Chapter 316 The First Operation

Hearing Meng Xi's words, Ge Huai was stunned!

He thought Meng Xi was joking!

Unexpectedly...she was serious.

Pericardial puncture?

This is not a thoracentesis.

It's only been a few days, and I haven't had a pericardiocentesis yet, which is obviously a bit too...

However, Ge Huai suddenly thought about it, this was just a question from Meng Xi.

This Chen Cang may not be able to!

Even if he did, he reckoned that Chen Cang would not dare, after all...

"I can."

Chen Cang's indifferent words directly interrupted Ge Huai's conjecture.

Ge Huai was so frightened that the chicken shivered.

I cao?

You can do it again!

If Ge Huai is this expression.

Then, Wu Peng on the side was dumbfounded.

Looking at Chen Cang's clothes, it was obvious that it was the white coat that Gu Peisheng was wearing. Isn't this a joke?

Thinking of this, Wu Peng said embarrassedly: "Director Meng, this is not a child's play. Emergency surgery is no joke. You asked this classmate to do it, and I was the first to disagree."

It wasn't that Wu Peng looked down on Chen Cang, but in the final analysis, he was still responsible for the patient.

Therefore, no matter how you say it, no matter what your position and practice are, it is correct!

But Meng Xi was silent for a moment, looked at the picture on the B-ultrasound machine, looked at Wu Peng and said, "Well, I know what Dr. Wu thinks, but... the patient should have acute bacterial pericarditis, and it is meaningless to stay in the emergency room. Get out of your mind."

After Wu Peng heard it, he was stunned for a moment, as if...there was nothing wrong.

This patient is no longer his own now.

"Okay, okay, then it's hard work and trouble for Director Meng, and Doctor Ge, please worry more!"

Meng Xi turned around and glanced at Ge Huai: "Doctor Ge, you go through the formalities with Dr. Wu, as soon as possible, and Chen Cang and I will go up and puncture as soon as possible!"

Ge Huai was even more dumbfounded. Shouldn't the formalities be done by students?

Shouldn't the puncture be done by a doctor?

What are you... how are you doing?

But there is no way, Director Meng is his direct boss, just be obedient.

Ge Huai and Wu Peng hurriedly started to transfer subjects.

The transfer of emergency patients is very convenient and fast, and they do not want to be as troublesome as other departments.

There is not much difference in the treatment process. The only difference is that the patient and the B-ultrasound doctor have changed places, and Chen Cang has officially performed pericardiocentesis.

Ge Huai ran back and forth, rushing back and forth. After finally finishing his work, he hurried to the ward to see Chen Cang's puncture.

And just came in, I heard Chen Cang say: "Just right, Mr. Ge, help me draw fluids later, please."

When Ge Huai heard this, his face suddenly changed...

Me and he... Who is the student and who is the teacher!

However, if you don't help yourself, do you want Director Meng to draw fluids?

Thinking of this, Ge Huai couldn't help sighing.

Forget it!

Endure it!

Adults don't remember villains.

This time, the safety factor has been greatly improved due to the presence of echocardiography and ECG monitoring at any time.

In the training space, how many times Chen Cang has practiced under this situation, he basically pinched it at his fingertips.

However, in order to avoid the hypotensive reaction of vapid walking, Chen Cang looked at Ge Huai and said, "Atropine."

Ge Huai blinked.

Chen Cang: "Atropine."

Ge Huai was about to ask why, when suddenly his face changed, and he immediately reacted.

This Chen Cang... not bad, a little level!

Chen Cang began to lay hole towels...disinfection...anesthesia...

Chen Cang held a puncture needle, and the needle pointed upward at the sharp point where the xiphoid process of the sternum and the left costal margin intersected, close to the back of the sternum, and slowly advanced.

The needle moved slowly, and Chen Cang felt it!

In place!

The whole process is very fast, after all, I don't know how many times I have worn it, so a set of movements is so smooth that even the super-man on the side is dumbfounded.

