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Chapter 329: 330: Master!
Chapter 329: 330: Master!
Chapter 329: Chapter 330: Master!
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Prepare for emergency surgery!
To everyone’s ears, that phrase was a terrifying concept.
Emergency surgery, also known as resuscitation room surgery, is a super urgent operation performed outside of the operating room.
Super urgent!
What is super urgent?
Super urgent means that for every second delayed, the probability of death increases significantly.
Keep in mind, the resuscitation room is not an operating room, and it is not a sterile environment!
Performing surgery here means taking risks, including emergency operations with the danger of infection.
In light of this, one can see just how critical the surgery is.
Zhang Tao’s face changed color, and even Qin Yue was greatly shocked.
Why the rush?
What exactly is going on?
At that moment, they had yet to comprehend the situation.
The ultrasound doctor, looking at the image, suddenly thought of something horrifying, “Dr. Chen… are you saying… a heart pericardial diaphragmatic hernia???”
Chen Cang’s expression was grave as he confirmed solemnly, “That’s correct! This should be a heart pericardial diaphragmatic hernia.”
With those words, the faces of all the doctors in the resuscitation room changed color!
Zhang Tao, in a flurry, picked up the phone to call the cardiothoracic surgery department.
After all, he was very aware of what this disease was?!
It was something that could lead to acute death!
Chen Cang, looking at Zhang Tao and Qin Yue, said loudly, “Don’t panic, everyone! Xiao Lin, prepare the instruments, Sister Chang, prepare the supplies, get ready to disinfect and sterilize…”
It was peak hospital hours and everyone was present. Chen Cang’s sudden request for resuscitation room surgery instantly caught everyone’s attention.
Zhang Tao was already a treating physician, but at that moment, he still felt somewhat at a loss.
Because this emergency was indeed striking like thunder.
How high was the mortality rate in emergencies like this?
Extremely high!
Such diseases often result in death due to missed diagnosis or misdiagnosis, or even because various examinations could not keep up, leading to untimely treatment.
Perhaps some may wonder, why is a hernia so serious?
Isn’t it just the heart going next door for a visit?
Of course not, it’s when the heart tries to leave, doesn’t make it out, and suddenly gets stuck in the door!
A heart pericardial diaphragmatic hernia is basically just that!
Pericardial rupture usually occurs at the base of the heart. When subjected to violence, the pericardium can tear.
And what is the greatest danger at that time?
It is the heart herniating through the rupture into the pericardial cavity and becoming incarcerated (Note: Hernia is pronounced ‘shan,’ which sounds like shame, and suddenly reminded someone to ask how to read this character).
The heart is large!
But the hernial orifice might not be so big!
This can cause the heart to get stuck by the pericardium, and the heart’s surface isn’t smooth, but has many blood vessels. If the heart becomes incarcerated by the pericardium, then the blood vessels get clamped off!
This is a form of physical myocardial infarction!
After the heart becomes incarcerated, it can lead to venous return obstruction, tachycardia from the pericardium, even hypotension, and also sudden insufficient blood supply to the heart due to compression of the coronary arteries by the rupture in the pericardium.
Therefore, in such situations, one must urgently open the chest, reposition the heart, and then close the pericardium.
It seems like a simple matter, but the level of risk is very high.
First and foremost, diagnosis proves to be extremely important.
If it is discovered too late and normal heart attack treatments are applied, it may delay treatment and lead to death.
After all, this is more rapid, urgent, and critical than a heart attack.
In other words, it’s like your neck being caught by your clothing, if you don’t deal with your clothes quickly, you might be strangled to death.
The emergency resuscitation room plunged into a flurry of orderly preparations.
The curtains were drawn, and a makeshift operating room was set up!
The surgery was about to begin quickly!
Qin Yue stood opposite, nervous and uneasy. This was her first time participating in such heart surgery.
In the field of surgery, several types inherently feel very difficult.
One is heart surgery, the other is cranial surgery.
Surgery involving these two areas instinctively feels very dangerous to people.
Not just for the patients, but for medical staff as well.
That’s why when Chen Cang chose his specialty direction, he immediately selected cardiothoracic surgery.
Since the heart and chest are closely related, to master surgical procedures in the cardiac field, one must also be well-versed in thoracic operations.
Qin Yue was a bit concerned for Chen Cang, after all, he had only been learning cardiothoracic surgeries for a few days.
