Chapter 376: 376
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The patient was transferred to the intensive care room for close monitoring the same day, and vital signs must be noted!
And when the man and his wife learned that it was so dangerous, they were even more worried!
The two of them basically do what they do in the past two days, they should eat and drink, and even the niche life should never be less.
At this time, the man was sent to the intensive care room, and his wife couldn't get in. She could only pray, and even regretted it!
If you bring your husband to see a doctor earlier, it may not be so dangerous.
indeed!
If you come early, the fishbone will definitely not go so deep, there is no doubt about it.
Many times, the disease gets worse without notice!
...
...
The situation of the man immediately caught the attention and attention of the hospital.
The hospital immediately organized emergency conferences according to the patient's situation, emergency department, cardiac surgery, general surgery, ENT, endoscopy room, interventional department, radiology department, anesthesiology department, etc.!
And Chen Cang presided over the consultation for the first time!
And it is such a huge consultation organized.
The huge discussion room was extremely quiet, and everyone stared at Chen Cang, staring at the video results on the big screen.
Everyone frowned slightly when they saw this dangerous picture.
Quiet and quiet throughout the office!
Serious, solemn.
This is not a joke.
Because this rescue work involves multi-disciplinary cross-cutting and involves many departments, it is necessary to organize and coordinate various departments.
And through the joint discussion of everyone, make a consensus decision, so as to carry out the rescue work in an orderly manner.
Tao Yan, Li Baoshan, Zhang Youfu, Xiao He, Liu Jian ... everyone is staring at Chen Cang!
All the people present here have heads and faces, and can even be said to be the core strength of the Second Provincial Court.
Only Chen Cang is the youngest.
But no one dared to underestimate or despise him.
Because Chen Cang conquered them with results over and over again, leaving them speechless.
The director level or deputy director of seven or eight departments are staring at Chen Cang.
Chen Cang took a deep breath and said it was false not to be nervous.
At the beginning, it was Bai Qiuen's own body that was able to recklessly rescue the last rebar puncture, and this time, although it was just a fishbone, the damage and possible consequences were not lower than the last rebar puncture!
Therefore, Chen Cang said that he is not nervous, this is impossible!
but!
Nervousness is tense, and work must be carried out normally.
The discussion has been going on for more than ten minutes.
Everyone also expressed their views and surgical plans tailored to the patient's situation.
Chen Cang looked at Tao Yan and asked directly, "Director Tao, in this case, if you want to remove the fishbone, you must ensure the safety of the thoracic aorta. What do you think?"
Tao Zheng nodded solemnly and said: "Actually, although the outside of the blood vessel can't be seen in the image results, but let me say that in my experience, the patient's fishbone has been stuck for two days, which means that A very serious problem is that there will be infection and erosion at the blood vessel gap. Moreover, the blood vessel gap must be more and more fragile. Therefore, the most urgent and most urgent thing is to ensure the safety of the blood vessels. . "
"In this case, the vascular notch needs to be firmly plugged, and an aortic stent can be used, which is more suitable."
When Xiao He heard this, he quickly said: "If the safety of the thoracic aorta can be guaranteed, it will be simple, and you can take a puncture directly under endoscopy."
Liu Jian of the Department of Anesthesiology also nodded ...
...
The effect of the consultation was obvious, and everyone soon had a unified plan!
So, at 5 o’clock that afternoon, after everything was ready, under the **** of anesthesiologist Liu Jian, preparations for the operation began!
According to the original plan, Director Tao Yun of Cardiac Surgery went to battle in person and first came to power.
After all, the core of this work is to ensure the safety of the thoracic aorta.
Tao Yan also had to take it seriously this time!
At the beginning of the operation, if the arterial stent was simply implanted, it would not be difficult. With the help of Tao Yan's main knife and the deputy director, the stent implantation was successful.
This means that the risk of surgery is reduced.
The plan continued. At this time, Director He He, the director of the endoscopy room, came on stage, began to control the endoscope of the digestive tract, penetrated into the deep part of the esophagus, and was ready to take an operation!
but!
What happened unexpectedly to everyone.
After entering the endoscope.
Suddenly found that the fishbone disappeared!
