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【1635】Words

"The reason is this. Her cousin's injury is not a penetrating injury but a closed injury. If the injury is closed, the most likely cause is a cardiac contusion. The most serious consequence of a cardiac contusion is heart rupture. Her cousin's heart appears to be slightly injured but not serious. Blood loss is actually a sign of changes in cardiac function. Fortunately, now based on the CT scan results, we have found some actual evidence to support our previous inferences. There are signs of disease in the right ventricle and left ventricle, indicating that her cousin’s heart The coronary blood vessels are impacted, and early lesions of cardiac contusion are expected to form. For this reason, myocardial fiber damage is almost 100%. If the myocardial fiber damage has not reached rupture and fragmentation, it may be reversible, but the myocardial cells are just missing. Blood can be reversible, and whether it is reversible depends on the blood supply of the coronary arteries. If the coronary arteries themselves are damaged without early intervention, the myocardial cells in the myocardial fibers will gradually die and become scars. The entire heart is covered with scars of these dead myocardial cells, and the heart The functional energy reserve is greatly reduced. The patient himself is a physical education teacher, and such a heart is equivalent to his future career and life being ruined. Future surgeries will not solve this problem."

What Xie Wanying asked her classmates to tell echoed Cao Yong's previous words. It further explained why the heart permanently dies and what happens to the patient after the myocardium dies piece by piece.

The reason why she insists on supporting her cousin to come to the capital for medical treatment is that doctors in the capital are much better than local hospitals in terms of finding medical evidence through CT scan. Without medical evidence to support it, surgeons basically perform operations rashly, such as at the Provincial People's Hospital. Surgeons. The capital has the conditions to find all kinds of medical evidence to protect the surgery. Similarly, a strong surgical department can provide guarantees. A top hospital must be reflected in its comprehensive capabilities.

Xie’s words were a bit long, so a group of doctors listened quietly. It was a knowledge field that they were very familiar with, which sounded familiar to them. At the same time, there was only one reason why these doctors could listen: there was something in Xie’s words. .

After Pan Shihua finished reading a paragraph, he needed to take a breather. While he was reading in his mind, he needed to sort out Xie's thoughts. He had to work very hard to keep up with Xie's progress.

Every time I review Xie's ideas, I can always give him some new tips.

"Hey, don't stop, continue reading." Shen Youhuan urged him.

Pan Shihua had to be more cautious and read the key points of Xie's thoughts while holding his breath.

"These CT results can provide us with some evidence, allowing us to speculate on the path map of the patient's heart injury at that time." Pan Shihua read out each word of Xie's words recorded in his notebook.

When talking about the patient's injury path map, the first thing that a group of doctors thought of was that Mr. Xie might have gone to the scene of the patient's car accident to investigate.

Of course such a thing is impossible. If a doctor wants to know how the patient was injured at that time, he can only rely on the injury examination report of the injured person to make some inferences.

The three-dimensional inference that Pan Shihua helped Xie Wanying read is the same as the extraneural inference of the heart, but it is expected to be more difficult: "Since the patient's heart was not ruptured when he was injured, the possibility of direct impact injury is low, and pulmonary hematuria, pneumothorax and compression cannot be ruled out. Pressure on the heart can cause secondary damage to the heart. We must be more careful when trying to draw three-dimensional animations."

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