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“Chen Cang, come to get off work immediately at noon! Come by taxi!”

Chen Cang received a call from Meng Xi at 1 am.

Chen Cang, who had just walked out of the Operation Theatre, immediately nodded to agree, and then asked: “What’s wrong with Teacher Meng?”

Meng Xi said: “The results of yesterday’s Patient’s culture came out. It was caused by pneumococcal infection and changed to staphylococcus. It should be caused by the direct spread of infection in the chest.”

Chen Cang relaxed, now that the infection has been determined so quickly, the next step is very simple, and all you have to do is use targeted antibiotic treatment.

Symptomatic treatment is also the most appropriate measure.

After speaking, Meng Xi added: “Pus is cultured in pericardial effusion.”

Chen Cang uttered a sigh, but stunned in a hurry!

“There is purulent fluid in pericardial effusion?”

Fuck me !

Chen Cang suddenly became nervous.

Thinking of what Meng Xi serene said just now, Chen Cang almost choked to death.

After all, such a big thing can be said so lightly, it is estimated that Meng Xi can do it?

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

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

Therefore, once determined to be pus, pericardiotomy should be performed immediately, debridement, and then prevent the drainage tube.

Chen Cang has learned the theoretical knowledge very well these days, and the danger of every operation is clearly clear.

So, wanting to hit this place, Chen Cang was inexplicably nervous: “Or…Teacher Meng, would you hurry for the surgery?”

Meng Xi was a little stunned, and said lightly: “What’s the panic?”

A light panic made Chen Cang suddenly dumbfounded. When he looked at the phone again, the phone had hung up.

Chen Cang is speechless…

What is this panic… let Chen Cang feel that he is a weak scum in the field outside the heart.

Why do you say that?

The growth of any clinical Doctor will go through 3 stages.

The first stage is the medical treatment of Xiaobai, who is awkward to see everything.

The second stage is theoretical madness, and has a good grasp of theoretical knowledge. At this stage, Great Accomplishment people are basically backwards in theoretical knowledge. They are very aware of the dangers of disease. They know the terrifying of the disease. .

The third stage is clinical aging, based on years of clinical experience and grasp of various data, I know the patient’s situation and state very well, and have a very high degree of grasp of the disease.

Chen Cang, in the Department of Cardiothoracic Surgery field, is not the first stage Department of Cardiothoracic Surgery Xiaobai, know nothing.

But it’s just the second stage, I’m anxious to see everything, and I always feel very dangerous when I encounter something.

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

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 increase and the disease is more dangerous.

As Meng Xi said, the physiological and biochemical and culture results show that there is purulent pericardial effusion, which means that the degree of crisis has increased a bit.

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

The risk of constrictive pericarditis will also increase a lot!

It is not conducive to the rehabilitation of Patient at all!

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

The most important thing is that he cannot delay Patient’s illness just because Teacher Meng waits for himself.

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

Chen Cang is very grateful for this kindness.

in fact……

No matter how serious Meng Xi is, it will not delay the best time for diagnosis and treatment of the Patient. The reason for this arrangement is that she knows all the indicators of the Patient and is very clear about the occurrence and development of the disease.

That’s why Chen Cang said so!

To put it bluntly, a doctor’s judgment about the disease is generally the result of his own experience.

Director Meng is so confident, but Chen Cang doesn’t dare.

Junior Doctor must have the consciousness of Junior Doctor, and Xinshou Village must also have the skills of Xinshou Village.

At this time Hospital is fine, Chen Cang greeted and ran away!

Since Yuan Fan was absent in the department, the entire department has been cleaned a lot, and Chen Cang has become more and more unscrupulous.

After all, Qin Yue has become a dog lick under the offensive of his own milk tea.

Director An is now hovered between life and death abused by his own Chen.

Wang Yong, as his little discipline, concentrates on cultivation and works hard.

in department 面 Chen Cang feels like hegemony now!

Well, it should be called Eldest Brother Chen!

……

Taxi to Eastern University First Hospital cost only 8 yuan starting price.

After rushing to the Department of Cardiothoracic Surgery, Meng Xi happened to be preparing medical records at the nurse’s station.

Chen Cang ran over: “Thank you, Teacher Meng, wait a long time!”

Meng Xi was also a little stunned, and looked at his watch: “So early.”

After finishing talking, hand these things to Chen Cang:

“All the consent forms are signed. Let’s start the operation as soon as possible.”

Chen Cang smiled gratefully.

Although Teacher Meng is stricter, working day and night, let students come and follow the operation after get off work.

If the average student must complain.

But Chen Cang understands that he is just to learn technology, and the teacher doesn’t complain about anything, what are you qualified to complain about.

Ge Huai saw Chen Cang coming and smiled surprisingly: “Little Chen, don’t be nervous, there is me.”

Chen Cang froze, this Teacher Ge… seems to have changed?

It’s even more caring for myself.

Chen Cang quickly said, “Thank you Teacher Ge, I still have to trouble Teacher Ge today.”

Ge Huai shook the head: “It’s difficult to get started at the beginning, just learn more and do it more than once.”

After preparing everything, everyone in the 10000000 Operation Theatre.

Along the way, Meng Xi gave Chen Cang the emphasis on the importance of many pericardial Incision & Drainage procedures.

While speaking Chen Cang 3 people arrived in the Operation Theatre.

Meng Xi is actually very curious about Chen Cang. Although until now rarely lets Chen Cang get started, every time Chen Cang’s performance is very eye-catching.

Especially the diagnostic skills, Meng Xi’s eyes shined twice, and the hands-on ability is very difficult to deal with, whether it is Blood Vessel Suture surgery or pericardial puncture, that operation… It is difficult to do without the experience of several decades!

So, for Chen Cang, although Meng Xi didn’t say it, he knew.

She also wanted to see how Chen Cang’s surgery was done.


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