Chapter 316： : Scheming BOY!

"Cang Cang, come here from work at noon! Take a taxi!"

At 11 o'clock in the morning, Chen Cang received a call from Meng Xi.

Chen Cang, who had just stepped out of the operating room, immediately nodded and promised, and then asked, "What happened to Teacher Meng?"

Meng Xi said: "The culture results of the patient yesterday appeared. It was Qiu Juan infection of pneumonia, which turned to staphylococcus. It should be caused by direct infection in the chest."

Chen Cang breathed a sigh of relief. Now that the infection has been determined so quickly, the next step is simple. The only thing to do is to use targeted antibiotics.

Symptomatic treatment is also the most appropriate measure.

After speaking, Meng Xi added: "The pericardial effusion culture has pus."

Chen Cang gave a whisper, but hesitated!

"Is there a purulent fluid in the pericardial effusion?"

I Cao!

Chen Cang suddenly became nervous.

Thinking of the sentence that Meng Xiyun said lightly, Chen Cang almost choked to death.

After all, it is possible that Meng Xi can do such a big thing and say so lightly, right?

Because no matter whether it is systemic antibiotic treatment or injecting antibiotics into the pericardial cavity, it cannot prevent the formation of pus in the cavity!

It can even cause cardiac tamponade due to a large amount of pericardial effusion, or it can develop into constrictive pericarditis due to the formation of encapsulated pus.

Therefore, once it is determined to be pus, a pericardial incision should be performed immediately, debridement is performed, and then the drainage tube is prevented.

Chen Cang has learned theoretical knowledge very well these days, and the dangers of each operation are clear.

So, thinking of hitting here, Chen Cang was inexplicably nervous: "Or ... Ms. Meng, do you hurry up for surgery?"

Meng Xi hesitated for a moment, and said gently: "What's the matter?"

A fluttering panic made Chen Cang dumbfounded. When he looked at the phone again, the phone was hung up.

Chen Cang is speechless ...

What is this panic ... makes Chen Cang feel that he is a weak **** in the field outside the heart.

Why do you say that?

The growth of any clinical doctor will go through three stages.

The first stage is medical bai, who is aggressive when looking at everything. I do n’t know the importance, the urgency, or even the seriousness!

The second stage is the theoretical madness, who knows the theoretical knowledge well. The masters of this stage are basically the backstory of the theoretical knowledge. They know the dangers of the disease, know the horrors of the disease, and worry about everything.

The third stage is clinical obscurity. Based on many years of clinical experience and grasp of various data, he knows the patient's condition and status, and has a high degree of grasp of the disease.

And Chen Cang, although not the first stage of cardiac surgery in the field of cardiac surgery, knew nothing.

But it's just the second stage of watching everything in a hurry, always feels very dangerous when something happens.

In fact, this is not to blame Chen Cang, because bacterial pericarditis itself is often an acute, fulminant disease, and the prodromal symptoms are only 3 days on average!

The performance is also obvious, usually with high fever, chills, systemic poisoning symptoms and dyspnea. Most patients do not have typical chest pain, and the occurrence of chest pain may mean that the severity of the situation will rise, and the disease is more dangerous.

And as Meng Xi said, the physiology, biochemistry, and culture results showed that there is purulent pericardial effusion, which means that the crisis has increased a little bit.

Because purulent pericardial effusion can develop into pericardial constriction, that is, constrictive pericarditis!

The risk of constrictive pericarditis will also increase a lot!

Not conducive to the rehabilitation of patients!

Even if the operation for constrictive pericarditis is much more difficult than ordinary pericardial surgery, thinking of this, Chen Cang is still a little nervous.

The main thing is that he can't delay the patient's condition because Teacher Meng waits for himself.

He felt that Teacher Meng Xi was actually waiting for himself, and the more so, the more worried Chen Cang was.

Chen Cang is grateful for this kindness.

in fact……

No matter how arrogant Meng Xi is, she will not delay the best time for diagnosis and treatment. The reason for this arrangement is because she knows the patient's various indicators and is very clear about the occurrence and development of the disease.

That's why I told Chen Cang!

To put it plainly, a doctor's judgment of disease is generally the result of his own experience.

Director Meng was so confident, but Chen Cang didn't dare.

The little doctor must have the little doctor's consciousness, and the novice village must have the novice village's gameplay.

At this point, the hospital was fine, and Chen Cang greeted and ran away!

Since Yuan Fan was no longer in Curry, the whole department was much cleaner, and Chen Cang became more and more unscrupulous.

After all, Qin Yue has been reduced to licking a dog under her milk tea offensive.

Director An is now alive and tortured by his own Chen.

Wang Yong, as his own apprentice, devoted himself to work hard.

Chen Cang in the department felt that he was now a bully!

Well, it should be called Chen Yige!

...

The taxi fare to the First Hospital of Dongda University cost only eight yuan.

After rushing to the cardiac surgery, Meng Xi was preparing a medical record at the nurse station.

Chen Cang ran over: "Thank you, Teacher Meng, I have been waiting so long!"

Meng Xi also took a moment to look at her watch: "So early."

After speaking, pass these things to Chen Cang:

"The consent forms are all signed, so start the operation as soon as possible."

Chen Cang smiled gratefully.

Although Meng was stricter, she worked day and night, allowing students to come and follow up after work.

If this is the average student, there must be a complaint.

But Chen Cang understands that he is only learning technology, and other teachers haven't complained, what qualifications do you have to complain.

Ge Huai saw Chen Cang coming and smiled unexpectedly: "Little Chen, don't be nervous, there is me."

Chen Cang froze, this teacher Ge ... seems to have changed?

It's amazing how much I care about myself.

Chen Cang said quickly: "Thank you, Mr. Ge, today you have to trouble Mr. Ge ~ www.novelhall.com ~ Ge Huai shook his head:" It is difficult to get started, learn more, and do more times. "

When everything was ready, everyone was in the operating room.

Along the way, Meng Xi emphasized to Chen Cang the importance of many pericardial incision and drainage operations.

The three Chen Cang came to the operating room while talking.

Meng Xi is actually very curious about Chen Cang. Although he has rarely let Chen Cang get started, each time Chen Cang's performance is very eye-catching.

Especially the diagnostic skills, Meng Xi's eyes brightened twice, and his hands-on ability is also very good. Whether it is vascular suture or pericardial puncture, the operation ... It is difficult to do without decades of experience!

Therefore, for Chen Cang, although Meng Xi didn't say it, she knew everything.

She also wanted to see how Chen Cang performed.

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