Doctor Started a Plug-in

Chapter 1076

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Xu Ziming heard a Patient with aortic dissection and ran to the emergency department himself.

After coming down, I saw Chen Cang and asked directly: “Teacher Chen, what’s going on?”

For Chen Cang, Xu Ziming has always been very respectful. If it were not Chen Cang, what would he do with a non-stop heartbeat 2 mitral valve replacement?

This is simply an impossible thing!

Cardiopulmonary surgery is now more and more popular. He and Wang Tong of Peking Union Medical College are now the two benchmarks in this field.

However, they are very clear that all this comes from Chen Cang.

After hearing the consultation in the 6 departments of the emergency department, Xu Ziming got up and came directly.

Aortic angiography is performed by injecting a contrast agent and then developing it under CT to clearly see where the aortic dissection occurs.

The aortic dissection is neither a true aneurysm nor a pseudoaneurysm, but damage to the intima and middle layer of the artery due to various reasons. The blood forms a hematoma in the middle layer along the torn inner membrane!

The aortic wall is peeled into two layers. Under the impact of blood flow, the peeled part gradually expands to the proximal and distal ends of the aorta, forming a separate expansion of the middle layer in different ranges, called aortic dissection. Like to call aortic dissection.

Xu Ziming hurried out from the inside, holding a film in his hand, his face was obviously dignified.

Seeing this, Chen Cang quickly asked, “What’s going on?”

Xu Ziming said to impossible to bear: “The situation is a little special!”

In a word, Chen Cang let out a chuckle in his heart: “Ascending aorta?”

Xu Ziming is nodded!

Chen Cang was participating in the Department of Cardiothoracic Surgery Skills Competition at the time. The main match was the matching of big blood vessels in the chest.

In the anastomosis of the large blood vessels in the chest cavity, the most technically difficult and the most dangerous is the ascending aorta.

Now the aortic dissection appears in the ascending aorta, which is obviously not good news!

Chen Cang quickly took the film and took a closer look, and suddenly saw the location of the aortic dissection!

Moreover, it can be clearly seen that the dissection site of the aortic wall starts at the root of the ascending aorta, and the rupture of the intima starts at the proximal anterior wall of the ascending aorta and extends to the distal end of the aorta to the descending aorta!

After seeing it, Chen Cang unable to bear thought about such a situation…it’s really a bit complicated.

Because it has already involved the dissection of the arch artery branch and the insufficiency of the aortic valve.

Looking at the film, the three suddenly fell into silence.

“Return to the emergency department first, and go back to find a way!” Ma Yuehui said directly, “Now there is a problem that needs to be clarified, what is the cause of the Patient!”

While speaking, the entire group pushed the Patient to the emergency department, and the results of the inspection tests came out one after another!

The doctor in charge of the bed had already collected the history of the disease with his family at this time.

Seeing Chen Cang and the others coming back, he hurriedly came over.

“Dr. Chen, through contact with his family, the history of the disease is like this. The Patient has a previous medical examination, no history of trauma and surgery, no hypertension, diabetes…Patient’s parents did not find a family genetic disease!”

The words of the doctor in charge of the bed stunned Xu Ziming!

What is the reason?

Although the etiology of aortic dissection has not yet been clarified, there are some predisposing factors?

At this time, Chen Cang suddenly remembered something and turned to the rescue room.

After coming in, Chen Cang directly lifted Patient’s hands and looked directly!

Tian Zhengkai is a basketball star with long arms and long arms, and Chen Cang suddenly remembered it.

I saw his hands with long fingers!

Chen Cang’s careful comparison, his hands are about 25cm long, with a height of 220… the ratio of hands to height is 11%!

Next, Chen Cang quickly observed the palm.

At this time, after using medicine, Tian Zhengkai’s symptoms had some relief.

Chen Cang hurriedly said, “You have your thumb inward, and the remaining 4 fingers make a fist!”

Tian Zhengkai nodded to follow suit.

Chen Cang suddenly saw that the tip of Tian Zhengkai’s thumb was beyond the lower edge of the palm!

This is a thumb sign!

Special skeleton changes, abnormal Cardiovascular performance, although there are no eye symptoms, Chen Cang is only one step away from the diagnosis, that is family history!

At this time, Xu Ziming and Ma Yuehui also clearly read Chen Cang’s series of inspections. For a time, they also reflected what was going on.

Chen Cang hurriedly said to the tube doctor: “Take me to see my family!”

The young doctor nodded and took Chen Cang directly to the emergency room. Chen Cang also saw Patient’s wife and parents.

After seeing his father, Chen Cang suddenly understood that height is really hereditary.

“Hello, this is Chen Cang, Tian Zhengkai’s doctor. Now I have a few questions that I want to consult.” Chen Cang asked directly, without a condom.

At this time, Tian Zhengkai’s family members had been messed up.

Tian Zhengkai’s child is only 2 years old and is held in his arms by his wife.

The parents are less than 60 years old and the father is very high.

“Dr. Chen, what is the situation with my son?” Father Tian asked with some concern.

Chen Cang directly said: “The situation is not optimistic. We are preparing for the operation. This time I talked to you to talk about it. One is to understand some conditions, and the other is to sign the surgical consent!”

After that, Chen Cang said to the young doctor: “Go to prepare the informed consent form, the critical illness notice…”

After hearing this, the doctor in charge of the bed got up quickly.

The Tian family here was suddenly dumbfounded, and the Tian family quickly asked: “Illness notice? Dr. Chen, what’s going on? Why is it critically ill?!”

Tian Zhengkai’s parents are only ordinary persons, father is a physical education teacher in a middle school, and mother is a mathematics teacher. Both of them are now retired. Their hometown is in Beihe Province, and they live in Beijing to take care of children.

The wife is now 28 years old and the child is only 2 years old!

Such a family, if Tian Zhengkai has an accident, the result is self-evident.

As a pillar of the family, this disaster may be devastating.

You know, even if Tian Zhengkai is 33 years old, he still holds an annual salary of 1000000 a year. Even in Beijing, he is a high-income group.

If Tian Zhengkai…

So, after hearing this news, all three people were face deathly pale.

Chen Cang saw the situation, explained the danger of Patient, and even detailed the mortality of the operation.

After listening, the family was silent.

The wife looked at Chen Cang with tears in her eyes, and the child’s hand trembling slightly: “Doctor, you must save him!”

“Child is less than 2 years old and just learned to call father…”

Before Tian Zhengkai’s wife’s voice was finished, he choked up.

Chen Cang comforted: “We will go all out.”