Hell?
Xiao He was also dumbfounded.
He repeatedly used the probe to find it again and again, and found it several times in the original position, but after all, he could not find the fishbone that should have been there!
Everyone present was aggressive.
Lu Xiaojun, who gave the patient an endoscope himself, was also present, and of course he was wrong.
"I was still there? Why did it disappear ~ www.novelhall.com ~ Xiao He frowned suddenly.
Can't find it, the endoscope's desire to remove the fishbone is directly destroyed!
At this point, the patient is still on the operating table!
The fishbone disappeared!
How to do?
Everyone immediately started the discussion!
"Will it be because the peristalsis of the esophagus caused the fish to pierce into the chest cavity before surgery!"
Tao Tao nodded: "Well, it is possible, after all, you look at this direction!"
During the talk, Tao Yan pointed at the ct photo on the wall and said, "Look, the fishbone is piercing into the chest, that is, entering the aorta at this angle, but the direction of blood flow in the thoracic aorta is this, and The direction of the esophagus's peristalsis also happens to be this way. If so, it would be easy to explain! "
"The fishbone may be under the strong impact of aortic blood flow, and with the peristalsis of the esophagus, it has passed through the esophagus, entered the chest cavity, and even into the aorta!"
After some communication, the situation was complicated again.
At this time, there is no possibility of endoscopic puncture!
All that has to be done is to open the chest for exploration and decide on another surgical plan ~ www.novelhall.com ~ With the assistance of the entire team of experts, the surgical plan was immediately adjusted!
At this time, Chen Cang became the core of the team!
Open surgery, Chen Cang is very good at it.
Everyone knows this.
At this time, everyone turned their eyes to Chen Cang, and his eyes were full of expectations.
This is the operating table.
After passing five levels, everyone has their own responsibilities!
For example, the implantation of Director Tao's stent protected the aortic blood vessels instantly.
Chen Cang was in danger, and instead of being timid, he nodded confidently and took the scalpel!
At this moment, the surgery really started!
According to the results of the video, Chen Cang chose a place to open his mouth and opened his chest.
She spoke skillfully, Tao Ye helped and took charge, stabbed Liu Jian aside, and made various preparations again. The imaging department began to analyze the specific location ...
All medical workers are nervous about doing their jobs.
On the operating table, there is never a strong man alone.
Are a group of excellent teams working together!
After Chen Cang opened his chest, everyone couldn't help taking a puff of the cool air unique to the operating room.
Because of the infection, at this time the chest cavity was completely messed up, chest adhesions were already serious, and secretions were in the chest cavity.
Everyone frowned immediately after seeing this scene.
Fortunately, the chest is opened, otherwise, the later treatment and healing are also a troublesome thing!
However, everyone knows that the burden suddenly fell on Chen Cang's shoulder!
Chen Cang ... is it okay?
Please report us if you find any errors so we can fix it asap!
The patient was transferred to the intensive care room for close monitoring the same day, and vital signs must be noted!
And when the man and his wife learned that it was so dangerous, they were even more worried!
The two of them basically do what they do in the past two days, they should eat and drink, and even the niche life should never be less.
At this time, the man was sent to the intensive care room, and his wife couldn't get in. She could only pray, and even regretted it!
If you bring your husband to see a doctor earlier, it may not be so dangerous.
indeed!
If you come early, the fishbone will definitely not go so deep, there is no doubt about it.
Many times, the disease gets worse without notice!
...
...
The situation of the man immediately caught the attention and attention of the hospital.
The hospital immediately organized emergency conferences according to the patient's situation, emergency department, cardiac surgery, general surgery, ENT, endoscopy room, interventional department, radiology department, anesthesiology department, etc.!
And Chen Cang presided over the consultation for the first time!
And it is such a huge consultation organized.
The huge discussion room was extremely quiet, and everyone stared at Chen Cang, staring at the video results on the big screen.
Everyone frowned slightly when they saw this dangerous picture.
Quiet and quiet throughout the office!
Serious, solemn.
This is not a joke.
Because this rescue work involves multi-disciplinary cross-cutting and involves many departments, it is necessary to organize and coordinate various departments.
