When a doctor opened a plug-in

Chen Cang has a deep understanding of venereal diseases.

Syphilis is a relatively contagious venereal disease. It is usually acquired syphilis, but there are also congenital syphilis.

Acquired syphilis is mainly divided into three stages, in fact, it is mainly based on the three stages of the development of Treponema pallidum.

What is more troublesome at this stage of tertiary syphilis is that the symptoms are complex, which can affect any tissues and organs, including skin, mucous membranes, bones, joints and various internal organs, and are more likely to invade the nervous system.

So it often causes organizational destruction!

As for the patient's current condition, the change in cerebrospinal fluid is not very serious, which may be related to his long-term treatment.

It is mainly the damage of the intima of the blood vessel, which becomes the main factor.

But... Chen Cang saw severe iliac artery stenosis after the abdominal aortic pseudohemangioma bulged on the radiography.

He found a problem. The blood vessels here seem... to be preserved, and the surrounding boundaries... all aspects are very clear, which is a good thing!

Is it directly replaced by artificial polyester blood vessels?

Thinking of this, Chen Cang suddenly came to mind some of the operations in the treatment of pseudoaneurysm he had seen.

Suddenly my eyes lit up!

It seems that artificial blood vessel replacement is not the only surgical method.

Thinking of this, Chen Cang was a little excited, but he was not sure how feasible this was.

At this time, Xiao Zhehai said: "Chen Cang, what I mean is that we two, each handles one. This will undoubtedly save a lot of time. This is my surgical plan..."

As he spoke, Xiao Zhehai described in detail, organized and logically.

After listening to Yao Lekang on the side, he also had to admire him. He was really bold.

After all, in this way, the difficulty of surgery will increase a lot.

He knew Xiao Zhehai could do it, but...can Chen Cang do it?

Yao Lekang is a little worried!

Although I don’t know why Director Xiao trusts Chen Cang so much, but...he always feels that Chen Cang is a bit mysterious, otherwise he would not invite Li Baoshan...

Xiao Zhehai looked at Chen Cang: "Are you sure?"

Chen Cang nodded: "I'm sure."

"But... I have another idea."

When these words came out, Xiao Zhehai and Yao Lekang were both stunned.

Yao Lekang couldn't help but sighed in his heart, this kid is really a newborn calf who is not afraid of tigers!

Saying directly in front of Xiao Zhehai that he has a plan, nothing else, this courage gives full marks!

However, Xiao Zhehai's eyes lit up and he became curious:

"Oh? What plan? Come on."

Without the slightest timidity, Chen Cang spread the film on the table and said directly: "My idea is to do an endometrial exfoliation of the abdominal aorta and iliac artery with patch suture here."

After speaking, Chen Cang pointed to the place where the abdominal aortic aneurysm compressed and occluded the iliac artery.

"If an artificial blood vessel transplant is performed at the same time, although the effect is good and the operation is simple, it is easy to leave foreign bodies and induce infection."

"The results of the radiography show that in fact, at our limit, we can see that there is not much damage to the surrounding blood vessels. If the blood vessels are transplanted, they need to be completely destroyed.

Hearing Chen Cang's words, Xiao Zhehai and Yao Lekang immediately got up and stared at the film.

Yao Lekang couldn't help frowning, "Is the stripping treatment you mentioned similar to abdominal aortic stripping?"

Before Chen Cang had time to speak, Xiao Zhehai interrupted directly!

"No! It's not an abdominal aortic stripping surgery. Chen Cang meant that the intima forming the dissection should be directly treated and fixed, and then repaired with an arterial patch!"

"This idea is good. Although there is no intima, the blood vessels can maintain normal function because of the patch!"

The more Xiao Zhehai said, the more excited he became!

He looked at Chen Cang and couldn't help but said, "This is a good way to deal with it, but can you deal with the endometrium?"

Dealing with the intima is the most difficult part of vascular surgery!

It must be treated with precision. The layer should not damage the media too deeply, so that the blood vessel wall is too weak and there is a risk of rupture, and it must be cleaned up so that the normal intima cannot be damaged.

In this way, the accuracy of surgery is improved!

The operation time will naturally be extended.

But the effect of surgery is the best solution!

After listening to Xiao Zhehai's introduction, Yao Lekang suddenly realized that cleaning the diseased endometrium can achieve a long-term effect.

However, the question returned to Xiao Zhehai's previous doubts!

Can Chen Cang handle the endometrium?

Chen Cang nodded: "I can!"

Xiao Zhehai glanced at Chen Cang, and for a long time, he said lightly: "Let's take the lead!"

In a word, Yao Lekang was very scared!

Chen Cang's chief sword?

Can he stabilize the military spirit?

Chen Cang didn't shrug it off, "Okay!"

...

...

Ten minutes later, three people appeared in the operating room. In addition to the three of them, four chief physicians also came to act as assistants for this operation!

The luxury of the lineup is self-evident.

In the office outside the operating room, Yao Lekang introduced: "This is today's chief surgeon: Chen Cang! Let President Chen introduce the procedure to everyone."

When the four directors saw Chen Cang, they were suddenly taken aback, somewhat surprised!

Chen Cang is a very famous President Chen in General Surgery!

But even so, when everyone heard Chen Cang's chief sword, they couldn't help but glance at Xiao Zhehai, a little curious, why didn't Director Xiao be the chief sword?

Compared with Chen Cang, Director Xiao is more famous and has a more profound influence.

Xiao Zhehai recognized everyone's curiosity and couldn't help but said, "You can see why after seeing the surgery plan."

Looking at the angiogram, Chen Cang picked up a pen and said on the demo board: "This operation is divided into two groups. Director Xiao is a group of chief surgeons, and I am a second group, with two assistants in each group. The operation plan is as follows... "

Chen Cang introduced the surgery.

After hearing the stripping treatment behind Chen Cang, several directors were stunned at first, then closed their eyes and thought.

After several minutes, everyone suddenly became clear!

This is not so much a kind of surgery, as it is a kind of tumor cavity treatment method, very delicate!

Gives a refreshing feeling!

But the most important thing is that the long-term effect is much better than artificial blood vessel replacement!

Even the more people think about it, the more feasible it is!

The only disadvantage is that it is too difficult!

This operation video is to be sealed and cannot be copied due to the confidentiality agreement!

Although everyone was very curious about Chen Cang's surgery, but thought of this, but Academician Xiao Zhehai, everyone tangled for a while.

Who do you choose?

There is only one chance, this operation will not let you watch it casually.

At this time, Yao Lekang said: "Director Zhang, you come with me to help President Chen."

"You are a few who helped Director Xiao complete the operation!"

Xiao Zhehai nodded: "Everyone understands the patient's situation, so be careful!"

The operation is about to begin!

...

ps: Let's talk about the transmission route of acquired syphilis.

1. Sexual transmission: is the most common way of transmission of syphilis;

2. Close contact: In contact with patients with syphilis, if the skin or mucous membrane is slightly damaged, the unaffected person may get sick;

3. Blood circulation;

4. Mother-to-child transmission;

5. Iatrogenic transmission: If medical equipment is infected by Treponema pallidum, the disinfection is not strict.

I hope you don’t think that STDs are just sexual transmission.