Chapter 1135: Can you save it?
The office suddenly became lively.
Ge Huai was panicked!
He knows his level.
How embarrassing is it now?
In fact, vascular suture in the department of cardiac surgery has always been a compulsory course for every doctor. Not only is the first hospital of Dongda University often competed, but many hospitals have this habit.
Because many cardiac surgery surgeries cannot be separated from vascular anastomosis.
The large vascular replacement surgery for Marfan syndrome is even more inseparable from vascular anastomosis.
How to quickly, strictly and accurately complete the anastomosis between blood vessels and artificial blood vessels has always been the key to this kind of surgery.
For example, Professor Xiao Zhehai from Ruijin Hospital can quickly complete the aortic total arch replacement within 18 minutes, which requires eight joints to be processed in a very short time.
This is a very difficult process.
When Xu Ziming heard the competition, he also smiled and said, "Doctor Ge, I'll prepare something for you?"
Ge Huai was so nervous: "No, no, it's so troublesome, I'm here to study..."
When Xu Ziming heard this, he said: "It's all young people. If you want to compete more, it will help improve."
Speaking of this, Xu Ziming suddenly said, "Oh! Doctor Ge is worried about damaging Dr. Xiao Zhou's enthusiasm? Don't worry about this."
"Yes! Doctor Ge, show his skills!"
At this moment, Ge Huai regretted it very much. If he had known that it was so hard to show off, he would not have pretended to be anything he said!
He now understands one sentence: having strength is called showing off, not having strength...
Seeing that everyone was very lively, Ge Huai couldn't help but sigh.
Forget it!
At this moment, Chen Cang walked in.
Everyone greeted with a smile:
"Professor Chen!"
"Teacher Chen!"
Meng Xi smiled: "Xiao Chen is here."
Chen Cang smiled and greeted everyone, and said to the teacher: "Teacher Meng!"
Looking at the people around him, Chen Cang smiled: "Everyone is here."
Xu Ziming also walked in: "Teacher Chen, why are you here?"
Chen Cang saw that Ge Huai and a young doctor had already set up a scene, and was stunned and said with a smile: "Is this... a competition for blood vessel suture?"
Xu Ziming nodded: "Well, young man, communicate more."
When Chen Cang saw this scene, he immediately remembered the rewards from the previous few days.
Vascular-artificial vascular anastomosis techniques.
This technique is actually mainly aimed at large blood vessel replacement surgery.
Chen Cang found that many of the above techniques have different suture techniques for different blood vessels.
Originally, Chen Cang felt that his suture speed was already fast enough, but after the operation, he found that the suture speed was still somewhat different from Academician Xiao Zhehai.
This gap is not just the gap in vascular suture.
It is the difference in the details of different blood vessel processing.
How time is used reasonably, how to effectively reduce unnecessary time, etc. are particularly important.
The large blood vessel replacement surgery itself is a battle for time with the God of Death.
If the surgical time can be effectively reduced and the surgical efficiency can be improved, this can actually reduce complications.
One of the main causes of death after abdominal aortic replacement surgery in Marfan syndrome is renal failure after abdominal aortic replacement.
The same is true for aortic arch replacement surgery!
There are more than a dozen intercostal arteries that provide blood supply to the spinal cord, as well as other arteries. The anastomosis required for the entire operation is very difficult. In this way, it is particularly important to complete the anastomosis of all artificial blood vessels and blood vessels in a limited time!
After Chen Cang learned the skills, he wanted to try it out even after finishing it.
Li Baoshan also walked in at this time and watched the upcoming game with great interest.
Chen Cang was about to speak when he suddenly heard his phone ringing!
"Chen Cang, I am Yu Yonggang, a patient with Marfan syndrome. After visiting Yu Wan, I suddenly became ill and just went for examination. I am now suspected to be an aortic dissection, accompanied by an abdominal aortic dissection, and the condition is quite serious!"
"Are you in the cardiac surgery department? Let Director Xu and the others come down to take a look! The patient is still in shock now. I don't know if I have time to do an angiography. You come down to take a look."
Yu Yonggang's voice was a little anxious!
Because the patient's condition was too anxious.
Aortic arch dissection plus abdominal aortic dissection!
It is really rare that two major arteries are ill at the same time!
If a surgery is performed at the same time, can the patient tolerate it?
After Chen Cang hung up the phone, he said to Xu Ziming, Li Baoshan and others: "A patient who visited Yu Wan in the emergency department suddenly became ill, and all the aortic arch and abdominal aorta appeared dissection!"
"And now the patient is in shock and has not had time to undergo an angiography!"
After Chen Cang finished speaking, he walked directly outside.
Li Baoshan and Xu Ziming looked at each other, and they reached solemnity from each other's eyes!
The whole office was filled with joy just now, but now it suddenly became quiet and serious.
Meng Xi followed him and ran out.
The patient's situation can be said to be at stake now!
Two aortic dissections appear at the same time. Due to obstruction, the entire blood circulation is not smooth and even blood pressure increases!
The elevated blood pressure has also become an extremely dangerous factor.
It can become a compressed dissection aneurysm at any time and cause rupture!
When we arrived at the elevator entrance, the elevator was still going up. In desperation, the group ran down the stairs.
At this moment, I was in shock.
The reasons will be very dangerous, and the factors that need to be considered are also very fast.
Could it be caused by the rupture of the aortic dissection?
Soon, after running six floors in a row, the group arrived in the emergency hall.
At this time, the patient had been pushed into the rescue room.
Chen Cang didn't care about anything else and rushed in directly.
After coming in, I heard the alarm sound of Didi's monitor.
"The patient's blood pressure dropped sharply!"
"Call the ultrasound doctor!" Chen Cang's face changed immediately after hearing the sudden drop of blood pressure!
"Heartbeat 40 times per minute!"
“Breathing is rapid!”
Every time the sound of news means a bad factor!
Chen Cang hurried over, picked up the stethoscope and placed it on his chest and listened.
Suddenly, I felt a very abnormal noise coming.
And this sound just covered the first heart sound...
Almost instantly, Chen Cang thought of a possibility.
“Aortic dissection separation!”
At this time, the ultrasound doctor hurriedly ran in.
Chen Cang said to the nurse, "Prepare for pericardial puncture."
At this time, Yu Yonggang personally organized the rescue.
I also instantly realized what was going on!
“Pericardial tampon?”
Chen Cang nodded!
At this time, the echocardiography instantly saw a lot of blood in Penlong's pericardium.
At this moment, everyone's hearts were stuttering.
Can this be saved?
...
ps: Tomorrow, which is April 28, we will start to double the monthly tickets, and it is the end of the month... If you have monthly tickets, we will start voting tomorrow...
Well, it will be fine after twelve o'clock tonight...
Thank you!
Chapter completed!