After that, he said, "Mr. Ge, it's alright."

Ge Huai didn't seem to have reacted yet. After all, it was only a few seconds after the last sentence? Is this all right?

Young people, can you stop being so sloppy, you can't be more serious about medical work?

"So fast?"

Chen Cang nodded: "Come on."

Ge Huai pumped, and suddenly felt the liquid appear.

I have to say that Dr. Ge is much more professional than the 120 driver Lao Liu, and the whole process was slow and orderly.

After a while, the extraction was completed.

Then homeopathically injected some antibiotics into the pericardial cavity.

It didn't take long for the patient's symptoms to basically stabilize.

However, that doesn't mean the surgery is over.

Now it's just to relieve the patient's symptoms and make his vital signs stable, and the next work is important.

Clear the nature of the pericardial effusion, and complete the operation as soon as possible.

After all, the pathological changes of acute pericarditis are early manifestations of inflammation in the visceral and parietal layers of the pericardium, and a viscous fluid containing fibrin deposition and aggregation of polynuclear leukocytes appears, which is called fibrinous or dry pericarditis.

The inflammatory reaction often involves the subpericardium of the myocardium, and a few severe cases can involve the deep myocardium, which is called myopericarditis.

After healing of pericarditis, small plaques or adhesions of varying degrees may remain, such as inflammation involving the outer surface of the pericardium parietal layer, which can produce adhesions between the heart and the adjacent tissue pleura, mediastinum, and diaphragm.

Therefore, the treatment of this acute pericarditis should be carried out quickly.

Once bacterial pericarditis is diagnosed, surgery is generally performed as soon as possible.

Blood cultures are now required, as well as analysis of the nature of the effusion.

Can only wait until tomorrow.

Meng Xi said, "Well, it's a good one! Do you often?"

Chen Cang nodded and smiled: "Well, it is often done in the emergency room."

Meng Xi suddenly said thoughtfully, "Then will you do a pericardiotomy?"

【Ding! Complete the test of Meng Xi's mentor, the second ring, gain favorability +5, trigger the third ring task, and do a pericardiotomy. 】

Chen Cang was a little hesitant. After all, he knew how to perform pericardiocentesis, and he was a master, so he said yes.

But the pericardial incision... This kind of Chen Cang has no idea.

He wasn't sure either.

Are you saying you can do it?

Might as well do.

With the help of the system and the explanation of Director Tao Mi, Chen Cang already has the theoretical knowledge of pericardiotomy.

But lack of practice.

Moreover, in the last mission, completing five pericardial surgeries can directly upgrade the skills to the advanced level.

Therefore, Chen Cang gritted his teeth and said the truth: "Mr. Meng, I want to try it, but... I can't guarantee that the operation will go smoothly. After all, I haven't tried it, but I have seen it many times."

Meng Xi was stunned for a moment, then nodded and smiled: "Okay, you will be the chief knife tomorrow."

After finishing speaking, Meng Xi skillfully took off his white clothes and said, "I'll watch you do it."

When Chen Cang heard this, he suddenly felt warm inside.

In fact, Mr. Meng Xi is quite good to himself.

Ge Huai, who was beside him, wanted to speak, but he hesitated.

Looking at the appearance of the two, I suddenly realized that I suddenly understood!

Yup!

Isn't it self-inflicted to be against Chen Cang?

After all, Chen Cang was his boss's disciple, the first disciple of the founder of the mountain, and this kind of disciple's feelings are still very deep.

For Chen Cang, Meng Xi must focus on training.

To put it bluntly, the two of them were the same people, and they questioned Chen Cang, and to put it bluntly, they questioned Director Meng. Maybe the two of them caught up with them together.

After thinking about it clearly, Ge Huai suddenly felt that he should be calmer, more generous, and act like a teacher.

...

ps: The first three updates, thank you everyone, there is a single chapter later.