Chapter 718 Survival in a Desperate Situation (Add 1 for the Leader Ll0505)

After Yu Yingcai heard the news, she was dumbfounded!

This is so good and it's like this?

The highest cure rate is less than 20%, which is a terrifying nightmare for Yingcai!

Thinking of this, Yu Yingcai was a little frightened and uneasy!

Qin Xiaoyuan urged for a while: "Time is limited, make a decision quickly!"

Thinking of this, Yu Yingcai nodded hurriedly: "Okay! I'll sign... Doctor, you must be treated, no matter how much you pay!"

Qin Xiaoyuan nodded: "We will do our best!"

...

...

After giving the notice of the operation, Chen Cang took the lead in calling Jing Ran.

At this time, the more reliable thoracic surgeon he could think of was orderly.

Young and tense!

Right now, at 9:30 pm!

He put down the phone and hurried over.

And Chen Cang also began to arrange related operations in an orderly manner.

"Intravenous infusion of isoproterenol 0.5 ~ 5μg/min to increase cardiac output!"

".Introduce colloid solution to dilate blood volume to increase blood pressure!"

"High-concentration oxygen inhalation to increase arterial partial pressure of oxygen!"

...

Chen Cang began to issue various pre-operative medical orders continuously to get ready. Qin Xiaoyuan nodded with satisfaction.

He found that his son-in-law was really expected!

In fact, pulmonary embolism is more common in people over 50 years old, and it is rare in young people. Chen Cang can judge that it is very serious.

Moreover, the symptoms of this disease that can be found are many, many, and do not have any specificity! And the key is that many inspections are not obvious!

Chest X-rays, electrocardiograms, and bedside ultrasounds are likely to be basically the same as normal.

Many exceptions occur after a long time!

As for the symptoms, there are too many symptoms of pulmonary embolism, and different patients will have different reactions, such as allergic rash and laryngeal edema, which most people would never think of. If Qin Xiaoyuan had not seen it with his own eyes through more than 30 years of clinical experience, he would not have been able to. ensure!

There are so many types of diseases!

Who can see clearly?

What Chen Cang obtained from Mr. Fang Lao was only the perfect physiological and biochemical clinical interpretation, and the perfect ECG and physical examination later.

From these things alone, it's pretty good to think of a pulmonary embolism.

Chen Cang's reasoning process depends entirely on his own accumulation.

Moreover, even if the diagnosis is pulmonary embolism, how much does Chen Cang know about this disease?

Diagnosis may seem simple, but it is actually very difficult!

The symptoms of each disease are specific and not the same!

In the operating room!

The patient was in a supine position, and Liu Jian was silent after learning of the condition.

Anesthesia at this time is the most challenging anesthesiologist!

The patient himself has had cardiac arrest, and now if the trachea is intubated directly, it is likely that the heart will arrest again because the chest is stimulated during intubation.

Thinking of this, Liu Jian took a deep breath!

Begin emergency partial extracorporeal bypass, first perform femoral artery and vein intubation under local anesthesia, and then perform tracheal intubation under general anesthesia!

In this way, the stimulation of the heart is completely avoided.

The competence of the anesthesiologist is directly related to the success of the operation.

So don't underestimate an anesthesiologist. Liu Jian has a high status in the Department of Surgery of the Second Provincial Hospital. Even if he is not the director now, all directors must greet Liu Jian with a smile.

It's because of his anesthesia power!

With Liu Jian in, the success rate of the operation can be greatly increased.

And the person Liu Jian values ​​and respects the most is Chen Cang. Whenever Chen Cang has an operation, Liu Jian will basically appear!

After the establishment of extracorporeal circulation.

Chen Cang directly blocked the ascending aorta and performed coronary artery, cardioplegic fluid perfusion and myocardial partial cooling arrest.

Soon, this heart finally calmed down.

Chen Cang looked at his heart and suddenly felt grateful to Professor Jr. If it weren't for his research on cardiopulmonary bypass machines, perhaps human beings would still be unable to open the door to the heart.

At this time, Jing Ran walked in, no nonsense, and immediately began to change clothes and prepare.

The disease has been explained clearly on the road!

This operation was performed by Chen Cang, Wang Kai'an and Jing Ran.

Surgery officially begins!

The surrounding directors and Qin Xiaoyuan all looked at the operating table nervously and uneasy.

Watching three young people perform an operation with a mortality rate as high as 80%!

Can't help but cheer them on!

They don't have a clue in their hearts. The patient's condition is very poor. It is an accident that they can persist until the operation, not to mention the success rate of the operation.

Wang Kai'an and Jing Ran are both excellent. Chen Cang doesn't know why Wang Kai'an left in the first place. Such an excellent young man should be valued everywhere.

The operation passed minute by minute, and after some operations, Chen Cang finally saw the embolus!

The name of the red [emboli] was clearly visible across the blood vessels, which undoubtedly saved too much time for Chen Cang.

The next most important thing is to remove the embolus!

Chen Cang's gaze was slightly above the pulmonary valve annulus for a moment. At this time, how to remove the embolus skillfully is very important!

It is necessary to avoid massive bleeding, but also to avoid the emboli being crushed and aggravating the condition again.

The whole process is delicate and worrying.

But Jing Ran trusted Chen Cang very much. He knew that with Chen Cang for surgery, he just had to do what he should do with his heart. Thinking of this, he took the hemostatic forceps and said, "Are you ready?"

Seeing Chen Cang nod!

Surgery begins!

Between the lights and flints, Chen Cang held a raw scalpel to make a longitudinal incision of about 2cm in the anterior wall of the pulmonary artery!

Afterwards, the common bile duct stone extraction forceps in Wang Kai'an's hand were directly inserted into the bilateral pulmonary arteries.

At this moment, everyone held their breath!

There is only one thought in my mind, don't let anything happen!

The entire embolus was of a moderate size, but it was just blocked on the wall of the blood vessel. It needed to be carefully removed with forceps, and the intima of the blood vessel could not be damaged.

Otherwise, it will undoubtedly aggravate the condition and even be detrimental to the later recovery!

At this moment, Chen Cang directly became the key to the operation.

His hand had to feel the texture of the embolus. The force was too small to come out, and the force was too strong to be easily crushed.

Several directors around saw Chen Cang's operation and began to feel nervous!

Could this be directly related to the success of the surgery?

Just as everyone was looking forward to it, Chen Cang actually felt a pressure.

He clearly felt that the stability of his right hand was insufficient, and his strength was prone to deviation!

It looks like... I still need to strengthen training in the future.

10 seconds... 20 seconds...

Finally, Chen Cang held the embolus and successfully took it out!

Everyone breathed a sigh of relief.

The operation was a success!

However, success does not mean that the patient will be fine.

Generally speaking, in patients without other important cardiopulmonary diseases and without cardiac arrest, the effect of embolectomy is satisfactory, and the circulatory respiratory function can be quickly restored and maintained stable.

But there are still about 15% of patients, especially those with cardiac arrest, whose cardiogenic shock fails to recover in time, which is the first cause of postoperative death.