman, seven days ago..."

After Chen Cang explained the disease in detail.

Tao Mi said directly: "Xiao Chen, I suggest to observe for a period of time for acute injury of ventricular septum rupture, and then elective surgery is better!"

Xia Gaofeng also nodded: "Well, this is also the reason why Director Tao and I came here. We are afraid that you are young and anxious and are in a hurry for surgery."

"Now is the acute stage. Not only is the operation difficult, but it will also significantly increase the risk and fatality rate of the operation. Moreover, the patient is an elderly woman, 71 years old, with a history of heart disease, and had an acute myocardial infarction seven days ago."

"For such a patient, it is too difficult for you to undergo surgery now. I suggest that you wait for the scar tissue on the edge of the breach to perform elective surgery, and now go to the cardiology department for hospitalization."

Chen Cang was silent, and the words of the two directors were correct and very reasonable.

At this time, Li Baoshan called Niu Tianfu Niu, the director of the Department of Cardiology.

The four directors went to the emergency room and began to discuss with the patient.

At this time, it was not a time to be reckless. Chen Cang was not stupid. The most important thing was to formulate the most suitable rescue plan, not impulse surgery.

Surgery is only a way to cure diseases, and before surgery, it is best for patients to have a preparation that can provide a safe environment for the operation.

Soon the color Doppler ultrasound results came out, and Chen Cang also completed the CT of his heart.

In the rescue room, Tao Mi looked at the patient's heart function and said directly: "The heart function is not bad now, and the ejection fraction can also meet the daily consumption. I suggest stabilizing first, and surgery is not recommended."

Niu Tianfu shook his head directly: "Director Tao, you see, the risk of acute myocardial infarction, whether it is interventional surgery or thrombolysis, is very high. If the ventricular septum ruptures, the heart function will only increase. The worse."

"According to the situation of the old lady, it will be gone after a few days. How can I afford it!"

Tao Mi suddenly argued with Niu Tianfu!

"Your cardiology department can't maintain this situation, our heart surgery will only be risky!"

Niu Tianfu directly said: "The patient is a ventricular dilatation tumor ruptured due to acute myocardial infarction! Once it develops, it can lead to intractable heart failure, severe arrhythmia and peripheral arterial embolism, etc. The prognosis is extremely poor. How can you give medical treatment?"

Xia Gaofeng and Chen Cang were silent, and listened patiently to the argument. Sometimes, the answer would appear in the argument!

Studies have shown that when humans are arguing, their brains react several times as much as usual!

Especially when boyfriend and girlfriend quarrel, women often play better!

Seeing the two of them arguing for a long time, Xia Gaofeng concluded, and suddenly said: "Actually, it is not inoperable. The patient has been treated with cardiotonic diuresis. At this time, the heart function is still OK. Inotropic drugs can maintain blood pressure to ensure coronary perfusion. In this way, it is not impossible."

"However, what Director Tao said is correct. The risk of surgery is indeed very high."

"Now there are risks on both sides, I think we should fully respect the opinions of the patients' family members!"

At this moment, Tao Mi calmed down, looked at each other with 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, and their presence is like a ship with a route!

I can tell all the risks and countermeasures in advance, and even if I encounter problems, I can guarantee the situation.

This is to avoid and reduce the risk of surgery.

After some discussion, the old lady's son had already prepared for a desperate fight and signed for the operation!

Chen Cang got up, and Tao Mi and Xia Gaofeng looked at each other: "I will go too!"

Niu Tianfu obviously washed the dishes at home, and he didn't take off his apron. He took it off and put it at the nurse's station: "I'll go too!"

Chen Cang couldn't help but nod in gratitude.

Tao Mi told Chen Cang: "Xiao Chen, we can only remind you that you still have to do the surgery. Now the patient has a rupture of the ventricular septum and myocardial infarction. You must remember not to damage the coronary arteries and the incision must be small! We must avoid affecting left ventricular function!"

Tao Mi keeps telling...

Chen Cang nodded gratefully.

This operation, due to the old lady's own reasons, and the existence of complications, increased the risk and complexity of the operation, so that the difficulty increased time after time, and the risk factor increased proportionally.

Chen Cang had no bottom in his heart!

Perhaps, this is what surgery should look like, right?

This is full of risks and uncertainties!

No one can control life and death, all that can be done is to go all out.

Even Tao Mi and Xia Gaofeng cannot guarantee the success of the operation!

...

...

The operation started, the low-temperature extracorporeal circulation machine was running, and the heart officially stopped working.

After opening his chest, Chen Cang's eyebrows tightened when he looked at this aging heart!

Extensive anterior wall infarction, the color change of the heart can now be seen!

Chen Cang couldn't take care of the others, so he could only carefully judge the opening and scope of the operation.

