Chapter 1079 I...Isn't Fast Enough? (Please Subscribe)

He Chao is a doctor who graduated from Ruijin Hospital of Shanghai Jiaotong University. He did not stay in Shanghai and returned to his hometown in the capital.

Full of enthusiasm for first aid, he came to the emergency center and successfully became an ordinary resident doctor!

This is the capital!

A Ph.D. not long after graduation can only work as a resident doctor.

In He Chao's eyes, the most powerful person in the emergency center is President Wu. He is a genius and a generalist, and he is extremely proficient in emergency surgery!

Later, after he came to the sixth department of the emergency department, the hero in He Chao's eyes was Yu Yonggang, a man who generally refused to admit defeat.

And now, the idol in He Chao's eyes is Chen Cang!

This is a man full of mystery and legend!

He is about the same age as himself, but the calmness and calmness in dealing with patients is the quality he dreams of.

Chen Cang smiled and glanced at He Chao: "I don't have you to believe me! Go get ready!"

After speaking, Chen Cang turned around and said to Xu Ziming and Ma Yuehui, "Contact the operating room and prepare for the operation!"

When Xu Ziming heard Chen Cang say this, he was naturally a little more excited!

Marfan syndrome surgery!

Ascending aorta + total aortic arch replacement surgery!

The most difficult operation in domestic cardiac surgery, the number of main surgeons can be counted with two hands!

Xu Ziming felt that he could really learn a lot with Chen Cang.

Ma Yuehui was not idle, and began to prepare.

Chen Cang walked to the bedside, looked at Tian Zhengkai, took a deep look, didn't speak, got up and walked towards the operating room.

"Prepare for surgery!"

...

...

At this moment, Chen Cang suddenly thought of Director Li Baoshan!

He and his teachers are experts in the field of abdominal aortic replacement surgery.

At this moment, he finally understood why his trust was betrayed.

When my teacher is sick and lying in front of him, it is really difficult to face this kind of surgery!

The teacher believes in you and is willing to give himself to you!

Standing in the locker room, Chen Cang was about to lock his cell phone and earnestly perform this operation. He hesitated for a while, picked it up, and edited a text message to Li Baoshan:

"We have organized tens of thousands of rescues, both successful and unsuccessful. It is because I have deeply experienced this kind of pain that I can resolutely protect the last acre of land in my heart. The doctor is a human being, not a god!"

Chen Cang didn't say anything, just sent it lightly, he believed that Director Li would understand.

He hoped to untie Director Li's heart.

In the operating room, Zhou He is an anesthesiologist.

Chen Cang, Xu Ziming, Ma Yuehui, and He Chao are ready.

Surgery is about to begin.

Chen Cang spent his favorability degrees to learn the master level.

【Ascending Aorta Replacement】+【Total Arch Replacement】!

The favorability points have disappeared, but fortunately, some favorability points can be released from time to time, otherwise, it is really not enough.

Now Chen Cang suddenly misses Teacher Meng. If she was here, she would be shocked from time to time, and there would be no problem with brushing her favorability.

Surgery begins!

Chen Cang had nothing else to focus on at this time, and it was useless to think about anything now.

A gentle midsternal incision was made, and then the incision was appropriately extended to the left supraclavicular fossa, because total arch replacement was necessary.

Fortunately, this time I did not do abdominal aortic replacement, otherwise, the incision would have to be more than one meter long, from the chest around the large abdomen, along the abdomen to the anterior superior iliac spine!

Such an operation is really too difficult.

"Establish extracorporeal circulation!"

"The deep hypothermia circulatory arrest technique will be used for a while, and the venous intubation will be handled well."

Chen Cang made arrangements in an orderly manner, and the few people on the side silently kept it in mind.

...

These are all preparations. When everything is done, Chen Cang finds the culprit!

Aortic dissecting aneurysm of this bulging sac.

However, when Chen Cang saw the entire aorta, he couldn't help but frown.

Dark red ascending aortic dissection, red aortic arch, and a hint of color can be felt in the color of the descending aorta below.

What does it mean?

[Aortic dissection: lv85, elite monster, aortic dissection caused by the damage of the aortic intima in the early manifestation of Marfan syndrome, the scope is large, it is recommended to replace! 】

85-level surgery, the level is not low!

And the lord monster... It seems that the system thinks that abdominal aortic replacement is not involved, so it thinks that the operation is not difficult, just an elite monster.

Chen Cang guessed that a complete set of Marfan syndrome surgery should be a lord monster above level 95!

It's just one surgery.

Chen Cang blocked the ascending aorta 3cm away from the origin of the innominate artery and cut the arterial dissection.

"Cardiac cardioplegia!"

After Chen Cang took it, he carefully perfused cardioplegia through the left and right coronary arteries, and switched to continuous reverse perfusion to protect the myocardium after cardiac arrest.

This is a kind of protection for cardiomyocytes.

Because the dissection at this time had involved the aortic valve junction, Chen Cang had to use a mattress suture to reinforce the junction at the corresponding junction.

Then directly add a circle of felt strips to the intima and adventitia of the aorta, and said to Xu Ziming, "Use 4-0 polypropylene thread to reinforce and suture."

When Xu Ziming heard this, he quickly prepared!

And Chen Cang was not idle either. He took a moderate-sized artificial blood vessel and used 3-0 polypropylene thread to suture the artificial blood vessel and the aortic root continuously!

This process is very delicate, and it is necessary to pay careful attention to the position of the left and right coronary artery openings to avoid affecting the blood supply to the opening.

And Chen Cang still has a lot of research in the field of vascular anastomosis, so that the replacement and anastomosis work relatively smoothly.

It's time for the intercostal artery anastomosis soon!

Several people fell silent, because the intercostal arteries must be anastomosed quickly and orderly, otherwise long-term ischemia of the spinal cord may cause paraplegia!

And the intercostal artery is more difficult to cut and suture, so cardiac surgery is always vying for time with death!

Chen Cang glanced at Xu Ziming: "I'll fix it!"

After speaking, Chen Cang took the suture and said to him, "Prepare to clamp!"

Ma Yuehui nodded and agreed!

Chen Cang glanced at He Chao: "Hold it for me, I'll sew it up."

He Chao was a little apprehensive, for fear that he could not do well.

Chen Cang gave him an encouraging look: "Surgeons should not only have a steady hand, but also a steady heart. Even if you know that you are going to fail, you must remain calm!"

He Chao took a deep breath and nodded!

There are eleven pairs of intercostal arteries. Except for the first and second intercostal arteries, which come from the branches of the subclavian arteries, the other nine pairs of intercostal arteries and one pair of subcostal arteries all come from the thoracic aorta.

Although Chen Cang did not need to deal with all the treatment this time, after all, he did not replace the thoracic aorta, but he is looking at so many blood vessels now. This is definitely the case during surgery for Marfan syndrome.

It seems that he is still not fast enough!

...

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ps: I was at home recently, and people often came to see a doctor. After seeing a few patients this afternoon, I was taken to another person’s home and saw a few patients.

It's already night since I got home, so I'm sorry for writing this now.