Chapter 2378： 【2378】Fast thinking
Chapter 2378 [2378] Thinking fast
There are two types of operations, one is an operation under a clear diagnosis, and the other is an operation to find out the real cause, which is equivalent to an operation where the doctor leads the patient to fight against death. The latter is due to the deterioration of the medical environment and the deepening of the contradiction in the doctor-patient relationship. Today's clinical surgeons dare not even think about it, and prefer to stay away. Not doing it is better than not doing it well, and it will soon become the general rule of thumb for most clinicians today.
"Go to a thoracoscope - what if you can't find it?" Cao Zhao asked.
God, this man is really like a devil when he asks. Classmate Pan Shihua was extremely anxious, thinking about this **** saying this was like forcing Classmate Xie to jump off a cliff.
Student Duan Sanbao seems to have a tick on the corner of his mouth with his head buried in it: This is the nature of this man, otherwise how can he be called a person who loves to play and can be a pediatrician.
If the thoracoscopy can't find it, it means a dead end.
Xie Wanying's face turned iron hard, and said, "I can definitely find out."
Little Junior Sister's confidence level, don't be stubborn. Luo Jingming shouted in his heart.
It is impossible for a senior doctor to believe her "evil" because of her confident words.
Wrong, what happened next was beyond everyone's expectations.
"I believe you can find out, but I also believe that you will definitely overturn." Cao Zhao said.
The air was full of dead silence, and everyone's mind was frozen for a moment.
The immortal brother speaks like a fairy. He doesn't have the poisonous tongue of Zhang Dajie, but he is more blush than Zhang Dajie.
Xie Wanying quickly realized what she was doing wrong and asked, "Mr. Cao, can you not do the thoracoscopic surgery on your head?"
That's right, my thoughts turned fast, and I immediately realized what he meant. The small black vortex in Cao Zhao's eyes flickered with light.
The first thing to look at is what thoracoscopic surgery is. The so-called thoracoscopy-assisted surgery is definitely not as good as full-thoracoscopy surgery, and it is somewhat suspected of selling dog meat for publicity. True total thoracoscopic surgery for heart disease is rare.
The simplest example, children under the age of three who do not reach the threshold of weight, basically do not expect to do full thoracoscopic heart disease surgery. One thing to distinguish here is that it refers specifically to cardiac surgery. Unlike thoracic surgery such as lung, mediastinal and esophagus, cardiac surgery must first solve the problem of cardiopulmonary bypass. Too low body weight, the diameter of the femoral artery and vein is too small, how can you meet the needs of cardiopulmonary bypass. Secondly, after the thoracoscope enters the patient's body, its visibility and operation degree for cardiac surgery are limited. This makes it impossible to perform many types of cardiac surgery. Specifically, the cardiac surgery approach that can generally perform thoracoscopic surgery is best solved by entering from the left atrium or the right atrium.
As the current patient, if it is true as you said, "Ru"'s head muscle is broken.
The solution to the rupture of the "Ru" head muscle, the first thing that everyone can think of is to directly repair the "Ru" head muscle, which cannot be done under full thoracoscopy deep into the ventricular wall.
Another way may be that full thoracoscopy can be done, and the "Ru" head muscle is discarded. Anyway, the "Ru" head muscle has the greatest impact on the mitral valve activity. Simply replace the mitral valve with a mechanical valve. Before the mechanical valve surgery, we saw that there is no need for the "Ru" head muscle to exert force. It happens to be relatively simple mitral valve replacement surgery full thoracoscopy can be done. It's just that this patient needs to take medicine for life in the future, and maybe the patient needs a second operation like the last time.
In comparison, the first choice is to repair the "Ru" head muscle, and full thoracoscopic surgery is out of the game.
(end of this chapter)
There are two types of operations, one is an operation under a clear diagnosis, and the other is an operation to find out the real cause, which is equivalent to an operation where the doctor leads the patient to fight against death. The latter is due to the deterioration of the medical environment and the deepening of the contradiction in the doctor-patient relationship. Today's clinical surgeons dare not even think about it, and prefer to stay away. Not doing it is better than not doing it well, and it will soon become the general rule of thumb for most clinicians today.
"Go to a thoracoscope - what if you can't find it?" Cao Zhao asked.
God, this man is really like a devil when he asks. Classmate Pan Shihua was extremely anxious, thinking about this **** saying this was like forcing Classmate Xie to jump off a cliff.
Student Duan Sanbao seems to have a tick on the corner of his mouth with his head buried in it: This is the nature of this man, otherwise how can he be called a person who loves to play and can be a pediatrician.
If the thoracoscopy can't find it, it means a dead end.
Xie Wanying's face turned iron hard, and said, "I can definitely find out."
Little Junior Sister's confidence level, don't be stubborn. Luo Jingming shouted in his heart.
It is impossible for a senior doctor to believe her "evil" because of her confident words.
Wrong, what happened next was beyond everyone's expectations.
"I believe you can find out, but I also believe that you will definitely overturn." Cao Zhao said.
The air was full of dead silence, and everyone's mind was frozen for a moment.
The immortal brother speaks like a fairy. He doesn't have the poisonous tongue of Zhang Dajie, but he is more blush than Zhang Dajie.
Xie Wanying quickly realized what she was doing wrong and asked, "Mr. Cao, can you not do the thoracoscopic surgery on your head?"
That's right, my thoughts turned fast, and I immediately realized what he meant. The small black vortex in Cao Zhao's eyes flickered with light.
The first thing to look at is what thoracoscopic surgery is. The so-called thoracoscopy-assisted surgery is definitely not as good as full-thoracoscopy surgery, and it is somewhat suspected of selling dog meat for publicity. True total thoracoscopic surgery for heart disease is rare.
The simplest example, children under the age of three who do not reach the threshold of weight, basically do not expect to do full thoracoscopic heart disease surgery. One thing to distinguish here is that it refers specifically to cardiac surgery. Unlike thoracic surgery such as lung, mediastinal and esophagus, cardiac surgery must first solve the problem of cardiopulmonary bypass. Too low body weight, the diameter of the femoral artery and vein is too small, how can you meet the needs of cardiopulmonary bypass. Secondly, after the thoracoscope enters the patient's body, its visibility and operation degree for cardiac surgery are limited. This makes it impossible to perform many types of cardiac surgery. Specifically, the cardiac surgery approach that can generally perform thoracoscopic surgery is best solved by entering from the left atrium or the right atrium.
As the current patient, if it is true as you said, "Ru"'s head muscle is broken.
The solution to the rupture of the "Ru" head muscle, the first thing that everyone can think of is to directly repair the "Ru" head muscle, which cannot be done under full thoracoscopy deep into the ventricular wall.
Another way may be that full thoracoscopy can be done, and the "Ru" head muscle is discarded. Anyway, the "Ru" head muscle has the greatest impact on the mitral valve activity. Simply replace the mitral valve with a mechanical valve. Before the mechanical valve surgery, we saw that there is no need for the "Ru" head muscle to exert force. It happens to be relatively simple mitral valve replacement surgery full thoracoscopy can be done. It's just that this patient needs to take medicine for life in the future, and maybe the patient needs a second operation like the last time.
In comparison, the first choice is to repair the "Ru" head muscle, and full thoracoscopic surgery is out of the game.
(end of this chapter)
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