【1601】Check the source
There is no way, I can't see it. The doctor in the CT room of the Provincial People's Hospital may have a doctor who believes that there is a thrombosis in the atrium and the patient has pulmonary embolism. It's true that the surgeon has complained before that heart problems were not detected before the operation, which leads to serious consequences.
How difficult is it to detect atrial thrombosis? The detection rate of CT is only a few dozen percent.
As Mr. Zhang said, Xiao Shu was unlucky when he encountered a doctor with insufficient technology. Once again, medicine is a multi-disciplinary collaboration, and any department may have major problems. The CT room doctor technology is also very important to patients.
Can't tell CT, and other instruments are tested, such as ultrasound? Sorry, the detection rate of atrial thrombosis by transthoracic echocardiography is lower than that of CT. As for transesophageal echocardiography, the detection rate is similar to that of CT.
If the doctor in the ultrasound room of the Provincial People's Hospital is very skilled and has better abilities than the CT room, the doctor can make up for leaks after seeing it. However, when Xiao Shu just transferred to the Provincial People's Hospital for emergency surgery, he did not perform a heart ultrasound before the operation and did not prescribe this examination. This is equivalent to that the clinician believes that only the lungs have problems with the heart. The blame is not cautious enough, and the clinician has to bear it.
Again, as Zhang Huayao and the others inferred, there are many factors that arise during the treatment process, and every department has the responsibility.
The final problem is that the doctors in the ultrasound department of the Provincial People's Hospital failed to perform their skills in an extraordinary manner, resulting in the final result report being written according to the report in the CT room. It is impossible to completely determine whether there is a thrombosis in the right atrium, and there may be or may not be. This is no different from not seeing a thrombosis.
"They can't find out." Dr. Zhao was under great pressure and his head exploded instantly.
Before Teacher Xu discussed with him, he did not expect that the patient had such a big problem.
"What I have always told you." Dr. Xu took this opportunity to tell students how important it is to practice skills in a CT room doctor. It can be said that the hopes of patients and clinicians are all here with them.
Because Xie Wanying realized this, she flew into the CT room by using Teacher Qin's light.
"Calm down." Dr. Xu patted the students' shoulders and used his powerful aura to cool everyone's brains.
The discussion continues. Doctors at the Provincial People's Hospital believe that the patient has a thrombosis in the right atrium because the patient has pulmonary embolism. The pulmonary embolism is closely related to the right atrium.
"The key point is to check the right atrium. They didn't find it out. We want to find out the right atrium problem." Dr. Zhao believes that although the doctors at the Provincial People's Hospital made up some of the fabrications, they speculated that it makes sense.
"What do you think?" Dr. Xu turned to ask Student Xie for his opinion.
"I think the focus of the ventricles rather than the atrium," said Xie Wanying.
Thrombosis in the atrium may not be produced in the atrium, but may be produced in the ventricle. The reason is that if the heart is trauma, the most common damage is the right ventricle. This has been mentioned before.
Based on the patient's clinical symptoms, the clinician believes that the patient may have thrombosis in the atrium. The CT and ultrasound of the Provincial People's Hospital cannot detect the thrombosis in the right atrium. Can we start from the possible source of atrial thrombosis and further find out the problem with the heart.
Chapter completed!