Font
Large
Medium
Small
Night
Prev Index    Favorite Next

Chapter 1079: Marfan Syndrome!

Xu Ziming heard a patient with aortic dissection coming and went to the emergency room in person.

After coming down, when he saw Chen Cang, he asked directly: "Teacher Chen, what's going on?"

Xu Ziming has always respected Chen Cang. If it weren't for Chen Cang, what would have been the case now that his heart would be constantly experiencing the mitral valve replacement surgery?

This is simply impossible!

The heart-stabilizing surgery is now becoming more and more popular. He and Wang Tong of Union Alliance are now two benchmarks in this field.

However, they knew very well that all this came from Chen Cang.

After hearing the consultations from the sixth department of emergency department, Xu Ziming stood up and rushed over.

Aortic angiography is caused by injecting contrast agent and then developing under CT, where the aortic dissection occurs can be clearly seen.

The aortic dissection is neither a true aneurysm nor a pseudo-aneurysm. Instead, it causes damage to the endometrium and the middle layer of the artery due to various reasons. Blood forms a hematoma along the torn inner membrane in the middle layer!

The aortic wall is stripped into two layers. Under the impact of blood flow, the peeling part gradually extends and expands to the proximal and distal ends of the aorta, forming a separatory expansion of the middle layer in different ranges, called aortic dissection, and some people also like to call it aortic dissection separation.

Xu Ziming hurriedly came out from inside, holding the film in his hand, his face obviously a little solemn.

Seeing this, Chen Cang hurriedly asked, "What's going on?"

Xu Ziming couldn't help but say, "The situation is a bit special!"

A sentence made Chen Cang feel a little slap in his heart: "Ascending aorta?"

Xu Ziming nodded!

Chen Cang participated in the Heart Surgical Technology Energy Competition at that time and was the anastomosis of the large blood vessels in the chest.

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

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

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

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

After seeing this, Chen Cang couldn't help but think about it. Such a situation... is really a bit complicated.

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

Watching the movie, the three of them suddenly fell into silence.

"Go back to the emergency room first and find a solution!" Ma Yuehui said directly, "Now there is another question that needs to be clarified. What is the cause of the patient!"

While speaking, a group of people pushed the patient to the emergency room, and the results of the examinations and tests were also released one after another!

The bed doctor had collected the disease history from his family at this time.

Seeing Chen Cang and others coming back, they hurried over.

"Doctor Chen, through contact with his family, the disease history is like this. The patient's previous physical examination, no history of trauma or surgery, no hypertension, diabetes... The patient's parents did not find family genetic diseases!"

The words of the doctor in charge of the bed made Xu Ziming and the other two stunned!

What is the reason?

Although the cause of aortic dissection has not been clarified yet, there are also some inducing factors?

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

After coming in, Chen Cang directly raised the patient's hands and looked at him directly!

Tian Zhengkai is a basketball star, tall, long arms and big hands, and Chen Cang suddenly remembered this.

I saw that his hands were very long!

After careful comparison, Chen Cang found that his hands were about 25cm long and 220 in height... The ratio of hands to height is >11%!

Next, Chen Cang quickly observed his palm.

At this time, Tian Zhengkai's symptoms were relieved after using the medicine.

Chen Cang hurriedly said, "You put your thumb inward and clench your fists with the remaining 4 fingers!"

Tian Zhengkai nodded and did as he did.

Chen Cang immediately saw that the tip of Tian Zhengkai's thumb exceeded the lower edge of his palm!

This is a thumb sign!

Special bone changes, cardiovascular abnormalities, although there are no eye symptoms, Chen Cang is only one short of diagnosis now, that is family history!

At this time, Xu Ziming and Ma Yuehui also saw Chen Cang's series of inspections clearly, and for a moment, they also realized what was going on.

Chen Cang hurriedly said to the bed doctor: "Take me to see the family!"

The young doctor nodded and took Chen Cang directly to the emergency hall. Chen Cang also saw the patient's wife and parents.

After seeing his father, Chen Cang suddenly realized that his height was really inherited.

"Hello, I am Chen Cang, Tian Zhengkai's doctor. I have a few questions now that I want to consult." Chen Cang asked straight to the point without being polite.

At this time, Tian Zhengkai's family had already become in chaos.

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

The parents were less than 60 years old and their father was very tall.

"Hello Dr. Chen, what is the situation of my son now?" Father Tian asked with some concern.

Chen Cang said directly: "The situation is not optimistic. We are preparing for the operation. This time we talk to you, first to understand some situations, and secondly to sign the surgical consent form!"

After saying that, Chen Cang said to the young doctor: "Go and prepare an informed consent form, a critical illness notice..."

After hearing this, the doctor of the bed ward stood up quickly.

The Tian family here was suddenly stunned. The Tian family asked quickly: "Notice of critical illness? Dr. Chen, what's going on? Why are you critically ill?!"

Tian Zhengkai's parents are just ordinary people, his father is a physical education teacher in a middle school and his mother is a math teacher. Now both of them have retired. His hometown is in Beihe Province, and now lives in the capital to take care of their children.

My wife is 28 years old now and her child is only two years old!

If something happens to Tian Zhengkai in such a family, the result will be self-evident.

As the pillar of the family, this disaster can be devastating.

You know, even if Tian Zhengkai is 33 years old, he still has an annual salary of several million a year. Even in the capital, he is a high-income group.

If Tian Zhengkai...

So, after hearing the news, all three of them turned pale.

Seeing this, Chen Cang explained the risk of the patient and even explained the mortality rate of the surgery in detail.

After listening, the whole family fell silent.

The wife looked at Chen Cang with tears in her eyes, and her hands holding the child were trembling: "Doctor, you must save him!"

"The child is less than two years old and just learned to call him dad..."

Before Tian Zhengkai's wife could finish her voice, she choked up.

Chen Cang comforted: "We will do our best."
Chapter completed!
Prev Index    Favorite Next