After the scalpel result.

Chen Cang held his breath and concentrated, gently touched the blood vessel wall with his hand, wanting to feel the flow of arterial blood pressure and wanting to sense the pressure on the blood vessel wall.

It was faintly vaguely, Chen Cang could feel some.

But it's too difficult!

Perhaps the whole operation is very difficult.

“Sodium nitroprusside.”

“Propranjor!”

...

Before the operation, in order to ensure the patient's condition, Chen Cang had to give the medicine again.

Rather than being difficult in the operation, it is better to say that the patient itself has a greater challenge.

Multiple aortic dissections are not 1+1+1=3, and it is as simple as having three dissection surgeries.

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

If you are not careful, it is very likely that during the operation, dissection rupture will aggravate the condition!

The patient was even killed on the operating table.

Here, the blood transfusion department has completed blood matching. According to Chen Cang's requirements, a portion of blood was prepared.

Nearly 5000 ml of blood have 1000 ml ready to be preheated.

Everyone was nervous, and this might be the most difficult operation they had ever experienced.

Looking at the thick and even deformed blood vessel walls, although the swelling interlayer is not very obvious, there is an indescribable weirdness.

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

The first problem was encountered before the operation began!

That's how to start!?

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

But!

The most important ascending aorta and the thoracic aorta are the difficulties and key points.

Now, once the abdominal aorta of the iliac artery is broken, the blood flow of the whole body is limited, and the change in blood flow directly affects the patient's systemic blood pressure!

In case, what Chen Cang said is in case!

In case of thoracic aorta rupture when the abdominal aorta and iliac artery replacement is processed.

Can anyone help me handle it?

Operation!

After all, it's not alone!

A qualified and excellent team can keep Chen Cang free of worries.

But at this time, when Chen Cang did not have his own excellent team, he needed to consider more clearly and thoroughly!

Even think of any possibility!

Thus, countermeasures are taken.

After thinking about it, Chen Cang decided to perform ascending aorta replacement first!

Is this difficult?

It will definitely be bigger, but it will not cause a series of rupture of the bulge blood vessel dissection, causing major bleeding, and then there is no time to stop the bleeding and repair, resulting in death!

Of course, it is also possible to cut off the ascending aorta with force.

But……

If the spinal cord and nervous system are inadequate due to hemostasis, it will lead to ischemia, hypoxia and necrosis of the nervous system.

Patients may indeed survive.

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

He watched Chen Cang gently touch the blood vessel with one hand and hold the scalpel with the other hand, but his eyes were staring at the monitor.

Everyone thought Chen Cang was waiting for the effect of the medicine.

It is impossible to tell that Chen Cang is actually anxious inside.

But Hou Liang and Zhang Peiyi were anxious and noisy inside, and were really uneasy.

They are really unsure!

Don't know how to deal with patients.

Don't even know how to start.

Hou Liang is much more professional than Zhang Peiyi, but this is the first time Hou Liang has discovered what it means: the more he knows, the more he is afraid!

It is precisely because he understands the difficulty of this surgery that he is even more afraid, and even loses confidence at the beginning of the surgery!

This situation has been seen in many patients with extremely high mortality rates.

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

Faced with such a patient, Chen Cang... isn't he nervous?

Just at this time!

Chen Cang gave the surgical plan!

"Cold-temperature stolen circulation, ascending aorta replacement!"

The anesthesiologist is the director of the Department of Anesthesiology. After hearing Chen Cang's words, he nodded and started working.

This is his first collaboration with Chen Cang!

He hopes it goes smoothly.

The young and promising Director Liang Tai quickly began to handle it in an orderly manner.

Liang Tai’s fellow disciple is Zhou He, who is Director Zhou He of the Emergency Center.

Even though Liang Tai has reached the director level at the Provincial People's Hospital, he still respects Zhou He very much!

He often hears Senior Brother Zhou He say that Chen Cang is amazing.

He remembers one thing very clearly!

"Don't ask why Professor Chen's surgery! Just cooperate with it with all your strength!"

He used to think this sentence was a bit exaggerated.

But when he saw this surgery today, he realized that this was not an exaggeration.

Because he was very unsure about this surgery.

He seemed to know how long it took for his senior brother to become like this?

When the temperature drops to 30c of the nasopharyngeal temperature!

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

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

Chen Cang said calmly: "I will block the ascending aorta next and perform a replacement surgery. I don't want to have 20 minutes of the entire operation time!"

"In these 20 minutes, I hope everyone will do their best to cooperate with me!"

These dull words stopped in everyone's ears, like thunder!

20 minutes?

Complete ascending aorta replacement?

This is too crazy!

And it’s not only Chen Cang who is crazy, but each of them needs to accompany Chen Cang to crazy!

Nervous?

nervous!

Is there any pressure?

have!

But seeing the surgeon Chen Cang so determined, everyone was involuntarily driven by this momentum!

“Are you ready?”

"It's ready!" Everyone nodded in unison!

As soon as he finished speaking, Chen Cang took the hemostatic forceps and decisively blocked the ascending aorta 3.0cm away from the beginning of the nameless artery!
To be continued...