Chapter 1139 This Battle, the King! (Ask for a Monthly Pass)
Looking at Chen Cang's eyes, a few people around couldn't help but feel a little worried!
For some reason, they saw desire in Chen Cang's eyes!
I can't wait to take the needle forceps, and the operation continues!
After Li Baoshan blocked the descending aorta, the artificial great vessel replacement officially began.
Wu Tongfu learned to be "beautiful" this time, and he quickly held both ends in his hands.
On Chen Cang's side, he sewed directly and quickly!
This time, Chen Cang threw himself into it almost instantly and entered a state!
The stitching is a bit more skilled than before. At the same time, many unnecessary operations are minimized as much as possible, so that it may increase a lot of time!
Chen Cang suddenly discovered that this skill might not necessarily improve quickly for others, but for himself, it seemed to be tailor-made for himself.
Who can do without some habitual operation?
Chen Cang naturally has it too!
But these techniques are very useful to me.
Chen Cang, who needed to complete the anastomosis within 20 minutes, took less than 10 minutes!
The six ports that need to be matched and several forks are all completed!
The few people watching were stunned!
Wu Tongfu was confused again.
He's fast again...and fast again!
That's right!
Chen Cang is more skilled than the previous treatment, and the natural stitching speed has also improved.
Then came the most difficult part, trimming the opening of the intercostal artery and the surrounding adventitia, and anastomosed with a branch of the artificial blood vessel end-to-side!
In this process, the allowable blocking time is within 40 minutes!
When Chen Cang did it for the first time, it was just finished!
Now most of the people in China who can complete this operation are concentrated in about 35 minutes.
The peak time of Xiao Zhehai, the first person in major vascular surgery, was 18 minutes.
Every minute of struggle is a struggle for the patient's life!
After the end-blocking forceps were moved above the celiac trunk, Chen Cang had already clenched the hemostatic forceps in his hands.
"Time!"
Every step of this operation needs to be timed. Of course, the purpose of timekeeping is not to challenge anything, but to remind the doctor in time that the time is limited and do not exceed the prescribed time.
However, they found that the purpose of timing for Chen Cang at this moment is not to remind them, but to tell them all: Look good, King Chen is faster than before!
The operation began, and Chen Cang began to trim the intercostal artery!
When trimming the intercostal artery, care should be taken not to damage the intercostal nerve, which is often caused by the injury of the intercostal nerve, even in patients with acute myocardial infarction.
The nervous system is probably the most incomprehensible system in the human body.
It seems to be very understandable, but in fact, sometimes, the entire operation fails because of inattentiveness.
Chen Cang, who has a perfect level of surgery, knows this very well, and it is impossible for him to be stingy with time in this place.
On the contrary, he took it seriously!
As for the anastomosis, Chen Cang is also ready. At this time, 5 minutes have passed. If the anastomosis of the intercostal artery can be completed in 13 minutes, Chen Cang will be able to surpass Xiao Zhehai!
At this moment, Wu Tongfu couldn't help but glanced at the time.
Chen Cang also began to match!
The branch of the artificial blood vessel needs to be quickly anastomosed with the intercostal artery.
Chen Cang was calm at this moment.
In fact, the operation is not to blindly pursue time, but if it can be completed quickly on the premise of ensuring the quality of the operation, it will be a good thing for the patient!
Even because of these little things, the survival rate of patients can be better improved.
The match has officially started!
Chen Cang was very calm, but Wu Tongfu, Xu Ziming, Li Baoshan and others around him were not calm.
There is no way to even calm down!
Because today, they have to bear witness to history.
That's right!
They may have to witness the anastomosis of the intercostal artery segment in the great vessel anastomosis performed by Academician Xiao Zhehai!
First root, done!
the second……
Time has no meaning for Chen Cang at this moment.
To be honest, it was the first time that Chen Cang felt what was called [My Needle Holding Pliers]!
This is a state!
Although it is a bit ridiculous to say that the human and the sword are one, but Chen Cang is really the one who is the one!
In Chen Cang's view, anastomosis is no longer a burden, or even a kind of enjoyment. The needle forceps and needle body have become part of Chen Cang's right hand!
Surgery goes fast!
Just when Chen Cang spit out a mouthful of turbid air, the intercostal artery anastomosis was successful.
At this moment, after Wu Tongfu looked at the time, he couldn't help but get excited!
15 minutes!
Chen Cang completed the anastomosis of the intercostal artery segment within fifteen minutes.
He surpassed Xiao Zhehai.
At this moment, Wu Tongfu couldn't help but get excited, and so did Xu Ziming.
But Chen Cang was very calm. He glanced at the time and didn't care.
Because as long as the patient is not rescued successfully, any time is meaningless in his opinion.
The ultimate goal of surgery is to save the patient.
Not for what record!
And Chen Cang never deliberately cared about the amount of time.
Because in his opinion, he is just doing his best!
Autologous blood has been continuously transfused back, and at this moment, the patient has completed 1200 ml of autologous blood transfusion.
The nasopharyngeal temperature is always maintained between 35.3 and 35.8 ℃. At this moment, the patient's condition is very stable!
Secondly, the abdominal aorta wall at the opening of the celiac trunk artery, superior mesenteric artery, and right renal artery was freed below the renal artery, and anastomosed end-to-end with the distal end of the artificial blood vessel, and the left renal artery was anastomosed end-to-end with a branch of the artificial blood vessel. The left accessory renal artery and the right common iliac artery were anastomosed end-to-side.
The whole anastomosis work is tedious and exciting!
After the replacement of the aortic arch was completed, Chen Cang successfully repaired the ascending aorta in the pericardium again.
At this point, it means that the operation is completely over!
finally!
Vascular anastomosis was completed, and heparin was neutralized by protamine.
The entire operation time was finally fixed at 89 minutes.
Less than a movie time!
But for everyone present, it was like watching an epic masterpiece!
They have witnessed history with their own eyes!
History made by a young man himself.
At the age of 28, he completed an operation at the peak of the vascular surgery pyramid.
It may be unprecedented, or it may be no one since.
How many vascular anastomosis in the body, 1700ml of autologous blood transfusion, 3900ml of crystalloid, 14U of plasma, 2g of human fibrinogen, and 2500ml of urine...
All of these are witnesses to this operation!
Looking at the patient's vital signs, everyone couldn't help laughing.
With this operation, Chen Cang established himself as the king of thoracic and abdominal aortic vascular surgery!
This battle!
For the beginning of a legend!
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ps: I asked for a monthly pass at the end of the month. I received more than 8,000 tickets today. I am grateful, but we still need to work hard. Thank you again and ask for a monthly pass.