When a doctor opened a plug-in

He Chao is a PhD. He graduated from Ruijin Hospital of Shanghai Jiaotong University. He did not stay in Shanghai and returned to his hometown in the capital.

Full of enthusiasm for first aid, he came to the emergency center and successfully became an ordinary resident doctor!

This is the capital!

A doctor who has not graduated soon can only work as a resident.

In He Chao's eyes, the most powerful person in the emergency center is Dean Wu, who is a wizard and an all-rounder, who is very proficient in emergency surgery!

Later, after coming to the Sixth Department of Emergency, the hero in He Chao's eyes was Yu Yonggang, a man who didn't admit defeat.

And now, the idol in He Chao's eyes is Chen Cang!

This man is full of mystery and legend!

The age is similar to his own, but the calmness and calmness of facing patients is the quality he dreams of.

Chen Cang smiled and glanced at He Chao: "I don't have you believe me! Go and prepare!"

After speaking, Chen Cang turned around and said to Xu Ziming and Ma Yuehui: "Contact the operating room and prepare for the operation!"

When Xu Ziming heard Chen Cang say this, he was naturally more excited!

Marfan syndrome surgery!

Ascending aorta + total aortic arch replacement surgery!

The top difficulty surgery in domestic heart surgery, the number of surgeons can be counted by two hands!

Xu Ziming felt that with Chen Cang, he could really learn a lot.

Ma Yuehui was not idle, and started to prepare.

Chen Cang walked to the bed, looked at Tian Zhengkai, took a few deep glances, did not speak, got up and walked towards the operating room.

"Prepare for surgery!"

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...

At this moment, Chen Cang suddenly thought of Director Li Baoshan Li!

He and his teacher are experts in the field of abdominal aortic replacement surgery.

At this moment, he finally understands why it feels like to be disappointed in trust?

When my teacher was sick and lying in front of him, it was really difficult to face this kind of surgery!

The teacher believes in you and is willing to give yourself to you!

Standing in the locker room, Chen Cang was about to lock his mobile phone and seriously perform this operation. He suddenly hesitated, picked it up, and edited a text message to Li Baoshan:

"We have organized thousands of rescues, and we have succeeded and failed. It is precisely the deep experience of this kind of pain that I can resolutely guard the last acre of land in the heart of the guardian. The doctor is a man, not a god!"

Chen Cang didn't say anything, but just sent it lightly. He believed that Director Li would understand.

He hopes to untie Director Li's heart.

In the operating room, Zhou He is an anesthesiologist.

Chen Cang, Xu Ziming, Ma Yuehui, and He Chao made preparations.

The operation is about to begin.

Chen Cang spent his goodwill to learn to be a master.

Ascending Aorta Replacement+Total Arterial Arch Replacement!

Favorability has disappeared, but fortunately, some favorability can be exploded from time to time, otherwise it is really not enough.

Now Chen Cang suddenly missed Teacher Meng a little bit. If she was here, she would be shocked from time to time. It would be no problem to get some good impressions.

The operation begins!

Chen Cang had no distractions at this moment, and now it's useless to think about anything.

Gently make a midline sternum incision, and then extend the incision to the left supraclavicular fossa, because a total arch replacement is necessary.

Fortunately, this time I will not do abdominal aorta replacement. Otherwise, the incision will be more than one meter long, from the chest around the big abdomen, and along the abdomen to the anterior superior iliac spine!

Such an operation is really too difficult.

"Establish extracorporeal circulation!"

"In a while, deep hypothermia and circulatory arrest technology will be used to handle the intravenous intubation."

Chen Cang made arrangements methodically, and the few people on the side were silently remembering.

...

These are all preparations. After everything is done, Chen Cang finds the culprit!

The aortic dissecting aneurysm of this sac.

However, when Chen Cang saw the entire aorta, his brows were tight.

The crimson ascending aorta dissection, the red aortic arch, and the color of the descending aorta below can feel a faint color.

What does it mean?

[Aortic dissection: lv85, elite monster, aortic dissection caused by aortic intimal damage in the early manifestations of Marfan syndrome. The scope is large. Replacement is recommended!

85 surgery, the level is not low!

And the lord monster... It seems that the system thinks that the abdominal aorta replacement is not involved, so it believes that the operation is not difficult, just the elite monster.

Chen Cang estimated that a complete set of Marfan syndrome surgery should be a lord monster above level 95!

I am currently only a one-stage operation.

Chen Cang blocked the ascending aorta 3 cm away from the innominate artery and cut the arterial dissection.

"Cardioplegia!"

After Chen Cang took over, he carefully infused cardioplegia through the left and right coronary arteries, and switched to continuous retrograde perfusion to protect the myocardium after cardiac arrest.

This is a kind of protection for cardiomyocytes.

Because the dissection at this time has involved the aortic valve junction, Chen Cang must put a mattress suture at the corresponding junction to reinforce the junction.

Then directly add a circle of felt strips to the intima and adventitia of the aorta, and said to Xu Ziming on the side: "Use 4-0 polypropylene thread to reinforce the suture."

Xu Ziming quickly prepared!

And Chen Cang didn't sit idle either. He fetched an artificial blood vessel of moderate size and sutured the artificial blood vessel and the aortic root continuously with 3-0 polypropylene thread!

This process is very delicate and requires careful attention to the position of the left and right coronary artery openings to avoid affecting the blood supply of the openings.

However, Chen Cang is still very researched in the field of vascular anastomosis, so that the replacement and anastomosis work is relatively smooth.

Soon it is time for the intercostal artery anastomosis!

Several people became silent, because the intercostal arteries must be anastomosed quickly and orderly, or prolonged spinal cord ischemia may cause paraplegia!

The intercostal arteries are more difficult to cut and suture, so the cardiology surgery is always fighting against death!

Chen Cang glanced at Xu Ziming: "I'll fix it!"

After speaking, Chen Cang took the suture thread and said to him, "Ready to clamp!"

Ma Yuehui nodded and agreed!

Chen Cang glanced at He Chao: "You help me hold it in your hand and I will stitch it together."

He Chao was a little worried, for fear that he could not do well.

Chen Cang gave an encouraging look: "Surgery requires not only a steady hand, but also a steady heart. Even if you know that you are going to fail, you must be calm!"

He Chao took a deep breath and nodded!

There are eleven pairs of intercostal arteries, except for the first and second intercostal arteries from the subclavian artery branch, the remaining nine pairs of intercostal arteries and one pair of subcostal arteries all come from the thoracic aorta.

Although Chen Cang did not need to deal with all this time, he did not replace the thoracic aorta, but he is looking at so many blood vessels now, and he wants to complete the suture in a short time without affecting the blood supply to the spinal cord. The difficulty is really a bit big. You will definitely face this situation during the operation of Marfan syndrome.

It seems that I am not fast enough!

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ps: Recently at home, people often come to see a doctor. After seeing a few patients this afternoon, I was taken to other people's homes and saw some patients.

It's already night after I got home, so I'm sorry to write that.