The nearly 60 kilometers of highway is a severe test for the few people on the car!

The alarm sound of the monitor kept ringing.

Sweat soaked Chen Cang's clothes, Xiaolin's hair on her temples was also wet, and she was sweating all over her head, all working hard to rescue her!

In such a cold winter, the car is full of warmth!

The man dared not speak for fear of disturbing the two.

Fortunately, the rescue is effective after all. When getting off the highway, the old man's vital signs finally came over smoothly.

This time, everyone breathed a sigh of relief.

However, Chen Cang began to contact the emergency department of the Second Provincial Hospital immediately, open a green channel, improve relevant examinations as soon as possible, and prepare for surgery!

The old man has completed various physical and chemical tests in township health centers. This is good news and there is no need to waste too much time.

At 8 o'clock in the evening, the car stopped at the door of the emergency department of the Second Provincial Hospital, and the group hurried out to prepare.

After Chen Cang entered the door, he quickly began to organize the medical orders in an orderly manner!

"Lele, you take your family to go through the procedures first."

"Xiaoyan, prepare a notice of the disease."

"Brother Qian, go to the operating room with Wenfu, be prepared..."

"Kobayashi, call the color ultrasound room, and the heart sounds next to the bed!"

...

After Chen Cang came, he sent the patient to the emergency room first.

At this time, Tao Mi and Xia Gaofeng suddenly came down, and Chen Cang was stunned for a moment: "Director Tao? Director Xia, why are you here?"

Tao Mi frowned: "We had surgery at the First Hospital of East University just now. Director Li told us that you brought back a patient with acute myocardial infarction caused by ventricular septal rupture from outside. Let us come over to see if we need help. He was in the operation and didn't care about it, so we came over to take a look."

Chen Cang nodded gratefully and did not waste time. He said directly: "I'm sorry, the two directors, this is the case. The patient is 71 years old, an elderly woman, seven days ago..."

After Chen Cang explained the disease in detail.

Tao Mi said directly: "Xiao Chen, I suggest that the acute injury of ventricular septal rupture is better if you observe it for a period of time and then take an elective surgery!"

Xia Gaofeng also nodded: "Well, this is also the reason why Director Tao and I came here. We are afraid that you are anxious and anxious about surgery."

"It is the acute phase now. Not only is the operation difficult, but it will significantly increase the risk of surgery and the mortality rate. Moreover, the patient is an elderly woman, 71 years old, has a history of heart disease, and had an acute myocardial infarction seven days ago."

"For such patients, it is too difficult to do surgery now. I suggest that you wait for the scar tissue at the edge of the rupture, and then go to the cardiology department and be hospitalized for treatment."

Chen Cang was silent. Both directors said it was correct, and it made sense.

At this time, Li Baoshan called Director Niu Tianfu and Niu, Director Niu.

The four directors went to the emergency room and began to discuss with the patients.

This is not the time to be reckless. Chen Cang is not stupid. It is the most important thing to formulate the most appropriate rescue plan, not impulsive surgery.

Treatment surgery is only a way, and before the surgery, it is best for the patient to be prepared to provide a safe environment for the surgery.

Soon the color ultrasound result came out, and Chen Cang also finished the heart ct.

In the rescue room, Tao Mi finished reading the patient's heart function and said directly: "The current heart function is OK, and the ejaculation fraction can also meet daily consumption. I suggest stabilizing it first, and surgery is not recommended."

Niu Tianfu shook his head directly: "Director Tao, look, the risk level of acute myocardial infarction is very high, whether it is interventional surgery or thrombolysis. At that time, if the ventricular septal ruptures, the heart function will only become worse and worse."

"According to the old lady's situation, it will be gone in a few days. How can I afford to delay it!"

Tao Mi immediately argued with Niu Tianfu!

"You cardiology department cannot maintain this situation, and our cardiac surgery will only have risks!"

Niu Tianfu said directly: "The patient is a ventricular swelling tumor rupture caused by acute myocardial infarction! Once the disease occurs, it can lead to stubborn heart failure, severe arrhythmia and peripheral artery embolism, etc. The prognosis is extremely poor. How do you ask the internal medicine to treat it?"

Xia Gaofeng and Chen Cang didn't say anything, listened patiently to argue. Sometimes, the answer would appear in quarrels!

Research shows that when humans argue, their brain reactions are several times higher than usual!

