Prepare for emergency surgery!


    This sentence is a terrible concept in everyone''s ears.


    Emergency surgery, also known as emergency room surgery, is not a super emergency operation in the operating room.


    Super emergency!


    What is super emergency?


    Super emergency means that every second you delay, the probability of death will increase a lot.


    You know, the emergency room is not an operating room, not a sterile environment!


    Here, surgery means taking risks and emergency surgery at the risk of infection.


    In this way, we can see how important the operation is.


    As soon as Zhang Tao''s face changed, even Qin Yue was shocked.


    Why are you in such a hurry?


    What the hell is going on?


    At this moment, they have not reacted.


    When doctor B-ultrasound looked at the picture, he suddenly thought of a terrible thing: "Dr. Chen... You mean... Diaphragmatic hernia in pericardium???"


    Chen Cang''s face was dignified and serious: "that''s right! This should be an intrapericardial diaphragmatic hernia."


    As soon as this remark came out, all the doctors in the whole rescue room changed their faces!


    Zhang Tao hurriedly picked up the phone and was about to call the cardiac surgery department.


    After all, he knew what the disease was?!


    This can lead to acute death!


    Chen Cang looked at Zhang Tao and Qin Yue and said loudly, "don''t panic! Xiao Lin prepared equipment, sister Chang prepared items, and prepared disinfection and sterilization..."


    At this time, everyone in the hospital was at work, and Chen Cang suddenly asked for this emergency room operation, which immediately attracted everyone''s attention.


    Zhang Tao is already the attending physician, but he is still at a loss at this moment.


    Because this emergency is really thunderous.


    How high is the death rate of this kind of thing in the emergency department?


    Too high, too high!


    This disease is often misdiagnosed because of missed diagnosis, or even because various examinations do not keep up, resulting in death due to untimely treatment.


    Some people may wonder why a hernia is so serious?


    Isn''t the heart out?


    Of course not. When my heart wanted to go out, I didn''t go out and suddenly got stuck by the door!


    This is what pericardial diaphragmatic hernia means!


    Pericardial rupture usually occurs at the base of the heart. When subjected to violence, pericardial rupture will occur.


    And what is the biggest danger at this time?


    Incarceration occurs when the heart herniates outside the pericardium through a ruptured mouth. (Note: I read Shan and hide my face. I suddenly remembered that someone asked me how to read this word.)


    Big heart!


    But the hernia may not be that big!


    This will cause the heart to be stuck by the pericardium, and the surface of the heart is not smooth, but there are many blood vessels. If the heart is incarcerated by the pericardium, the blood vessels will be stuck directly!


    This is a physical nature of disguised myocardial infarction!


    After the heart is incarcerated, it can cause venous reflux disorder, pericardial tachycardia and even hypotension. It will also produce a sudden lack of blood supply to the heart because the coronary artery is compressed by a pericardial rupture.


    Therefore, in this case, we must urgently open the chest, reset the heart, and then close the pericardium.


    It seems a simple thing, but the degree of danger is very high.


    First, diagnosis is particularly important.


    If it is found late, giving normal treatment for myocardial infarction is likely to delay treatment and lead to death.


    After all, this is faster, more urgent and more critical than myocardial infarction.


    In other words, your neck is stuck by your clothes. If you don''t get your clothes done, you may be strangled.


    The emergency room fell into a rapid and orderly arrangement.


    The curtain is pulled up and a simple operating room is built!


    The operation will start soon!


    Qin Yue stood opposite, nervous. This was her first heart operation.


    In surgery, there are several surgical instincts that feel difficult.


    One is heart surgery and the other is brain surgery.


    Any operation involving these two parts will instinctively feel very dangerous.


    This is true not only for patients, but also for medical workers.


    Therefore, when Chen Cang chose a full-time direction, he took the lead in choosing cardiac surgery and thoracic surgery.


    Because there is no separation of heart and mind, if you want to be proficient in heart surgery, extrathoracic surgery can not be less.


    Qin Yue is worried about Chen Cang. After all, Chen Cang has only learned cardiac surgery for a few days.


    But I don''t know why, when Qin Yue looked at Chen Cang, he felt an instinctive trust and sureness. This feeling was wonderful, but he couldn''t say it.


