Xu Ziming heard a patient with aortic dissection and ran to the emergency department in person.
After coming down, he saw Chen Cang and directly asked, "Mr. Chen, what''s going on?"
Xu Ziming has always respected Chen Cang. If it weren''t for Chen Cang, what would he do now? Mitral valve replacement under non-stop heart beat?
It''s impossible!
Heart beating surgery is becoming more and more popular. He and Xiehe''s Wang Tong are now two benchmarks in this field.
However, they are well aware that all this comes from Chen Cang.
After hearing the consultation of the sixth emergency department, Xu Ziming directly got up and rushed.
Aortography can clearly see the location of aortic dissection by injecting contrast agent and developing it under CT.
Aortic dissection is neither a true aneurysm nor a pseudoaneurysm, but the injury of arterial intima and middle layer caused by various reasons. The blood forms a hematoma in the middle layer along the torn intima!
The aortic wall is stripped into two layers. Under the impact of blood flow, the stripped part gradually extends and expands to the proximal and distal ends of the aorta, forming a different range of middle-layer dissociative expansion, which is called aortic dissection. Some people like to call it aortic dissection.
Xu Ziming hurried out of the inside, holding the film in his hand. His face was obviously dignified.
Seeing this, Chen Cang hurriedly asked, "what''s going on?"
Xu Ziming couldn''t help saying, "the situation is a little special!"
In a word, let Chen Cang''s heart Click: "in the ascending aorta?"
Xu Ziming nodded!
At that time, Chen Cang participated in the cardiac surgery skills competition. The main competition was the anastomosis of large blood vessels in the chest.
In the thoracic large vessel anastomosis, the ascending aorta is the most difficult and dangerous.
Now aortic dissection appears in the ascending aorta, which is obviously not good news!
Chen Cang quickly picked up the film and took a closer look. He immediately saw the location of aortic dissection!
Moreover, it can be clearly seen that the dissection site of the aortic wall starts at the root of the ascending aorta, and the break of the intima starts at the proximal anterior wall of the ascending aorta and extends to the distal end of the aorta to the descending aorta!
After seeing it, Chen Cang couldn''t help thinking about such a situation... It''s really complicated.
Because the dissection of arch artery branches and aortic insufficiency have been involved.
Watching the film, the three suddenly fell into silence.
"Go back to the emergency department first and find a way!" Ma Yuehui said directly. "Now there is another problem to be clarified. What is the cause of the patient!"
While talking, a group of people pushed the patient to the emergency room, and the inspection results came out one after another!
By this time, the bed doctor had collected the disease history with his family.
Seeing Chen Cang and others coming back, he hurried over.
"Dr. Chen, through contact with his family, the history of the disease is like this, the patient had previous physical examination, no trauma and operation history, no hypertension, diabetes... The parents of the patients also did not find family genetic disease!"
The words of the bed doctor stunned Xu Ziming!
What''s the reason?
Although the cause of aortic dissection has not been clear, but also need to have some inducing factors?
At this time, Chen Cang suddenly remembered something and turned to the rescue room.
After coming in, Chen Cang directly raised the patient''s hands and looked at it directly!
Tian Zhengkai is a basketball star with long arms and big hands. Chen Cang suddenly remembered such a thing.
I saw his hands and fingers are very long!
Chen Cang''s careful comparison shows that his hand is about 25cm long and 220 tall... The ratio of hand to height is 11%!
Next, Chen Cang quickly observed his palm.
At this time, Tian Zhengkai had some relief after using drugs.
Chen Cang hurriedly said, "your thumb is retracted, and the other four fingers clench!"
Tian Zhengkai nodded.
Chen Cang immediately saw that the tip of Tian Zhengkai''s thumb was beyond the lower edge of his palm!
This is the thumb sign!
Special bone changes and cardiovascular abnormalities. Although there are no eye symptoms, Chen Cang is only one step away from the diagnosis, that is, family history!
At this time, Xu Ziming and Ma Yuehui also saw clearly Chen Cang''s series of inspections. For a while, they also reflected what the situation was.
Chen Cang hurriedly said to the bedside doctor, "take me to see my family!"
The young doctor nodded and took Chen Cang directly to the emergency hall. Chen Cang also saw the patient''s wife and parents.
After seeing his father, Chen Cang suddenly realized that height is really inherited.
"Hello, I''m Chen Cang, Tian Zhengkai''s doctor. Now I have a few questions to ask." Chen Cang asked directly without politeness.
At this time, Tian Zhengkai''s family had long been in disorder.
Tian Zhengkai''s child is only two years old and is held in his arms by his wife.
The parents are less than 60 years old and the father is very tall.
"Hello, Dr. Chen, what''s the situation with my son now?" Tian Fu asked with some worry.
Chen Cang said directly: "the situation is not optimistic. We are preparing for the operation. This time we talk to you. First, we need to understand some information and second, we need to sign the operation consent!"
With that, Chen Cang said to the young doctor, "go and prepare the informed consent form and critical illness notice..."
When the bed doctor heard this, he got up quickly.
The Tian family here suddenly became silly. The Tian family quickly asked, "critical notice? Dr. Chen, what''s the matter? Why is it critical?"
Tian Zhengkai''s parents are just ordinary people. His father is a physical education teacher in a middle school and his mother is a math teacher. Now both of them have retired. Their hometown is in Beihe province and now they live in the capital to take care of their children.
The wife is now 28 years old and the child is only two years old!
Such a family, if Tian Zhengkai has an accident, the result is self-evident.
As the pillar of the family, the disaster could be devastating.
You know, even if Tian Zhengkai is 33, he earns millions a year. Even in the capital, he is a high-income group.
If Tian Zhengkai
Therefore, after hearing the news, all three turned pale.
Seeing this, Chen Cang explained the risk of the patient, and even described the mortality of the operation in detail.
After listening, the family was silent.
The wife looked at Chen Cang with tears in her eyes and trembled with her hands holding the child: "doctor, you must save him!"
"The child is less than two years old. He has just learned to call his father..."
Tian Zhengkai''s wife choked before she finished her voice.
Chen Cang comforted: "we will do our best."
With that, Chen Cang looked at Tian Zhengkai''s father: "excuse me, do you have a history of Marfan syndrome in your family?"