Try not to damage the ventricles as much as possible.

This heart is old, bruised, ischemic and hypoxic, and the left ventricle is the heart pumping myocardium. If he is injured again, the old man will be gone!

Chen Cang is well aware of the difficulty.

At this time, it is necessary to determine the scope and extent of myocardial damage and observe whether there are other damages.

Chen Cang held his heart with his hands and probed the rupture of the ventricular septum from the surface of the left ventricle.

Try to find a suitable opening point for surgery!

The patient had a ruptured ventricular dilatation tumor caused by acute myocardial infarction, and the surgical treatment effect was better than conservative treatment, which is why Chen Cang made up his mind to operate.

Everyone around is staring at the heart, and now they need to find the most suitable opening point for surgery!

Chen Cang kept thinking in his mind, touching his heart with both hands for a long time, finally!

He found a place where the surface of the right ventricle meets the atrium, where the coronary artery can be avoided, and most importantly, the left ventricular wall is minimally damaged.

Thinking of this, Chen Cang took the scalpel directly and spoke!

And Tao Mi suddenly frowned!

"Xiao Chen, this position...is it good to get the needle?"

Xia Gaofeng frowned, "Yes...there is little damage and side effects here, but it's not easy to operate!"

Chen Cang nodded: "Try it!"

Thinking of this, Chen Cang used 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.

Chen Cang didn't dare to shake his hands, and his right hand was not easy to start, so he had to pick up his left hand!

The directors who looked at suddenly widened their eyes!

Left hand???

The needle holder is inserted from the right ventricular surface, the ventricular septal defect and the posterior edge of the patch are sutured first, and the patch is sutured and ligated on the left ventricular surface.

This process is all done under the left hand.

Although it seems clumsy, everyone can imagine the difficulties.

The left-hand operation itself is unstable, and this will increase the risk of the operation. If the operation is improper, the gain will not be worth the loss!

So Chen Cang himself is cautious.

The whole process was thrilling!

Even the nurse Yuanyuan frowned, her left hand...is that amazing too?

Use a small spacer with an interrupted mattress suture on the right side of the anterior descending coronary artery, then through the right ventricular wall and through the front edge of the ventricular septal defect patch, and then through the left ventricular incision left edge.

Because of the opening, it must be divided under the operation of the left hand.

The sweat on Chen Cang's head is not counted as a drop, soaking through his hat and mask, he dare not take a mouthful!

With the right hand propped up in the air, I dare not move a bit more for fear of damaging the innocent heart muscle!

Time just passed by one minute and one second.

Chen Cang feels that today's consumption is more than two or three times more than in the past!

Finally, when the suture is ligated, the ventricular septal defect and left ventricular incision are completely closed.

Everyone is relieved!

Chen Cang couldn't wait now.

Thoroughly stop bleeding, flush the pericardial cavity, and stop cardiopulmonary bypass after cardiopulmonary re-beat, and observe the effect!

At this time, everyone is staring at the data on the ECG monitor, waiting for the signal of success.

Anesthesiologist Liu Jian said: "Vital signs are completely normal!"

At this moment, everyone's tense hearts were released.

too difficult!

At this moment, it's really too difficult.

Chen Cang himself felt that it was really difficult.

Liu Jian couldn't help but give a thumbs up to Chen Cang: "Director Chen, the older you get, the better you are! More and more like a director!"

Several directors around also nodded in relief with a smile.

Chen Cang grew up as they watched.

It's just... this speed is a bit like fast forward X4!Rather than the normal growth rate.

But... Genius is always different from ordinary people!

In this operation, no one else can intervene, because once the left ventricular wall is damaged, the consequences are very serious, and if the coronary artery is damaged, it will be even more troublesome!

Therefore, Chen Cang can only go solo and ride a thousand miles!

The moment when the operation was successful.

Everyone laughed!

They found that this young man became more and more like a director.

However, several of them now have a question lingering in their minds.

While washing his hands, Tao Mi couldn't help asking: "Xiao Chen...Is your left hand so good?"

Xia Gaofeng nodded: "Yes! I think your left hand is very steady, have you practiced!"

Chen Cang thought for a moment, thinking of his young foreign female teachers who trained his left and right hands, and nodded: "Well, I use it often."

After hearing this, several directors suddenly realized.

Sure enough, success is not accidental!

How much effort did they put in?

Everyone looked at Chen Cang's eyes at this moment, full of appreciation.

This young man is too demanding of himself!

...

...

ps: Thank you "Mo Chensui" and "xiaolei1028" for your 10,000 rewards. Thank you.

I originally wrote half of it and prepared to upload it, but I decided to finish the operation. I looked comfortable, and I wrote nearly two chapters at once.

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