And through the joint discussion of everyone, make a consensus decision, so as to carry out the rescue work in an orderly manner.
Tao Yan, Li Baoshan, Zhang Youfu, Xiao He, Liu Jian ... everyone is staring at Chen Cang!
All the people present here have heads and faces, and can even be said to be the core strength of the Second Provincial Court.
Only Chen Cang is the youngest.
But no one dared to underestimate or despise him.
Because Chen Cang conquered them with results over and over again, leaving them speechless.
The director level or deputy director of seven or eight departments are staring at Chen Cang.
Chen Cang took a deep breath and said it was false not to be nervous.
At the beginning, it was Bai Qiuen's own body that was able to recklessly rescue the last rebar puncture, and this time, although it was just a fishbone, the damage and possible consequences were not lower than the last rebar puncture!
Therefore, Chen Cang said that he is not nervous, this is impossible!
but!
Nervousness is tense, and work must be carried out normally.
The discussion has been going on for more than ten minutes.
Everyone also expressed their views and surgical plans tailored to the patient's situation.
Chen Cang looked at Tao Yan and asked directly, "Director Tao, in this case, if you want to remove the fishbone, you must ensure the safety of the thoracic aorta. What do you think?"
Tao Zheng nodded solemnly and said: "Actually, although the outside of the blood vessel can't be seen in the image results, but let me say that in my experience, the patient's fishbone has been stuck for two days, which means that A very serious problem is that there will be infection and erosion at the blood vessel gap. Moreover, the blood vessel gap must be more and more fragile. Therefore, the most urgent and most urgent thing is to ensure the safety of the blood vessels. . "
"In this case, the vascular notch needs to be firmly plugged, and an aortic stent can be used, which is more suitable."
When Xiao He heard this, he quickly said: "If the safety of the thoracic aorta can be guaranteed, it will be simple, and you can take a puncture directly under endoscopy."
Liu Jian of the Department of Anesthesiology also nodded ...
...
The effect of the consultation was obvious, and everyone soon had a unified plan!
So, at 5 o’clock that afternoon, after everything was ready, under the **** of anesthesiologist Liu Jian, preparations for the operation began!
According to the original plan, Director Tao Yun of Cardiac Surgery went to battle in person and first came to power.
After all, the core of this work is to ensure the safety of the thoracic aorta.
Tao Yan also had to take it seriously this time!
At the beginning of the operation, if the arterial stent was simply implanted, it would not be difficult. With the help of Tao Yan's main knife and the deputy director, the stent implantation was successful.
This means that the risk of surgery is reduced.
The plan continued. At this time, Director He He, the director of the endoscopy room, came on stage, began to control the endoscope of the digestive tract, penetrated into the deep part of the esophagus, and was ready to take an operation!
but!
What happened unexpectedly to everyone.
After entering the endoscope.
Suddenly found that the fishbone disappeared!
Hell?
Xiao He was also dumbfounded.
He repeatedly used the probe to find it again and again, and found it several times in the original position, but after all, he could not find the fishbone that should have been there!
Everyone present was aggressive.
Lu Xiaojun, who gave the patient an endoscope himself, was also present, and of course he was wrong.
"I was still there? Why did it disappear ~ www.novelhall.com ~ Xiao He frowned suddenly.
Can't find it, the endoscope's desire to remove the fishbone is directly destroyed!
At this point, the patient is still on the operating table!
The fishbone disappeared!
How to do?
Everyone immediately started the discussion!
"Will it be because the peristalsis of the esophagus caused the fish to pierce into the chest cavity before surgery!"
Tao Tao nodded: "Well, it is possible, after all, you look at this direction!"
During the talk, Tao Yan pointed at the ct photo on the wall and said, "Look, the fishbone is piercing into the chest, that is, entering the aorta at this angle, but the direction of blood flow in the thoracic aorta is this, and The direction of the esophagus's peristalsis also happens to be this way. If so, it would be easy to explain! "
"The fishbone may be under the strong impact of aortic blood flow, and with the peristalsis of the esophagus, it has passed through the esophagus, entered the chest cavity, and even into the aorta!"
