"Non-invasive blood vessel forceps."

"gauze!"

"Stop bleeding!"

...

The operation was underway, and Tao Mi personally helped him. Qian Lin looked at Chen Cang, and dared not speak out, but... his biggest enemy has been successfully promoted to two people.

The first one is Dad!

The second is Chen Gou!

It’s not that Chen Cang is as important as his father.

Not to mention his father is like Chen Cang!

Anyway... this is Qian Lin's goal to work hard in this life.

Tao Mi now likes to attack Chen Cang, even if the coefficient of the main sword is given to Chen Cang, it doesn’t matter.

After all... you have to be a little bit enlightened to steal the master.

Just don’t pay the tuition fee, you can’t make money, right?

Since Chen Cang had a cardiac surgery, Tao Mi always felt that she was the second beneficiary and learned a lot of good things.

In the past, when consulting for surgery in the province, Xia Gaofeng was always invited first, and then Tao Mi, but... it has been different recently.

Let’s start inviting Director Tao first!

This outside has realized that Director Tao has accumulated strength and made great achievements late!

This made Director Tao much happier.

However, there are not many good days. Thinking that Chen Cang will fly far after the New Year, in fact, he is the one who is most reluctant to leave.

However, I didn’t expect that I could still learn Chen Cang’s mitral valve surgery before leaving.

It is said to be learning, but it is actually to be prepared to be inspired.

Get what you need from other people’s surgery, which is what Director Tao needs.

When the atria is incised and entered the right chamber, Chen Cang took a scalpel and cut the oval fossa lengthwise and expanded up and down.

Chen Cang glanced at Qian Lin and said:

"It is best to be biased towards the lower cavity when extending downward. When extending upward, it is necessary to avoid deviation inward, because this can avoid accidentally damaging the aortic sinus."

This operation is also Chen Cang's insight, and it may be useless to Tao Mi.

But for Qian Lin and classmate A, it is a rare experience.

Qian Lin suddenly realized, and his eyes looked at Chen Cang softened a little...

Do you want to let him go?

Qian Lin hesitated!

In fact, Chen Cang is also very good often.

Chen Cang continued: "You have to lose weight, after all, your hands are too fat and your performance will be affected."

Classmate A held back, but he didn't dare to laugh, so he farted to show his respect!

Qian Lin shook his hands, where is my knife?!

Tao Mi smiled.

It's normal to joke in the operating room. Chen Cang is fine. Zhang Youfu likes to tell dirty jokes. At the beginning, the nurse often blushed, but now the young nurse often tells Zhang Youfu jokes, and Director Zhang blushed.

In mitral valve replacement surgery, the mitral valve becomes narrow, the valve has severe contracture, and the lesion is severe, so it cannot be repaired by shaping. The valve must be replaced.

There are many valves inside the heart, and between the atrium and ventricle, the blood is circulated by the valves. This is the door of the heart, but this door is opened in one direction. Once the heart contracts, it opens once, just like a machine.

Because blood can only flow in one direction and cannot be allowed to flow back, the function of the valve is to block when it flows back.

However, the mitral valve acts as a one-way gate from the left atrium to the left ventricle. When the mitral valve is stenosis or insufficiency, blood flows back to the heart, which causes heart lesions.

What Chen Cang needed was to replace this valve with a new artificial door, so that it could also play the same role.

However, the mitral valve is still redundant, but it has been severely contracted and cannot be used. Even if it is retained, it does not make much sense.

Chen Cang simply cut it. This process is referred to as flap cutting, but it cannot be removed too much to avoid damaging the ventricular wall.

When the operation was proceeding slowly like this, Chen Cang was suddenly stunned!

He found a problem!

That is, there are some tiny thrombus residues on the wall of the left ventricle.

Chen Cang was stunned.

If you don’t observe carefully, it will be difficult to find this problem!

And this is due to the fact that Chen Cang's vision has increased by 50%, which is why he discovered this.

What's going on?

Then Chen Cang quickly looked at the original mitral valve part.

Suddenly I realized something. If the blood flows smoothly when the heart is normal, but when the mitral valve is narrowed, the blood cannot flow from the left atrium into the left ventricle at a normal speed!

Moreover, blood accumulates in the enlarged left atrium, rotates, and slows down the flow rate, which may form tiny thrombus.

And all these blood clots are time bombs!

When you reach the coronary artery, it is coronary heart disease, and when you reach the cerebral blood vessels, it is cerebral infarction!

Mitral valve stenosis over a long period of time can lead to changes in the heart structure, such as the enlargement of the left atrium!

The enlargement of the left atrium is closely related to atrial fibrillation, and atrial fibrillation is the most common cause of cardiogenic embolism.

No wonder the patient will have two consecutive cerebral infarctions over a period of time.

Everything has a reason.

However, this patient is a special situation caused by mitral valve stenosis.

What is the meaning of cough water?

By the way!

Chen Cang began to observe along the large blood vessels.

wrong!

Chen Cang suddenly realized that something might have gone astray.

I have been connecting infarction with cough water.

The cause of Chen Cang always has the connection between the formation of embolics and cough water, while ignoring the direct cause of infarction!

That's atrial fibrillation!

Suddenly!

Chen Cang had just reacted to this point, and he found that the progress of the task in his mind suddenly increased by 5 points!

At this moment, Chen Cang was overjoyed!

Could it be...

Is this cough water the cause of atrial fibrillation?

right!

Very likely!

Codeine phosphate itself is a drug that excites the central nervous system. Taking it in large quantities can lead to adverse reactions to tachycardia.

These are acceptable.

But if you induce atrial fibrillation, this will not be accepted.

What is atrial fibrillation?

It means that the disorderly and irregular atrial contraction is ineffective, which changes the atrial rhythm, and the ventricular contraction also becomes irregular, and atrial fibrillation drives the ventricular growth.

This can induce a series of serious diseases such as cerebral artery embolism, peripheral vascular embolism, pulmonary embolism, sudden cardiac death, etc.

Therefore, many times, patients feel palpitations.

However, when atrial fibrillation occurs frequently, complications will occur.

Recalling the first patient, pulmonary embolism, atrial fibrillation also occurred!

The second patient also has palpitations and atrial fibrillation induces multiple cavity infarction.

Now that I have reached the third patient, I am still infarction!

At first, Chen Cang thought that cough-relieving water might induce damage to the endothelium of the blood vessels, but now it seems that it acts directly on the heart.

Thinking of this, Chen Cang suddenly became worried.

How many patients across the country have primitive diseases of infarction?

What will happen if this cough water prevails?
Chapter completed!