Chapter 707 Too Harsh on Myself! (For the Lord of the Alliance, There Is a Pit in the Sky to Add More!)

Nearly 60 kilometers of expressway is a severe test for several people in the car!

The monitor's alarm sounded continuously.

Sweat soaked Chen Cang's clothes, and Xiao Lin's hair on the temples was also wet, and he was sweating profusely, all trying to save him!

In such a cold winter and twelfth lunar day, the car is full of warmth!

The man did not dare to make a sound, for fear of disturbing the two of them.

However, fortunately, the rescue was effective after all. When the high speed was off, the vital signs of the old man finally stabilized.

This time, everyone breathed a sigh of relief.

However, here Chen Cang began to contact the emergency department of the Second Provincial Hospital quickly, open the green channel, complete the relevant examinations as soon as possible, and prepare for the operation!

The old man has already done various physical and chemical tests at the township health center, which is good news, and there is no need to delay too much time.

At eight o'clock in the evening, the car stopped at the entrance of the emergency department of the Second Provincial Hospital, and the group hurried out to get ready.

After Chen Cang entered the door, he hurriedly started to organize the medical order in an orderly manner!

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

"Xiaoyan, prepare a medical notice."

"Brother Qian, go to the operating room with Wenfu, get ready..."

"Xiao Lin, call the color ultrasound room for a bedside cardiac ultrasound!"

...

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

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 an operation at the First Hospital of Dongda University just now. Director Li told us that you brought back a patient with acute myocardial infarction that caused ventricular septal rupture. Let's come over and see if we need help. Yes, he's in surgery, so I can't take care of it, so we'll come over to take a look."

Chen Cang nodded gratefully, and without delaying, said directly: "Trouble the two directors, the situation is like this, the patient is seventy-one years old, an elderly woman, seven days ago..."

Chen Cang explained the disease in detail later.

Tao Mi said directly: "Xiao Chen, I suggest that the acute injury of ventricular septal rupture should be observed for a period of time, and then elective surgery is better!"

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

"Now is the acute stage. 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, seventy-one years old, with a history of heart disease, and an acute myocardial infarction seven days ago."

"For such a patient, it is too difficult for you to do surgery now. I suggest that you wait for the scar tissue on the edge of the tear to form, and then perform elective surgery, and now go to the cardiologist first and be hospitalized."

Chen Cang was silent, the two directors were right, and they made sense.

At this time, Li Baoshan called the director of the Cardiology Department, Niu Tianfu Niu.

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

At this time, it is not the time to be reckless at all. Chen Cang is not stupid. The most important thing is to formulate the most suitable rescue plan, not an impulsive operation.

Curative surgery is only a way, and before surgery, it is best for patients to have a preparation that can provide a safe environment for surgery.

Soon the results of the color ultrasound came out, and Chen Cang also brought the CT of the heart.

In the rescue room, after reading the patient's cardiac function, Tao Mi said directly: "The current cardiac function is not bad, and the ejection fraction can also meet the daily consumption. I suggest to stabilize it first, and do not recommend surgery."

And Niu Tianfu shook his head directly: "Director Tao, look, acute myocardial infarction now occurs, whether it is interventional surgery or thrombolysis, the risk is very high, if the ventricular septum ruptures, the cardiac function will only increase. worse."

"According to the old lady's situation, it won't be delayed for a few days, how can you afford it!"

Tao Mi immediately argued with Niu Tianfu!

"Your cardiology department can't maintain this situation, our cardiac surgery will only have risks!"

Niu Tianfu said directly: "The patient is a ruptured ventricular dilatation tumor caused by acute myocardial infarction! Once it occurs, it can lead to intractable heart failure, severe arrhythmia, and peripheral arterial embolism. The prognosis is extremely poor. How would you like medical treatment?"

Xia Gaofeng and Chen Cang remained silent and listened to the argument patiently. Sometimes, the answer would appear in the quarrel!

Studies have shown that when humans are arguing, their brain responses are several times higher than usual!

Especially when boyfriends and girlfriends quarrel, women often play better!

Seeing the two arguing for a long time, Xia Gaofeng finished summarizing, and suddenly said: "Actually, it is not inoperable, the patient has already received cardiotonic and diuretic treatment, and the heart function is still OK at this time. Inotropic drugs to maintain blood pressure to ensure coronary perfusion, so it is not impossible."

"However, Director Tao is right. The risk of surgery is indeed very high."

"Now there are risks on both sides, I think it is better to fully respect the opinions of the patient's family members!"

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

Chen Cang nodded.

These old directors are national treasures, and they are like ships with routes!

All the risks and countermeasures can be stated in advance, and even if there is a problem, 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 preparations for a desperate fight and signed for the operation!

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

Niu Tianfu was clearly washing dishes at home, but he didn't take off his apron, he took it off and put it at the nurse's station: "I'm going too!"

Chen Cang couldn't help but nodded gratefully.

Tao Mi told Chen Cang: "Xiao Chen, we can only remind you that the operation still has to be done by you. Now the patient has ventricular septal rupture and has a myocardial infarction. You must remember not to damage the coronary arteries and the incision must be small! Be sure to avoid affecting left ventricular function!"

Tao Mi kept reminding...

Chen Cang also nodded gratefully.

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

In Chen Cang's heart, there is no bottom!

Maybe this is what surgery should look like?

It is full of risks and uncertainties!

