When a doctor opened a plug-in

The office suddenly became lively.

Ge Huai panicked!

He knows his level.

How awkward is this moment?

In fact, vascular suture in cardiology surgery has always been a compulsory course for every doctor, not only in the First Hospital of East University, but also in many hospitals.

Because many operations in heart surgery are inseparable from the anastomosis of blood vessels.

The replacement of large blood vessels in Marfan syndrome is inseparable from the anastomosis of blood vessels.

How to complete the anastomosis of blood vessel and artificial blood vessel quickly, tightly and accurately has always been the key to this kind of operation.

For example, Professor Xiao Zhehai from Ruijin Hospital can quickly complete aortic total arch replacement in 18 minutes, which requires eight joints in a short time.

This is a very difficult process.

Hearing that there was a competition, Xu Ziming also smiled and said, "Doctor Ge, shall I prepare something for you?"

Ge Huai was flustered: "No need, no, it's too much trouble, I'm here to learn..."

Xu Ziming heard: "They are all young people. Try it more, it helps to improve."

Speaking of this, Xu Ziming suddenly said: "Oh! Dr. Ge is worried about discouraging Doctor Xiao Zhou's enthusiasm? Don't worry about this.

"Yes! Doctor Ge, show your hand!"

At this moment, Ge Huai regretted it in his heart. He had known that pretending to be so hard, and said nothing should be pretended!

He now understands a sentence: having strength is called pretending to be force, not having strength...

Seeing everyone lively, Ge Huai couldn't help but sighed.

That's it!

At this moment, Chen Cang walked in.

Everyone greeted with a smile:

"Professor Chen!"

"Teacher Chen!"

Meng Xi smiled: "Little Chen is here."

Chen Cang smiled and greeted everyone, and said to the teacher, "Mr. Meng!"

Looking at the people around him, Chen Cang smiled: "The big guys are here."

Xu Ziming also walked in: "Teacher Chen, why are you here?"

Chen Cang watched that Ge Huai and a young doctor had set up the battle, and he was taken aback, and said with a smile: "This is...a comparison of blood vessel sutures?"

Xu Ziming nodded: "Well, young man, communicate more."

When Chen Cang saw this scene, he suddenly remembered the reward a few days ago.

Vascular-artificial blood vessel anastomosis techniques.

This technique is actually aimed at large blood vessel replacement surgery.

Chen Cang discovered that many of the above techniques have different suture techniques for different blood vessels.

Originally, Chen Cang felt that his stitching speed was fast enough, but after the operation, he found that there was still a gap between the stitching speed of Academician Xiao Zhehai.

This gap is not just a gap between blood vessel sutures.

It is the difference in processing details for different blood vessels.

How to make reasonable use of time, how to effectively reduce excess time... and so on are particularly important.

Great blood vessel replacement surgery itself is a battle for time with death.

If you can effectively reduce the operation time and improve the efficiency of the operation, this can actually reduce complications.

One of the main causes of death after abdominal aortic replacement surgery in Marfan syndrome is renal failure after the abdominal aortic replacement.

The same is true for aortic arch replacement surgery!

The spinal cord has more than a dozen pairs of intercostal arteries for blood supply, and there are other arteries. The anastomosis required for the entire operation is very difficult. In this way, how to complete the anastomosis of all artificial blood vessels and blood vessels in a limited time is particularly important. important!

After Chen Cang learned the skills, he wanted to try it.

Li Baoshan also walked in at this time, watching the upcoming game with great interest.

Chen Cang was about to speak when he suddenly heard his phone ring!

"Chen Cang, I am Yu Yonggang, a patient with Marfan syndrome. After visiting Yu Wan, he suddenly became ill. I just went for an examination. Now it is suspected to be an aortic dissection, accompanied by an abdominal aortic dissection. The condition is quite serious. of!"

"Are you in the Department of Cardiac Surgery? Let Director Xu and the others come down and have a look! The patient is still in shock now, I don't know if it will be time for the radiography, come down and have a look."

Yu Yonggang's voice is a bit urgent!

Because the patient's situation is too anxious.

Aortic arch dissection plus abdominal aortic dissection!

It is very rare for two large arteries to develop at the same time!

Can the patient tolerate one operation at the same time?

After Chen Cang hung up the phone, he said to Xu Ziming, Li Baoshan and others: "A patient visiting Yu Wan in the emergency department suddenly became ill, and all the aortic arch and abdominal aorta were dissected!"

"And now the patient has been in shock, and he has not had time for an imaging examination!"

After Chen Cang finished speaking, he walked directly outside.

And Li Baoshan and Xu Ziming looked at each other, and their eyes became solemn!

The whole office was full of joy just now, but now it is quiet and serious.

Meng Xi ran out immediately after him.

The patient's situation can be said to be at stake!

Two aortic dissections appear at the same time. Because of the obstruction, the whole blood circulation is not smooth, and even blood pressure is increased!

The elevated blood pressure has also become an extremely dangerous factor.

It can become a compression dissecting aneurysm at any time and cause rupture!

At the elevator entrance, the elevator was still going up. In desperation, a group of people ran down the stairs.

At this moment in shock.

The reason will be dangerous, and the factors that need to be considered are also fast.

Could it be caused by a ruptured aortic dissection?

Soon, after running six floors in a row, the group arrived in the emergency room.

At this time, the patient has been pushed into the rescue room.

Chen Cang ignored the others and rushed in.

After entering, I heard Didi's monitor alarm sound.

"Patient's blood pressure dropped sharply!"

"Call the ultrasound doctor!" Chen Cang's expression suddenly changed after hearing the sudden drop in blood pressure!

"Heartbeat 40 times per minute!"

"Shortness of breath!"

Every burst of news means a bad factor!

And Chen Cang hurried over, picked up the stethoscope and placed it on his chest area and listened.

Suddenly, I felt a very abnormal noise coming.

And this voice just covered the first heart sound...

Almost instantly, Chen Cang thought of a possibility.

"Aortic dissection!"

At this time, the ultrasound doctor rushed in.

Chen Cang said to the nurse, "Prepare for pericardiocentesis."

At this time, Yu Yonggang personally organized the rescue.

I also realized what happened in an instant!

"Pericardial tamponade?"

Chen Cang nodded!

At this time, the echocardiographic results instantly saw a large amount of blood in Penlong's pericardium.

At this moment, everyone's heart trembled.

Can this... be saved?

...

ps: Tomorrow, that is, 4.28, the monthly ticket will be doubled, and the end of the month... Everyone will start voting tomorrow when they have monthly tickets...

Well, after twelve o'clock tonight...

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