When a doctor opened a plug-in

Xu Ziming heard that a patient with an aortic dissection came and went to the emergency department in person.

After coming down, I saw Chen Cang and asked directly: "Ms. Chen, what's the matter?"

Xu Ziming has always respected Chen Cang. If it weren't for Chen Cang, what kind of non-stop mitral valve replacement surgery would he have?

This is simply impossible!

Heart surgery is now becoming more and more popular. He and Concord's Wang Tong are now two benchmarks in this field.

However, they are very clear that all of this comes from Chen Cang.

After hearing the consultation of the six emergency departments, Xu Ziming got up and rushed over.

Aortic angiography is by injecting a contrast agent and then developing under CT, you can clearly see the location of the aortic dissection.

Aortic dissection is neither a true aneurysm nor a false aneurysm, but damage to the arterial intima and middle layer due to various reasons. The blood flows along the torn intima and forms a hematoma in the middle layer!

The aortic wall is peeled off into two layers. Under the impact of blood flow, the peeled part gradually extends and expands toward the proximal and distal ends of the aorta, forming a different range of intermediate separation expansion, called aortic dissection. I like to call it aortic dissection.

Xu Ziming hurriedly got out of it, holding the film in his hand, his expression a little serious.

Upon seeing this, Chen Cang quickly asked, "What's the matter?"

Xu Ziming couldn't help saying: "The situation is a bit special!"

In a word, Chen Cang snorted in his heart: "In the ascending aorta?"

Xu Ziming nodded!

At that time, Chen Cang participated in the main competition of the Cardiac Surgery Skills Competition on the anastomosis of the large vessels in the chest.

The ascending aorta is the most technically difficult and risky anastomosis of large vessels in the thoracic cavity.

Now that the aortic dissection appears in the ascending aorta, this is obviously not good news!

Chen Cang quickly took the film and took a closer look, and he immediately saw the location of the aortic dissection!

Moreover, it can be clearly seen that the aortic wall stripping site starts at the root of the ascending aorta, and the tear of the intima starts from the proximal anterior wall of the ascending aorta, extending to the distal aorta to the descending aorta!

After seeing it, Chen Cang couldn't help but think about it. Such a situation... is really a bit complicated.

Because it has involved the dissection of the arch artery branch and the aortic valve insufficiency.

Watching the film, the three of them fell into silence.

"Go back to the emergency department first, go back and find a solution!" Ma Yuehui said directly, "There is still a question that needs to be clarified, what is the cause of the patient!"

While talking, a group of people pushed the patient to the emergency department, and the results of the inspections here also came out one after another!

The bed doctor had already collected the disease history with his family at this time.

Seeing Chen Cang and others coming back, he hurried over.

"Dr. Chen, through contact with family members, the disease history is like this. The patient has a previous physical examination, no history of trauma or surgery, no high blood pressure, diabetes...The patient's parents have not found a family genetic disease!"

The words of Doctor Guan Chuang stunned Xu Ziming and the three of them!

What's the reason?

Although the etiology of aortic dissection has not yet been clear, but there are some predisposing factors?

At this moment, Chen Cang suddenly remembered something and turned around and went to the rescue room.

After coming in, Chen Cang directly raised the patient's hands and looked directly!

Tian Zhengkai is a basketball star with long arms and big hands. Chen Cang also suddenly remembered something like this.

I saw that his fingers are very long!

Chen Cang made a careful comparison. His hands are about 25cm long, and his height is 220... the ratio of hands to height is 11%!

Next, Chen Cang quickly observed his palm.

At this time, Tian Zhengkai had some relief of symptoms after using the medicine.

Chen Cang said quickly: "Your thumb is adducted, and the other 4 fingers make a fist!"

Tian Zhengkai nodded and followed suit.

Chen Cang suddenly saw that the tip of Tian Zhengkai's thumb was beyond the lower edge of his palm!

This is the thumb sign!

Special skeletal changes and abnormal cardiovascular manifestations, although there are no eye symptoms, Chen Cang is now only one short of diagnosis, that is family history!

At this time, Xu Ziming and Ma Yuehui also saw Chen Cang's series of inspections clearly, and for a while, they also reflected what was going on.

Chen Cang hurriedly said to the bed doctor, "Take me to see my family!"

The young doctor nodded and led Chen Cang directly to the emergency room. Chen Cang also saw the patient's wife and parents.

After seeing his father, Chen Cang also suddenly understood that the height is really inherited.

"Hello, this is Chen Cang, Tian Zhengkai's doctor, now I have a few questions I want to consult." Chen Cang asked straightforwardly without being polite.

At this time, Tian Zhengkai's family had long been confused.

Tian Zhengkai's child is only two years old and is held in his arms by his wife.

The parents are less than 60 years old and the father is very tall.

"Hello, Dr. Chen, what is the situation of my son now?" Father Tian asked with some worry.

Chen Cang said directly: "The situation is not optimistic. We are preparing for the operation. This time I will talk to you, first to understand some of the situation, and second to sign the operation consent form!"

After speaking, Chen Cang said to the young doctor: "Go and prepare the informed consent and critical illness notice..."

After hearing this, the tube bed doctor got up quickly.

The Tian family members here were suddenly dumbfounded. The Tian family members quickly asked, "Notice of critical illness? Dr. Chen, what's the matter? Why are they critically ill?!"

Tian Zhengkai’s parents are just ordinary people. His father is a physical education teacher in a middle school, and his mother is a math teacher. Both of them are now retired. Their hometown is in Beihe Province, and they now live in the capital to take care of their children.

The wife is now 28 years old and the child is only two years old!

In such a family, if Tian Zhengkai has an accident, the result is self-evident.

As the backbone of the family, this disaster can be devastating.

You know, even if Tian Zhengkai is 33 years old, he still has an annual salary of several million a year. Even in the capital, he is a high-income group.

If Tian Zhengkai...

Therefore, after hearing the news, all three of them turned pale.

Upon seeing this, Chen Cang explained the danger of the patient, and even explained the death rate of the operation in detail.

After listening, the family was silent.

His wife looked at Chen Cang with tears in her eyes, and her hands trembled a little while holding the child: "Doctor, you must save him!"

"The child is less than two years old and has just learned to call him Dad..."

Before Tian Zhengkai's wife's voice was finished, she choked up.

Chen Cang soothed: "We will go all out."

After speaking, Chen Cang looked at Tian Zhengkai's father: "Excuse me, do you have a history of Marfan syndrome in your family?"