the second day.
Operating room.
The station was crowded with people.
The operating table was surrounded by spectators.
The last time so many people stood, everyone forgot when.
Today's operation is destined to be a wonderful operation.
Everyone focused on the front.
Chen Cang is the main knife, and Xiao Zhehai is also the second main knife.
Assistant with two people, Chen Cang with Xu Ziming and he Zhiqian.
The operation is about to begin.
It is best to complete the operation of type 1 patients with aortic dissection at one time. The mortality of the second operation is very high, and if it really needs to be delayed until the third operation
Basically, it needs to be abandoned!
Because the operation is too difficult.
At this time, the patient is the second operation.
Under normal temperature operation, Chen Cang and Xiao Zhehai looked at each other and nodded slightly.
Ready to start the operation.
After thoracoabdominal incision, Chen Cang looked at the patient's aorta and couldn't help shaking his head!
This situation may break at any time!
This is the strength of cardiac surgery in Ruijin Hospital. They are very experienced in dealing with Ma fan patients.
Control the patient's blood pressure and blood vessels well.
That's what makes me great.
It is possible that Ruijin and anzhen hospitals can do this in China.
Next, Chen Cang said to the anesthesiologist: "give the medicine!"
After that, Chen Cang placed his hand near the aortic dissection and where it was easy to break.
[aortic dissection: lv95, king boss, aortic dissection after secondary operation is very critical, and the death coefficient is very high!]
King!
right enough!
But this time, Chen Cang has enough experience.
The operation is about to begin.
After the medicine was given, Chen Cang wore sensing gloves and silently felt the gurgling pressure from the aorta and the tension of the blood vessel wall
At this moment, Chen Cang's perception ability has been fully developed!
Chen Cang can even feel the elasticity of the patient's vascular wall, what pressure can break the current state, the degree of damage at all levels of the vascular wall, and how to repair the intima
Wait, wait!
At this moment, Chen Cang was suddenly surprised.
It was thought that the strongest point of this [perception glove] was palpation.
Now it seems.
Palpation is only the simplest part of it.
With such a pair of gloves, Chen Cang has an intuitive understanding of the patient's vital signs evaluation.
The hypotensive effect of sodium nitroprusside began to take effect.
But at this time, Chen Cang felt the pressure of the patient's blood vessel wall and suddenly had an idea!
"Boost!"
As soon as this remark came out, all the people around were dumbfounded!
This is a sandwich patient. If you don't stop circulation at low temperature, now boost the patient?
Aren't you looking for something?
For a moment, everyone stared at him curiously.
Xiao Zhehai suddenly thought of something.
Nodded and said, "listen to him, pressurize!"
The medical staff hurriedly asked, "what medicine to use and how much to add?"
Chen Cang closed his eyes and felt it: "m-hydroxylamine, use..."
Chen Cang has an intuitive understanding of emergency drugs.
In terms of pressure rise, norepinephrine has a strong and short effect, and m-hydroxylamine has a mild and lasting effect!
It's easy to have problems with the use of noradrenaline here, but the use of m-hydroxylamine can make the blood pressure rise continuously and enhance the blood perfusion of heart, brain and lungs.
The doctor who gave the medicine was also nervous.
After all
The patient's blood vessels may rupture at any time. If it increases pressure
But!
When the drug entered the human body, Chen Cang began the "Chen's elephant trunk stent operation!"
At this time, we clearly feel that the blood perfusion of the patient's heart, lung and brain has increased a lot.
And the aortic pulse continues to be strong!
At this moment, everyone couldn't help getting excited.
In this way, Chen Cang almost used the blood pressure of the operation to a limit level.
High may rupture blood vessels!
Low may lead to insufficient tissue perfusion and aggravate adverse reactions in patients with cardiopulmonary insufficiency.
Now, Chen Cang's reasonable boost has successfully solved the current problem!
That's awesome!
It seems that this operation has become Chen Cang's monologue.
Whether Chen's elephant trunk stent surgery or the flexible change of blood pressure, it is extremely accurate.
Tumor cavity cleaning!
Vascular anastomosis!
Every step of the operation makes people aware of what is called master attainments.
It's really great.
Even Xiao Zhehai had to admire it. In terms of this operation alone, Chen Cang has stood at the forefront of the world.
Maybe even Xiao Zhehai can't compare with Chen Cang.
For a time, Xiao Zhehai was amazed and filled with emotion.
however!
Because of Chen Cang's participation, this operation went a lot smoothly.
The most classic Chen's elephant trunk stent operation has become the highlight of the operation!
The only pity is that such a stent is simply built by Chen Cang. If you can cooperate with pharmaceutical companies, you can launch a special surgical device.
In this way, it will save a lot of operation time and improve the efficiency of operation.
With the ingenious shunt of the stent, the pressure of the blood vessel has been maintained at a relatively stable level.
therefore!
In this way, the whole operation was completed step by step in dangerous but steady steps.
Chen Cang can't be careless!
This is a more dangerous king boss than last time.
Even if the boss is pinched by Chen Cang all the way, Chen cangsheng is afraid to fight back on his death.
Time passed steadily.
The end of the operation!
Everyone became more and more nervous.
The completion of this operation may mean the high efficiency of Chen cangxiang's nasal stent operation!
This is a rare good thing for the development and development of surgery in the future.
Even, you can expect that after Chen Cang summarizes the operation, he will be published in the world magazine.
Everyone will yearn for such an operation.
Because this operation can reduce mortality!
That's all, that's enough!
Finally, five hours later, the operation was completely over.
With a clear sound, the patient was saved!
[Ding! Congratulations! You have completed lv95 king boss aortic replacement surgery and won awards: 1. Classification methods and standards of aortic dissection; 2. Material model of elephant trunk stent surgery.]
Hearing the system prompt, Chen Cang was stunned!
These two rewards
Is this to be the first person in the field of aortic dissection?
One is methodology!
A material!
Thinking of this, Chen Cang couldn't help getting excited.
Today's Ruijin trip was really fruitful!
Chen canggen didn't expect to harvest so many things.
……
……
PS: Thank you for the 80000 reward of "ye duoduo'er" and becoming the leader of this book. Thank you, miss!