On the same day, the patient was transferred to the intensive care unit for close monitoring. Vital signs must be paid attention to!
When the man and his wife learned that it was so dangerous, they were even more frightened!
They basically do what they should do, eat and drink these two days. Even the life of some Xiaosheng has never been less.
At this time, the man was sent to the intensive care unit, and his wife couldn''t get in. She could only pray and even regret it!
If I had brought my husband to see a doctor earlier, it might not be so dangerous.
you bet!
If you had come earlier, the fish bones would not have gone so deep, there is no doubt.
Many times, the disease is aggravated without paying attention!
……
……
The man''s situation immediately attracted the attention and attention of the hospital.
The hospital immediately organized emergency department, cardiac surgery, general surgery, otolaryngology, endoscopy room, interventional department, radiology department and anesthesia department for emergency consultation according to the patient''s situation!
And Chen Cang is the first time to preside over the consultation!
And it was such a huge consultation organized.
The whole huge discussion room was very quiet. Everyone stared at Chen Cang and the image results on the big screen.
Seeing this dangerous picture, everyone frowned slightly and looked heavy.
The whole office is very quiet!
Serious and dignified.
This is no time to joke.
Because this rescue work involves interdisciplinary and involves many departments, it is necessary to organize and coordinate all departments.
And we should make a unanimous decision through joint discussion, so as to carry out the rescue work in an orderly manner.
Tao MI, Li Baoshan, Zhang Youfu, Xiao He, Liu Jian... Everyone is staring at Chen Cang!
All the people present here are dignitaries, even the core force of the second Provincial People''s court.
Only Chen Cang is the youngest.
But no one dared to belittle or despise him.
Because Chen Cang conquered them with his achievements again and again, leaving them speechless.
The director level or deputy directors of seven or eight departments are staring at Chen Cang.
Chen Cang took a deep breath and said it was false not to be nervous.
At the beginning, Bai Qiuen attached himself to organize the rescue of the last steel bar chest piercing unscrupulously. This time, although it is only a fishbone, the damage and possible consequences are not lower than that of the last steel bar chest piercing!
Therefore, Chen Cang said he was not nervous, which is impossible!
But!
Tension is tension, and work should be carried out normally.
The discussion has been going on for more than ten minutes.
Everyone also expressed their views and the operation plan for the patient''s situation.
Chen Cang looked at Tao MI and directly asked, "director Tao, in this case, if you want to take out the fishbone, you must ensure the safety of the thoracic aorta. What do you think?"
Tao Mi nodded and solemnly said: "In fact, although the image results can''t see the situation outside the blood vessels, I say that in my experience, the patient''s fishbone has been pierced for two days, which means a very serious problem, that is, there will be infection and erosion at the blood vessel gap, and now the blood vessel gap must be more and more fragile. Therefore, it is urgent, the most important and the most dangerous The urgent thing is to ensure the safety of blood vessels. "
"In this case, the vascular gap needs to be blocked firmly. Aortic stents can be used, which is more suitable."
Hearing this, Xiao he hurriedly said, "if you can ensure the safety of the thoracic aorta, it''s simple. You can take the thorn directly under the endoscope."
Liu Jian in the anesthesiology department also nodded
……
The effect of consultation is obvious. We soon have a unified plan!
So, at five o''clock that afternoon, after all the preparations were ready, under the escort of anesthesiologist Liu Jian, the operation preparation began!
According to the original plan, Tao MI, director of cardiac surgery, took the stage first.
After all, the core of this work is to ensure the safety of thoracic aorta.
Tao MI has to take it seriously this time!
At the beginning of the operation, if the arterial stent was simply implanted, it would not be difficult. With the help of Tao Mi''s main knife and deputy director, the stent was successfully implanted soon!
This means that the risk of surgery is reduced.
The plan continued to start. At this time, director Xiao He, the director of the endoscopy room, came to the stage and began to operate the gastrointestinal endoscopy, probe into the depths of the esophagus and prepare for the stab action!
But!
Something that everyone didn''t expect suddenly happened.
After the endoscope is inserted into it.
Suddenly found that the fishbone disappeared!
Shit?
Xiao He was also dumbfounded.
He repeatedly used the probe to search for the original location several times, but he didn''t find the original fish bone after all!
Everyone present was stunned.
Lu Xiaojun, who personally made endoscopy for the patient, was also present. Of course, he was stunned.
"It was there just now? Why did it disappear?"
Xiao He immediately frowned.
I can''t find it. My wish to take out the fishbone by endoscopy is directly dashed!
At this time, the patient is still on the operating table!
And the fishbone disappeared!
What should I do?
Everyone started the discussion immediately!
"Could it be because of the peristalsis of the esophagus before the operation that the fishbone broke into the chest!" Zhang Youfu thought.
Tao Mi nodded, "well, it''s possible. After all, you look in this direction!"
While talking, Tao Mi pointed to the CT picture on the wall and said, "you see, the fishbone enters the chest obliquely, that is, it enters the aorta at this angle, but the direction of blood flow in the thoracic aorta is like this, and the direction of gastrointestinal and esophageal peristalsis happens to be like this. If so, it''s easy to explain!"
"The fishbone may have passed through the esophagus, entered the chest, or even entered the aorta under the strong impact of aortic blood flow and with the peristalsis of the esophagus!"
After some communication, the situation was complicated again.
At this time, there is no possibility of endoscopic puncture!
All we have to do is open chest exploration and decide on another operation plan.
With the help of the whole expert team, the operation plan was adjusted immediately!
Chen Cang became the core of the team at this time!
Chen Cang is good at thoracotomy.
We all know that.
At this time, everyone turned their eyes to Chen Cang, and their eyes were full of expectations.
That''s the operating table.
Kill six generals after five passes. Everyone has his own responsibility!
For example, director Tao''s stent implantation instantly protected the aorta.
Chen Cang was ordered in danger. Instead of being timid, he nodded confidently and took the scalpel!
At this moment, the operation really began!
According to the image results, Chen Cang selected the opening place for thoracotomy.
He opened his mouth skillfully. Tao Mi helped him take charge. He started to anesthetize Liu Jian. He made various preparations again. The imaging department began to analyze the specific location there
All medical workers are doing their work nervously.
On the operating table, there has never been a strong man fighting alone.
They are a group of excellent teams with unity and cooperation!
After Chen Cang opened his chest, they couldn''t help taking a breath of the cool air unique to the operating room.
Because of the infection, the thorax has been in a mess, the adhesion of the thorax has been serious, and the secretion is in the thorax.
Everyone frowned when they saw the scene.
Fortunately, the chest was opened. Otherwise, the later treatment and healing will be a trouble!
However, as we all know, the burden fell on Chen Cang''s shoulder!
Chen Cang... Can you do it?