Chapter 347

Ge Huai now takes care of Chen Cang a lot more than before!

In other words, there is a lot of sense of responsibility, thinking that Chen Cang is half of his own student.

I can't teach Chen Cang with prejudice and underestimation.

After all, he was only twenty-seven or eighteen years old, and he was in his thirties.

Therefore, now Ge Huai is more responsible for teaching Chen Cang than some time ago.

"Xiao Chen, today's patient is quite special, and it's a challenge for you. If you don't feel good, you can let me come, don't be embarrassed!" Ge Huai told Chen Cang about his condition first.

Chen Cang was taken aback: "Well, okay, thank you Teacher Ge, by the way... How is the patient special?"

Ge Huai sighed and said cautiously, "The patient is in his 70s this year and was hospitalized with acute pericarditis. Originally, considering the patient's age, conservative treatment was the mainstay, and no surgery was planned."

"However, the effect of puncture treatment is average, and antibiotics have also been used, but... now I can't extract anything."

"The puncture effusion has thickened and there is purulent secretion. Therefore, after considering too much, in order to prevent further deterioration of the condition, the patient's condition can only be performed pericardiotomy and drainage."

After finishing speaking, Ge Huai summed up Chen Cang and said solemnly: "The current situation is that there are three main difficulties!

The first point: the patient is 70 years old, the risk is higher, and the prognosis may be poor;

The second point is that the operation of suppurative pericarditis is more complicated than that of ordinary acute pericarditis;

The third and most important point is to prevent the cleaning from being unclean and the formation of chronic adhesions, which can lead to complications of the heart and pericardium! "

When Ge Huai said this, he was a little uneasy, worried about Chen Cang, and also worried about the patient, so he looked up at Meng Xi: "Director Meng, why don't I do this operation, Xiao Chen has only a few days, I'm worried about him... After all, the patient’s situation is quite special.”

Ge Huai is telling the truth!

Because acute pericarditis surgery is okay, there is no need to consider too many prognostic issues, and even the difficulty of surgery is relatively small.

But once acute pericarditis developed into acute suppurative pericarditis, things took a turn, which was a very difficult operation in pericarditis.

Because after acute purulent purulence, there are two problems most worried about, one is the adhesion that affects the pericardium and the heart, the prognosis is poor, and it is easy to cause related complications.

The second is the most serious, that is, chronic constrictive pericarditis!

This is more troublesome.

Chronic constrictive pericarditis requires partial pericardectomy followed by repair of the pericardium, which increases the difficulty of the operation proportionally.

Meng Xi was also worried.

But after thinking about it, she decided to let Chen Cang get started. Once Chen Cang encounters a problem, he can take over halfway.

After all, the difficulty lies in the operability of post-processing, not in the beginning.

Although the difficulty in the later stage is high, the risk is not much different from that of ordinary pericardiotomy and drainage.

Let Chen Cang come first, and then when Chen Cang can't, replace him.

After all, it is also a rare opportunity to exercise.

For medical staff, the most important thing is to encounter different diseases and then find ways to solve them.

This is important!

Thinking of this, Meng Xi looked at Chen Cang: "Xiao Chen, come on, don't worry, we are here."

Meng Xi didn't say how difficult the operation was. Ge Huai alone would be enough, and if he said too much, it would become stressful.

So Meng Xi just encouraged Chen Cang to say a few words.

The three of them were washing their hands beside the sink together. Meng Xi suddenly found that Chen Cang's hands were very large, with long fingers and beautiful hands.

It seems a little familiar...

Chen Cang looked at Teacher Meng staring at his hands, and was stunned for a moment!

When my heart tightened, even the seven-step hand washing method that I usually practiced to perfection was a little stuck.

The heart is almost unsteady.

Chen Cang couldn't help sighing, "Mr. Meng, can you wear a fitted surgical gown in the future, or it's too small and tight, or it's too big and empty.

Thinking of this, Chen Cang suddenly felt that the most stressful part of the operation with Teacher Meng was not on the operating table, but in the sink...

...

After entering the operating room, the three put on surgical gowns.

At this point, the anesthesiologist is ready for anesthesia and waiting for the start of the operation.

Ge Huai looked at Chen Cang and whispered, "Come on, Xiao Chen!"

Meng Xi nodded affirmatively.

The anesthesiologist smiled awkwardly and carefully walked to a place with a good view. It was a joy to watch Xiao Chen's surgery.

Chen Cang looked at the three and couldn't help but slandered a few words.

Prepare to be scared, you people!

Thinking of this, Chen Cang deliberately glanced at Teacher Meng. After all... this is the one who really needs to be shocked. The other two... are just the audience.

Looking at Teacher Meng's calm and empty expression, Chen Cang suddenly looked forward to...

Chen Cang turned around and looked at the equipment nurse.

His eyes burst out with the light of a strong man, his hands were open, and he whispered in his heart: Come on the knife!

At this moment, the sword broke through the sky, the momentum was like a rainbow,

When Chen Cang was setting up the POSS, the door suddenly opened, and a figure hurried in.

Xia Gaofeng was stunned for a moment, and when he saw Chen Cang just reaching out, he grinned: "It's just the beginning, just right! Come in old money."

I saw Qian Liang and Xia Gaofeng sneaking in, not wearing surgical gowns, but standing behind everyone.

"Fortunately, it's not too late!"

Qian Liang nodded: "Well, let's count the time."

The words made Chen Cang dumbfounded.

I, Cao, you people are too deceiving. Are you addicted to watching dramas?

Xia Gaofeng smiled: "Xiao Chen, let's start."

Chen Cang rolled his eyes: "Come on the knife!"

The nurse who prepared the scalpel was stunned for a moment. Looking at Chen Cang's appearance, she couldn't help but sighed, "Oh, it's useless no matter how arrogant your posture is.

Chen Cang took the scalpel and started his own operation!

The operation was under local anesthesia. The old man was overjoyed when he saw so many directors coming in. It seemed that the operation was stable.

After the anesthesia, Chen Cang began to slowly raise the knife to start, while Ge Huai had prepared the hemostatic gauze.

Chen Cang's thoracotomy is the highlight of the surgery!

After all, every time Chen Cang opened his chest, he cut the skin and separated the tissue very delicately.

Chen Cang carefully removed the left sixth costal cartilage. At this time, the internal mammary artery was exposed. Chen Cang looked at Ge Huai.

"Ligate the artery!"

Ge Huai nodded, accurate.

After the internal mammary artery was ligated and severed, the tissue was separated and the exposed pericardium was already visible.

At this time, the pericardium needs to be incised through the costal cartilage bed to remove the pus in the pericardium.

Xia Gaofeng couldn't help but whispered to Qian Liang, "I've cut my heart!"

Not only Xia Gaofeng, but several people are looking forward to it.

After all, the way Chen Cang cut his heart...