Ge Huai has to take care of Chen Cang a lot now than he did at the beginning!


    Or more sense of responsibility, think Chen Cang is half a student.


    I can''t teach Chen Cang with prejudice and contempt.


    After all, people are only twenty-eight years old, and they are in their thirties.


    Therefore, Ge Huai is now more responsible for Teaching Chen Cang than some time ago.


    "Xiao Chen, today''s patients are special and a challenge for you. If you don''t feel good, let me come. Don''t be embarrassed!" Ge Huai took the lead in telling Chen Cang before introducing his condition.


    Chen Cang was stunned: "well, OK, thank you, Mr. Ge. By the way... Why is the patient special?"


    Ge Huai sighed and said cautiously, "the patient is in his seventies and is hospitalized with acute pericarditis. Originally, considering that the patient is older, conservative treatment is the main treatment, and there is no operation planned."


    "But the effect of puncture treatment is average, and antibiotics are also used, but... I can''t draw anything now."


    "The puncture effusion has thickened and there are purulent secretions. Therefore, after comprehensive consideration, in order to prevent the condition from further, the patient can only carry out pericardiotomy and drainage."


    After that, Ge Huai summarized Chen Cang and solemnly said, "the current situation is that there are three main difficulties!


    The first point: the patient is 70 years old, the risk is high, and the prognosis may be poor;


    Second, the operation of suppurative pericarditis is more complicated than ordinary acute pericarditis;


    The third and most important point is to prevent unclean cleaning, the formation of chronic adhesion, leading to heart and pericardial complications! "


    Ge Huai said here, some uneasy, worried about Chen Cang, but also worried about patients, so he looked up at Meng Xi: "director Meng, why don''t I do this operation? Xiao Chen, it''s only a few days. I''m worried about him... After all, the patient''s situation is also special."


    Ge Huai is telling the truth!


    Because the operation of acute pericarditis is easy to say, there is no need to consider too many prognosis problems, and even the difficulty of operation is relatively small.


    But once the acute pericarditis developed into acute suppurative pericarditis, things changed. This is a very difficult operation in pericarditis.


    Because after acute suppuration, there are two most worried problems. One is adhesion, which affects the adhesion of pericardium and heart. The prognosis is poor and it is easy to cause related complications.


    The second is the most serious, that is to cause chronic constrictive pericarditis!


    This is more troublesome.


    Chronic constrictive pericarditis requires partial pericardiectomy and then pericardial repair, which will increase the difficulty of operation.


    Meng Xi is also worried.


    But after some consideration, she decided to let Chen Cang start. Once Chen Cang encountered a problem, she would take over halfway.


    After all, the difficulty lies in the operability of post-processing, not in the beginning.


    Although the later stage is difficult, the risk is not different from that of ordinary pericardiotomy and drainage.


    Let Chen Cang come first, and then change people when Chen Cang can''t.


    After all, it is also a rare opportunity to exercise.


    For medical staff, the most important thing is to encounter different diseases and find ways to solve them.


    It''s important!


    Thinking of this, Meng Xi looked at Chen Cang: "Xiao Chen, come on, don''t worry, there are us."


    Meng Xi didn''t say how difficult the operation was. It''s enough to have Ge Huai alone. Besides, too much will become pressure.


    So Meng Xi just encouraged Chen Cang to say a few words.


    The three washed their hands together next to the sink. Meng Xi suddenly found that Chen Cang''s hands were very big, his fingers were very long, and his hands were very beautiful.


    Looks familiar


    Chen Cang looked at teacher Meng and stared at his hands. He was stunned!


    As soon as the heart is tight, even the seven step washing technique, which is usually practiced to the perfect state, is a little stuck.


    Tao''s heart was almost unstable.


    Chen Cang couldn''t help sighing. Mr. Meng, can you wear a fitting surgical suit in the future, either it''s too small, tight, or it''s too big and empty.


    Thinking of this, Chen Cang suddenly felt that the most stressful place to operate with Mr. Meng was not on the operating table, but in the wash basin


    ……


    After entering the operating room, the three put on their operating clothes.


    At this time, the anesthesiologist is ready for anesthesia and waiting for the beginning of the operation.


    Ge Huai looked at Chen Cang and whispered, "come on, Chen!"


    Meng Xi definitely nodded.


    The anesthesiologist smiled awkwardly and walked carefully to a place with a good vision. It was a happy thing to see Xiao Chen''s operation.


    Chen Cang looked at the three and couldn''t help saying something.


    You people, get ready to be frightened!


    Thinking of this, Chen Cang took a special look at Mr. Meng. After all... This is the person who really needs to be frightened. The other two... Are just the audience.


    Looking at teacher Meng''s indifferent expression, Chen Cang suddenly looked forward to


    Chen Cang turned and looked at the instrument nurse.


    His eyes burst out the light of the strong, his hands opened, and his heart whispered: knife!


    At this moment, the sword broke the sky and was as powerful as a rainbow,


    When Chen Cang arranged the POS, suddenly the door opened and a figure hurried in.


    Xia Gaofeng was stunned. Seeing Chen cangzheng''s good hand, he immediately grinned: "at the beginning, it''s just right! Lao Qian, come in."


    Qian Liang and Xia Gaofeng sneaked in, not wearing surgical clothes, but standing behind them.


    "Fortunately, I''m not late!"


    Qian Liang nodded, "well, let''s count the time."


    Chen Cang was dumbfounded by his words.


    I''m Cao, you people deceive people too much. You''re addicted to the theater, aren''t you?


    Xia Gaofeng smiled: "Xiao Chen, let''s start."


    Chen Cang rolled his eyes and said, "here comes the knife!"


    The nurse who prepared the scalpel was slightly stunned. Looking at Chen Cang, she couldn''t help sighing. Alas, the posture is useless... It''s a pity that she has a smelly skin bag.


    Chen Cang took the scalpel and started his own operation!


    The operation was local anesthesia. When the old man saw so many directors coming in, he was immediately happy. It seems that this operation is stable.


    After anesthesia, Chen Cang began to slowly lift the knife, while GE Huai had prepared the hemostatic gauze.


    Chen Cang''s thoracotomy is the highlight of the operation!


    After all, every time Chen Cang opens his chest, he cuts the skin and separates the tissue, which is very delicate.


    Chen Cang carefully excises the left sixth costal cartilage. At this time, the internal mammary artery is exposed. Chen Cang looks at GE Huai.


    "Ligate the artery!"


    Ge Huai nodded, accurate.


    After ligation and transection of the internal mammary artery, the tissue separated and the exposed pericardium could be seen.


    At this time, the pericardium needs to be cut through the costal cartilage bed to remove the pus in the pericardium.


    Xia Gaofeng couldn''t help whispering to Qian Liang, "cut your heart!"


    Not only is the summer peak, several people are looking forward to it.


    After all, Chen Cang cut his pericardium