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But for some reason, when Qin Yue met Chen Cang’s gaze, she felt an instinctive trust and reassurance, a feeling so wonderful yet indescribable.
Chen Cang looked at Qin Yue, “I’ll do the puncture, you draw the fluid!”
Qin Yue nodded!
The ultrasound doctor began the echocardiogram monitoring cautiously, while Chen Cang picked up the pericardiocentesis needle, took a deep breath, and slowly inserted it.
This position was never the puncture site!
But at this moment, it was necessary to puncture from here.
Zhang Tao wanted to speak but hesitated.
“Chen…”
Chen Cang didn’t wait for him to finish, but interjected, “The cardiac tamponade has shifted, this is the safest place for the puncture.”
Zhang Tao suddenly realized.
With this fluid extraction, about 100ml was drawn!
This left Zhang Tao somewhat stupefied.
That 100 milliliters of blood, swamping the pericardium, how much pressure must it have put on the heart?
How terrifying!
The heart was already constricted, and this blood exerted great pressure; now that it was drawn out, the patient’s blood pressure began to rise suddenly!
This move instantly pulled the patient back from the brink of danger!
However, the rescue was just beginning.
Chen Cang turned around, removed the puncture needle and set it aside, and Qin Yue had already handed over the scalpel.
Chen Cang picked up the scalpel and made an incision in the center of the chest!
The choice of this location was carefully considered by Chen Cang.
Not only did it allow for full exposure of all cardiac chambers and the origins of major blood vessels, but it also facilitated the maneuvers for repositioning the heart.
A few minutes later, the chest cavity was opened, the pericardium was quickly exposed, and a heart, red and turning purple, was revealed outside the pericardium, trembling as it beat!
It seemed it could stop at any second!
The heart is normally bright red, the color of blood.
But at this moment, it was dark and purple!
Everyone knew what that meant.
Thank goodness it was discovered in time… If it had been delayed any longer, even if it were to recover, necrosis might be a problem.
A heart attack is just one coronary artery getting blocked.
But now?
The lower half of the entire heart was constricted!
The consequences of this were really hard to imagine.
When everyone saw this moment, cold sweat started seeping down their backs.
Thank goodness Chen Cang discovered it!
Everyone was relieved, everyone was emotional.
Even Chen Cang felt a chill, and in his eyes appeared a name tinged with purple hue.
[Pericardial Diaphragmatic Hernia Monster: Level 55, Boss monster, the heart in a state of incarceration under the compression of pericardial filling, accompanied by coronary artery obstruction and ischemia, causing obstruction to venous return!]
When he saw the system prompt, Chen Cang himself felt frightened!
Encountering a Level 55 boss monster was a first for Chen Cang, and it might be the highest-level surgery he had ever faced.
As a third-level thoracic surgery, the difficulty of pericardial diaphragmatic hernia surgery goes without saying!
The key was the repair of the pericardium, providing the heart with a good “house.”
Chen Cang made a quick decision, swiftly opened up the purple Skill Book, selected the pericardial diaphragmatic hernia option, and activated it immediately.
The reason Chen Cang chose to activate it now was to first understand fear, and then to learn!
Only by seeing the heart’s incarceration first and then specially training, would he know targeted learning.
After all, special training did not consume real-world time; it wouldn’t affect the emergency rescue at all.
With that thought, Chen Cang immediately chose to enter.
Practice makes perfect, Chen Cang, after countless exercises and learning numerous surgeries, experienced all kinds of cardiac incarcerations and pericardial diaphragmatic hernia surgeries, his skills and techniques continued to improve rapidly.
…
In the virtual space, who knows how much time had passed, but after the assessment, Chen Cang’s skills had changed!
[Ding! Master Level Pericardial Diaphragmatic Hernia Repair: Special effect: 1. Precision Repair: Precise repair can make the pericardium firm and less likely to injure surrounding tissues; 2. Prevention of Cardiac Adhesion: The repaired pericardium will not affect the function of the heart and pericardium, preventing adhesions from occurring.]
Just like that, Chen Cang returned to reality, and at this time.
When he looked again at the incarcerated heart, Chen Cang had already planned and designed a surgical strategy for the patient’s current condition in his mind.
Chen Cang took a deep breath, grabbed the scalpel, and was about to begin surgery!
At that moment, no one noticed that a few people had come in behind them, each with eyes wide open, staring at the purplish heart, feeling a surge of retrospective fear!
This… truly couldn’t afford a moment’s delay!