No one can control life and death, all they can do is go all out.

Even Tao Mi and Xia Gaofeng could not guarantee the success of the operation!

...

...

The operation begins, the low-temperature cardiopulmonary bypass machine runs, and the heart officially stops working.

After the chest was opened, looking at this aging heart, Chen Cang's eyebrows were tight!

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

Chen Cang couldn't care about other things, he could only carefully judge the opening and scope of the operation.

Try not to damage the ventricle as much as possible.

This heart is already aging, bruised, ischemia and hypoxia, and the left ventricle is the heart muscle that pumps blood. If he is injured again, the old man will be gone!

Chen Cang knew the difficulty.

At this time, it is necessary to determine the scope and degree of myocardial damage and observe whether there is any other damage.

Chen Cang held his heart in his hand and probed for the ruptured ventricular septum from the left ventricular surface.

Strive to find a suitable opening point for surgery!

The patient had ruptured ventricular dilatation tumor caused by acute myocardial infarction, and the effect of surgical treatment was better than that of conservative treatment, which is why Chen Cang decided to operate.

Everyone around is staring at the heart, and now it is necessary to find the most suitable opening point for surgery!

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

He found a place where the surface of the right ventricle meets the atrium, where the coronary arteries were just avoided and, most importantly, minimal damage to the left ventricular wall.

Thinking of this, Chen Cang took the scalpel and opened his mouth!

And Tao Mi and the others frowned suddenly!

"Xiao Chen, this position...is it good for needles?"

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

Chen Cang nodded: "Try it!"

Thinking of this, Chen Cang used a double-needle non-invasive suture with a small spacer to pass through the vital tissue of the ventricular septal defect for interrupted mattress suture!

In this process, you need to be very careful, and you must not damage the broken heart.

Chen Cang didn't dare to shake his hands, his right hand was not good, so he had to pick up his left hand!

Several directors who saw it suddenly widened their eyes!

Left hand? ? ?

The needle-holding forceps were inserted from the right ventricular surface, the ventricular septal defect and the posterior edge of the patch were sutured first, and the patch was sutured and ligated on the left ventricular surface.

This process is all done under the left hand.

Although it seems clumsy, the difficulties in it can be imagined.

The operation of the left hand itself is unstable, and this will increase the risk of surgery. Once the operation is improper, it will not be worth the loss!

So Chen Cang himself was cautious.

The whole process, a few people watching is thrilling!

Even the nurse Yuanyuan frowned, her left hand...is it so powerful?

An interrupted mattress suture with a small spacer was placed on the right side of the anterior descending coronary artery, then through the right ventricular wall and through the anterior edge of the ventricular septal defect patch, and then through the left edge of the left ventricular incision.

Because of the opening, it must be divided under the operation of the left hand.

The sweat on Chen Cang's head was not considered to be left behind. He was soaked through his hat and mask, and he didn't dare to take a breath!

Even when the right hand is propped up in the air, I dare not move any more, for fear of damaging the innocent heart muscle!

Time just passed by every minute.

Chen Cang felt that the consumption today was more than two or three times that of the past!

Finally, when the suture was ligated, the ventricular septal defect and the left ventricular incision were completely closed.

Everyone breathed a sigh of relief!

Chen Cang couldn't wait at this moment.

Complete hemostasis, flush the pericardial cavity, stop cardiopulmonary bypass after cardioversion, and observe the effect!

At this time, everyone was staring at the data on the ECG monitor, waiting for a successful signal.

Anesthesiologist Liu Jian said: "Vital signs are completely normal!"

At this moment, everyone's tense hearts were loosened.

too difficult!

This moment is really hard.

Chen Cang himself felt that it was really too easy.

Liu Jian couldn't help giving Chen Cang a thumbs up: "Director Chen, you are getting better and better! You are becoming more and more like a director!"

Several directors around also nodded in relief with laughter.

Chen Cang grew up as they watched.

It's just... this speed is a bit like fast-forwarding X4! rather than the normal growth rate.

But... geniuses are always different from ordinary people!

In this operation, no one else can intervene, because once the left ventricular wall is damaged, the consequences are very serious, and if the coronary artery is damaged, it will be even more troublesome!

Therefore, Chen Cang can only go alone and ride a thousand miles alone!

The moment the surgery was successful.

Everyone laughed!

They found that this young man was becoming more and more like a director.

It's just that several of them now have a question lingering in their minds.

When washing his hands, Tao Mi couldn't help but ask, "Xiao Chen...is your left hand so powerful?"

Xia Gaofeng nodded: "Yes! I think your left hand is very stable, have you practiced!"

Chen Cang pondered for a moment, thinking of his young foreign female teachers who trained his left and right hands, and nodded: "Well, I use it often."

After several directors heard it, they suddenly realized.

Sure enough, success is no accident!

How much effort did people put in?

The eyes of everyone looking at Chen Cang at this moment are full of admiration.

This young man is too demanding of himself!

...

...

ps: Thanks to the two friends "Mo Chensui" and "xiaolei1028" for their 10,000 reward, thank you.

I originally wrote half of it and was about to upload it, but I decided to finish the operation. It looked comfortable, and I wrote nearly two chapters at once.

And it's the middle of the month, ask for a monthly pass, the great gods behind them are starting to exert their strength, and we have to increase the price.

So, ask for a monthly pass! Ask for a monthly pass! Ask for a monthly pass!