Chapter 317 Scheming BOY!

"Chen Cang, come right after get off work at noon! Take a taxi!"

At eleven o'clock in the morning, Chen Cang received a call from Meng Xi.

Chen Cang, who had just walked out of the operating room, immediately nodded in agreement, and then asked, "What's the matter, Mr. Meng?"

Meng Xi said: "Yesterday's patient's culture results came out. It was pneumococcal infection, which turned into staphylococcus. It should be caused by the spread of direct infection in the chest."

Chen Cang breathed a sigh of relief. Since he has determined the infection so quickly, the next step is very simple. All he has to do is to use targeted antibiotics for treatment.

Symptomatic treatment is also the most appropriate measure.

After he finished speaking, Meng Xi added: "The pericardial effusion is cultured with pus."

Chen Cang snorted, but he was stunned for a moment!

"Pericardial effusion with purulent fluid?"

I am Cao!

Chen Cang suddenly became nervous.

Thinking of what Meng Xi said calmly just now, Chen Cang almost choked to death.

After all, if such a big thing can be said so lightly, it is estimated that Meng Xi can do it, right?

Because neither systemic antibiotic therapy nor injection of antibiotics into the pericardial cavity can prevent the formation of pus in the cavity!

It can even cause cardiac tamponade due to massive pericardial effusion, or develop constrictive pericarditis due to the formation of encapsulated empyema.

Therefore, once it is determined that it is pus, a pericardiotomy should be performed immediately, debridement should be performed, and a drainage tube should be prevented.

Chen Cang has learned the theoretical knowledge very well these days, and the dangers of each operation are clearly understood.

Therefore, when he wanted to fight here, Chen Cang became inexplicably nervous: "How about...Mr. Meng, would you hurry up for the operation?"

Meng Xi was stunned for a moment, and said lightly, "What are you panicking about?"

A fluttering panic made Chen Cang suddenly dumbfounded. When he looked at the phone again, the phone had been hung up.

Chen Cang was speechless...

What's the panic... let Chen Cang feel that he is a weak scum in the field outside his heart.

Why do you say that?

The growth of any clinical doctor will go through three stages.

The first stage is the medical novice, who is confused about everything, doesn't know the severity, doesn't know the priority, and can't even tell the severity!

The second stage is the theoretical madman, who knows the theoretical knowledge like the back of the hand. The masters of this stage basically have the theoretical knowledge recited by heart. They have a very good understanding of the dangers of the disease, and they know the horror of the disease.

The third stage is the clinical old man. Based on years of clinical experience and grasp of various data, he has a good idea of ​​the patient's situation and state, and has a very high degree of certainty about the disease.

And Chen Cang, although not the first stage of cardiac surgery in the field of cardiac surgery, does not understand anything.

But it's only the second stage. I'm anxious to see everything, and I always feel very dangerous when something happens.

In fact, this is not to blame Chen Cang, because bacterial pericarditis itself is often an acute and fulminant disease, and the prodromal symptoms are only 3 days on average!

The manifestations are also obvious, usually with high fever, chills, symptoms of systemic poisoning and difficulty in breathing. Most patients do not have typical chest pain, and the accompanying chest pain may mean that the severity of the situation will increase and the disease will become more dangerous.

As Meng Xi said, the physiological, biochemical and culture results showed that there was purulent pericardial effusion, which means that the degree of crisis has increased a little bit.

Because purulent pericardial effusion can develop into pericardial constriction, that is, constrictive pericarditis!

The risk of constrictive pericarditis is also much higher!

It is not conducive to the recovery of the patient at all!

Even the operation of constrictive pericarditis is much more difficult than ordinary pericarditis. Thinking of this, Chen Cang is still a little nervous.

The most important thing is that he can't delay the patient's condition because Teacher Meng is waiting for him.

He felt that Teacher Meng Xi was actually waiting for him, and the more so, the more worried Chen Cang became.

Chen Cang is still very grateful for this kindness.

actually……

No matter how big Meng Xi is, she will not delay the best time for diagnosis and treatment of the patient. The reason for this arrangement is that she has a very good understanding of the patient's various indicators and is very clear about the occurrence and development of the disease.

That's why I told Chen Cang that!

To put it bluntly, a doctor's judgment of a disease is generally the result of his own experience.

Director Meng is so confident, but Chen Cang dare not.

The little doctor must have the consciousness of the little doctor, and the novice village must also have the gameplay of the novice village.

At this time, there was nothing wrong with the hospital anyway, Chen Cang said hello and ran away!

Since the absence of Yuan Fan in the department, the entire department has become much cleaner, and Chen Cang has become more and more reckless.

After all, Qin Yue has become a licking dog under his own milk tea offensive.

Director An is now being tortured to death by his own Chen.

As his little apprentice, Wang Yong devoted himself to practice and worked hard.

In the department, Chen Cang feels that he is now a tyrant!

Well, it should be called Brother Chen!

...

Taking a taxi to the First Hospital of Dongda University only cost the starting price of 8 yuan.

After rushing to the cardiac surgery department, Meng Xi happened to be preparing medical records at the nurse's station.

Chen Cang ran over: "Thank you, Teacher Meng, it's been a long wait!"

Meng Xi was also stunned for a moment, and looked at his watch: "It's so early."

After he finished speaking, he handed the surgery consent form to Chen Cang:

"The consent form has been signed, let's start the operation as soon as possible."

Chen Cang smiled gratefully.

Although Teacher Meng is stricter, she works day and night, and asks the students to come and follow the surgery after get off work.

If this is the case, the average student will definitely complain.

But Chen Cang understood that he just wanted to learn technology, and the teachers didn't complain, so what right do you have to complain.

Seeing Chen Cang coming, Ge Huai smiled strangely: "Xiao Chen, don't be nervous, there is me."

Chen Cang was taken aback, this teacher Ge... seems to have changed?

She loves herself so much.

Chen Cang said quickly, "Thank you, Teacher Ge, I have to trouble Teacher Ge today."

Ge Huai shook his head: "It's hard to finish things at the beginning, just learn more and do it a few more times."

After preparing everything, everyone must be in the operating room.

Along the way, Meng Xi emphasized to Chen Cang the importance of many pericardiotomy and drainage operations.

While talking, the three of Chen Cang went to the operating room.

Meng Xi is actually very curious about Chen Cang. Although Chen Cang has been rarely used, every time Chen Cang's performance is very eye-catching.

Especially the diagnostic skills, Meng Xi's eyes lit up twice, and his hands-on ability is also very strong, whether it is vascular suture or pericardiocentesis, that operation... It is difficult to do without decades of experience!

Therefore, although Meng Xi didn't say anything about Chen Cang, he knew it.

She also wanted to see how Chen Cang's operation went.