When the Doctor Uses A Hack-Chapter 717: A Narrow Escape from Death (Extra 1 for Alliance Hierarch ll0505)
When Yu Yingcai heard this news, he was dumbstruck!
How did things turn out this way so suddenly?
The highest cure rate was less than twenty percent, which for Yingcai, was a terrifying nightmare!
Thinking of this, Yu Yingcai became somewhat frantic and uneasy.
Qin Xiaoyuan urged, "Time is limited, make your decision quickly!"
With that in mind, Yu Yingcai quickly nodded, "Yes, yes, yes! I’ll sign... Doctor, you must treat me, no matter the cost, you must treat!"
Qin Xiaoyuan nodded. "We will do our best!"
...
...
After issuing the surgery notice, Chen Cang immediately called Jing Ran.
This chapt𝓮r is updat𝒆d by ƒreeωebnovel.ƈom.
At this time, the most reliable thoracic surgeon he could think of was Jing Ran.
Young and vigorous!
At this moment, it was 9:30 PM!
Jing Ran hung up the phone and hurried over.
Meanwhile, Chen Cang began to methodically arrange for the related procedures.
"Administer intravenous isoproterenol at 0.5~5μg/min to increase cardiac output!"
"Infuse colloid solution to expand blood volume and raise blood pressure!"
"High concentration oxygen inhalation to increase arterial blood oxygen partial pressure!"
...
Chen Cang started to continuously issue various preoperative orders, getting ready, which made Qin Xiaoyuan nod in satisfaction.
He found that his son-in-law really had substance!
In fact, pulmonary embolism commonly occurs in people over the age of fifty; it’s rare in younger people, and it was already impressive that Chen Cang could diagnose it.
Moreover, this disease has many symptoms that are not specific! And the key is, many tests are not obvious!
Chest X-rays, electrocardiograms, bedside ultrasounds, these things may all look essentially normal.
Many abnormalities show up only after a long time!
As for symptoms, there are so many for pulmonary embolism, and different patients may have different reactions. Those kinds of allergic rashes and laryngeal edema, most people would never think of them. If it wasn’t for Qin Xiaoyuan’s more than thirty years of clinical experience having seen them, even he could not be certain!
There are just too many diseases!
Who could see clearly then?
What Chen Cang obtained from Elder Master Fang was just perfection in physiological biochemical clinical interpretation, followed by perfection in electrocardiogram and physical examination.
With these alone, being able to think of pulmonary embolism was already quite good.
Chen Cang had to rely entirely on his own accumulation in the reasoning process.
And even if the diagnosis was pulmonary embolism, how much did Chen Cang know about this disease?
Diagnosis seems simple, but in reality, it’s very difficult!
Each disease’s symptoms are specific and not unchanging!
In the operating room!
The patient was in a supine position, and Liu Jian became silent after learning about the condition.
This moment’s anesthesia was the biggest test for an anesthetist!
The patient already had a history of cardiac arrest, and now, direct endotracheal intubation could likely lead to another cardiac arrest due to stimulation inside the chest during intubation.
Thinking of this, Liu Jian took a deep breath!
He began emergency partial extracorporeal circulation, first performing femoral artery and vein cannulation under local anesthesia, and then full anesthesia with endotracheal intubation after starting circulation!
This way, they completely avoided any stimulation to the heart.
An anesthetist’s ability directly relates to the success of the surgery.
So never underestimate an anesthetist; Liu Jian held a high position in the Second Provincial Hospital’s surgery department, and even though he was not a chief now, all chiefs had to greet Liu Jian with a smile.
It was because of his anesthetic strength!
With Liu Jian present, the success rate of the surgery could be significantly increased.
And the person Liu Jian valued and respected the most was Chen Cang; Liu Jian would almost always make an appearance whenever Chen Cang performed a surgery!
After establishing extracorporeal circulation.
Chen Cang directly clamped the ascending aorta to perform coronary artery bypass, cardioplegia perfusion, and localized myocardial cooling.
Soon, the heart finally quieted down.
Chen Cang looked at the heart and suddenly felt grateful to Professor Jr; if it weren’t for his research on the heart-lung machine, perhaps humanity would still be unable to open the door to the heart.
At this moment, Jing Ran walked in, no nonsense, immediately started to change clothes and get ready.
The patient’s condition had already been clearly explained on the way!
This operation was led by Chen Cang, with Wang Kai’an and Jing Ran assisting.
The surgery officially began!
The directors around, including Qin Xiaoyuan, watched the operating table with tension and anxiety.
Watching the three young men performing a surgery with a mortality rate as high as 80%!
They couldn’t help but cheer them on!
They all had no confidence in their hearts; the patient’s condition was very poor, and it was a surprise that they could hold on until surgery, let alone talk about the success rate of the operation.
Wang Kai’an and Jing Ran were both very skilled; Chen Cang didn’t understand why Wang Kai’an had resigned initially—an outstanding young man like him should have been valued anywhere.
As time ticked by, after a series of maneuvers, Chen Cang finally saw the thrombus!
The name of the red "thrombus," clear even across the blood vessel, undoubtedly saved Chen Cang a lot of time.
Next, the most important step was to remove the thrombus!
Chen Cang’s gaze lingered slightly above the pulmonary valve annulus, at this moment, how to cleverly remove the thrombus was extremely important!
He needed to avoid both heavy bleeding and breaking the thrombus into fragments, which could worsen the condition.
The entire process was as delicate as it was worrisome.
Yet, Jing Ran trusted Chen Cang completely; he knew that operating with Chen Cang meant he just had to concentrate on what he was supposed to do. With that in mind, he picked up the hemostat and said, "Are you ready?"
Seeing Chen Cang nod!
The surgery began!
In a flash, Chen Cang made a longitudinal incision of about 2 cm on the anterior wall of the pulmonary artery with a scalpel in hand!
Then, he took the choledochoscope stone-extracting forceps from Wang Kai’an and directly inserted them into the bilateral pulmonary arteries.
At that moment, everyone held their breath!
The only thought in their minds was, please, let nothing go wrong!
The thrombus was of a moderate size but was stuck right against the blood vessel wall; it needed to be carefully removed with the forceps without damaging the inner lining of the blood vessel.
Otherwise, it would undoubtedly worsen the condition and even hinder postoperative recovery!
At this moment, Chen Cang became the key to the surgery.
His hand had to sense the texture of the thrombus; too little force would not extract it, and too much could crush it.
The directors watching Chen Cang’s operation also began to get nervous!
Could this be directly related to the success of the surgery?
As everyone waited with bated breath, Chen Cang actually felt a kind of pressure.
He was clearly aware of the instability in his right hand; the force could easily deviate!
It seems... I still need to strengthen my training in the future.
10 seconds... 20 seconds...
Finally, Chen Cang, holding the thrombus, successfully extracted it!
Everyone instantly breathed a sigh of relief.
The surgery was successful!
However, success did not mean the patient was definitely out of trouble.
Generally speaking, in patients without other significant cardiopulmonary diseases and who had not experienced cardiac arrest, the outcome after thrombus extraction is satisfactory, and they can rapidly recover circulatory and respiratory function and maintain stability.
However, about 15% of patients, especially those who have had cardiac arrest, are unable to recover from cardiogenic shock promptly, which is the leading cause of postoperative death.
