Yu Yingcai was dumbfounded when he heard the news!
Well, that''s it?
The highest cure rate is less than 20%, which is a terrible nightmare for talents!
Thinking of this, Yu Yingcai was a little frightened and uneasy!
Qin Xiaoyuan urged for a while: "time is limited, you make a decision quickly!"
Thinking of this, Yu Yingcai quickly nodded: "OK, OK! I''ll sign... Doctor, you must treat it. You have to treat it for how much money!"
Qin Xiaoyuan nodded: "we will do our best!"
……
……
After issuing the operation notice, Chen Cang took the lead in calling Jingran.
At this time, he can think of a more reliable thoracic surgeon.
Young, tension!
At this moment, 9:30 pm!
Jingran put down the phone and hurried here.
Chen Cang also began to arrange the relevant operations in an orderly manner.
"Intravenous drip of isopropyl adrenaline 0.5 ~ 5" μ Gmin, increase cardiac output! "
". input colloidal solution to expand blood volume to increase blood pressure!"
"High concentration oxygen inhalation to improve arterial oxygen partial pressure!"
……
Chen Cang began to give various preoperative medical orders and get ready. Qin Xiaoyuan nodded with satisfaction.
He found that his son-in-law was really talented!
In fact, pulmonary embolism occurs frequently at the age of more than 50. Young people are very rare. Chen Cang can judge that it is already very powerful.
Moreover, the symptoms of this disease can be found many, many, do not have any specificity! And the key is that many tests are not obvious!
Chest film, electrocardiogram and bedside color Doppler ultrasound are likely to be basically the same as normal.
Many exceptions have occurred for a long time!
As for the symptoms, there are too many symptoms of pulmonary embolism. Different patients will have different reactions. Most people can''t think of the kind of allergic rash and laryngeal edema. If Qin Xiaoyuan hadn''t seen it with his own eyes in more than 30 years of clinical experience, it can''t be guaranteed!
There are too many kinds of diseases!
Who can see clearly?
What Chen Cang got from Mr. Fang was only the perfection of physiological, biochemical and clinical interpretation, and later the perfection of ECG and physical examination.
With these things alone, it''s good to think of pulmonary embolism.
Chen Cang''s reasoning process depends on his own accumulation.
Moreover, even if the diagnosis is pulmonary embolism, how much does Chen Cang know about this disease?
Diagnosis seems simple, but it is actually very difficult!
The symptoms of every disease are specific, not constant!
Operating room!
The patient was in supine position, and Liu Jian was silent when he learned about his condition.
Anesthesia at this time is the most test for anesthesiologists!
The patient has had cardiac arrest. Now, if intubation is performed directly, it is likely that the chest will be stimulated during intubation, resulting in cardiac arrest again.
Thinking of this, Liu Jian took a deep breath!
Start emergency partial extracorporeal bypass, first do femoral artery and vein intubation under local anesthesia, and then do endotracheal intubation after bypass, general anesthesia!
In this way, the stimulation to the heart is completely avoided.
The ability of anesthesiologist is directly related to the success of operation.
Therefore, do not underestimate an anesthesiologist. Liu Jian has a high position in the surgery of the second provincial hospital. Even if he is not the director now, all directors have to smile at Liu Jian.
Because of his anesthetic strength!
With Liu Jianzai, the success rate of surgery can increase a lot.
The person Liu Jian values most and respects most is Chen Cang. Whenever Chen Cang has surgery, Liu Jian will basically appear!
After cardiopulmonary bypass was established.
Chen Cang directly blocked the ascending aorta for coronary artery, perfusion of cardiac arrest fluid and local myocardial cooling arrest.
Soon, the heart finally quieted down.
Chen Cang looked at his heart and suddenly thanked Professor Jr. if it hadn''t been for his research on cardiopulmonary bypass machine, perhaps mankind would still be unable to open the door to the heart.
At this time, Jingran came in without nonsense and immediately began to change clothes and get ready.
I''ve explained my condition on the road!
This operation was performed by Chen Cang, Wang Kaian and Jing ran.
The operation officially begins!
The surrounding directors and Qin Xiaoyuan looked at the operating table nervously and uneasily.
Watching three young people perform this operation with a mortality rate of 80%!
I can''t help cheering them on!
They have no bottom in their hearts. The patient''s condition is very poor. It''s an accident to insist on the operation, let alone the success rate of the operation.
Wang Kaian and Jing ran are excellent. Chen Cang doesn''t know why Wang Kaian left. Such an excellent young man should be valued everywhere.
The operation passed minute by minute. After some operation, Chen Cang finally saw the embolus!
The red [embolus] name is clearly visible across the blood vessels, which undoubtedly saves too much time for Chen canglai.
The next most important thing is to remove the embolus!
Chen Cang looked a little above the pulmonary valve ring for a moment. At this time, how to skillfully remove the plug is very important!
We should not only avoid massive bleeding, but also prevent the embolus from being crushed and aggravating the condition again.
The whole process is exquisite and worrying.
However, Jing ran trusted Chen Cang very much. He knew that he had surgery with Chen Cang. He just had to do what he should do with his heart. Thinking of this, he took the hemostatic forceps and said, "are you ready?"
See Chen Cang nod!
The operation begins!
Between the electric light and flint, Chen Cang made a longitudinal incision of the anterior wall of the pulmonary artery with a Sheng scalpel, about 2cm!
Then, he took the common bile duct stone forceps in Wang Kaian''s hand and directly extended them into bilateral pulmonary arteries.
At this moment, everyone held their breath!
I have only one idea in my heart. Don''t have an accident!
The size of the whole embolus is moderate, but it is just blocked on the blood vessel wall. It needs to be carefully removed with pliers, and the intima of the blood vessel can not be damaged.
Otherwise, it will undoubtedly aggravate the condition and even be not conducive to the later recovery!
At this moment, Chen Cang directly became the key of the operation.
His hands must feel the texture of the bolt. The force is too small to get out, and the force is too strong to be broken easily.
Several directors around saw Chen Cang''s operation and began to be worried!
This may be directly related to the success of the operation?
In everyone''s expectation, Chen Cang actually felt a kind of pressure.
He clearly felt that the stability of his right hand was insufficient, and his strength was easy to deviate!
It seems that... We still have to strengthen training in the future.
10 seconds... 20 seconds
Finally, Chen Cang held the bolt and took it out successfully!
Everyone was relieved.
The operation was successful!
However, success does not mean that the patient must have no problem.
Generally speaking, in patients without other important cardiopulmonary diseases and no cardiac arrest, the effect of embolus removal is satisfactory, and the circulatory and respiratory function can be quickly restored and maintained stable.
However, about 15% of patients, especially those who have had cardiac arrest, fail to recover in time from cardiogenic shock, which is the first cause of postoperative death.