He Chao, a doctor who graduated from Ruijin Hospital of Shanghai Jiaotong University, did not stay in Shanghai and returned to his hometown in the capital.
Full of enthusiasm for first aid, he came to the first aid center and successfully became an ordinary resident!
This is the capital!
A doctor who has not graduated long can only work as a resident doctor.
In the eyes of he Chao, the most powerful person in the emergency center is president Wu. He is a genius and a versatile person. He is very proficient in emergency surgery!
Later, after he came to the sixth emergency department, Yu Yonggang was the hero in he Chao''s eyes. He was a man who didn''t admit defeat.
Now, the idol in he Chao''s eyes is Chen Cang!
This is a man full of mystery and legend!
His age is similar to his own, but the calm and calm in the face of patients is his dream quality.
Chen Cang smiled and looked at he Chao: "I don''t have you believe me! Go and prepare!"
With that, Chen Cang turned and said to Xu Ziming and Ma Yuehui, "contact the operating room and prepare for the operation!"
When Xu Ziming heard Chen Cang say so, he was naturally a little more excited!
Marfan syndrome surgery!
Ascending aorta + total aortic arch replacement!
Domestic cardiac surgery is the top difficult operation. The number of main knives can be counted by two hands!
Xu Ziming feels that he can really learn a lot with Chen Cang.
Ma Yuehui was not idle and began to prepare.
Chen Cang went to the bedside and looked at Tian Zhengkai. He looked deeply at Tian Zhengkai. Without speaking, he got up and walked towards the operating room.
"Prepare for surgery!"
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At this moment, Chen Cang suddenly thought of director Li Baoshan!
He and his teacher are experts in the field of abdominal aortic replacement surgery.
At this moment, he finally understood why trust was betrayed and what was the feeling?
When my teacher was ill and lay in front of him, it was really difficult to face this kind of operation!
The teacher believes in you and is willing to give himself to you!
Standing in the dressing room, Chen Cang was about to lock his mobile phone and seriously go to the operation. He suddenly hesitated, picked it up and edited a short message to Li Baoshan:
"We have organized thousands of rescues, both successful and failed. It is because we have deeply experienced this pain that I can resolutely guard the last mu of land in the heart of the guardian. The doctor is a man, not a god!"
Chen Cang didn''t say anything, but sent it faintly. He believed that director Li would understand.
He hopes to untie director Li''s knot.
In the operating room, Zhou he is an anesthesiologist.
Chen Cang, Xu Ziming, Ma Yuehui and he Chao are ready.
The operation is about to begin.
Chen Canghua spent a lot of favor and learned to be a master.
[ascending aorta replacement] + [total arch replacement]!
The favorability disappears. Fortunately, it can burst out some favorability from time to time, otherwise it''s really not enough.
Now Chen Cang suddenly misses teacher Meng. If she were here, she would be shocked from time to time. There would be no problem brushing her favor.
The operation begins!
Chen Cang has no distractions at this time. It''s useless to think about anything now.
Gently cut the median sternal incision, and then appropriately extend the incision to the left supraclavicular fossa, because total arch replacement is necessary.
Fortunately, we don''t do abdominal aortic replacement this time. Otherwise, it will take more than one meter from the chest around the big abdomen and along the abdomen to the anterior superior iliac spine!
Such an operation is really too difficult.
"Establish cardiopulmonary bypass!"
"Deep hypothermic circulatory arrest technology should be used later to deal with venous intubation."
Chen Cang made arrangements in an orderly manner, and several people on the side kept them in mind silently.
……
These are preparations. When everything is done, Chen Cang finds the culprit!
This is an aortic dissection aneurysm of the tympanic sac.
However, when Chen Cang saw the whole aorta, he couldn''t help but frown.
Deep red ascending aortic dissection and red aortic arch, while the color of the descending aorta below can feel a faint color.
What''s the meaning of this?
[aortic dissection: lv85, elite strange, aortic dissection caused by aortic intimal damage in the early stage of Marfan syndrome, with a large range, replacement recommended!]
Level 85 surgery, the level is not low!
The Lord monster... It seems that the system thinks it is not involved in abdominal aortic replacement, so it thinks the operation is not difficult, just elite monsters.
Chen Cang estimated that a complete set of mafan syndrome surgery should be a lord monster above level 95!
I''m just a surgery at the moment.
Chen Cang blocked the ascending aorta at the beginning 3cm away from the innominate artery and cut open the arterial dissection.
"Cardioplegia!"
After taking over, Chen Cang carefully perfused cardiac arrest fluid through the left and right coronary arteries. After cardiac arrest, he switched to continuous reverse perfusion to protect the myocardium.
This is a protection for cardiomyocytes.
Because the dissection at this time has involved the aortic valve junction, Chen Cang must reinforce the junction with mattress suture at the corresponding junction.
Then directly add a circle of felt strips to the intima and adventitia of the aorta, and say to Xu Ziming: "reinforce the suture with 4-0 polypropylene thread."
As soon as Xu Ziming listened, he quickly prepared!
Chen Cang was not idle. He took the artificial blood vessel of moderate size and sutured the artificial blood vessel with the aortic root with 3-0 polypropylene thread!
This process is very delicate. It is necessary to pay careful attention to the opening position of the left and right coronary arteries to avoid affecting the opening blood supply.
Chen Cang still has a lot of research in the field of vascular anastomosis, so that the replacement and anastomosis work smoothly.
Soon it''s time for intercostal artery anastomosis!
Several people were silent, because the intercostal artery must be anastomosed quickly and orderly, otherwise the long-term ischemia of the spinal cord may cause paraplegia!
The intercostal artery is more difficult to cut and suture, so cardiac surgery is always fighting for time with death!
Chen Cang glanced at Xu Ziming: "I''ll repair it!"
With that, Chen Cang took the suture and said to him, "prepare the clamp!"
Ma Yuehui nodded and agreed!
Chen Cang took a look at he Chao: "hold it in my hand and I''ll sew it."
He Chao is a little nervous for fear that he can''t do well.
Chen Cang gave an encouraging look: "those who do surgery should not only have a stable hand, but also a stable heart. Even if they know they are going to fail, they should calm down!"
He Chao took a deep breath and nodded!
There are eleven pairs of intercostal arteries. Except that the first and second intercostal arteries come from the subclavian artery branch, the other nine pairs of intercostal arteries and a pair of subcostal arteries all come from the thoracic aorta.
Although Chen Cang doesn''t need to deal with all of them this time. After all, he hasn''t replaced the thoracic aorta, but now he looks at so many blood vessels and wants to suture them in a short time without affecting the blood supply to the spinal cord. It''s really a little difficult. He will certainly face this situation when he performs the operation on Marfan syndrome in the future.
It seems that I''m not fast enough!
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PS: recently at home, people often came to see a doctor. After seeing several patients this afternoon, they were taken to other people''s homes to see several patients.
It''s already evening when I got home, so I''m sorry to write now.