Chen Cang has a deep understanding of sexually transmitted diseases.
Syphilis is still a sexually transmitted disease with strong infectivity. It is generally acquired syphilis and congenital syphilis.
Acquired syphilis is mainly divided into three stages. In fact, it is mainly based on the three stages of pallidum development.
The trouble with stage III syphilis is that the symptoms are complex and can involve any tissues and organs, including skin, mucosa, bone, joints and internal organs, which are more likely to invade the nervous system.
So it often causes organizational damage!
The patient''s current situation and cerebrospinal fluid changes are not very serious, which may be related to his long-term treatment.
It is mainly the injury of vascular intima, which has become the main factor.
But... Chen Cang saw on the contrast film that the iliac artery stenosis was very serious after the abdominal aortic pseudohemangioma bulged out.
He found a problem. It seems that the blood vessels here... Can be preserved, and the surrounding boundaries... Are clear in all aspects, which is a good thing!
Is it all directly replaced by artificial polyester blood vessels?
Thinking of this, Chen Cang suddenly came up with some operations in the treatment of pseudoaneurysms he had seen.
Suddenly, my eyes lit up!
It seems that artificial vascular replacement is not the only surgical method.
Chen Cang was excited to think of this, but he was not sure how feasible it was.
At this time, Xiao Zhehai said, "Chen Cang, I mean, we can deal with one by ourselves. In this way, we can undoubtedly save a lot of time. This is my operation plan..."
While talking, Xiao Zhehai described it in detail, orderly and logical.
After hearing this, Yao Lekang had to admire him. He was really a bold artist.
After all, this will make the operation much more difficult.
He knows Xiao Zhehai can do it, but... Can Chen Cang do it well?
Yao Lekang is worried!
Although I don''t know why director Xiao trusts Chen Cang so much, but... He always thinks Chen Cang is a little mysterious, otherwise he wouldn''t invite Li Baoshan
Xiao Zhehai looked at Chen Cang: "are you sure?"
Chen Cang nodded, "I''m sure."
"But... I have another idea."
As soon as this remark came out, Xiao Zhehai and Yao Lekang were stunned.
Yao Lekang couldn''t help feeling that this boy is really a newborn calf, not afraid of tigers!
Directly in front of Xiao Zhehai, he said he had a plan. If he didn''t say anything else, full marks will be given for this courage!
However, Xiao Zhehai''s eyes lit up and became curious:
"Oh? What plan? Tell me about it."
Without the slightest timidity, Chen cangke spread the film on the table and said directly, "my idea is to do an intimal stripping treatment of abdominal aorta and iliac artery and patch suture here."
After saying that, Chen Cang pointed to the place where the abdominal aortic aneurysm compressed and occluded the iliac artery.
"If artificial blood vessel transplantation is performed at the same time, although the effect is OK and the operation is simple, it is easy to leave foreign bodies and induce infection."
"The angiographic results show that, in fact, we can see that there is not much damage to the surrounding blood vessels. If the blood vessels are transplanted, they need to be completely destroyed, which is a little more than worth the loss."
Hearing Chen Cang''s words, Xiao Zhehai and Yao Lekang immediately got up and stared at the contrast film.
Yao Lekang could not help frowning: "is the stripping treatment you said similar to abdominal aortic stripping?"
Before Chen Cang could speak, Xiao Zhehai interrupted him directly!
"No! It''s not abdominal aortic dissection. What Chen Cang means should be to directly treat and fix the intima forming the dissection, and then repair it with an arterial patch!"
"This idea is very good. Although there is no intima, because of the patch, the blood vessels can maintain normal function!"
The more Xiao Zhehai said, the more excited he was!
He looked at Chen Cang and couldn''t help saying, "this treatment method is good, but can you handle it?"
Dealing with intima is the hardest part of vascular surgery!
It must be treated accurately. The layer should not be too deep to hurt the middle membrane, which makes the vascular wall too weak and has the risk of rupture. In addition, it should be cleaned up so as not to hurt the normal intima.
In this way, the surgical accuracy is improved!
The operation time will naturally extend.
But the surgical effect is the best scheme!
After listening to Xiao Zhehai''s introduction, Yao Lekang suddenly realized that cleaning up the diseased intima can achieve a long-term effect.
However, the problem goes back to Xiao Zhehai''s doubts just now!
Can Chen Cang handle the intima?
Chen Cang nodded: "I can!"
Xiao Zhehai took a look at Chen Cang. For a long time, he said lightly: "you come to the main knife!"
In a word, Yao Lekang was very frightened!
Chen Cang''s main knife?
Can he stabilize the army?
Chen Cang did not mince: "OK!"
……
……
Ten minutes later, the three appeared in the operating room. In addition to the three of them, four chief doctors came to act as assistants for the operation!
The luxury of the lineup is self-evident.
In the office outside the operating room, Yao Lekang said, "this is today''s chief surgeon: Chen Cang! Let President Chen introduce the operation process to you."
When the four directors saw Chen Cang, they were stunned and surprised!
Chen Cang is very famous in general surgery, President Chen!
However, even so, when everyone heard that Chen Cang was the master knife, they couldn''t help looking at Xiao Zhehai and were curious. Why didn''t director Xiao be the master knife?
Compared with Chen Cang, director Xiao is more famous and has more far-reaching influence.
Xiao Zhehai saw everyone''s curiosity and couldn''t help saying, "you''ll know why when you see the operation plan."
Facing the contrast map, Chen Cang picked up his pen and said on the demonstration board: "this operation is divided into two groups. Director Xiao is the main knife of one group, and I am the second group. Each group has two assistants. The operation scheme is as follows..."
Chen Cang introduced the operation.
After hearing the stripping treatment behind Chen Cang, several directors were stunned, and then closed their eyes and meditated.
After several minutes, everyone suddenly opened up!
This is not so much an operation as a tumor cavity treatment method, which is very exquisite!
Give people a refreshing feeling!
But the most important thing is that the long-term effect is much better than artificial vascular replacement!
Even, the more we think about it, the more we feel that it is highly feasible!
The only disadvantage is that it is too difficult!
This surgical video is to be sealed. Because of the confidentiality agreement, it cannot be copied!
Although everyone was curious about Chen Cang''s operation, they thought that this was academician Xiao Zhehai. For a time, they were tangled.
Who to choose?
There''s only one chance. This operation won''t be seen casually.
At this time, Yao Lekang said, "director Zhang, come with me to help President Chen."
"How many of you helped director Xiao complete the operation!"
Xiao Zhehai nodded: "we all know about the patient. Be careful!"
The operation is about to begin!
……
PS: let''s talk about the transmission route of acquired syphilis.
1. Sexual transmission: syphilis is the most common way of transmission;
2. Close contact: if the skin or mucous membrane is slightly damaged during the contact with syphilis patients, the non sick person can get sick;
3. Blood borne transmission;
4. Mother to child transmission;
5. Iatrogenic transmission: if medical instruments are not strictly disinfected after being infected by Leptospira pallidum.
I hope you don''t think venereal diseases are just sexually transmitted.