Chapter 331 Master!

Prepare for emergency surgery!

This sentence is a terrifying concept in everyone's ears.

Emergency surgery, also known as emergency room surgery, is ultra-emergency surgery that is not performed in the operating room.

Super urgent!

What is a super emergency?

Ultra-urgency means that every second you delay, the probability of death increases a lot.

You know, the rescue room is not an operating room, not a sterile environment!

Surgery here means risky, emergency surgery with risks like infection.

This shows how important surgery is.

When Zhang Tao's face changed, even Qin Yue was shocked.

Why be in such a hurry?

what is the problem?

At this moment, they still haven't reacted.

The ultrasound doctor looked at the picture and suddenly thought of a terrifying thing: "Doctor Chen...you mean...intrapericardial diaphragmatic hernia???"

Chen Cang's face was solemn and serious: "That's right! This should be an intrapericardial diaphragmatic hernia."

As soon as these words came out, the expressions of all the doctors in the rescue room changed!

Zhang Tao hurriedly picked up the phone and was about to call the Department of Cardiology.

After all, he knew very well what disease this was? !

This can lead to acute death!

And Chen Cang looked at Zhang Tao and Qin Yue, and said loudly, "Don't panic! Xiao Lin prepares equipment, and Sister Chang prepares items for disinfection and sterilization..."

At this time, everyone in the hospital was at work time, and Chen Cang suddenly asked for this kind of emergency room operation, which instantly attracted everyone's attention.

Zhang Tao was already the attending physician, but he was still a little overwhelmed at this moment.

Because this emergency is really shocking.

What's the mortality rate for him to have something like this happen in the emergency room?

Too high too high!

This disease is often misdiagnosed because of missed diagnosis, or even because various inspections are not kept up, resulting in death due to untimely treatment.

Some people may be curious, why is a hernia so serious?

Isn't it just the heart that goes out to visit?

Of course not, when the heart wanted to go out, but did not go out, suddenly the door was stuck!

Intrapericardial diaphragmatic hernia actually means this!

The rupture of the pericardium is usually located at the base of the heart. When subjected to violence, the pericardium will rupture.

And what is the greatest danger at this time?

It is when the heart is incarcerated by herniation outside the pericardium through a ruptured orifice. (Note: Xian: read shan, cover your face, suddenly remembered that someone asked how to pronounce this word.)

The heart is big!

But the hernia may not be that big!

This will cause the heart to be blocked by the pericardium, and the surface of the heart is not smooth, but has many blood vessels. If the heart is incarcerated by the pericardium, the blood vessels will be directly blocked!

This is a physical disguised myocardial infarction!

After the heart is incarcerated, it can cause venous return obstruction, pericardial tachycardia and even hypotension. It will also cause sudden insufficiency of blood supply to the heart because the coronary artery is compressed by the pericardial rupture.

So in this case, it is necessary to open the chest urgently, reset the heart, and then close the pericardium.

It seems like a simple thing, but the level of danger is very high.

Diagnosis is very important first.

If it is discovered late and given normal myocardial infarction treatment, it is likely to delay treatment and lead to death.

After all, this is faster, more urgent, and more critical than a myocardial infarction.

In other words, it's the equivalent of getting your neck stuck in your clothes, and if you don't get your clothes right, you're likely to be strangled.

The emergency room was caught in a quick and orderly arrangement.

The curtain is raised, and a simple operating room is built!

Surgery is about to start!

Qin Yue stood opposite, apprehensive, this was the first time she had this kind of heart surgery.

In the field of surgery, there are several types of surgery that instinctively feel difficult.

One is heart surgery and the other is brain surgery.

Any surgery that involves these two areas is instinctively dangerous.

Not only for patients, but also for medical workers.

Therefore, when Chen Cang chose a full-time direction, he took the lead in choosing cardiac surgery and thoracic surgery.

Because the heart and the chest are not separated, so if you want to be proficient in the field of heart surgery, you must also have extra-thoracic surgery.

Qin Yue was a little worried about Chen Cang, after all, Chen Cang had only learned heart surgery for a few days.

But I don't know why, when Qin Yue met Chen Cang's eyes, he felt an instinctive trust and steadfastness. This feeling was wonderful, but he couldn't tell.

