Chapter 750 It Seems, I Found It! (Add 3 for the Leader of the Prodigal Flower)
"Non-invasive vascular clamp."
"gauze!"
"Stop the bleeding!"
...
The operation was carried out, Tao Mi personally attacked, Qian Lin looked at Chen Cang, dared not to speak, but... He has now been successfully promoted to two people as the biggest enemy.
First and foremost is Dad!
Next is Chen Gou!
It's not that Chen Cang is as important as his father.
Not to mention that his father is a dog like Chen Cang!
Anyway... this is the goal that Qian Lin has worked hard for in this life.
Tao Mi likes to attack Chen Cang very much now, even if the coefficient of the main knife is given to Chen Cang, it doesn't matter.
After all... Stealing a teacher has to be a little bit of the consciousness of stealing a teacher.
It’s ok if you don’t pay tuition, you can’t still earn money, right?
Since Chen Canghui underwent cardiac surgery, Tao Mi always felt that she was the second beneficiary and learned a lot of good things.
In the past, Xia Gaofeng was always invited first, and then Tao Mi was invited for surgery consultations in the province, but... it's different recently.
Let's start inviting Director Tao!
The outside world has realized that Director Tao, who has accumulated a lot of money, is a late bloomer!
This makes Director Tao very happy.
However, there are not many good days. Thinking that Chen Cang is going to fly away after the new year, in fact, the most reluctant person is Tao.
However, I didn't expect to learn Chen Cang's mitral valve surgery before leaving.
Saying it is learning, in fact, preparing for it is inspiration.
Get what you need from someone else's surgery, that's what Director Tao needs.
When the atrium was incised and entered the right atrium, Chen Cang took the scalpel and incised the fossa ovalis longitudinally, expanding it up and down.
Chen Cang glanced at Qian Lin and said:
"When extending downward, it is best to deviate in the direction of the inferior cavity, and when extending upward, avoid inward deviation, because in this way, accidental injury to the aortic sinus can be avoided."
This operation is also Chen Cang's perception, and it may be useless to Tao Mi.
But for Qian Lin and classmate A, it was a rare experience.
Qian Lin suddenly realized, and the look in Chen Cang's eyes softened a little...
Do you want to let him go?
Qian Lin hesitated!
In fact, Chen Cang is quite good a lot of the time.
Chen Cang continued: "You have to lose weight. After all, your hands are too fat and affect your performance."
Classmate A held back, but didn't dare to laugh, so he farted to show his respect!
Qian Lin shook his hands. Where's my knife? !
Tao Mi smiled.
It's normal to joke around in the operating room, Chen Cang is fine, Zhang Youfu likes to tell dirty jokes, at the beginning, he often made the nurse blush, but now the little nurse often tells Zhang Youfu jokes, and Director Zhang blushes.
Mitral valve replacement surgery, in fact, means that the mitral valve has become stenotic, the valve has serious contracture, and the subvalvular disease is serious, which cannot be repaired by plastic surgery, and the valve must be replaced.
There are many valves in the heart. Between the atrium and the ventricle, the blood flows through the valves. This is the door of the heart, but the door is open in one direction. Just like a machine.
Because blood can only flow in one direction, it cannot be allowed to flow back. The function of the valve is to block it when it flows back.
However, the mitral valve is a one-way door from the left atrium to the left ventricle. When the mitral valve is stenotic or insufficiency, the blood flows back to the heart, which causes heart disease.
What Chen Cang needs is to replace the valve with a new artificial door, so that it can also play the same role.
However, there is still extra mitral valve, but the contracture is serious and cannot be used, even if it is reserved, it is of little significance.
Chen Cang simply cut it. This process is called flap cutting for short, but it can't be cut too much, so as not to damage the ventricular wall.
When the operation was going on so slowly, Chen Cang was suddenly stunned!
He found a problem!
That is, there are some small thrombus remaining on the wall of the left ventricle.
Suddenly Chen Cang was stunned.
It's hard to spot the problem without looking closely!
And it was thanks to Chen Cang's vision that his eyesight had improved by 50%, that he discovered this.
How is this going?
Then Chen Cang quickly looked at the original mitral valve.
Suddenly one thing came to mind. If the heart is normal, the blood flow is unobstructed, but when the mitral valve is stenotic, the blood cannot flow from the left atrium to the left ventricle at a normal speed!
In addition, the blood pools and rotates in the enlarged left atrium, and the flow rate slows down, which may form a small thrombus.
And these blood clots are all time bombs!
When it reaches the coronary arteries, it is coronary heart disease, and when it reaches the cerebral blood vessels, it is cerebral infarction!
Mitral valve stenosis for a long time can lead to changes in the structure of the heart, such as enlargement of the left atrium!
The enlargement of the left atrium is closely related to atrial fibrillation, which is the most common cause of cardioembolism.
No wonder the patient has two consecutive cerebral infarctions within a period of time.
Everything happens for a reason.
However, this patient is due to this special condition caused by mitral valve stenosis.
What's the point of a cough suppressant?
correct!
Chen Cang began to observe along the great blood vessels.
wrong!
Chen Cang suddenly realized that he might have gone astray.
I have been trying to associate the infarction with the cough suppressant.
As a result, Chen Cang always associates the cause of embolism with cough suppressant, and ignores the direct cause of infarction!
That's atrial fibrillation!
Immediately!
Chen Cang just realized this, and he found that the task progress in his mind suddenly increased by 5 points!
At this moment, Chen Cang was overjoyed!
Is it...
Is this cough suppressant the cause of atrial fibrillation?
right!
Probably!
Codeine phosphate itself is a drug that excites the central nervous system, and a large amount of it can lead to the adverse reaction of tachycardia.
These are all acceptable.
But if you induce atrial fibrillation, this is not acceptable.
What is atrial fibrillation?
That is, the irregular and irregular contraction of the atrium changes the atrial rhythm, and the contraction of the ventricle also becomes irregular, and atrial fibrillation drives the speed of the ventricle.
This can induce a series of serious diseases such as cerebral artery embolism, peripheral vascular embolism, pulmonary embolism, and sudden cardiac death!
Therefore, many times, patients feel panic.
But when atrial fibrillation occurs frequently, complications can arise.
Think of the first patient, who had pulmonary embolism, also had atrial fibrillation!
The second patient, also palpitation, had atrial fibrillation-induced multiple cavity infarction.
Now to the third patient, still infarction!
At first, Chen Cang thought that the cough suppressant might induce damage to the vascular endothelium, but now it seems that it directly acts on the heart.
Thinking of this, Chen Cang suddenly became worried.
How many patients in the country have the original disease of infarction?
If this cough suppressant prevails, what will happen?
Everything seems to be getting so serious!