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Chapter 437 Some people are happy and others are sad, challenge the tetralogy of Fallot(2/2)

Very direct.

"Sin is sin! It is really flattered to make Director He waiting for me so much." The necessary polite words are still to say. "You go to the duty room to rest, I will go to you after the operation.

Three hours. ""

Although Zhou Can feels that there are many shortcomings of Deputy Director He, they are very responsible for patients.

This is particularly admirable.

Then again, he was only responsible for the patient he managed.

This really can't rise to the height of medical ethics. What everyone eats is this bowl of rice. Under the high pressure of various regulatory systems, Deputy Director He is afraid of accidents and is highly responsible for patients. This is also the real state of many doctors today.

As soon as some patients entered the hospital, they questioned the doctor and questioned that the medical entry was extremely poor.

It is really not necessary.

Unless you really encounter a very unreliable doctor.

Otherwise, I believe no doctor will risk the risk of smashing the rice bowl and specifically to pit the patients.

In some small and medium -sized hospitals, doctors have certain task indicators, and give patients with more medicines. The treatment effect is generally prescribed, and a few more examinations are prescribed. This is also to survive.

When encountering patients at their own expense, doctors generally try to calculate the medicine and prescribe check.

Patients with medical insurance, who knows this understanding.

At present, the environment is like this. Most of the hospitals do not earn medical insurance money.

When it comes to that step, it is even more difficult for ordinary people to see a doctor.

Deputy Director He is old, and there is really no way to stay up late like these young people. He heard Zhou Can open his mouth and immediately left the operating room happily.

Zhou Can picked up the patient's information and started to check quickly.

"This patient's disease is a bit tricky! Originally thought it was just an ordinary congenital heart disease, but I did not expect it to be the four -lesham of the Fa Le."

"It is not difficult to invite you. I know that your surgical task in the emergency department is also very heavy. As long as we have a confident surgery, you can not call you to help, so try not to call it."

Director Xue Yan answered with a smile.

"Sister Yan calls me at any time, don’t worry about my work tired."

Zhou Can can feel her consideration.

The Four -Diagram of Fa Le is the most common one among the purple -type congenital heart disease.

If you do not have surgical intervention, the patient is generally not alive. The average life expectancy of this disease is only about twelve years old.

It mainly manifested that the child appeared at three to six months.

Faces, lips, nails, fingertips, and even purple phenomena will appear.

Especially when the child is crying, the phenomenon of purple maggots is particularly serious.

Medically, the disease had previously belonged to the disease. Later, a doctor created cardiac surgery and continued to explore. Finally, he found this kind of surgical method for treating this kind of heart disease.

The so -called Four Cyneys refers to pulmonary artery stenosis, room interval defect, aortic riding, and the right ventricle is hypertrophy.

Any lesion is enough to call it congenital heart disease.

The combination of four diseases also increases the difficulty of treatment by geometric multiple.

Treatment of this disease, surgical treatment is the only choice.

Without surgery, children are very easy to die.

Because this disease belongs to congenital heart disease, when the child is young, it may not be able to withstand surgery because of dysplasia or physical condition.

In this case, there is generally no way to complete the cure surgery at a time.

Experienced surgeons often choose to perform palliative surgery first. First keep the child's life. After the child grows up, the tolerance is stronger, the surgical conditions are mature, and then the secondary surgery is completely cured.

Then, then

In Zhou Chan's impression, this difficult operation, Director Xue Yan did not dare to touch it before.

This time dare to challenge a Four -Four Disease surgery, which also shows that she has full confidence in her surgery skills.

"Sister Yan, have you checked the coronary pulse of the child?"

After Zhou Can read the basic information of the child, asked.

"Check it, there are children's coronary arteries below."

Xue Yan knew that Zhou Can would never ask.

Now that I asked, there must be something.

"Can this surgery be done?"

At present, anesthesia has been implemented for children, and no operation is started.

"Don't be nervous, I just want to see where the front of the coronary pulse originated from. If the child's coronary premise descending from the right coronary arteries, then this surgery may not be performed. In addition, the children’s left and right left and right

Poor pulmonary and peripheral pulmonary arteries can not do it. "

Zhou Can gave his own opinion.

After listening to Xueyan, her eyebrows laughed. "Just know that you call you to come over to help reliable. If you have any problems, you can help us check it together. Rest assured, I checked both taboos, it's okay."

Although she had already checked, Zhou Can was still a little uneasy, but she still checked it again.

Fortunately, there are no two cases in this child.

"How is his left ventricular development?"

Zhou Can asked again.

"It's not bad, it can reach the normal level. But it's not particularly good."

"Then there is no problem. Is the water intake before the children's surgery?"

Zhou Can stood the skin of the child, and the elasticity was acceptable.

"It's in place."

This time the answer was the patrol nurse.

"Okay, I basically have no problem."

Zhou Can looked at Director Xueyan.

It means to wait for her to give an order.

"Anesthesia, can it start?"

The anesthesiologist is not politely called directly in the operation, but to facilitate communication.

Especially when the doctor in the operating room has the same surname as the anesthesiologist, everyone is more happy to use the word anesthesia to call the anesthesia doctor.

"The child's life signs are stable, and they have entered a general anesthesia. They can surgery."

"Then start! Old rules, Dr. Zhou Can replace me at a critical moment, everyone else is each."

Director Xue Yan invited him over. In addition to the clearance, there was a little bit. At the critical moment, Zhou Can helped.

Nowadays, Zhou Can's multiple surgeons have reached the level of deputy director's intermediate level, or even a high level. Coupled with his fast knife method, stabilizing the sword method, and not inferior to the first -class surgeon chief physician.
Chapter completed!
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