Chief monster!
Do you want to rob?
How?
This is a problem!
Chen Cang looked at the complex chest in front of him. The large blood vessels were numerous and complicated. It was not just the injury of large blood vessels.
The aneurysm of the aorta has not been removed!
The surrounding innominate artery has been damaged.
The injury of vena cava is also very serious, especially the left innominate vein, which has caused bleeding because of incomplete separation.
At this time, several directors were sweating!
The nurse around Wei Xiang kept wiping his sweat.
Director Bai Jianming on one side also frowned and hurriedly dealt with the damaged unknown vein!
The busier, the more chaotic, the busier!
The biggest fear of thoracic macrovascular surgery is accident.
Because I can''t afford to delay.
There are too many complications!
At this time, Yang Jianshu, director of cardiac surgery of the second hospital of Dongda, was also nearby.
Opposite is Xiong Kangyu, director of cardiac surgery and director of cardiac surgery of Dongyang Bethune hospital.
At this time, the operating room was full of famous directors in Dongyang province.
Zhao Xiuping is the president of the first hospital of Dongyang University. He holds a high position and is also the leader of the health care team led by Dongyang. At this time, he was worried about seeing his father facing such severe damage.
Originally, he should not have appeared in the operating room. It''s good for his family to avoid it.
After all, his presence will put pressure on doctors.
Zhao Xiuping also understood this, but he was waiting outside. Suddenly, a little doctor ran out and told him.
"Dean Zhao, it''s not good! There was an emergency during the operation. Your father''s large blood vessels in the chest were deformed. As a result, there was long-term inflammation, resulting in serious adhesion in the whole chest!"
"On the way of separation, the adhesion and damaged blood vessels are very serious, resulting in the tearing of many large blood vessels in the chest and serious bleeding in the chest!"
"I''m in critical condition now! I need your signature!"
In a word, it scared Zhao Xiuping silly!
Is that ok?
He''s so
He asked others to sign the critical illness notice for so many years. Now he was suddenly told by the doctor that his old father was in danger. When he needed to sign the critical illness notice, he was in a panic!
What should I do?
Thinking of this, Zhao Xiuping went directly into the operating room.
Um!
No one dares to stop.
After changing his clothes, Zhao Xiuping went straight to the operating room.
In fact, surgery can not be completely called iatrogenic, because the patient''s own vascular malformation. When dealing with it, the blood vessels with serious adhesion are already very fragile. If it is not dealt with now, there may be problems at any time!
Wei Xiang is also a figure. He understands that the surgical risk of separating deformed large blood vessels in the chest is great.
Because the innominate artery and vein have been close to the tumor, the tumor can only be operated after separation.
After seeing Zhao Xiuping, he looked up and said, "president Zhao, the situation is very critical now. Many blood vessel walls of the elderly are very fragile due to long-term adhesion, the operation is very difficult, and the blood vessels are naturally deformed!"
"My idea is to adjust and repair the large blood vessels by direct artificial blood vessel replacement, and repair the abnormal blood vessels under cardiopulmonary bypass."
Wei Xiang''s idea is very bold!
When Zhao Xiuping heard this, he immediately frowned: "can''t you save his blood vessels? He has had intracerebral hemorrhage before, although it''s not serious. I''m worried that after artificial blood vessel replacement, taking blood activating drugs for a long time is not good for cerebrovascular diseases."
Wei Xiang was silent and said after a while: "in this way, the repair is too cumbersome. Why not... Contact other directors?"
Zhao Xiuping nodded and hurriedly contacted the director of cardiac surgery of major hospitals in the province.
This is the scene now!
What should I do?
Zhao Xiuping looked at Yang Jianshu and Xiong Kangyu and said, "what good ideas do the two directors have?"
Yang Jianshu looked at the large blood vessels with adhesions and compensatory collateral circulation due to deformity, frowned and said: "in fact, if artificial blood vessels are used for replacement, there is a big problem, that is, it is difficult to maintain the current stability!"
Xiong Kangyu nodded: "yes, the patient''s vascular malformation may be congenital. He didn''t care about it in childhood. After growth, he has formed a compensatory collateral circulation to meet his own blood supply, so it leads to the complexity of blood vessels. It''s not so simple to replace them all!"
"However, if the aneurysm on the aorta needs to be removed, it will certainly damage the innominate artery and the ascending aorta at the same time. The patch of the two large vessels must be..."
A group of experts began to discuss crazily!
There are several very serious problems ahead.
When Wei Xiang heard the two directors say so, he immediately sighed: "director Xiong and director Yang, come and have a look. Now in this situation, you can''t carry out separation and repair surgery!"
Indeed, the intricate blood vessels look big, let alone surgery.
Now there are two innominate arteries, and the ascending aorta has two outlets!
Numerous!
Bother!
What should I do?
Several directors soon had a heated discussion.
Now patients have cardiopulmonary bypass, but even so, they can''t delay too long. The longer the time, the greater the sequelae and risk factor.
Similarly, the easier it is to have problems!
At this time, Chen Cang was not idle. His eyes seemed to be able to distinguish these abnormal blood vessels.
How to choose?
How to operate!
Chen Cang couldn''t help taking a few steps and looked at the situation in the patient''s chest. It took seven or eight minutes. Chen Cang knew it in his mind.
However, it is obvious that in such an environment and occasion, his identity is not convenient to come forward, and he may not be convinced.
Thinking of this, he said to Meng Xi, "director Meng, I have an idea."
Meng Xi''s eyes lit up and looked at Chen Cang curiously.
"How?"
Chen Cang whispered, "in fact, one of these blood vessels is redundant, especially the second innominate artery. Now we can remove the second blood vessel and repair the wound, and then..."
Meng Xi listened more and more clearly, and the messy blood vessels were combed clearly.
Autologous vascular transplantation!
In this way, artificial blood vessel replacement is not needed, which saves too much trouble.
In the later stage of rehabilitation, there is no need for long-term oral anticoagulants to cause intracerebral hemorrhage!
After listening, Meng Xi couldn''t help but feel surging!
Chen Cang, this operation plan is great.
I couldn''t help clenching my fist.
She understood what Chen Cang thought. He wanted to say it himself.
Thinking of this, she stepped forward and said decisively, "I have an idea."
This sound immediately interrupted everyone in the room, looked up one after another, and frowned when he saw Meng Xi.
"Director Meng, what do you think?"
Zhao Xiuping also glanced: "director Meng, do you have any good ideas?"