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!

Results after the scalpel.

Chen Cang held his breath and touched the wall of blood vessels gently with his hand. He wanted to feel the blood pressure of arterial blood flow and wanted to sense the pressure of the wall of blood vessels.

Faintly, Chen Cang could feel some.

But it’s too difficult!

Perhaps the difficulty of the entire operation is great.

“Sodium nitroprusside.”

“Pranorol!”

……

Before the operation, in order to ensure the condition of the patient, Chen Cang can only be administered again.

It’s not so much the difficulty of surgery, it’s the challenge of Patient itself.

Multiple aortic dissection is not 1+1+1=3, um, equivalent to performing 3 dissections is as simple as that.

The tension and elasticity of the walls of blood vessels are limited. When the tension bearing capacity of the fibers of the blood vessels reaches a limit, if one of the operations is performed after the block, the pressure of other blood vessels will increase a lot!

A little carelessness is very likely to cause the rupture of the dissection during operation to aggravate the condition!

Even let Patient die on the operating table.

Here, the blood transfusion department has completed the blood distribution, according to Chen Cang’s request, prepared a portion of blood.

Almost 5000 milliliters of blood already has 1000 milliliters ready to warm up.

Everyone is very nervous, this may be the most difficult operation they have experienced.

Looking at the wall of thick and even deformed blood vessels one by one, although the bulging interlayer is not very obvious, but there is a weird unspeakable.

From the aortic arch, to the thoracic aorta, to the abdominal aorta.

The first problem was encountered before the operation!

That’s how to get started! ?

Is it traditional to use iliac artery replacement first? Then complete the abdominal aorta, so as to ensure kidney blood flow, will not induce liver and kidney function damage?

but!

The most critical ascending aorta and thoracic aorta are the key points.

Now once the abdominal aorta of the iliac artery is clipped off, the systemic blood return is restricted, and the change in blood flow directly affects the patient’s systemic blood pressure!

10000 one, Chen Cang said 10000 one!

10000-When dealing with abdominal aortic and iliac artery replacement, the thoracic aorta ruptured.

Can anyone help me deal with it?

surgery!

After all, it’s not alone!

A qualified and excellent team can let Chen Cang have no worries.

But at this time, when Chen Cang does not have his own excellent team, he needs to think more clearly and comprehensively!

Even think of any possibility!

In order to make countermeasures.

Thinking about it, Chen Cang decided to perform ascending aortic replacement first!

In this way, is it difficult?

It will definitely be bigger, but it will not cause a series of peng~ peng~ peng~ blood vessels dissection to rupture, resulting in massive bleeding, and then it is too late to stop bleeding to repair and cause death!

Of course, it is also possible to clamp the ascending aorta hard.

but……

If the blood supply to the spinal cord and nerve system is insufficient due to hemostasis, it leads to ischemia, hypoxia and necrosis of the nerve system.

Patient may indeed survive.

But what is the difference between living and dying like this?

Watching Chen Cang touch blood vessels gently with one hand, while holding the scalpel in the other, but staring at the monitor.

Everyone thinks that Chen Cang is waiting for medicine efficacy.

I can’t see Chen Cang at all. Actually, my heart is anxious.

But Hou Liang and Zhang Peiyi were heart-nosed and restless.

They really have no idea!

I don’t know how to handle the Patient.

I don’t even know how to get started.

Hou Liang is much more professional than Zhang Peiyi, but this is the first time Hou Liang discovered what it means: the more you know, the more you are afraid!

It is precisely because he understands the difficulty of this operation that he is more afraid, even at the first operation, he has no confidence!

This is not the case, he has seen it in many patients with extremely high mortality.

He looked up at Chen Cang, but for the first time he saw such a calm look.

Faced with this Patient, Chen Cang… Isn’t he nervous?

At this time!

Chen Cang gave the surgical plan!

“Hypostatic circulation, ascending aortic replacement!”

Anaesthetist is the director of the Department of Anesthesiology. After hearing Chen Cang’s words, nodded started working.

This is his first collaboration with Chen Cang!

He hopes to be smoother.

The young and promising Director Liang Tai quickly started to deal with it in an orderly manner.

Liang Tai’s same sect senior and junior brothers are Zhou He, the director of Zhou He in the emergency center.

Even though Liang Tai has achieved the director level at Provincial People’s Hospital, he still respects Zhou He!

Normally, he didn’t hear Zhou Senior Brother He saying Chen Cang was good.

He remembers one sentence very clearly!

“Professor Chen’s surgery, you don’t ask why! Full cooperation is enough!”

He used to feel exaggerated about this sentence before.

But when he saw this operation today, he knew that this is not an exaggeration.

Because he has no knowledge of this operation.

He seemed to know how long he had been destroyed by Senior Brother before he became like this?

Seeing it cool down to 30°C in nasopharyngeal temperature!

Chen Cang glanced at Hou Liang, Zhang Peiyi, Anaesthetist Liang Tai, and every nurse!

Although there is only one glance, his eyes are very sharp!

Chen Cang said calmly, “I will block the ascending aorta and perform replacement surgery. I don’t want to spend 20 minutes on the entire operation time!”

“In these 20 minutes, I hope everyone will go all out to cooperate with me!”

These plain words stopped in everyone’s ears, like a thunder!

20 minutes?

Complete ascending aorta replacement?

This is too crazy!

And not only is Chen Cang crazy alone, it is necessary for each of them to accompany Chen Cang crazy!

nervous?

tension!

Is there pressure?

Have!

But watching Chief Surgeon Doctor Chen Cang are so determined, everyone is involuntarily driven by this imposing manner!

“Ready?”

“Ready!” Nodded everyone in unison!

tone barely fell, Chen Cang took Hemostatic Forceps directly, and decisively blocked the ascending aorta 3.0cm away from the beginning of the unknown artery!

This distance is very important!

No more, no less, just happened to play a key role in the operation!

Chill for 20 minutes!

Stop-cycle damage will not be obvious.

Even many operations require 40 minutes of hypothermia.

Chen Cang squeezed the time within 20 minutes, which is the key to ensuring the operation, and is also the need for subsequent surgery!

At this time, Chen Cang quickly said to Hou Liang on the side: “Cardioplegia! Ready to inject!”

Hou Liang quickly nodded and began to prepare.

After Chen Cang finished speaking, without any pause, he directly took the scalpel to cut the artery dissection and passed the left and right coronary arteries!

Surgery time is limited!

Chen Cang cannot waste time on these tasks!

Because the next anastomosis is the top priority of the operation!

At this moment, the director of the Department of Radiology and the director of the blood transfusion department on the side… Everyone stood around and watched this scene to be excited!