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Chapter 363 Dr. Cao (2)
Chapter 363 Dr. Cao (2)
Acute hemopericardium, as the name suggests, refers to a collection of blood in the pericardium.
As the tissue structure that houses and protects the heart, the pericardium is actually a membranous sac that covers the heart.The space between the fibrous serosa sac and the heart is not large, and it mainly serves to limit the excessive expansion of the heart cavity and isolate the heart and other organs.The pericardium contains some pericardial fluid, which is mainly used to lubricate the heart when it beats.
Due to the small volume of the pericardium, an increase of more than 150 ml of fluid may cause extremely severe cardiac tamponade - when the pericardium is filled with blood, it will severely squeeze the heart, and the squeezed heart cannot relax, and sufficient volume cannot be stored in the atrium venous blood, which causes the heart to work hard and the ability to eject blood is severely weakened.
To explain it in easy-to-understand terms, the impact of hemopericardium on the heart is like a hand-the heart that is tightly held by the hand cannot naturally beat and work normally.
Sun Lien only took 20ml of hemopericardium, and in exchange for significant improvement.This shows that Dr. Cao's current problem of hemopericardium is very serious, and there is no extra space in the pericardium to continue to accommodate blood, so after a little pumping of the hemopericardium, there will be obvious improvement.
Now there is only one available treatment method-emergency thoracotomy.Other than that, there is no other way.
Emergency surgery is different from emergency surgery elective surgery, the biggest feature is "emergency".
This may sound like nonsense, but in modern medicine, auxiliary departments are already playing an increasingly important role, but emergency surgery has brought surgery back to the era before the birth of X-rays.Except for a small amount of body surface reports and materials during emergency admissions, all the content of the entire operation needs to be confirmed by the eyes and hands of the surgeon.Any weird situation may happen, and the only way to deal with it is to rely on the doctor's superb skills and bold and careful intraoperative strategies to see what happens.
Without imaging data as a reference and without corresponding medical history as a basis, the patient was quickly anesthetized and then opened. This is an emergency operation in the emergency department.
·
·
·
Today's operating room is completely different from the usual atmosphere.
The highest-ranking doctor in the general surgery department on duty in the hospital is Chen Hua, the deputy director.Due to the many organs that may be involved in emergency thoracotomy, Tong Chunlai, the director of cardiac surgery, was also invited to the scene.
Time was running out and Dr. Cao's condition was critical. The two doctors who presided over the operation exchanged opinions during the chest opening.
"What happened?" Director Tong Chunlai was young and short.Wearing a mask, he frowned and looked at Dr. Cao who had been anesthetized on the bed and asked, "Isn't this Director Wang's student?"
"Medical trouble." Director Chen explained concisely, "The one who stabbed the person jumped off the building. I don't know if he is dead or alive."
"Ah?" Director Tong was taken aback, and then said angrily, "What the hell is going on in this world!"
"What else can happen in the world." Director Chen sighed, watching the skin and muscles of Dr. Cao's chest being pulled away by the retractor, exposing his ribs, and shaking his head, "A young doctor with a bright future was stabbed by a patient. Poke the world!"
The first operating room has the largest space, and it can also be kept on standby all year round in case of emergency surgery.But today, when the operation started in the first operating room, it was extremely crowded.
Standing by in the operating room, the doctors who were not performing surgery all spontaneously came to the first operating room.The doctors and nurses who came late couldn't even get into the operating room.The unique spring door in the operating room of the Fourth Hospital was leaned against by two doctors, and the doctors and nurses who hurried over after changing their hand washing clothes could only anxiously stand on tiptoe outside the operating room and look inside.
They were all anxiously waiting for the news, the news that their colleagues had turned the corner.
However, Sun Lien was not among them.
The entire treatment group gathered together, and even Dr. Pascal sat in the small meeting room with a gloomy face.
Sun Li'en lowered his head, not knowing what he was thinking.
Yuan Pingan wanted to go to the operating room to check the situation, but Sun Lien sat in his seat without saying a word. He wanted to open his mouth to say something, but Zhou Ce stopped him with his eyes.
"So, what are we waiting for here?" Xu Yourong ignored Zhou Ce's eyes, she frowned, "Doctor Cao's injuries are all obvious trauma, there is nothing that needs differential diagnosis... What's the point of us all sitting here ?”
"There is one content of differential diagnosis." Sun Lien raised his head, looked around in a daze, and then slowly replied, "The case...is at Yuan Ping'an's place, go and have a look."
Several people looked at each other and sat in their seats without moving.