Especially when a boyfriend and girlfriend quarrel, women often perform better!

Seeing the two argue for a long time, Xia Gaofeng finished the summary and suddenly said: "In fact, it is not impossible to operate. The patient has undergone cardiovascular and diuretic treatment. At this time, the heart function is still OK. If you use intravenous dopamine-type positive muscle drugs before the operation to maintain blood pressure and ensure coronary perfusion, it is not impossible."

"But Director Tao is right, the risk of surgery is indeed very high."

"There are risks on both sides now, and I think it's better to fully respect the opinions of the patients' families!"

At this time, Tao Mi calmed down, looked at Niu Tianfu, nodded, and said to Chen Cang: "Xiao Chen, go and tell the patient and let him make a decision."

Chen Cang nodded.

These old directors are all national treasures. With them here, it is like a ship with a route!

All risks and response measures can be expressed in advance, and even if problems are encountered, the situation can be guaranteed.

This is to avoid and reduce the risk of surgery.

After some discussion, the old lady's son had already made a desperate attempt and signed for the operation!

Chen Cang stood up, and Tao Mi and Xia Gaofeng looked at each other: "I'll go too!"

Niu Tianfu was very clear at home washing dishes, and he didn't take off his apron, so he took it off and put it on the nurse's station: "I'll go too!"

Chen Cang couldn't help but nodded gratefully.

Tao Mi told Chen Cang: "Xiao Chen, we can only remind you that you still have to do the surgery. Now the patient has ruptured the ventricular septal and there is a myocardial infarction. You must remember that you cannot damage the coronary artery, and the incision must be small! You must avoid affecting the left ventricular function!"

Tao Mi kept reminding...

Chen Cang nodded gratefully too.

This operation, due to the old lady's own reasons and the existence of complications, increased the risk and complexity of the operation, so that the difficulty increased again and again, and the risk factor also increased proportionally.

Chen Cang had no confidence in his heart!

Maybe this is what the surgery should look like?

It's full of risks and uncertainties!

No one can control life and death, all they can do is to do is to do their best.

Even Tao Mi and Xia Gaofeng cannot guarantee whether the operation is successful!

...

...

The operation began, the low-temperature extracorporeal circulation machine was running, and the heart officially stopped working.

After opening his chest, Chen Cang's eyebrows were tightened when he looked at this aging heart!

Extensive anterior wall infarction, the color change of the heart can now be seen!

Chen Cang didn't care about anything else, so he could only carefully judge the opening and scope of the surgery.

Do not damage the ventricle as much as possible.

The heart is already aging, covered with bruises and ischemia and hypoxia. If the left ventricle is the myocardium that pumps blood in the heart, if he is damaged again, the old man will be gone!

Chen Cang knew the difficulty.

At this time, it is necessary to determine the range and extent of myocardial injury and observe whether there are other injuries.

Chen Cang held his hand and explored the rupture of the ventricular septum from the left ventricular surface.

Try to find a suitable opening point for surgery!

The patient is ruptured by ventricular swelling tumor caused by acute myocardial infarction, and the surgical treatment effect is better than conservative treatment, which is also the reason why Chen Cang made up his mind to the operation.

Everyone around was staring at the heart, and now they needed to find the most suitable opening point for surgery!

Chen Cang kept thinking in his mind, touched his heart with both hands and looked for a long time, and finally!

He discovered a place where the right ventricle surface and the atrium intersect, where the coronary artery can be avoided, and most importantly, the damage to the left ventricular wall is extremely small.

When Chen Cang thought of this, he took the scalpel and spoke directly!

Tao Mi and the others frowned!

"Xiao Chen, is it easy to get the needle in this position?"

Xia Gaofeng also frowned: "Yes... the damage here is small, and the side effects are small, but it is not easy to operate!"

Chen Cang nodded: "Try it!"

Thinking of this, Chen Cang made intermittent mattress-style sutures with double-needle non-invasive sutures with small gaskets through the vibrant ventricular septal defect edge tissue!

This process requires great care and never damage the broken heart.

Chen Cang did not dare to shake his hands at all, and it was difficult to start with his right hand, so he had to pick up his left hand!

The directors suddenly widened their eyes!

Left hand???

Needle holder forceps are inserted into the needle from the right ventricular surface, first suture the ventricular septal defect and the posterior edge of the patch, suture the patch and ligate it on the left ventricular surface.
To be continued...