    Chen Cang looked at Qin Yue: "I''ll puncture and you''ll draw the liquid!"


    Qin Yue nodded!


    B-ultrasound doctor carefully began echocardiography monitoring. Chen Cang picked up the pericardial puncture needle, took a deep breath and slowly penetrated it.


    This position will never be a puncture point!


    But at this moment, it must be punctured from here.


    Zhang Tao wanted to talk, but he wanted to talk and stopped.


    "Xiao Chen..."


    Chen Cang didn''t wait for him to finish, he directly explained: "the embedded heart has shifted. This is the safest place for puncture."


    Zhang Tao suddenly realized.


    About 100ml of this liquid was pumped!


    This made Zhang Tao look silly.


    How much pressure does this 100ml of blood fill the pericardium?


    How terrible!


    Originally, the heart was blocked, and the blood gave a lot of pressure. At this time, the blood was drawn out, and the patient''s blood pressure began to rise!


    This move instantly pulled the patient back from the edge of danger!


    However, this is the beginning of the rescue.


    Chen Cang turns around, pulls out the puncture needle and puts it aside. Qin Yue has handed over the scalpel.


    Chen Cang lifted the knife and cut in the middle of his chest!


    The choice of this position was considered by Chen cangshen.


    It can not only expose the origin of all cardiac cavities and large blood vessels, but also facilitate the manipulation of cardiac reduction.


    A few minutes later, the chest was opened, the pericardium was soon exposed, and a red and purple heart was exposed outside the pericardium, trembling!


    It seems that it will stop in the next second!


    The heart is bright red, the color of blood.


    But at this moment, it is dark purple!


    We all know what this is.


    Fortunately, it was found in time... If it was delayed, even if it recovered, whether it would be necrotic is a problem.


    An myocardial infarction is just a coronary artery.


    And now?


    But it''s stuck in the lower half of the whole heart!


    It''s really hard for you to think about the consequences.


    When everyone saw this moment, they immediately felt the constant exudation of cold sweat behind them.


    Fortunately, Chen Cang found out!


    Everyone is celebrating and feeling.


    Even Chen Cang was afraid. A red and purple name appeared in his eyes.


    [pericardial diaphragmatic hernia Monster: lv55, leader monster. Under the compression of pericardial tamponade, the heart is incarcerated, accompanied by coronary artery obstruction and ischemia, resulting in blocked venous reflux!]


    When he saw the system prompt, Chen Cang felt afraid!


    The leader of level 55 is strange. Chen Cang met him for the first time. This may be the most advanced operation Chen Cang has ever met.


    The difficulty of pericardial diaphragmatic hernia surgery is self-evident!


    The most important thing is to repair the pericardium and give the heart a good house.


    Chen Cangling quickly opened the purple skill book, selected the diaphragmatic hernia in the pericardium and activated it immediately.


    Chen Cangzhi chose to activate now so that he could know fear first and then learn!


    Only when you first see the incarceration of the heart, and then during special training, you will know how to learn targeted.


    After all, special training does not consume real time and will not affect first aid at all.


    Thinking of this, Chen Cang immediately chose to enter.


    The so-called practice makes perfect. After countless exercises, countless operations and various heart incarceration and pericardial diaphragmatic hernia operations, Chen Cang''s level and technology have been continuously improved.


    ……


    I don''t know how long it has been in the virtual space. After assessment, Chen Cang''s skills have changed!


    [Ding! Repair of diaphragmatic hernia in pericardium: master; special effects: 1. Precision repair: precision repair can make pericardium firm and not easy to damage surrounding tissues; 2. Prevention of heart adhesion: the repaired pericardium will not affect the function of heart and pericardium and prevent adhesion.]


    In the blink of an eye, Chen Cang returned to reality, but this time.


    When he looked at the incarcerated heart again, Chen Cang''s mind had planned and designed the operation plan according to the patient''s situation at this moment.


    Chen Cang took a deep breath, picked up the scalpel and was about to start the operation!


    At this time, no one noticed that several people had come in behind. They stared at the purple heart and were afraid to spread to their hearts after a while!


    This... I really can''t afford to delay at all!