"Let me go and have a look..." Dr. Pascal shook his head and stood up, walking slowly towards Yuan Ping'an.When passing by Sun Lien, he raised his hand to pat Sun Lien's shoulder to show comfort, but seeing Sun Lien's silence, Dr. Pascal paused, shook his head and took his hand back again.
"Xiang..." Sun Lien's cell phone on the table rang, and Sun Lien, who seemed to be facing a five-digit delay just now, shook suddenly and snatched the phone.
"Sister-in-law..." Sun Lien's voice sounded calm, but the trembling in his tone couldn't be covered up. "Yes... I... I'm in the hospital."
"Okay." After a moment of silence, Sun Li'en nodded, "I'll wait for you at the door."
He hung up the phone and stood up slowly.
"You guys get busy first." Sun Li'en walked towards the door of the small meeting room as if sleepwalking, and he opened the door unsteadily, "I...I'll pick someone up."
The cold wind blows, and the sky seems to start to snowflakes again.Sun Li'en stood at the entrance of the hospital wearing a white coat. The white coat was lifted by the cold wind and flipped up and down behind him.It seems to be saving something.
After a while, a small black spot appeared in Sun Lien's vision.It was Cao Xin's girlfriend Shen Yue who came.This northern girl with a rather fiery temper usually staggered as she walked, holding her backpack with her left hand, and tightly covering her mouth with her right hand.
Sun Li'en went up to meet her, and silently supported her.Then walked towards the hospital.
"The operation is in progress." The sign of the Fourth Central Hospital was getting closer and closer, Sun Li'en whispered to Shen Yue, "Deputy Director Chen is in charge of the general surgery, and Director Chu was invited by Xinwai..." He suddenly stopped down.What is the use of saying these things?It just adds to the troubles.
"Is his condition very bad?" Shen Yue twitched her nose twice, and said in a strong nasal voice, "I...do I need to call his parents here now?"
Sun Li'en led Shen Yue into the rescue hall, he patted the snowflakes on Shen Yue's shoulder, nodded silently, "If possible, call now."
This is a spoiler.
At the request of Dr. Cao himself... the Dr. Cao in the book must be given lunch.
"I beg you to kill me." "My name appears in this novel, and I am so embarrassed to read it." "In the end, you just add a sentence in this chapter. At my strong request, Dr. Cao Xin applied to die."
Considering that Dr. Cao is still the medical consultant of this book, I dare not ignore his opinions.
So...you get the idea?I also feel very helpless that the people who could have been saved insist on writing to death.
(End of this chapter)
Acute hemopericardium, as the name suggests, refers to a collection of blood in the pericardium.
As the tissue structure that houses and protects the heart, the pericardium is actually a membranous sac that covers the heart.The space between the fibrous serosa sac and the heart is not large, and it mainly serves to limit the excessive expansion of the heart cavity and isolate the heart and other organs.The pericardium contains some pericardial fluid, which is mainly used to lubricate the heart when it beats.
Due to the small volume of the pericardium, an increase of more than 150 ml of fluid may cause extremely severe cardiac tamponade - when the pericardium is filled with blood, it will severely squeeze the heart, and the squeezed heart cannot relax, and sufficient volume cannot be stored in the atrium venous blood, which causes the heart to work hard and the ability to eject blood is severely weakened.
To explain it in easy-to-understand terms, the impact of hemopericardium on the heart is like a hand-the heart that is tightly held by the hand cannot naturally beat and work normally.
Sun Lien only took 20ml of hemopericardium, and in exchange for significant improvement.This shows that Dr. Cao's current problem of hemopericardium is very serious, and there is no extra space in the pericardium to continue to accommodate blood, so after a little pumping of the hemopericardium, there will be obvious improvement.
Now there is only one available treatment method-emergency thoracotomy.Other than that, there is no other way.
Emergency surgery is different from emergency surgery elective surgery, the biggest feature is "emergency".
This may sound like nonsense, but in modern medicine, auxiliary departments are already playing an increasingly important role, but emergency surgery has brought surgery back to the era before the birth of X-rays.Except for a small amount of body surface reports and materials during emergency admissions, all the content of the entire operation needs to be confirmed by the eyes and hands of the surgeon.Any weird situation may happen, and the only way to deal with it is to rely on the doctor's superb skills and bold and careful intraoperative strategies to see what happens.
Without imaging data as a reference and without corresponding medical history as a basis, the patient was quickly anesthetized and then opened. This is an emergency operation in the emergency department.
·
·
·
Today's operating room is completely different from the usual atmosphere.
The highest-ranking doctor in the general surgery department on duty in the hospital is Chen Hua, the deputy director.Due to the many organs that may be involved in emergency thoracotomy, Tong Chunlai, the director of cardiac surgery, was also invited to the scene.