Chen Cang looked at Qin Yue: "I'll puncture, you'll draw fluid!"

Qin Yue nodded!

The ultrasound doctor carefully started the echocardiography monitoring. Chen Cang picked up the pericardiocentesis needle, took a deep breath, and put it in slowly.

This location is never a puncture point!

But at this moment, it must be pierced from here.

Zhang Tao wanted to speak, but he stopped.

"Xiao Chen..."

Chen Cang didn't wait for him to finish, and explained directly: "The heart has been displaced, and this is the safest place for puncture."

Zhang Tao suddenly realized.

This pumping liquid, full of about 100ml!

Zhang Tao, who was beside him, looked a little dumbfounded.

How much pressure does this 100 ml of blood fill in the pericardium on the heart?

How terrifying!

The heart was originally stuck, and the blood put a lot of pressure. At this time, the blood was pumped out, and the blood pressure of the patient began to rise immediately!

This move instantly pulled the patient back from the brink of danger!

However, this is where the rescue begins.

Chen Cang turned around, pulled out the puncture needle and put it aside, Qin Yue had already handed over the scalpel.

Chen Cang raised the knife and made an incision in the middle of his chest!

The choice of this location was carefully considered by Chen Cang.

It can not only expose the origin of all cardiac chambers and great vessels, but also facilitate the repositioning of the heart.

A few minutes later, the thoracic cavity was opened, the pericardium was quickly exposed, and a red and purple heart was exposed outside the pericardium and beating tremblingly!

It seems to stop in the next second!

The heart is bright red, the color of blood.

But at this moment, it was dark purple!

Everyone knows what's going on.

Fortunately, I found it in time... If it is dragged on, even if it recovers, it will be a question of whether it will be necrotic.

A myocardial infarction is just a blockage of one of the coronary arteries.

And now?

Can get stuck in the lower half of the whole heart!

The consequences of this are really hard to think about.

Seeing this moment, everyone immediately felt the cold sweat oozing out of their backs.

Fortunately, Chen Cang found it!

Everyone is rejoicing and feeling emotional.

Even Chen Cang was a little scared, a red and purple name appeared in his eyes.

[Intrapericardial diaphragmatic hernia monster: lv55, leader monster, under the pressure of cardiac tamponade, the heart is incarcerated, accompanied by coronary obstruction and ischemia, resulting in obstruction of venous return! 】

Chen Cang felt scared when he saw the system prompt!

This is the first time Chen Cang has met a level 55 boss monster. This may be the most advanced surgery Chen Cang has ever encountered.

Intrapericardial diaphragmatic hernia surgery is a tertiary surgery in cardiac surgery, and the difficulty is self-evident!

The most important thing is to repair the pericardium and give the heart a good house.

Chen Cang had an idea, quickly opened the purple skill book, selected intrapericardial diaphragmatic hernia, and activated it immediately.

The reason why Chen Cang chose to activate now is to know fear first, and then learn how to learn!

Only when you first see the incarceration of the heart, and then do special training, will you know how to learn in a targeted manner.

After all, special training does not consume real time and will not affect first aid at all.

Thinking of this, Chen Cang immediately chose to enter.

The so-called practice makes perfect, Chen Cang has undergone numerous exercises, performed numerous surgeries, and experienced various cardiac incarceration and intrapericardial diaphragmatic hernia operations. Chen Cang's level and skills have been continuously improved.

...

I don't know how long it has been in the virtual space. After the assessment, Chen Cang's skills have changed!

【Ding! Intrapericardial diaphragmatic hernia repair: master level; special effects: 1. Precise repair: precise repair can make the pericardium firm and not easy to damage surrounding tissues; The occurrence of adhesions. 】

In the blink of an eye, Chen Cang returned to reality, but this time.

When he looked at the incarcerated heart again, Chen Cang's mind had already planned and designed the operation plan for the patient's situation at this moment.

Chen Cang took a deep breath, picked up the scalpel, and was about to start the operation!

And at this time, no one noticed that there were several people coming in behind them, all of them staring at this purple heart with wide eyes, and they were afraid that they would come to their hearts after a while!

This... really can't afford to delay at all!