"Chen Cang, come right after work at noon! Take a taxi!"


    Chen Cang received a call from Meng Xi at 11 a.m.


    Chen Cang, who had just come out of the operating room, nodded and agreed immediately, and then asked, "what''s the matter, Mr. Meng?"


    Meng Xi said: "yesterday''s patient''s culture results came. It was pneumococcal infection that turned into Staphylococcus. It should be caused by the spread of direct infection in the chest."


    Chen Cang breathed a sigh of relief. Since he has determined what the infection is so quickly, the next step is very simple. What to do is to use targeted antibiotics for treatment.


    Symptomatic treatment is also the most appropriate measure.


    After that, Meng Xi added: "pericardial effusion culture has pus."


    Chen Cang said, but he was stunned!


    "Does pericardial effusion have suppurative fluid?"


    I''m Cao!


    Chen Cang suddenly became nervous.


    Thinking of what Meng Xi said just now, Chen Cang almost choked with saliva.


    After all, it is estimated that Meng Xi can do such a big thing and say it so lightly?


    Because whether it is systemic antibiotic treatment or injecting antibiotics into the pericardial cavity can not prevent the formation of pus in the cavity!


    It can even cause cardiac tamponade due to a large amount of pericardial effusion, or develop into constrictive pericarditis due to the formation of encapsulated empyema.


    Therefore, once it is determined to be pus, pericardiotomy should be performed immediately, debridement should be performed, and then drainage tube should be prevented.


    Chen Cang''s theoretical knowledge is in place these days. The risk of each operation is clear.


    Therefore, when he wanted to fight here, Chen Cang was inexplicably nervous: "why don''t... Mr. Meng, you have an operation quickly?"


    Meng Xi was a little stunned and said faintly, "what''s the panic?"


    A light fluster made Chen Cang look silly. When he looked at the phone again, the phone had hung up.


    Chen Cang is speechless


    What''s this panic... Makes Chen Cang feel that he is a weak slag in the field outside his heart.


    Why do you say that?


    The growth of any clinical doctor will go through three stages.


    The first stage is medical Xiaobai, who is ignorant of everything, doesn''t know the priority, and even can''t distinguish the severity!


    The second stage is the theoretical maniac, who knows the theoretical knowledge like the back of his hand. The great winners of this stage basically recite the theoretical knowledge. They have a good understanding of the risk of disease, know the horror of disease, and are anxious to see anything. They always feel very heavy.


    The third stage is clinical Laobai. Based on many years of clinical experience and grasp of various data, we have a good understanding of the patient''s situation and state, and have a high grasp of the disease.


    Chen Cang, though not the first stage in the field of cardiac surgery, knows nothing.


    But it''s only the second stage. I''m worried about everything. I always feel very dangerous when I encounter something.


    In fact, Chen Cang is not to blame, because bacterial pericarditis itself is often an acute and fulminant disease, and the average prodromal symptoms are only 3 days!


    The performance is also obvious. There are usually high fever, chills, systemic poisoning symptoms and dyspnea. Most patients do not have typical chest pain, and the occurrence of chest pain may mean that the severity of the situation will rise and the disease will be more dangerous.


    As Meng Xi said, the physiological, biochemical and culture results showed purulent pericardial effusion, which means that the degree of crisis has increased a little.


    Because purulent pericardial effusion can develop into pericardial constriction, that is, constrictive pericarditis!


    The risk of constrictive pericarditis will also increase a lot!


    It is not conducive to the recovery of patients!


    Even the operation of constrictive pericarditis is much more difficult than ordinary pericardial surgery. Chen Cang is still a little nervous at the thought of this.


    The most important thing is that he can''t delay the patient''s condition because Mr. Meng waits for himself.


    He felt that teacher Meng Xi was actually waiting for himself. The more so, the more worried Chen Cang was.


    Chen Cang is very grateful for this kindness.


    Actually


    No matter how big Meng Xi is, she will not delay the best diagnosis and treatment time of patients. The reason for this arrangement is that she has a good understanding of various indicators of patients and is very clear about the occurrence and development of diseases.


    That''s why I said that to Chen Cang!


    To put it bluntly, a doctor''s judgment of disease is generally the result of his own experience.


    Director Meng is so confident, but Chen Cang doesn''t dare.


    The little doctor should have the consciousness of the little doctor, and the novice village must also have the playing method of the novice village.


    At this time, there was nothing wrong with the hospital anyway. Chen Cang said hello and ran away!


    Since there was no yuan fan in the section, the whole department has been much cleaner, and Chen Cang has become more and more unscrupulous.


    After all, Qin Yue has become a licking dog under his milk tea offensive.


    Director an is now abused by his own Chen.


    As his little apprentice, Wang Yong devotes himself to practice and works hard.


    Chen Cang feels he is a bully now!


    Well, it should be called brother Chen!


    ……


    Taking a taxi to the first hospital of Dongda only cost the starting price of 8 yuan.


    After hurrying to the cardiac surgery, Meng Xi happened to prepare the medical record at the nurse station.


    Chen Cang ran over: "thank you, Mr. Meng, for waiting!"


    Meng Xi was also a little stunned and looked at his watch: "so early."


    After that, he handed Chen Cang the operation consent:


    "The consent forms have been signed. Start the operation as soon as possible."


    Chen Cang smiled gratefully.


    Although Mr. Meng was more strict, he worked day and night and asked the students to follow the surgery after work.


    The average student must have complained.


    But Chen Cang knows that he just wants to learn technology. Other teachers don''t complain. What qualifications do you have to complain.


    Ge Huai saw Chen Cang coming and smiled strangely: "Xiao Chen, don''t be nervous. I''m here."


    Chen Cang was stunned. Mr. ge... Seems to have changed his sex?


    I love myself so much.


    Chen Cang hurriedly said, "thank you, Mr. Ge. I have to trouble Mr. Ge today."


    Ge Huai shook his head: "it''s difficult to start when you''re finished. Just learn more and do it more times."


    When everything is ready, everyone must go to the operating room.


    Along the way, Meng Xi stressed the importance of many pericardiotomy and drainage operations to Chen Cang.


    While talking, Chen Cang and the three went to the operating room.


    Meng Xi is actually very curious about Chen Cang. Although he has rarely let Chen Cang start, every time Chen Cang''s performance is very eye-catching.


    In particular, the diagnostic skills have brightened Meng Xi''s eyes twice, and his hands-on ability is also very strong. Whether it''s vascular suture or pericardiocentesis, the operation... It''s difficult to do without decades of experience!


    Therefore, although Meng Xi didn''t say anything about Chen Cang, he knew it well.


    She also wants to see how Chen Cang''s operation is.