After some communication, the situation was complicated again.
At this time, there is no possibility of endoscopic puncture!
All that has to be done is to open the chest for exploration and decide on another surgical plan ~ www.novelhall.com ~ With the assistance of the entire team of experts, the surgical plan was immediately adjusted!
At this time, Chen Cang became the core of the team!
Open surgery, Chen Cang is very good at it.
Everyone knows this.
At this time, everyone turned their eyes to Chen Cang, and his eyes were full of expectations.
This is the operating table.
After passing five levels, everyone has their own responsibilities!
For example, the implantation of Director Tao's stent protected the aortic blood vessels instantly.
Chen Cang was in danger, and instead of being timid, he nodded confidently and took the scalpel!
At this moment, the surgery really started!
According to the results of the video, Chen Cang chose a place to open his mouth and opened his chest.
She spoke skillfully, Tao Ye helped and took charge, stabbed Liu Jian aside, and made various preparations again. The imaging department began to analyze the specific location ...
All medical workers are nervous about doing their jobs.
On the operating table, there is never a strong man alone.
Are a group of excellent teams working together!
After Chen Cang opened his chest, everyone couldn't help taking a puff of the cool air unique to the operating room.
Because of the infection, at this time the chest cavity was completely messed up, chest adhesions were already serious, and secretions were in the chest cavity.
Everyone frowned immediately after seeing this scene.
Fortunately, the chest is opened, otherwise, the later treatment and healing are also a troublesome thing!
However, everyone knows that the burden suddenly fell on Chen Cang's shoulder!
Chen Cang ... is it okay?
The patient was transferred to the intensive care room for close monitoring the same day, and vital signs must be noted!And when the man and his wife learned that it was so dangerous, they were even more worried!The two of them basically do what they do in the past two days, they should eat and drink, and even the niche life should never be less.At this time, the man was sent to the intensive care room, and his wife couldn't get in. She could only pray, and even regretted it!If you bring your husband to see a doctor earlier, it may not be so dangerous.indeed!If you come early, the fishbone will definitely not go so deep, there is no doubt about it.Many times, the disease gets worse without notice!......The situation of the man immediately caught the attention and attention of the hospital.The hospital immediately organized emergency conferences according to the patient's situation, emergency department, cardiac surgery, general surgery, ENT, endoscopy room, interventional department, radiology department, anesthesiology department, etc.!And Chen Cang presided over the consultation for the first time!And it is such a huge consultation organized.The huge discussion room was extremely quiet, and everyone stared at Chen Cang, staring at the video results on the big screen.Everyone frowned slightly when they saw this dangerous picture.Quiet and quiet throughout the office!Serious, solemn.This is not a joke.Because this rescue work involves multi-disciplinary cross-cutting and involves many departments, it is necessary to organize and coordinate various departments.And through the joint discussion of everyone, make a consensus decision, so as to carry out the rescue work in an orderly manner.Tao Yan, Li Baoshan, Zhang Youfu, Xiao He, Liu Jian ... everyone is staring at Chen Cang!All the people present here have heads and faces, and can even be said to be the core strength of the Second Provincial Court.Only Chen Cang is the youngest.But no one dared to underestimate or despise him.Because Chen Cang conquered them with results over and over again, leaving them speechless.The director level or deputy director of seven or eight departments are staring at Chen Cang.Chen Cang took a deep breath and said it was false not to be nervous.At the beginning, it was Bai Qiuen's own body that was able to recklessly rescue the last rebar puncture, and this time, although it was just a fishbone, the damage and possible consequences were not lower than the last rebar puncture!Therefore, Chen Cang said that he is not nervous, this is impossible!but!Nervousness is tense, and work must be carried out normally.The discussion has been going on for more than ten minutes.Everyone also expressed their views and surgical plans tailored to the patient's situation.Chen Cang looked at Tao Yan and asked directly, "Director Tao, in this case, if you want to remove the fishbone, you must ensure the safety of the thoracic aorta. What do you think?"Tao Zheng nodded solemnly and said: "Actually, although the outside of the blood vessel can't be seen in the image results, but let me say that in my experience, the