Chapter 656

Time is tight and the task is heavy. Chen Cang dares to delay every minute!

After knowing that the patient was pregnant, Chen Cang hesitated slightly and frowned a little!

This is really not a simple thing!

Pregnancy complicated with heart disease is not only a very serious complication, but also one of the important causes of maternal and perinatal death!

The proportion of maternal deaths from non obstetric causes ranks first.

Similarly, due to the changes of hemodynamics, blood hypercoagulability and metabolism during pregnancy, the heart burden of pregnant women increases, which can worsen the condition of original heart disease or cause complications, such as decompensation of cardiac function, acute pulmonary edema and heart failure.

However, at this time, Huihui itself may have serious heart injury. Coupled with the burden of pregnancy, the difficulty, risk and prognosis of operation increase in proportion!

Li Weiyan suddenly said, "why don't we establish extracorporeal circulation first and wait for them?"

Chen Cang didn't speak, but looked up at Li Weiyan. Suddenly he was very ashamed and didn't dare to say another word.

He also knew he was wrong!

But he can't do such an operation well. He can only maintain the vital signs of the patient and wait for the arrival of the expert director as much as possible!

But in Chen Cang's eyes, there are too many meanings!

After a broken heart, not only bleeding is the most terrible!

The most terrible thing is that after the heart rupture, there will be large areas of myocardial cell necrosis around!

The heart is necrotic. Can it be used if it is saved?

Therefore, at this moment, for every additional minute of delay, the probability and risk of patient death, including childbirth, will increase in proportion!

Or, the risk of heart will be greatly increased!

Chen Cang looked at the anesthesiologist and said, "endotracheal intubation, prepare for anesthesia!"

The anesthesiologist nodded solemnly!

At this time, Huihui was not in shock, just because she was frightened and was in a coma.

Just as he was preparing, Huihui suddenly woke up.

His eyes were full of tears. After seeing Chen Cang, it was like seeing a straw to save life.

"Doctor! Please..."

"Save the child!"

"Please, help my child..."

"I don't want to die. My child is only five months old. I can't die!"

"I'm fine when I die, but my child..."

At this time, Huihui seems to have forgotten the pain caused by her own injury.

The worst thing for her is the unborn child!

As a new mother, she has too many expectations, too many surprises, too many expectations and too many worries!

But at this moment, this knife pierced all her fantasies about the future.

She felt severe pain and was not afraid! I don't even feel the pain coming from there!

Because the most terrible thing is not death.

But the unborn child has to die with himself.

This is the greatest fear and grief!

When you are sad, blood rushes out.

Chen Cang took the initiative to stretch out his hand, held her hand, looked at Huihui and said, "trust me!"

Feel the faith and firmness in these eyes, the sense of trust in the soul, and the temperature of life in that hand!

Huihui suddenly relaxed a lot and became more down-to-earth.

At this time, Chen Cang's soul lives in a 99 level big boss. He knows that at this moment, contact, body temperature and power transmission are the best means!

All, he held Huihui's hand.

This is an experience, not a skill, rather than a skill, but the essence of traditional code of conduct.

Body temperature makes people feel comfortable, contact makes people relax their vigilance, and strength makes people full of confidence!

When Chen Cang holds her hand, it is actually the most powerful treatment and the most effective comfort.

There is a saying in English called "give me five". In fact, it is the same as the same.

Chen Cang turned to look at the anesthesiologist and said:

"I'll have local anesthesia first. You'll see the situation later. Prepare for endotracheal intubation and general anesthesia! No problem?" Chen Cang asked more!

The anesthesiologist nodded. He knew what Chen Cang meant!

Although I was curious about who the young man was, I was even more curious about why I felt a kind of fear from him?

But at this moment, the most important thing is not others, but rescue!

Chen Cang's meaning is very clear: at this time, Huihui is often in a state of low cardiac output and has very poor tolerance to narcotic drugs!

Cardiac arrest is easy to occur during induction.

So at this time, Chen Cang had better open his chest under local anesthesia, and then complete general anesthesia when conditions permit!

Chen Cang took a deep breath. After preparing, he turned in, dressed and picked up the scalpel.

Looked at the anesthesiologist: "give me the anesthetic."

The other party nodded and handed the configured lidocaine local anesthetic to Chen Cang.

Chen Cang looked at the wound on Lele's chest. After some consideration, he began to inject anesthetic. After a little waiting for the anesthetic to be absorbed, he made an incision in the middle of his chest!

After thoracotomy, Chen Cang took a look at Li Weiyan: "prepare autologous blood!"

Li Weiyan was stunned and instantly reacted to Chen Cang's meaning!

At this time, if there is not enough blood, it is best to use autologous blood.

After a good opening, the four chambers of the heart and the ascending aorta were exposed instantaneously.

Chen Cang hesitated slightly and cut the happy bag.

Said to Tang Lingling, "open your sternum!"

Tang Lingling nodded to fully expose the surgical field of vision.

At this time, Chen Cang cut the happy bag and immediately saw the patient's wound!

[Ding! King boss: strange heart rupture. Pregnant women's heart suddenly ruptures, accompanied by irregular wounds, obvious rupture of ventricular septum... The wounds are severe, please repair them immediately!]

Chen Cang narrowed his eyes and prepared for the operation!

For the hemostatic suture operation of the heart, the requirements are very high!

It is directly related to the later repair and the recovery of the normal function of the heart.

Moreover, if the damage of special parts, even the difficulty will increase in proportion.

Just like this time!

How much pressure does a king boss bring?

Chen canggen could not have imagined.

The wound has damaged the coronary vessels, which is undoubtedly a heavy blow to the whole heart.

As I said last time, the coronary artery is actually a channel that provides blood and oxygen to the heart.

If it's damaged here, it's myocardial ischemia and necrosis!

This is much faster than its myocardial infarction!

Preoperative preparations have been made, and everyone is staring at Chen Cang, because at this moment, everyone has no backbone.

Even Li Weiyan, Tang Lingling and others can't help it. Things have come to this step.

Is there any way back?

The confidence and aura of Chen Cang made everyone around him marvel.

Maybe he really has a way!

At this moment, all hope is placed on Chen Cang!