The horrors of aortic dissection don’t stop there.
The blood running in the dissection cannot go where it should go, and at the same time, it will form blood pressure in the dissection and continue to tear the aorta up and down. As long as the outer membrane is not broken, you can keep tearing and tearing, so that the whole body involved will "cut off blood"
"The organs expand rapidly until important organs fail. The impact of this disease doubling in a short period of time is enough to scare doctors.
Clinically, as long as aortic dissection is diagnosed, surgery will be performed immediately if possible. If not, the first medical advice is that the patient must not move. If you move, your blood pressure will fluctuate, which will cause the blood in the dissection to continue tearing the aorta. After all,
Aortic dissection has a chance of becoming chronic after stabilizing in the acute phase. Opportunities can be chosen to create surgical conditions to greatly reduce the patient's risk of death.
Efforts to control and stabilize blood pressure are the first steps that all doctors need to take when encountering such patients. However, some people insist on transferring the patient to another hospital. The patient is subjected to bumps during the transfer, so such a result is not unexpected.
In fact, it is better to call the cardiothoracic surgeon to Hokuto San to help with the operation than to transfer the patient to another hospital urgently. Hokuto San is a comprehensive tertiary hospital and can meet the needs in terms of hardware.
The dissection is torn to the top. The longer and more dissection occurs, the more difficult the operation is. The higher the risk of the operation, the higher the mortality rate. This cannot be solved by transferring to a better hospital.
If you insist on turning low-risk surgical patients into high-risk surgical patients, even the most powerful doctors will find it difficult to do so.
Now that the doctors have seen that the patient has cerebral ischemia, they know that this operation will inevitably encounter more difficult problems, and they dare not do it without clear discussion.
An operation like this requires extracorporeal circulation, and arterial cannulation is performed during the operation to support the patient's cerebral perfusion. For example, in previous extracardiac operations, the ascending aorta artery was intubated. In patients with aortic dissection, due to lesions involving these parts of the aorta, only
Other parts of the body can be selected. In this case, which blood vessel to choose for arterial cannulation becomes very critical.
At this time, it would be best if someone could see the overall situation of these circulatory blood vessels and provide advice and reference. Many people at the scene silently thought of this person and waited for the surgeon.
"Xie Wanying."
Hearing Teacher Fu shouting, Xie Wanying turned around and said, "Yes."
"You will come to the operation later."
As soon as he finished speaking, a sharp gaze was directed at the speaker: "Who are you asking?"
This slightly lazy tone was full of rude and unhappy questions. Others looked over and saw the second son of the Cao family with a fairy appearance. Everyone immediately remembered this person's status as a teacher and felt a little guilty.
These people from the National Association actually acted as if he, the current teacher, did not exist. Cao Zhaomo groaned in his eyes. Why should his students be involved in such a high-risk surgery? With him as a magical mentor, it is impossible for his family to let
Students are affected.
The scene became tense for a moment.
The cardiothoracic surgeons were discussing cardiothoracic surgery expertise. Director Lin couldn't get in the middle of the conversation and took the opportunity to suggest something within his own specialty: "Let's do a cesarean section first. What do you think, Dr. Fu?"
If an aortic dissection operation is to be performed, a patient who is thirty-three weeks pregnant needs to deliver the fetus first. The heart must stop during an aortic dissection operation, and even if the placenta is perfused during the operation, the risk to the fetus is still great.
With the consent of his colleagues, Director Lin hurried out to talk to the family members.
Li Yaxi and her father heard that the doctor said they wanted to have a cesarean section first.
After hearing this, Yaxi's father asked the doctor: "If the baby is born at this time, is it considered premature?"
