Chapter 1132

The office suddenly became lively.

Ge Huai was flustered!

He knows his level.

How embarrassing is it for a while?

In fact, vascular suture in cardiac surgery has always been a compulsory course for every doctor. It is not only a regular competition in the first hospital of Dongda, but also a habit in many hospitals.

Because many operations in cardiac surgery are inseparable from vascular anastomosis.

The major vessel replacement surgery of Marfan syndrome is inseparable from vascular anastomosis.

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

For example, Professor Xiao Zhehai of Ruijin hospital can quickly complete total aortic arch replacement in 18 minutes, which requires the treatment of eight joints in a very short time.

This is a very difficult process.

Hearing the competition, Xu Ziming smiled and said, "Dr. Ge, I'll prepare something for you?"

Ge Huai was flustered: "no, it's too troublesome. I'm here to learn..."

Xu Ziming Listened: "they are all young people. It will help to improve if dobby tries."

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

"Yes! Dr. Ge, show your hand!"

At this moment, Ge Huai regretted that he had known that it was so hard to pretend. He shouldn't have said anything!

He now understands a sentence: having strength is called pretending to force, but having no strength

Seeing that everyone was very lively, Ge Huai couldn't help sighing.

That's it!

At this time, Chen Cang came in.

Everyone greeted with a smile:

"Professor Chen!"

"Miss Chen!"

Meng Xi smiled: "Xiao Chen is coming."

Chen Cang greeted everyone with a smile and said to the teacher, "Miss Meng!"

Looking at the people around, Chen Cang smiled: "everyone is here."

Xu Ziming also came in: "Miss Chen, why are you here?"

Chen Cang looked at GE Huai and a young doctor who had arranged a battle. He was stunned, smiled and said, "this is... A competition for vascular suture?"

Xu Ziming nodded: "well, young people, communicate more."

Seeing this scene, Chen Cang suddenly remembered the reward a few days ago.

Vascular artificial vascular anastomosis technique.

In fact, this technique is mainly aimed at large vessel replacement surgery.

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

Originally, Chen Cang felt that his suture speed was fast enough, but after the operation, he found that there was still some gap with Academician Xiao Zhehai.

This gap is not just a gap in vascular suture.

But the difference in the details of different vascular treatment.

How to make rational use of time and how to effectively reduce excess time... Are particularly important.

Macrovascular replacement itself is competing for time with death.

If it can effectively reduce the operation time and improve the operation efficiency, it can actually reduce the complications.

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

The same is true for aortic arch replacement!

There are more than ten pairs of intercostal arteries for blood supply to the spinal cord, as well as other arteries. The anastomosis required for the whole 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!

After Chen Cang learned his skills, he also wanted to have a try.

Li Baoshan also came in at this time and watched the upcoming game with great interest.

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

"Chen Cang, I'm Yu Yonggang, a patient with Marfan syndrome. After visiting Yu Wan, I suddenly fell ill. I just finished the examination. Now I suspect it's aortic dissection with abdominal aortic dissection. The situation is very serious!"

"Are you in cardiac surgery? Ask director Xu to come down and have a look! The patient is still in shock. I don't know if there is time for angiography. Come down and have a look."

Yu Yonggang's voice is a little urgent!

Because the patient's situation is too anxious.

Aortic arch dissection plus abdominal aortic dissection!

It's very rare that two great arteries come on at the same time!

If one operation is performed at the same time, can the patient tolerate it?

After Chen Cang hung up the phone, he said to Xu Ziming, Li Baoshan and others: "in the emergency department, a patient visiting Yu Wan suddenly fell ill, and all the aortic arches and abdominal aorta appeared dissection!"

"And now the patient has been in shock and has not had time for angiography!"

After Chen Cang said that, he walked directly outside.

And Li Baoshan and Xu Ziming looked at each other, from each other's eyes to dignified!

The whole office was full of joy just now. Now it's quiet and serious.

Meng Xi directly followed and ran out.

Now the patient's situation can be said to be at stake!

Two aortic dissections occur at the same time. Due to obstruction, the whole blood circulation is not smooth, and even the blood pressure rises!

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 entrance of the elevator, the elevator was still going up. Helpless, the party ran down the stairs.

Shock at this moment.

The reason will be very dangerous, and the factors to be considered will also be very fast.

Could it be caused by the rupture of aortic dissection?

Soon, after running six floors in a row, they arrived in the emergency hall.

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

Chen Cang ignored the others and rushed in directly.

After coming in, I heard Didi's monitor alarm sound.

"The patient's blood pressure drops suddenly!"

"Call an ultrasound doctor!" when Chen Cang heard the sudden drop in blood pressure, his face suddenly changed!

"40 beats per minute!"

"Shortness of breath!"

Every burst of news means a bad factor!

Chen Cang hurried over, picked up the stethoscope and put it in the chest area to listen.

Suddenly, I felt a very abnormal noise.

And this voice just covers up the first heart sound

Almost in an instant, Chen Cang thought of a possibility.

"Aortic dissection separation!"

At this time, the ultrasound doctor hurried in.

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

At this time, Yu Yonggang personally organized the rescue.

And instantly realized what had happened!

"Pericardial tamponade?"

Chen Cang nodded!

At this time, echocardiography showed that there was a large amount of blood in penlong's pericardium.

At this moment, everyone was cluttering inside.

Can this... Be saved?

……

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