Chapter 1117 President Chen Is the Main Sword!
Chen Cang has a deep understanding of STDs.
Syphilis is a highly contagious sexually transmitted disease, usually acquired syphilis, but also congenital.
Acquired syphilis is mainly divided into three stages, in fact, it is mainly based on the three stages of the development of Treponema pallidus.
What is more troublesome at this stage of tertiary syphilis is that the symptoms are complex and can involve any tissue and organ, including skin, mucous membranes, bones, joints and various internal organs, and it is easier to invade the nervous system.
So often cause tissue damage!
In the patient's current condition, the changes in cerebrospinal fluid are not very serious, which may be related to his long-term treatment.
Mainly, the damage to the intima of blood vessels has become the main factor.
But... Chen Cang saw on the angiography video that after the abdominal aortic pseudoaneurysm bulges, the iliac artery stenosis caused by it is very serious.
He found a problem. The blood vessels here seem to be... can be preserved, and the surrounding boundaries... are clear in all aspects, which is a good thing!
Is it directly replaced by artificial polyester blood vessels?
Thinking of this, Chen Cang suddenly thought of some operations in the pseudoaneurysm treatment he had seen.
Suddenly the eyes light up!
It seems that artificial blood vessel replacement is not the only surgical option.
Thinking of this, Chen Cang was a little excited, but he was not quite sure how feasible this was.
At this time, Xiao Zhehai said: "Chen Cang, what I mean is, we two, each of us handles one, this will undoubtedly save a lot of time, this is my surgical plan..."
During the speech, Xiao Zhehai narrated in detail, well-organized and logically very clear.
After listening to Yao Lekang on the side, he had to admire it. It was really a bold artist.
After all, this makes the operation much more difficult.
He knew that Xiao Zhehai could do it, but... Can Chen Cang do it well?
Yao Lekang is a little worried!
Although he doesn't know why Director Xiao trusts Chen Cang so much, he always feels that Chen Cang is a little mysterious, otherwise he wouldn't invite Li Baoshan...
Xiao Zhehai looked at Chen Cang: "Are you sure?"
Chen Cang nodded: "I'm sure."
"But...I have another idea."
As soon as these words came out, Xiao Zhehai and Yao Lekang were both stunned.
Yao Lekang couldn't help but sigh in his heart, this kid is really a newborn calf and is not afraid of tigers!
Saying directly in front of Xiao Zhehai that he has a plan, nothing else, full marks for this courage!
However, Xiao Zhehai's eyes lit up and he became curious:
"Oh? What plan? Tell me."
Chen Cang was not at all timid, he spread the angiography film on the table, and said directly: "My idea is to do a stripping of the abdominal aorta and iliac artery intimal and suture the patch."
After speaking, Chen Cang pointed to the place where the abdominal aortic aneurysm compresses and occludes the iliac artery.
"If artificial blood vessel transplantation is performed at the same time, although the effect is good and the operation is simple, it is easy to leave foreign bodies and induce infection."
"The angiography results show that we can actually see that there is not much damage to the surrounding blood vessels at this limit. If the blood vessels are transplanted, they need to be completely destroyed, which is a bit of a loss."
Hearing Chen Cang's words, Xiao Zhehai and Yao Lekang immediately got up and stared at the film.
Yao Lekang couldn't help frowning: "Is the stripping treatment you mentioned similar to abdominal aortic stripping?"
Before Chen Cang could speak, Xiao Zhehai interrupted him directly!
"No! It's not abdominal aortic stripping. Chen Cang's meaning should be to directly treat and fix the intima that formed the dissection, and then repair it with an arterial patch!"
"This idea is very good, although there is no intima, but because of the patch, the blood vessels can maintain normal function!"
The more Xiao Zhehai said, the more excited he became!
He looked at Chen Cang and couldn't help but said, "This method is good, but can you handle the endometrium?"
Dealing with the intima is the hardest part of vascular surgery!
It must be handled with precision. The layer should not hurt the media too deeply, making the vessel wall too weak and at risk of rupture, and it should be cleaned up so that the normal intima cannot be damaged.
In this way, the precision of surgery is improved!
The operation time will also naturally extend.
But the effect of surgery is the best solution!
After listening to Xiao Zhehai's introduction, Yao Lekang suddenly realized that cleaning the lesioned endometrium can achieve a long-term effect.
However, the question returned to Xiao Zhehai's doubts just now!
Can Chen Cang handle the endometrium?
Chen Cang nodded: "I can do it!"
Xiao Zhehai glanced at Chen Cang, and after a long time, he said lightly, "You come to be the chief swordsman!"
In a word, Yao Lekang was frightened!
Chen Cang's main sword?
Can he stabilize the military's heart?
Chen Cang didn't hesitate: "Okay!"
...
...
Ten minutes later, three people appeared in the operating room. In addition to the three of them, four chief physicians came to act as assistants for this operation!
The luxury of the lineup is self-evident.
In the office outside the operating room, Yao Lekang introduced: "This is today's chief surgeon: Chen Cang! Let President Chen introduce the surgical procedure to you."
When the four directors saw Chen Cang, they were stunned and a little surprised!
Chen Cang is a very famous President Chen in general surgery!
However, even so, when everyone heard that Chen Cang was the chief swordsman, they couldn't help but glance at Xiao Zhehai, and were a little curious, why did Director Xiao not be the chief swordsman?
Compared with Chen Cang, Director Xiao is more famous and has far-reaching influence.
Seeing everyone's curiosity, Xiao Zhehai couldn't help but say, "You can see why after seeing the surgery plan."
Chen Cang pointed at the angiography, picked up a pen and said on the demo board: "This operation is divided into two groups, Director Xiao is the chief surgeon in one group, and I am in the second group, with two assistants in each group. The surgical plan is as follows... "
Chen Cang introduced the operation.
After hearing the peeling treatment behind Chen Cang, several directors were stunned at first, and then closed their eyes and pondered.
After a few minutes, everyone suddenly became enlightened!
This is not so much an operation as it is a tumor cavity treatment method, which is very delicate!
Gives a refreshing feeling!
But the most important thing is that the long-term effect is much better than artificial blood vessel replacement!
Even, the more people think about it, the more feasible it is!
The only downside is that it is too difficult!
This surgical video is to be sealed, because of the confidentiality agreement, it cannot be copied!
Although everyone was very curious about Chen Cang's surgery, when they thought that this was Academician Xiao Zhehai, everyone was entangled for a while.
Who to choose?
There is only one chance, this operation will not be seen casually.
At this time, Yao Lekang said, "Director Zhang, come with me to help President Chen."
"You guys are helping Director Xiao complete the operation!"
Xiao Zhehai nodded: "Everyone knows the patient's condition, be careful!"
Surgery is about to begin!
...
ps: Let’s talk about the transmission route of acquired syphilis here.
1. Sexual transmission: is the most common route of transmission of syphilis;
2. Close contact: If the skin or mucous membrane is slightly damaged in the contact with the syphilis patient, the unaffected person can become sick;
3. Hematogenous transmission;
4. Mother-to-child transmission;
5. Iatrogenic transmission: if medical equipment is infected with Treponema pallidum, the disinfection is not strict.
I hope you don't think that STDs are just sexually transmitted.