Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

This is the most critical Patient that Chen Cang has encountered in his life!

none of them!

The most critical is not the most serious. Many serious patients have no possibility of rescue in front of Chen Cang.

At this time, Chen Cang felt that there was a chance!

In fact, at this time, it is most appropriate to make an X-ray film to judge, but… Where can I go back and do it?

Patient’s blood pressure is almost gone, the ascending aorta is ruptured, and the heart is tamped. It is not certain whether the heart is damaged. If it develops according to the general situation, the Patient may really disappear before being sent to Hospital.

During this time Chen Cang made up for Cardiovascular surgical diseases, especially emergency treatment.

He clearly remembers the latest report that the incidence rate of the thoracic aorta in the traffic accident in the United States last year was about 15%, and the ascending aorta rupture was only 5% of these, and in this 5% figure, there was only a 10% chance Delivered to Hospital, and among these 10%, only 100 people with 20 points can be rescued successfully!

What this means is self-evident!

Is it not clear that Chen Cang has a greater chance of getting infections on the train?

Don’t Chen Cang understand the diagnosis on chest radiographs and under SCT or EBCT? Is it best to do an aortic angiography to clarify the injury site?

However, all this is allowed by the injury.

Now let’s not talk about ct and radiography, even chest radiographs have no chance!

Chen Cang remember clearly!

In the latest guidelines, if you suspect a rupture of the aorta, a very unstable circulation accompanied by signs of direct rupture and secondary penetration (hemothorax, cardiac tamponade), you should immediately seek surgical rescue!

Therefore, Chen Cang will now choose to open the chest directly to detect hemostasis.

When you have no choice, the guide is your dependence and your legal basis!

Doesn’t he know that everything he does now will be accompanied by risks?

He knows all!

However, life is passing at this time, there is time to delay!

Chen Cang said decisively: “Old Yang, stop ahead.”

The driver Old Yang could not help but stunned:? ? ?

Through the rearview mirror, he saw Chen Cang was about to undergo surgery, and the complexion changed suddenly!

But instead of saying a lot of words, I just found a suitable place and got the car right.

On the way of the 120 ambulance transporting the Patient, the doctor’s words are like military orders, and Chen Cang is the leader of the rescue team.

Chen Cang raised his head and said to the two patients: “Get off the train, you have to go to Provincial Second Hospital.”

2 people suddenly complexion changed, bald man still wanted to speak, it is clear that Wang Qian did not give them a chance, and sent them directly.

Chen Cang took a deep breath, a little nervous.

This is the first time he has handled such a critical Patient independently, and it is also the first time he has performed an operation in an ambulance.

In this case, anesthesia requires stable, little or no medicine to suppress the circulatory system. For the critically injured, the best thing is to first perform local anesthesia related surgery, and then conduct anesthesia induction or tracheal intubation.

At this time the conditions are limited and Chen Cang can only perform local anesthesia!

The effect of local anesthesia is still very fast, not long after.

Chen Cang picked up the scalpel and made a direct incision in the middle of the chest!

Wang Qian said nervously: “Not many Gauze…”

Chen Cang nodded, and then cautiously pulled the sternum… gradually saw the scene of scalp tingling!

This is a sea of ​​blood.

Chen Cang turned to Wang Qian and said, “Blood draw!”

Wang Qian is also complexion changed, but he picked up the syringe and began to draw blood!

Chen Cang’s eyes stared straight at the pericardial area. At this time, the pericardium was like a big bun filled with blood. When Chen Cang cut it a little, there was a burst of blood.

“Hemostatic Forceps!”

Now the bleeding site has been exposed, that is, at the beginning of the left ventricular outlet, where the site is relatively fixed, so it is easy to cause rupture after being subjected to violence or sudden deceleration shock!

Fortunately… the ribs did not hurt the heart.

This may be the only thing to be thankful for.

The blood pressure is very low, Chen Cang is helpless, but this is a battle with no choice, he will not work hard, Patient will definitely die.

Chen Cang cut the pericardium decisively, and the bleeding site was completely exposed.

“Are there non-invasive Hemostatic Forceps?”

Wang Qian was shocked and shook his head immediately: “No!”

Who prepares these things in the rescue vehicle?

Chen Cang hesitated, then suddenly took his hands, pressed it on top, and pinched the tearing opening with his hands, the blood stopped flowing.

Blood pressure has also stabilized temporarily…

But Patient’s life is still like the leaves of this season, swaying in the wind.

Fortunately, after contact with the pericardial tamponade, Patient bleeding is also controlled, and blood pressure has gradually recovered.

Chen Cang said to Old Yang: “Go back to Hospital!”

Old Yang glanced at Chen Cang from the rearview mirror, with a serious nodded look. He started the car steadily, started, and moved towards Hospital.

Through his hands, Chen Cang can clearly feel the power of blood flowing out of his hands, and can clearly touch the traces of life.

A few minutes later, the car parked directly at the special access door of the Provincial Second Hospital emergency department.

Chen Cang did not dare to move, and the driver Old Yang jumped directly behind him, and Wang Qian cautiously lifted the bed down.

The following Li Baoshan, Tao Mi, Xia Gaofeng and the others are already waiting anxiously!

Chen Cang quickly said: “Go to the Operation Theatre now!”

Everyone has no doubt about him. In the Operation Theatre at this time, Wang Kaian, Zhou Xiaodong, and Zhang Wenfu outside the heart have been dressed and are waiting for the arrival of this Patient Patient!

Blood Transfusion Department, Laboratory Department, Medical Affairs Department, Anaesthetist…all waiting for Chen Cang to return.

With the arrival of Chen Cang, the rescue preparation is officially kicked off!

Everyone started an orderly preparation!

Blood draw, emergency test, blood matching…

Contact, sign, authorize…

Anaesthetist is Liu Jian. When Chen Cang opened her chest and pressed her hands against the heart, she couldn’t help widening her eyes.

The cardiopulmonary bypass machine has begun to prepare.

At this time, Wang Kaian glanced at Chen Cang with non-invasive blood vessels pliers: “I’m coming!”

The voice is not loud, but very firm.

Chen Cang nodded, cautiously completed the handover.

When Chen Cang went out, Wang Kaian took 3 people and Anaesthetist to start related work.

Intravenous cannulation!

Establish cardiopulmonary bypass!

Liu Jian started tracheal intubation in preparation for anesthesia.

This kind of surgery needs to be performed with cardiac arrest. When everything is ready, Zhang Wenfu blocks the distal end of the ascending aorta and prevents blood from passing by.

When Tao Mi and Xia Gaofeng saw the beginning of the Patient’s ascending aorta, which penetrated the torn opening outside and under the pericardium, it was scared witless.

This… really, as Chen Cang said, it is difficult or back to Hospital.

Thinking of Chen Cang and Wang Qian covered with blood just now, I thought Chen Cang pressed his finger to stop bleeding and returned to Hospital all the way…

2 The hearts of the people admire!

Little Chen is really a personal thing.