No way, I can't tell. The doctor in the CT room of the Provincial People's Hospital may have suspected that the clinician believed there was a thrombus in the atrium and the patient had pulmonary embolism. After all, the surgeon had complained before that the heart problem was not detected before the operation.
The consequences are serious.
As for how difficult it is to detect atrial thrombus, the detection rate of CT is only a few dozen percent.
As Mr. Zhang said, Xiao Shugang was unlucky to encounter a doctor with insufficient skills. Once again, medicine is a multi-disciplinary collaboration, and big problems may occur if any department fails. The skills of doctors in the CT room are also very important to patients.
If CT cannot detect it, what about other instrument examinations, such as ultrasound? Sorry, the detection rate of atrial thrombus by transthoracic echocardiography is lower than that by CT. As for transesophageal echocardiography, the detection rate is about the same as CT.
If the doctors in the ultrasound room of the Provincial People's Hospital are very skilled and have abilities that surpass those of the doctors in the CT room, then there will be no further problems. But when Xiao Shu first transferred to the Provincial People's Hospital for emergency surgery, he did not do a preoperative cardiac ultrasound.
This examination was not ordered. This means that the clinician believed based on the CT report that there was only a problem with the lungs and the heart was fine. This was because he was not cautious enough and the clinician will take the blame.
Again, as Zhang Huayao and others inferred, problems arising during the treatment process are caused by many factors, and every department is responsible.
The final problem is that the doctors’ skills in the Ultrasound Department of the Provincial People’s Hospital failed to perform beyond their normal capabilities, which resulted in the final result report being written based on the report from the CT room. It was impossible to completely determine whether there was a thrombus in the right atrium, which may or may not have been present. This is inconsistent with
No difference in blood clots was seen.
"They can't find out." Dr. Zhao was so stressed that his head suddenly exploded.
He didn't expect that this patient's problem was so big before Teacher Xu discussed it with him.
"What I have been telling you." Dr. Xu took this opportunity to tell the students how important it is for a CT room doctor to have good skills. It can be said that now the hope of patients and clinicians lies with them.
Because Xie Wanying realized this, she took Teacher Qin's light and entered the CT room anyway.
"Calm down." Dr. Xu patted the students' shoulders and used his powerful aura to cool everyone's brains.
The discussion continued. The doctor from the Provincial People's Hospital believed that the patient had a thrombus in the right atrium because the patient had pulmonary embolism. Pulmonary embolism is closely related to the right atrium.
"The focus is still on checking the right atrium. They didn't find it. We need to find out the problem with the right atrium." Dr. Zhao believed that although the doctors at the Provincial People's Hospital made some vague claims, their speculation made some sense.
"What do you think?" Doctor Xu turned to ask Student Xie for his opinion.
"I think the focus that may need to be paid attention to is the ventricle rather than the atrium." Xie Wanying said.
The thrombus in the atrium may not necessarily originate from the atrium, but may originate from the ventricle. The reason is that when the heart is injured, the right ventricle is most commonly damaged. This has been mentioned before.
Based on the patient's clinical symptoms, the clinician believes that the patient may have a thrombus in the atrium. The CT and ultrasound of the Provincial People's Hospital cannot detect the thrombus in the right atrium. Is it possible to start with the possible source of the atrial thrombus to further identify the heart problem?
"What you said makes sense. Isn't the problem more difficult to investigate?" Dr. Zhao admitted that her speculation was in the right direction, but said it with a troubled face.
