Chapter 346: Take your place
Ge Huai now takes care of Chen Cang much more than before!
Or there is a lot of sense of responsibility and thinks that Chen Cang is half of his student.
I cannot teach Chen Cang with prejudice and underestimation.
After all, he is only twenty-seven or eight years old, and he is in his thirties.
Therefore, Ge Huai is now much more responsible for teaching Chen Cang than before.
"Xiao Chen, today's patients are quite special, which is a challenge for you. If you don't feel good, please let me do it. Don't be embarrassed!" Ge Huai took the lead in reminding Chen Cang before introducing his condition.
Chen Cang was stunned: "Well, okay, thank you Teacher Ge, by the way... why is the patient special?"
Ge Huai sighed and said cautiously: "The patient is in his seventies and is hospitalized for acute pericarditis. Originally, considering that the patient is older, he is mainly conservatively treated, and there is no planned surgery."
"But the puncture treatment effect is average, and antibiotics have been used, but... I can't draw anything now."
"The puncture fluid has become thicker and there are purulent secretions, so after considering too much, in order to prevent further symptoms of the disease, the patient can only undergo pericardial drainage."
After saying that, Ge Huai summarized it for Chen Cang and said solemnly: "The current situation is that there are three main difficulties!
First point: The patient is 70 years old, has a higher risk and may have a poor prognosis;
Second, the surgery for suppurative pericarditis is more complicated than ordinary acute pericarditis;
The third and most important thing is to prevent unclean cleaning and chronic adhesions, leading to complications of the heart and pericardial!"
Ge Huai said this, he was a little nervous, worried about Chen Cang and the patient, so he looked up at Meng Xi: "Director Meng, why don't I do this surgery? Xiao Chen has only been a few days ago, and I'm worried about him... After all, the patient's condition is quite special."
Ge Huai tells the truth!
Because acute pericarditis surgery is okay, there is no need to consider too many prognosis issues, and the difficulty of the surgery is even relatively small.
However, once acute pericarditis develops into acute suppurative pericarditis, things take a turn. This is a very difficult operation in pericarditis.
Because after acute suppuration, two problems are most worried about. One is that adhesions affect the adhesions between the pericardial and the heart, with a poor prognosis and prone to cause related complications.
The second is the most serious, which is the cause of chronic constrictive pericarditis!
This is more troublesome.
Chronic constrictive pericarditis requires partial pericardial resection and then repair the pericardial, which increases the difficulty of the operation in proportion.
Meng Xi was also quite worried.
But after thinking about it, she decided to let Chen Cang get started. Once Chen Cang encounters problems, she will take over the middle.
After all, the difficulty lies in the operability of post-processing, not in the beginning.
Although it is difficult later, the risk is not much different from ordinary pericardial incision and drainage.
Let Chen Cang come first, and then when Chen Cang can’t do it, then change people.
After all, it is also a rare opportunity to exercise.
For medical staff, the most important thing is to encounter different diseases and then find ways to solve them.
This is very important!
Thinking of this, Meng Xi looked at Chen Cang: "Xiao Chen, come on, don't worry, we are there."
Meng Xi did not say how difficult the operation was. It would be enough to have Ge Huai alone, and if you say too much, it would become a pressure.
So Meng Xi just encouraged Chen Cang and said a few words.
The three of them washed their hands next to the sink together. Meng Xi suddenly found that Chen Cang's hands were big, their fingers were very long, and their very beautiful hands.
It seems a little familiar...
Chen Cang looked at Teacher Meng staring at his hands and was stunned!
When my heart tightened, even the seven-step washing method that I usually practiced to the perfect state was a little stuck.
The heart of Tao almost became unstable.
Chen Cang couldn't help but sigh, Teacher Meng, can you wear a surgical gown in the future? Or it's too small and tight, or it's too big and empty.
Thinking of this, Chen Cang suddenly felt that the most stressful place in the operation with Teacher Meng was not on the operating table, but in the washing sink...
...
After entering the operating room, the three of them put on their surgical gowns.
At this time, the anesthesiologist was ready for anesthesia and was waiting for the operation to begin.
Ge Huai looked at Chen Cang and whispered: "Come on, Xiao Chen!"
Meng Xi nodded affirmatively.
The anesthesiologist smiled awkwardly and walked carefully to a place with a good vision. It was a joy to watch Xiao Chen's surgery.
Chen Cang looked at the three of them and couldn't help but complain a few words.
You guys, be prepared to be frightened!
Thinking of this, Chen Cang took a special look at Teacher Meng. After all, this is the person who really needs to be frightened, the other two...the audience.
Looking at Teacher Meng's calm and empty expression, Chen Cang suddenly looked forward to it...
Chen Cang turned around and looked at the equipment nurse.
His eyes burst out from the light of a strong man, his hands spread out, and he murmured softly in his heart: Come on the knife!
At this moment, the sword broke through the sky, with a momentum like a rainbow,
When Chen Cang set up his poss, the door suddenly opened and a figure hurriedly walked in.
Xia Gaofeng was stunned. Seeing Chen Cang reaching out his hand, he immediately grinned: "It's just the beginning, it's just right! Old Qian comes in."
Qian Liang and Xia Gaofeng walked in sneakily, not wearing surgical gowns, but standing behind everyone.
"Fortunately, I wasn't late!"
Qian Liang nodded: "Well, let's count the time."
Chen Cang was stunned by his words.
I, Cao, you guys are too bullying, are you addicted to watching dramas?
Xia Gaofeng smiled and said, "Let's start with Xiao Chen."
Chen Cang rolled his eyes: "Come on the knife!"
The nurse who prepared the scalpel was slightly stunned. Looking at Chen Cang's appearance, she couldn't help but sigh. Alas, no matter how sexy the posture is, it's useless... It's a pity that she has a pair of stinky skin.
Chen Cang took the scalpel and started his own operation!
The operation was local anesthesia. When the old man saw so many directors coming in, he was immediately happy. It seemed that the operation was stable.
After anesthesia, Chen Cang began to slowly lift the knife and prepare for the start, while Ge Huai was ready for the hemostatic gauze.
Chen Cang's chest opening is the highlight of the surgery!
After all, every time Chen Cang opens his chest, he cuts his skin and separates his tissues, which is very delicate.
Chen Cang carefully removed the sixth rib cartilage on the left. At this time, the internal breast artery was exposed, and Chen Cang looked at Ge Huai.
"Licit artery!"
Ge Huai nodded, accurate.
After ligation and cutting the internal breast artery, the tissue is separated and the exposed pericardium can be seen.
At this time, the pericardium needs to be cut through the rib cartilage bed to remove the pus in the pericardial cavity.
Xia Gaofeng couldn't help but whisper to Qian Liang: "I'm cutting my pericardium!"
Not only Xia Gaofeng, but everyone is looking forward to it.
Chapter completed!