When a doctor opened a plug-in

Results after the scalpel.

Chen Cang held his breath, and gently touched the blood vessel wall with his hand, wanting to feel the gurgling arterial blood pressure and the pressure on the blood vessel wall.

Vaguely, Chen Cang could feel some.

But it is too difficult!

Perhaps the whole operation is very difficult.

"Sodium nitroprusside."

"Propnarol!"

...

Before the operation, in order to ensure the patient's condition, Chen Cang could only do it again.

It is not so much the difficulty of the operation, it is more the challenge of the patients themselves.

Multiple aortic dissections are not 1+1+1=3, ah, it is as simple as doing three dissections.

The tension and elasticity of the blood vessel wall are limited. When the tension bearing capacity of the blood vessel wall fibers reaches a limit, if one of the operations is performed after blocking, the pressure on other blood vessels will increase a lot!

A little carelessness may cause the dissection to rupture during the operation and aggravate the condition!

Even let the patient die on the operating table.

Here, the blood transfusion department has completed the blood matching, and according to Chen Cang's request, prepared blood for one person.

Nearly 5,000 ml of blood has 1,000 ml ready to warm up.

Everyone is very nervous. This may be the most difficult operation they have ever experienced.

Looking at the thick and even deformed blood vessel walls section by section, although the bulging dissection is not very obvious, there is an indescribable weirdness.

From the aortic arch, to the thoracic aorta, to the abdominal aorta.

The first problem was encountered before the operation started!

That's how to start!?

Is the traditional iliac artery replacement performed first?Then complete the abdominal aorta, so as to ensure the blood flow of the kidneys, and will not induce damage to the liver and kidney function?

but!

The most critical ascending aorta and thoracic aorta are the difficulties and key points.

Now once the iliac artery and abdominal aorta are clipped off, the blood return of the whole body is restricted, and the change of blood flow directly affects the patient's systemic blood pressure!

In case, Chen Cang said just in case!

In case the thoracic aorta ruptures during the replacement of the abdominal aorta and iliac artery.

Can anyone help me deal with it?

surgery!

After all, it's not alone!

A qualified and excellent team can give Chen Cang no worries.

But at this time, when Chen Cang does not have his own excellent team, he needs to consider more clearly and thoroughly!

Even think of any possibility!

So as to make countermeasures.

After much deliberation, Chen Cang decided to perform ascending aorta replacement first!

Is it difficult?

It will definitely be bigger, but it will not cause a series of ruptures of the vascular dissection, leading to hemorrhage, and then there is no time to stop the bleeding and repair and cause death!

Of course, it is also possible to forcefully clamp off the ascending aorta.

but……

If the blood supply to the spinal cord and nervous system is insufficient due to hemostasis, the nervous system is ischemia, hypoxia and necrosis.

The patient may indeed survive.

But what is the difference between living and dead like this?

Watching Chen Cang lightly touch the blood vessel with one hand, while holding the scalpel in the other, his eyes were fixed on the monitor.

Everyone thought Chen Cang was waiting for the effect of the medicine.

It is hard to see that Chen Cang is actually anxious.

However, Hou Liang and Zhang Peiyi were anxious, and they were really disturbed.

They really don't know anything about it!

Don't know what to do with the patient.

Don't even know how to get started.

Hou Liang is much more professional than Zhang Peiyi, but this is the first time Hou Liang has discovered what it means: the more you know, the more afraid!

It was precisely because he understood the difficulty of this operation that he was even more afraid, and even at the beginning of the operation, he lost confidence!

This situation is not uncommon, he has seen it in many patients with extremely high mortality.

He raised his head and glanced at Chen Cang, but it was the first time he saw such calm eyes.

Facing such a patient, Chen Cang... isn't he nervous?

Just at this time!

Chen Cang gave the surgery plan!

"Circulation arrest at low temperature, ascending aorta replacement!"

The anesthesiologist is the director of the anesthesiology department. After hearing what Chen Cang said, he nodded and started work.

This is his first cooperation with Chen Cang!

He hopes to go smoothly.

The young and promising Director Liang Tai quickly began to deal with it in an orderly manner.

Liang Tai's fellow teacher is Zhou He, who is also the director of the emergency center.

Even though Liang Tai has achieved the director level at the Provincial People's Hospital, he still respects Zhou He!

He often listened to Senior Brother Zhou He about Chen Cang's greatness.

He remembered a sentence very clearly!

"Professor Chen's operation, don't ask why! Just cooperate with you!"

He used to think that this sentence was a bit exaggerated.

But when he saw the operation today, he knew that this is not an exaggeration.

Because he has no idea about this operation.

He seems to know how long it took his brother to become like this?

Seeing it cool down to 30°C in the nasopharynx!

Chen Cang glanced at Hou Liang, Zhang Peiyi, anesthetist Liang Tai, and every nurse!

Although only one glance, but his eyes are sharp!

Chen Cang said in a calm tone: "I will block the ascending aorta next and perform replacement surgery. I don't want 20 minutes for the entire operation time!"

"In these 20 minutes, I hope everyone will go all out and cooperate with me!"

These simple words stopped in everyone's ears, like thunder!

20 minutes?

Complete ascending aorta replacement?

This is too crazy!

And not only is Chen Cang crazy alone, it is necessary for each of them to be crazy with Chen Cang!

nervous?

tension!

Are you stressed?

Have!

But seeing the chief surgeon Chen Cang so determined, everyone was involuntarily driven by this momentum!

"Are you ready?"

"Ready!" Everyone nodded in unison!

As soon as the voice fell, Chen Cang directly took the hemostatic forceps and decisively blocked the ascending aorta at 3.0cm away from the beginning of the innominate artery!

This distance is very important!

No more, no less, just played a key role in the operation!

Low temperature for 20 minutes!

The injury of circulatory arrest will not be obvious.

Even many operations require hypothermia to stop the circulation for 40 minutes.

Chen Cang squeezed the time to less than 20 minutes, just to ensure the key to the operation, as well as the need for subsequent operations!

At this time, Chen Cang quickly said to Hou Liang on the side: "Cardioplegia! Ready for injection!"

Hou Liang nodded quickly and began to prepare.

After Chen Cang finished speaking, he didn't pause at all, and he directly took the scalpel to cut the arterial dissection through the left and right coronary arteries!

Operation time is limited!

Chen Cang can't waste time on these tasks!

Because the next anastomosis is the top priority of the operation!

At this moment, the director of the imaging department and the director of the blood transfusion department... everyone stood around and couldn't help but get excited when they watched this scene!