Guozhi Operating Room

He was named and put on a surgical gown and stood at the operating table. Xie Wanying helped the teacher observe the surgical field again, verify the three-dimensional picture of his brain, and pointed out: "Teacher Du, there are several types of myocardial hypertrophy. This patient reached the middle hypertrophy in depth.

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Myocardial hypertrophy, also known as hypertrophic cardiomyopathy, is divided into three types. The main basis for classification is whether there is obstruction in the outflow tract of the left ventricle. No obstruction and obstruction are not excluded and reversible.

Within the indications of surgical surgery, therefore, surgery does not require surgery. Among them, the only obstructive type is required.

Obstructive type of myocardial hypertrophy, that is, the left ventricular outflow tract is blocked. This type was previously called subaortic stenosis. Because the previous doctors opened the heart of this type of patient and found that the weight gain area of ​​myocardial abnormality was mainly in the main

Location under the arterial valve.

The aortic root is the aortic root. The place connects to the left ventricle and is relatively vast. If there is a thick myocardial hypertrophy in this place, it is impossible to say that the same is true. The types mentioned by Student Xie refer to here from anatomy.

Look at the lesion structure classification rather than the above classification.

Through surgery and dissection, the doctor roughly identifies five types according to the part of myocardial hypertrophy. The simplest one is the hypertrophy of the muscle under the aortic valve that was discovered at the beginning. Other types of myocardial hypertrophy are more troublesome.

Some are thicker than a whole ventricular septum muscles, with thicker parts running across the left ventricle side. Some are not thicker at all under the aortic valve, and the thicker parts go to the apex of the heart, completely overturning the doctor's initial definition of this disease.

And the name, which is why the original name has become history. No matter where the hypertrophic part is, these hypertrophics squeeze the volume of the normal left ventricle, causing obstacles to the health of the left ventricle. Doctors must need to put it in

Perform surgery.

The dispute point returned to the original place again: Does the patient's myocardial hypertrophy meet the requirements of Student Xie? Is it a disease structure of obstructive myocardial hypertrophy? Or is it not clearly pointed out like the preoperative examination report

Such problems are judged as reversible obstruction, which causes the surgeon to not consider this surgery before the operation?

Which result is correct?

If it weren't for the mitral valve oral problem, no one would have considered this at all. Sometimes when something went wrong in a certain place, I found the crux of the problem and went to another problem.

"You can explain it again, is the entire ventricular septum thick?" Du Ye Qing continued to confirm what she said.

"Is that true?" Dr. Yu, an assistant on the stage, tried to stretch his neck while trying to see clearly the structure of the heart in the martial arts field.

Do a direct heart valve surgery. The valve is located inside the heart. The doctor must have to perform the operation. This should not be cut randomly. The doctor cannot say that in order to make it easier for you to see clearly and operate it with one knife.

The patient's heart was completely opened and cut.

It is even more impossible to say that a knife can cut the patient's heart into the whole picture, because the heart is not an apple or a pear. It has several cavity, and these cavity and the wall separating the cavity are all asymmetrical, both left and right, up and down.
Chapter completed!