Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

He Chao is Ph.D. Ph.D. graduated from Ruijin Hospital of Shanghai Jiaotong University, did not stay in Shanghai and returned to Beijing hometown.

Full of blood for the first aid, he came to the emergency center and successfully became an ordinary resident doctor!

This is Beijing!

A Ph.D who has not graduated for a long time can only work as a resident.

In He Chao’s eyes, the most powerful emergency center is Dean Wu. That is a genius and a generalist. He is very proficient in emergency surgery!

Later, after coming to the emergency department 6, the hero in He Chao’s eyes was Yu Yonggang, a man who generally refused to admit defeat.

Now, the idol in He Chao’s eyes is Chen Cang!

This man is full of mystery and Legendary color!

The age is similar to himself, but the calmness and calmness facing the Patient is his yearn for something even in dreams quality.

Chen Cang smiled and glanced at He Chao: “I don’t believe you without me! Go and prepare!”

After finishing speaking, Chen Cang turned and said to Xu Ziming and Ma Yuehui: “Contact Operation Theatre to prepare for surgery!”

Xu Ziming heard Chen Cang say this, naturally he was a little more excited!

Marfan syndrome surgery!

Ascending aorta + total aortic arch replacement surgery!

Domestic Department of Cardiothoracic Surgery top difficulty surgery, Chief Surgeon number 2 hands can come over!

Xu Ziming felt that with Chen Cang, he could really learn a lot.

Ma Yuehui was not idle, but also began to prepare.

Chen Cang walked to the bed, looked at Tian Zhengkai, took a deep look, did not speak, got up moved towards Operation Theatre and walked.

“Ready for surgery!”

……

……

At this moment, Chen Cang suddenly thought of Li Baoshan Director Li!

He and his Teacher are experts in the field of abdominal aortic replacement surgery.

At this moment he finally understands why it feels like trust has been let down?

When the teacher is sick and lies in front of him, it is really difficult to face this kind of surgery!

Teacher believes in you and is willing to give yourself to you!

Standing in the locker room, Chen Cang was preparing to lock up his mobile phone and seriously perform this operation. Suddenly hesitated, picked it up, and edited a text message for Li Baoshan:

“We have organized 1000 to 10000 rescues, and we have succeeded and failed. It is precisely through the pain of this skin-cutting experience that I can resolutely determine the last acre of land in the Protector. The doctor is a person, not a god!”

Chen Cang didn’t say anything, just sent it in the past lightly, and he believed that Director Li would understand.

He hopes to untie Director Li’s heart.

In the Operation Theatre, Zhou He is Anaesthetist.

Chen Cang, Xu Ziming, Ma Yuehui and He Chao are all ready.

The operation is about to start.

Chen Cang learned the Master Level by spending a favorite impression.

[Ascending Aortic Replacement] + [Total Arch Replacement]!

The favorable impression degree disappeared, but fortunately some of the favorable impression degree can be displayed from time to time, otherwise it is really not enough.

Now Chen Cang suddenly misses Teacher Meng a little bit. If she is here, she will be shocked from time to time, and brushing the favorite impression degree is no problem at all.

The operation begins!

Chen Cang had no intentions at this moment, and now it is useless to think about anything.

Gently make a midline sternum incision, and then extend the incision to the left supraclavicular fossa appropriately, because a full arch replacement must be done.

Fortunately, at this time, do not perform abdominal aortic replacement, otherwise, this incision should be one meter long, from the chest around the abdomen, along the abdomen to the anterior iliac spine!

Such a surgery is really too difficult.

“Establish cardiopulmonary bypass!”

“In a while, the deep hypothermic circulatory stop technique will be used to handle the venous catheterization.”

Chen Cang made an orderly arrangement, and the people on the side were silently remembering it.

……

These all are ready to work. When everything is done, Chen Cang finds the culprit!

Aortic dissection of this tympanic cyst.

However, when Chen Cang saw the entire aorta, his eyebrows were tightened.

The ascending aortic dissection of deep red, the aortic arch of red, and the color of the descending aorta below can feel a touch of color.

What does it mean?

[Aortic dissection: lv85, elite strange, aortic dissection caused by the aortic intima damage in the early manifestation of Marfan syndrome, the scope is large, it is recommended to replace! 】

8Level 5 surgery, the level is not low!

And the lord blame… It seems that the system thinks that not at all involves abdominal aortic replacement, so it is considered that the operation is not difficult, just the elite blame.

Chen Cang estimated that a complete set of Marfan syndrome surgery should be a lord monster above 9Level 5!

I am currently only a one-stage operation that’s all.

Chen Cang blocked the ascending aorta 3 cm away from the beginning of the innominate artery and cut the artery dissection.

“Cardioplegia!”

After Chen Cang took over, cautiously perfused the cardioplegia through the left and right coronary arteries, and after cardioplegia was switched to continuous reverse perfusion to protect the myocardium.

This is a kind of protection for cardiomyocytes.

Because the dissection at this time has already involved the aortic valve junction, Chen Cang must reinforce the junction with cushion Suture at the corresponding junction.

Then add a circle of felt strips directly to the intima and adventitia of the aorta, and said to Xu Ziming on the side: “Reinforce Suture with 4-0 polypropylene thread.”

When Xu Ziming heard it, he quickly prepared!

And Chen Cang was not idle, he took artificial blood vessels of moderate size, and used 3-0 polypropylene thread to connect the artificial blood vessels to the root of the aorta.

This process is very delicate, and it is necessary to pay careful attention to the opening of the left and right coronary arteries to avoid affecting the opening blood supply.

Chen Cang is still very researched in the field of blood vessel anastomosis, so that the replacement and anastomosis work is relatively smooth.

It’s time for an intercostal artery anastomosis!

Several people are silent, because the intercostal arteries must be fast and orderly anastomosed, otherwise the spinal cord ischemia may cause paraplegia for a long time!

The intercostal artery is more difficult to cut Suture is not difficult, so the Department of Cardiothoracic Surgery is always fighting for time with the god of death!

Chen Cang glanced at Xu Ziming: “I’ll fix it!”

After finishing, Chen Cang took the Suture line and said to him, “Prepare to clamp!”

Ma Yuehui nodded agreed to come down!

Chen Cang glanced at He Chao: “You help me hold it with my hand, I come to Suture.”

He Chao was a little uneasy, fearing he could not do well.

Chen Cang glanced encouragingly: “Not only do you have a stable hand, but also a stable heart, even if you know that you are going to fail, you must be calm!”

He Chao takes a deep breath, nodded!

There are eleven pairs of intercostal arteries. In addition to the first and second intercostal arteries from the subclavian artery branch, the remaining 2 pairs of intercostal arteries and a pair of subcostal arteries are all from the thoracic aorta.

Although Chen Cang did not need to deal with it all this time, after all, he did not replace the thoracic aorta, but now he looks at so many blood vessels, he wants the completion of Suture in a short period of time without affecting the blood supply of the spinal cord. The difficulty is really a bit big. When you have Marfan syndrome surgery, you will definitely face this situation.

It seems that I am still not fast enough!

……

……

ps: Recently, at home, people often come to see a doctor. After seeing a few patients this afternoon, they were taken to another person’s house and saw a few patients.

It’s already evening to go home, so I’m sorry to write so far.