Time was running out and Dr. Cao's condition was critical. The two doctors who presided over the operation exchanged opinions during the chest opening.
"What happened?" Director Tong Chunlai was young and short.Wearing a mask, he frowned and looked at Dr. Cao who had been anesthetized on the bed and asked, "Isn't this Director Wang's student?"
"Medical trouble." Director Chen explained concisely, "The one who stabbed the person jumped off the building. I don't know if he is dead or alive."
"Ah?" Director Tong was taken aback, and then said angrily, "What the hell is going on in this world!"
"What else can happen in the world." Director Chen sighed, watching the skin and muscles of Dr. Cao's chest being pulled away by the retractor, exposing his ribs, and shaking his head, "A young doctor with a bright future was stabbed by a patient. Poke the world!"
The first operating room has the largest space, and it can also be kept on standby all year round in case of emergency surgery.But today, when the operation started in the first operating room, it was extremely crowded.
Standing by in the operating room, the doctors who were not performing surgery all spontaneously came to the first operating room.The doctors and nurses who came late couldn't even get into the operating room.The unique spring door in the operating room of the Fourth Hospital was leaned against by two doctors, and the doctors and nurses who hurried over after changing their hand washing clothes could only anxiously stand on tiptoe outside the operating room and look inside.
They were all anxiously waiting for the news, the news that their colleagues had turned the corner.
However, Sun Lien was not among them.
The entire treatment group gathered together, and even Dr. Pascal sat in the small meeting room with a gloomy face.
Sun Li'en lowered his head, not knowing what he was thinking.
Yuan Pingan wanted to go to the operating room to check the situation, but Sun Lien sat in his seat without saying a word. He wanted to open his mouth to say something, but Zhou Ce stopped him with his eyes.
"So, what are we waiting for here?" Xu Yourong ignored Zhou Ce's eyes, she frowned, "Doctor Cao's injuries are all obvious trauma, there is nothing that needs differential diagnosis... What's the point of us all sitting here ?”
"There is one content of differential diagnosis." Sun Lien raised his head, looked around in a daze, and then slowly replied, "The case...is at Yuan Ping'an's place, go and have a look."
Several people looked at each other and sat in their seats without moving.
"Let me go and have a look..." Dr. Pascal shook his head and stood up, walking slowly towards Yuan Ping'an.When passing by Sun Lien, he raised his hand to pat Sun Lien's shoulder to show comfort, but seeing Sun Lien's silence, Dr. Pascal paused, shook his head and took his hand back again.
"Xiang..." Sun Lien's cell phone on the table rang, and Sun Lien, who seemed to be facing a five-digit delay just now, shook suddenly and snatched the phone.
"Sister-in-law..." Sun Lien's voice sounded calm, but the trembling in his tone couldn't be covered up. "Yes... I... I'm in the hospital."
"Okay." After a moment of silence, Sun Li'en nodded, "I'll wait for you at the door."
He hung up the phone and stood up slowly.
"You guys get busy first." Sun Li'en walked towards the door of the small meeting room as if sleepwalking, and he opened the door unsteadily, "I...I'll pick someone up."
The cold wind blows, and the sky seems to start to snowflakes again.Sun Li'en stood at the entrance of the hospital wearing a white coat. The white coat was lifted by the cold wind and flipped up and down behind him.It seems to be saving something.
After a while, a small black spot appeared in Sun Lien's vision.It was Cao Xin's girlfriend Shen Yue who came.This northern girl with a rather fiery temper usually staggered as she walked, holding her backpack with her left hand, and tightly covering her mouth with her right hand.
Sun Li'en went up to meet her, and silently supported her.Then walked towards the hospital.
"The operation is in progress." The sign of the Fourth Central Hospital was getting closer and closer, Sun Li'en whispered to Shen Yue, "Deputy Director Chen is in charge of the general surgery, and Director Chu was invited by Xinwai..." He suddenly stopped down.What is the use of saying these things?It just adds to the troubles.
"Is his condition very bad?" Shen Yue twitched her nose twice, and said in a strong nasal voice, "I...do I need to call his parents here now?"
Sun Li'en led Shen Yue into the rescue hall, he patted the snowflakes on Shen Yue's shoulder, nodded silently, "If possible, call now."
This is a spoiler.
At the request of Dr. Cao himself... the Dr. Cao in the book must be given lunch.
"I beg you to kill me." "My name appears in this novel, and I am so embarrassed to read it." "In the end, you just add a sentence in this chapter. At my strong request, Dr. Cao Xin applied to die."
Considering that Dr. Cao is still the medical consultant of this book, I dare not ignore his opinions.
So...you get the idea?I also feel very helpless that the people who could have been saved insist on writing to death.
(End of this chapter)
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