patient's fishbone has been stuck for two days, which means that A very serious problem is that there will be infection and erosion at the blood vessel gap. Moreover, the blood vessel gap must be more and more fragile. Therefore, the most urgent and most urgent thing is to ensure the safety of the blood vessels. . ""In this case, the vascular notch needs to be firmly plugged, and an aortic stent can be used, which is more suitable."When Xiao He heard this, he quickly said: "If the safety of the thoracic aorta can be guaranteed, it will be simple, and you can take a puncture directly under endoscopy."Liu Jian of the Department of Anesthesiology also nodded ......The effect of the consultation was obvious, and everyone soon had a unified plan!So, at 5 o'clock that afternoon, after everything was ready, under the **** of anesthesiologist Liu Jian, preparations for the operation began!According to the original plan, Director Tao Yun of Cardiac Surgery went to battle in person and first came to power.After all, the core of this work is to ensure the safety of the thoracic aorta.Tao Yan also had to take it seriously this time!At the beginning of the operation, if the arterial stent was simply implanted, it would not be difficult. With the help of Tao Yan's main knife and the deputy director, the stent implantation was successful.This means that the risk of surgery is reduced.The plan continued. At this time, Director He He, the director of the endoscopy room, came on stage, began to control the endoscope of the digestive tract, penetrated into the deep part of the esophagus, and was ready to take an operation!but!What happened unexpectedly to everyone.After entering the endoscope.Suddenly found that the fishbone disappeared!Hell?Xiao He was also dumbfounded.He repeatedly used the probe to find it again and again, and found it several times in the original position, but after all, he could not find the fishbone that should have been there!Everyone present was aggressive.Lu Xiaojun, who gave the patient an endoscope himself, was also present, and of course he was wrong."I was still there? Why did it disappear ~ www.novelhall.com ~ Xiao He frowned suddenly.Can't find it, the endoscope's desire to remove the fishbone is directly destroyed!At this point, the patient is still on the operating table!The fishbone disappeared!How to do?Everyone immediately started the discussion!"Will it be because the peristalsis of the esophagus caused the fish to pierce into the chest cavity before surgery!"Tao Tao nodded: "Well, it is possible, after all, you look at this direction!"During the talk, Tao Yan pointed at the ct photo on the wall and said, "Look, the fishbone is piercing into the chest, that is, entering the aorta at this angle, but the direction of blood flow in the thoracic aorta is this, and The direction of the esophagus's peristalsis also happens to be this way. If so, it would be easy to explain! ""The fishbone may be under the strong impact of aortic blood flow, and with the peristalsis of the esophagus, it has passed through the esophagus, entered the chest cavity, and even into the aorta!"After some communication, the situation was complicated again.At this time, there is no possibility of endoscopic puncture!All that has to be done is to open the chest for exploration and decide on another surgical plan ~ www.novelhall.com ~ With the assistance of the entire team of experts, the surgical plan was immediately adjusted!At this time, Chen Cang became the core of the team!Open surgery, Chen Cang is very good at it.Everyone knows this.At this time, everyone turned their eyes to Chen Cang, and his eyes were full of expectations.This is the operating table.After passing five levels, everyone has their own responsibilities!For example, the implantation of Director Tao's stent protected the aortic blood vessels instantly.Chen Cang was in danger, and instead of being timid, he nodded confidently and took the scalpel!At this moment, the surgery really started!According to the results of the video, Chen Cang chose a place to open his mouth and opened his chest.She spoke skillfully, Tao Ye helped and took charge, stabbed Liu Jian aside, and made various preparations again. The imaging department began to analyze the specific location ...All medical workers are nervous about doing their jobs.On the operating table, there is never a strong man alone.Are a group of excellent teams working together!After Chen Cang opened his chest, everyone couldn't help taking a puff of the cool air unique to the operating room.Because of the infection, at this time the chest cavity was completely messed up, chest adhesions were already serious, and secretions were in the chest cavity.Everyone frowned immediately after seeing this scene.Fortunately, the chest is opened, otherwise, the later treatment and healing are also a troublesome thing!However, everyone knows that the burden suddenly fell on Chen Cang's shoulder!Chen Cang ... is it okay?
