Zhou Can agreed happily.

There is no need to be too pretentious, because it is difficult to get this opportunity if you miss it.

Nympho

On the third day, Zhou Can was undergoing surgery in the emergency room, and the cardiothoracic surgery department suddenly called for help and asked him to come for an emergency consultation.

Saving people is like putting out a fire, Zhou Can handed the operation to two assistants.

They are now fully capable of handling the common surgical parts of first- and second-level surgery and third-level surgery.

Yang Zhi and Pu Dingdong are not able to do well for the difficult secondary and third-level surgery. This has made great progress.

Because Yang Zhi has a good surgical foundation, his surgical ability is obviously stronger than Pu Dingdong.

However, Pu Dingdong's progress rate is very stable and has been improving at a balanced rate.

It is still hard to say which one of the two is stronger and who is weaker in the future.

Zhou Can was very satisfied with the two medical assistants under his command.

It is impossible to ask them to grow to the level of Zhou Can in just one or two years. That is very unrealistic.

If they compare them with ordinary doctors of the same level, their progress will be considered amazing.

He quickly arrived in cardiothoracic surgery.

In the consultation room, the atmosphere was solemn.

"This patient underwent an emergency interventional thrombectomy surgery in the cardiovascular department of our hospital three days ago. He began to experience more obvious discomfort symptoms last night. Asthma, severe pain in the heart area, and severe blood pressure drop. Now it is suspected that it is acute myocardial infarction.

After the occurrence, a large number of myocardial ischemia lasted for too long and necrosis occurred. The patient's current condition is very dangerous. After I evaluated it with several directors, I thought the operation risk was very high. You know the patient's condition the most deeply, so I specially asked you to come and have a consultation together.

. ""

Director Xueyan sat in the main seat of the consultation table.

The first seat on the left was empty, which was specially reserved for Zhou Can.

Most doctors in the department acknowledge that Zhou Can is the second-person in cardiothoracic surgery.

Since ancient times, the ancients have regarded the left as the most respected.

The first position on the left is usually the second person.

Zhou Can took the examination information and looked at it, mainly chest color ultrasound and CT scan.

This helps detect abnormal conditions.

"When this patient was sent to rescue three days ago, the best rescue time was delayed. When I underwent interventional dredging surgery, I had a bad premonition. I felt that the area of ​​myocardial necrosis might be very large. I didn't expect it to be true.

It's like this."

When talking about Zhang Qilian's condition, Zhou Can also has a headache.

This is an absolute hard bone.

"He is in his current situation, according to my clinical experience, if he does not undergo surgery, he will die. Even if he does, his survival rate will not be higher than 50%. We just discussed it, there are two ways. The first is to try surgery first.

Let’s talk about the situation. The second type is to directly consider heart transplant. Of course, if you want to do a heart transplant, donors are a big problem. Artificial hearts are the first choice.”

Director Xueyan gave some discussion opinions.

After listening to it, Zhou Can still felt very worried.

"There are certain feasibility of both surgical methods. The key is that there are severe malformations in the arteries throughout the patient's body, and the atherosclerosis is very obvious. When I was in rounds, I realized through chatting with my family that the patient has blood vessels since childhood.

Abnormal. I have been taking medicine since then. For this reason, the patient has studied in Japan specifically to find a way to treat systemic arterial vascular lesions."

The patient's condition is extremely special.

Even an ordinary patient has a very high risk of death when undergoing a heart transplant.

What's more, patients with severe arterial malformation.

After hearing this, everyone was in trouble for a moment.

In patients with acute myocardial necrosis, myocardial remodeling will occur, leading to heart enlargement, weakness of myocardial contraction, decreased cardiac blood volume, heart failure, blood pressure drop, and even cardiogenic shock.

If not treated in time, the necrotic myocardium will expand outward, causing cardiac ventricular tumors or papillary muscle breakage, or even heart rupture.

During the week, after myocardial necrosis, the myocardium becomes thinner in the infarct site, the non-infarct myocardium thickens, and the myocardium contraction is inconsistent, and there will be wall thrombosis in the left ventricle. If it falls off, it will cause arterial embolism of the brain, kidney, spleen, lung or limbs.

Therefore, when Zhou Can went to the ward that morning to check Zhang Qilian's postoperative situation, he reminded his family that the real danger period was far from over.

He was able to successfully remove the thrombus for Zhang Qilian, but he could not guarantee that his myocardium would not be necrotic.

Because when the thrombus was removed, some of the myocardium had been necrotic due to ischemia. It was just that the pericardium was not opened and there was no way to find out.

Western medicine treatment is often more passive.

It can also be understood as a secondary version of defensive medicine.

For example, if the patient is found to have a tumor, but the tumor is not large, the doctor will ask the patient to observe first and review it every three months or six months. If it does not continue to grow, it will be allowed to continue.

This is called medically coexisting with diseases.

The entire diagnosis and treatment idea of ​​Western medicine is basically just this idea. It extends the patient's life as much as possible, and then finds ways to relieve the patient's pain.

For example, cancer patients will first ask the patient to undergo chemotherapy or radiotherapy to control the spread of cancer cells. The purpose of this is not to cure, but to prolong the patient's survival cycle.

Then some painkillers will be prescribed to the patient to relieve the pain in the late stage of the cancer.

Many people think that trigeminal neuralgia has the highest pain level, and some people think that childbirth is the most painful. In fact, these pains are considered small compared to cancer pain.

Cancer pain is what makes life worse than death.

Especially the pain in advanced cancer is enough to make people feel unbearable.
Chapter completed!