This is the most critical patient Chen Cang has encountered in his life!

None of them!

The most critical is not the most serious. Many serious patients have no possibility of rescue in front of Chen Cang.

At this time, Chen Cang felt that there was a chance!

In fact, it is most appropriate to make an X-ray film at this time, but... where can I get the time to go back and do it?

The patient's blood pressure is almost gone, the ascending aorta is ruptured, accompanied by heart blockage, and it is not sure whether the heart is damaged. If it develops according to the general situation, the patient may be gone before being sent to the hospital.

During this period, Chen Cang was cured of cardiovascular surgery diseases, especially the treatment of emergency departments.

He clearly remembers the latest reports that the incidence of thoracic aorta in traffic accidents in the United States last year was about 15%, and the ascending aorta rupture was only five percent of them. Among these five percent, only ten percent had the chance to be sent to the hospital, and only twenty percent of these ten percent could be rescued successfully!

What this means is self-evident!

Isn’t Chen Cang aware that there is a greater chance of infection in the surgery in the car?

Doesn’t Chen Cang know how to make a clear diagnosis under chest radiographs or scT or EBCT examinations? It is best to do an aortic angiography to identify the damage site?

However, all of this is subject to injury.

Now let alone T and symptomography, there is no chance for chest radiographs!

Chen Cang remembers it clearly!

In the latest guide, if the aorta is suspected of rupture, extremely unstable circulation accompanied by signs of direct rupture and secondary penetration (hemothorax, heart tamponade), surgery should be investigated immediately!

Therefore, Chen Cang now chooses to open his chest and stop bleeding.

When you have no choice, the guide is your support and your legal basis!

Didn’t he know that everything he did now would be risky?

He knows it all!

But what is passing by is life, and there is time to delay it!

Chen Cang said decisively: "Old Yang, park the car ahead."

The driver Lao Yang couldn't help but be stunned:???

Through the rearview mirror, he saw that Chen Cang was about to undergo surgery, and his face changed immediately!

But instead of saying a word, I found a suitable place to make the car very good.

On the way to transfer patients by the 120 ambulance, the doctor's words were like military orders, and Chen Cang was the leader of the rescue team.

Chen Cang looked up and said to the two patients: "Get out of the car, hurry up and go to the Second Provincial Hospital."

The two of them immediately changed their faces. The bald man wanted to speak. It was obvious that Wang Qian would not give them a chance and just sent them down.

Chen Cang took a deep breath, a little nervous.

This is the first time he has independently dealt with such a critical patient, and it is also the first time he has undergone surgery in an ambulance.

Anesthesia in this case requires smooth use, less or no drugs that inhibit the circulatory system are used. For critically injured, the best thing is to take the relevant surgery first in local anesthesia, and then perform anesthesia induction or tracheal intubation.

At this time, due to the limited conditions, Chen Cang could only do local anesthesia!

The effect of local anesthesia is still very fast, not long after.

Chen Cang picked up the scalpel and incited directly in the middle of his chest!

Wang Qian said nervously: "There is not much gauze..."

Chen Cang nodded, then carefully pulled open the sternum... gradually saw the scene of his scalp being numb!

This is a sea of ​​blood.

Chen Cang turned around and said to Wang Qian: "Take a blood!"

Wang Qian's face also changed, but he picked up the syringe and started to draw blood!

Chen Cang's eyes stared at the pericardium area. At this time, the pericardium was like a big bun full of blood. When Chen Cang cut it a little, a stream of blood gushed out.

"Hemostatic forceps!"

Now the bleeding area has been exposed, which is the starting part of the left ventricle outlet. The area here is relatively fixed, so it is easy to cause rupture after being subjected to violence or sudden deceleration impact!

Fortunately... the ribs did not hurt the heart.

This may be the only thing to be thankful for.

The blood pressure is very low, and Chen Cang is helpless, but this is a battle without choice. If he doesn't work hard, the patient will definitely die.

Chen Cang decisively cut the pericardium and completely exposed the bleeding area.

"Are there any invasive hemostatic forceps?"

Wang Qian was stunned and shook his head: "No!"

Who prepared these things in the rescue vehicle?

Chen Cang hesitated for a while, suddenly picked up his hands, pressed them on them, and pinched the tearing hole with his hands, and the blood stopped flowing.

Blood pressure has been stable...

But the patient's life is still like the leaves of this season, swaying in the wind.

Fortunately, after the pericardial pressure was in contact, the patient's bleeding was also controlled and his blood pressure was gradually rising.

Chen Cang said to Lao Yang: "Go back to the hospital!"

Lao Yang looked at Chen Cang through the rearview mirror, nodded seriously, started the car steadily, and drove towards the hospital.

Through both hands, Chen Cang could clearly feel the power of blood flowing out of his hands, and could clearly touch the traces of life.

A few minutes later, the car was parked directly at the entrance of the special passageway of the Provincial Second Hospital emergency room.

Chen Cang did not dare to move, and the driver Lao Yang jumped behind him and carefully lifted the bed down with Wang Qian.

Li Baoshan, Tao Mi, Xia Gaofeng and others below are already waiting anxiously!

Chen Cang hurriedly said, "Go to the operating room immediately!"

Everyone did not doubt that he was there. In the operating room, Wang Kai'an, Zhou Xiaodong and Zhang Wenfu, who were outside their hearts, had already put on their clothes and were waiting for the arrival of this patient!

The blood transfusion department, laboratory department, medical department, anesthesiologist... are all waiting for Chen Cang's return.

With Chen Cang's arrival, the rescue preparations officially kick off!

Everyone started orderly preparations!

Blood draw, emergency test, blood matching...

Medical department contact person, signature, authorization...

The anesthesiologist was Liu Jian. When he saw Chen Cang open his chest and pressing his hands on his heart, he couldn't help but widen his eyes.

The extracorporeal circulation machine has begun preparation.

At this time, Wang Kaian held the non-invasive blood vessel forceps and looked at Chen Cang: "I'll do it!"

The sound is not loud, but it is very firm.

Chen Cang nodded and carefully completed the handover.

When Chen Cang went out, Wang Kai'an took the three of them and the anesthesiologist to start the related work.

Intravenous cannulation!

Establish extracorporeal circulation!

Liu Jian started tracheal intubation and prepared for anesthesia.

This surgery needs to be performed in the case of cardiac arrest. When everything is ready, Zhang Wenfu blocks the distal end of the ascending aorta and prevents blood from passing by.

When Tao Mi and Xia Gaofeng saw the starting part of the patient's ascending aorta, running through the tearing opening outside and under the pericardial, they couldn't help but feel frightened.

This... is really as Chen Cang said, it is difficult or return to the hospital.

Thinking of Chen Cang and Wang Qian returning from blood just now, thinking of Chen Cang using his fingers to stop the bleeding, and returning to the hospital all the way...

The two were amazed!
Chapter completed!