Chen Cang clearly heard that it would take 30 minutes to arrive.

Suddenly frown!

30 Minutes!

Can this hold?

Obviously, not to mention 30 minutes, even three minutes is enough for the old lady now!

We must make a treatment plan as soon as possible.

However, the operation of saber syndrome is not what ordinary people can do!

At this time, the system prompts the sound to start!

[Ding! The on-site simulator of out of hospital first aid is successfully included. Do you want to start the simulation?]

Chen Cang looked happy!

Now the simulation is useless. Wait a minute!

Exchange for surgery!

Chen Cang doesn't have many things now, that is, there are many skill points and more than 100 free skill points, which makes Chen Cang do whatever he wants when he chooses to exchange!

But!

Unfortunately, this operation was exchanged for Mr. Meng's favor.

Looking at the full value of 100 points, Chen Cang breathed a sigh of relief and directly chose to exchange:

[successful exchange of sabre syndrome surgery, master level!]

Looking at the reward, Chen Cang felt that when he went back this time, he quickly transferred Mr. Meng.

Even make a vase!

After getting the operation, Chen Cang chose to study for the first time.

But!

When Chen Cang opened his eyes, he suddenly found something.

Whether it is right pneumonectomy or right pulmonary vein to left atrium transfer, it is right pulmonary vein to right atrium transfer, which needs to be carried out under cardiopulmonary bypass.

Look at the people around, the narrow space and dull environment, and the people with a blank face.

Chen Cang sighed!

Don't talk about surgery. I can't fart now.

Cardiopulmonary bypass machine?

At present, the ECG monitor can only use its mouth to make Bibi sound.

What should I do?

[scene simulator!]

Chen Cang felt that even if it was useless to enter, he had to go in. After all, if he thought inside, time was static.

After coming in, Chen Cang was surprised to find that he still appeared at the scene at this time.

Deng Ming is also there. Both the patient's family and the patient are there!

This is somewhat similar to a simulated stone.

The only difference is that this thing is out of hospital rescue.

You can't simulate the operating room.

I can't care so much!

Chen Cang thought for a moment and decided to have a try.

Open the instrument box, check the instruments, articles and think about countermeasures

If routine operation is required, the sternum shall be cut in the middle, the heart shall be cut under cardiopulmonary bypass, the opening of the right pulmonary vein shall be found, and it shall be re drained to the left atrium by means of patch.

But now let's not say whether there is an cardiopulmonary bypass device, not even an ECG monitor. Patch? It's a fantasy!

The operation obviously cannot be performed here.

What should I do?

Step by step, look at the situation before making a decision.

Thinking of this, Chen Cang has opened his chest.

Looking at the acute right pulmonary vein, Chen Cang's brain turned quickly.

Thinking about a rescue operation that can be performed at this time.

How can we carry out the operation under effective conditions and complete this rescue work!

Chen Cang felt that his spirit was highly concentrated.

The four-dimensional map in his mind began to run wildly. Under the perfect blood circulation system, the shape of each blood vessel appeared in Chen Cang's mind like accurate lines.

How do you do it?

To avoid these risks?

What can be done to perfectly realize the non applicability of cardiopulmonary bypass?

How can I not need a patch?

Time passed minute by minute.

Chen Cang suddenly had an idea!

Yes!

Can the right pulmonary vein be anastomosed directly to the left atrium without cardiopulmonary bypass?

This idea... Is too challenging!

Even take it for granted.

But Chen Cang began to deduce it constantly.

The more he thinks about it, the more he feels he has a chance!

In this way, you don't need to make patches in the heart to build an intracardiac tunnel.

Moreover, it can also greatly reduce the probability of obstruction of pulmonary venous reflux!

At the same time, it can also avoid the impact of cardiopulmonary bypass on patients.

However, it is very dangerous to cut the heart without the support of cardiopulmonary bypass.

Unfortunately, Chen Cang's best move is also his housekeeping skill. That's it.

Non cardiopulmonary bypass, non-stop operation of the heart!

Try!

With this in mind, Chen Cang estimated all the surgical risks and possibilities, and then began the simulated surgery!

This is a very risky operation!

The biggest risk is intraoperative bleeding!

Once the big blood vessels of the heart are broken, the consequences will be disastrous.

In the operating room, it's a narrow escape, not to mention the elevator at this time.

The first time, the operation failed!

Because of the exposure angle.

improvement!

Continue to fail because of different suture standards.

third time!

succeed!

However, the operation time is too long, resulting in the poor condition of the elderly.

……

Change, again and again!

What Chen Cang can do now is to use the limited instruments and drugs in his hand for rescue.

It's really a test!

Chen Cang had to sigh that others met love around the corner.

Good for yourself!

It's the wild monster with super invincible saber syndrome around the corner!

The boss has pushed Chen Cang to the corner.

To a point where you can't do it!

Finally, after many attempts, Chen Cang was finally sure!

Prepare him!

At this time, Chen Cang opened his eyes, less than a minute from just now.

Deng Ming looked at Chen Cang and couldn't help asking, "Professor Chen, why don't you... Strengthen your heart?"

Chen Cang shook his head!

"Give me anesthesia!"

One sentence made Deng Ming a little confused.

Anesthesia???

Anesthesia at this time?

Do you dislike that the old lady is not quiet enough?

At this time, Deng Ming's head is not enough.

He thought of countless rescue methods, but he didn't expect one related to anesthesia.

Chen Cang looked at Deng Ming and said, "the patient can't say it for too long now. We must take some measures."

Deng Ming is a little dull. What Chen Cang says is what he says!

Anyway... I can't help myself anyway.

Too helpless and oppressed.

Chen Cang turned around and looked at the patient's family. Chen Cang said directly:

"Now the old lady's situation is very dangerous."

"Nine times out of ten, it won't last until the elevator opens."

Chen Cang's words directly changed their faces.

"Doctor! Think of a way quickly. What will you do?"

The women are crying.

Manly slapped and kicked at the elevator and shouted, "help, draft it, don't open the door again!"

"I'm Cao..."

The man shouted hoarsely.

The woman lay on the ground: "Mom, if you insist, you'll open the door right away, and the rescuer will come right away!"

"Mom, can you hear me!"

The patient's family members were angry and anxious, but there was no way: "doctor, is there really no way?"

Chen Cang said at this time: "now, there is a way that can be tried."

"But... In advance, the risk is too high and the mortality is also very high. You need to make your own decision."