When a doctor opened a plug-in

After Yu Yingcai heard the news, she was dumbfounded!

Is this so good?

The highest cure rate is less than 20%, which is a terrifying nightmare for elites!

Thinking of this, Yu Yingcai was a little apprehensive and uneasy!

Qin Xiaoyuan urged for a while: "Time is limited, you make a decision quickly!"

Thinking of this, Yu Yingcai hurriedly nodded: "Good good! I sign...Doctor, you must be treated, you must be treated for any amount of money!"

Qin Xiaoyuan nodded: "We will do our best!"

...

...

After giving the operation notice, Chen Cang took the lead to call Order.

At this time, the more reliable chest surgeon he could think of was orderly.

Young and tension!

At this moment, 9:30 in the evening!

Putting down the phone orderly, hurried over.

And Chen Cang also began to arrange related operations in an orderly manner.

"Intravenous infusion of isoproterenol 0.5-5μgmin can increase cardiac output!"

". Enter colloidal solution to expand blood volume to increase blood pressure!"

"High-concentration oxygen inhalation to increase the partial pressure of arterial oxygen!"

...

Chen Cang began to give all kinds of pre-operative doctor's orders and was ready. Qin Xiaoyuan nodded with satisfaction.

He found that his son-in-law was really expected!

In fact, pulmonary embolism is common in people over 50 years old, and it is rare in young people. Chen Cang can judge it to be very serious.

Moreover, there are many, many, many symptoms that can be found in this disease, and there is no specificity!And the point is that many checks are not obvious!

Chest X-ray, ECG, bedside color Doppler ultrasound are probably basically the same as normal.

Many abnormalities are also a long time later!

As for the symptoms, there are too many symptoms of pulmonary embolism, and different patients will have different reactions. The kind of allergic rash and laryngeal edema, ordinary people can't think of it, if it is not for Qin Xiaoyuan's 30 years of clinical experience to see it with his own eyes, they can't Guarantee!

There are too many kinds of diseases!

Who can see clearly?

What Chen Cang obtained from Mr. Fang was the perfection of physiological, biochemical and clinical interpretation. Later, he obtained perfect electrocardiogram and perfect physical examination.

With these things alone, it is pretty good to think of pulmonary embolism.

Chen Cang's reasoning process depends entirely on his own accumulation.

Moreover, even if the diagnosis is pulmonary embolism, how much does Chen Cang know about the disease?

The diagnosis may seem simple, but it is actually very difficult!

The symptoms of every disease are specific, not the same!

Operating room!

The patient was lying on his back, and Liu Jian was silent after learning of his condition.

Anesthesia at this time is the most challenging anesthesiologist!

The patient himself has had cardiac arrest. If the trachea is intubated directly, it is likely that the chest is stimulated during the intubation, causing the heart to arrest again.

Thinking of this, Liu Jian took a deep breath!

Begin emergency partial extracorporeal bypass, first perform femoral arterial and venous intubation under local anesthesia, and do tracheal intubation general anesthesia after the bypass!

In this way, the stimulation of the heart is completely avoided.

The ability of the anesthesiologist is directly related to the success of the operation.

So don't underestimate an anesthesiologist. Liu Jian has a high status in the Department of Surgery of the Second Provincial Hospital. Even if he is not the director now, all the directors have to welcome Liu Jian with smiles.

It is because of his anesthesia skills!

With Liu Jianzai, the success rate of surgery can increase a lot.

And Liu Jian's most valued and respected person is Chen Cang, and Liu Jian will basically appear whenever Chen Cang has an operation!

After the establishment of cardiopulmonary bypass.

Chen Cang directly blocked the ascending aorta for coronary artery, cardioplegia perfusion and local myocardial cooling to arrest.

Soon, this heart finally quieted down.

Chen Cang looked at the heart and suddenly felt a little grateful to Professor Jr. If it weren't for his research on extracorporeal circulation machines, perhaps humans would still be unable to open the door of the heart.

At this time, I walked in neatly, without any nonsense, and immediately began to change clothes and prepare.

The condition has been explained clearly on the road!

This operation was performed by Chen Cang and Wang Kai'an.

The operation officially begins!

The surrounding directors and Qin Xiaoyuan looked at the operating table nervously and uneasy.

Watching three young people undergoing an operation with a mortality rate of 80%!

Can't help but cheer for them!

They don't know the bottom of their hearts. The patient's condition is very poor. It is an accident to persist until the operation, let alone the success rate of the operation.

Both Wang Kai'an and Wang Ran are both excellent. Chen Cang didn't know why Wang Kai'an wanted to leave his job. Such an outstanding young man should be taken seriously everywhere.

The operation passed by, and after some operations, Chen Cang finally saw the embolus!

The red [Embolic] name is clearly visible across the blood vessels, which undoubtedly saved too much time for Chen Cang.

The most important thing next is to remove the embolus!

Chen Cang glanced over the pulmonary valve annulus for a moment. At this time, how to remove the plug cleverly is very important!

It is necessary to avoid major bleeding, but also to avoid the embolus being crushed and aggravating the condition again.

The whole process is subtle and worrying.

However, Jing Ran trusts Chen Cang very much. He knows that he has surgery with Chen Cang. He only needs to do what he should do. Thinking of this, he took the hemostatic forceps and said: "Are you ready?"

Saw Chen Cang nodding!

The operation begins!

Between the electric light and flint, Chen Cang held a scalpel to make a longitudinal incision of about 2cm in the anterior wall of the pulmonary artery!

Subsequently, he took the common bile duct stone-removing forceps in Wang Kai'an's hand and extended it directly into the bilateral pulmonary arteries.

At this moment, everyone held their breath!

There is only one thought in my heart, don't let anything happen!

The entire embolus is of a moderate size, but it just happens to be blocked on the blood vessel wall. It needs to be carefully removed with forceps without damaging the vascular intima.

Otherwise, it will undoubtedly aggravate the condition and even hinder the later recovery!

At this moment, Chen Cang directly became the key to the operation.

His hand must feel the texture of the embolus. The force is too small to get out, and the force is too large and it is easy to crush.

When several directors around saw Chen Cang's operation, they also began to panic!

This may be directly related to the success of the operation?

In the expectation of everyone, Chen Cang actually felt a kind of pressure.

He clearly felt that the stability of his right hand was insufficient, and his strength was prone to deviation!

It seems...I still have to strengthen training in the future.

10 seconds...20 seconds...

Finally Chen Cang held the embolus and successfully removed it!

Everyone breathed a sigh of relief.

The operation was successful!

However, success does not mean that the patient must be fine.

Generally speaking, in patients with no other important cardiopulmonary diseases and no cardiac arrest, the effect of the embolus removal is satisfactory, and the circulation and breathing function can be quickly restored and maintained stable.

But there are still about 15% of patients, especially those who have had cardiac arrest, whose cardiogenic shock failed to recover in time, which is the first cause of postoperative death.