Everyone continued to listen, and one doctor nodded: This patient's injuries are not easy to review. Direct injuries are always easier to examine than indirect injuries. Indirect injuries are like hidden landmines, which are super difficult to dig out.
"Looking through the patient's simple medical records of transfer to another hospital, combined with the postoperative CT scan of the lungs, it was estimated that the patient's hemopneumothorax caused two-thirds of the left lung to shrink, and the hemopneumothorax pushed the heart, great blood vessels, and main bronchi in the mediastinum to move to the right.
"Parallel displacement, which is common in clinical practice, cannot cause much damage to the patient's heart."
That's right, but hemopneumothorax is difficult to cause damage to the heart. The heart is surrounded by the pericardium as a second layer of protection, and the heart is located in the center of the human body. If a person suffers an impact injury and it is not a penetrating injury, it is basically not serious.
It may have been a standard hit in the middle direction. Therefore, it is relatively rare to see this happen clinically. The lack of clinical data on cases led to the doctors at the Provincial People's Hospital not adequately predicting the patient's heart damage at the beginning.
The doctor here also had the same doubts after receiving Xiao Shugang's medical records. How Xiao Shugang's heart was damaged seems to be a bit of a mystery. If this mystery is not solved, how can we do any surgery? The same view as Fu Xinheng held at the beginning.
The doctor cannot perform surgery if he or she is not clear. The threshold must be touched first.
Someone is touching this threshold now. Can they touch it?
All the doctors present were listening carefully and continued to listen.
The pen in Ye Qing's hand was tapped into the palm of his hand. If he heard any sign of academic misconduct, he would shout stop, no matter who the other party was. Whatever was wrong was wrong.
Pan Shihua's eyes helped Xie catch the surgeon's eye, and he continued to help Xie continue: "According to the above inference, other accidents can only occur during the translation process of the heart. Consider it.
After the patient was injured, he was limited by the local medical conditions and had to be transferred to the hospital several times to seek medical treatment. The possibility of re-injury in this accident was very high. The vehicle was bumpy in the middle, causing the heart to twist at a certain angle during translation, followed by
Received a second-degree impact. The heart rotated eight to ten degrees to the left. The impact force was from the patient's right side to the left side and the angle between the center of the chest wall and the chest wall was about five degrees. The injured area and the two lesions shown on the CT film are estimated to be consistent. Use IVUS to check.
Continue to look for evidence of anastomosis to further identify the injured coronary artery that may require bypass surgery."
"Wait." Ye Qing raised the pen in his hand in time and shouted stop.
"Bring the CT scan here." Shen Youhuan turned around and called to the people below to get the CT scan.
GuObviously, their thinking can no longer keep up with Xie’s thinking.
After the film was brought, a group of doctors put their heads together to study whether what Xie just said made sense.
Du Yeqing, who had just repeatedly declared that he would stick to the conservative side, held the CT scan and stopped talking about what was important.
"This is?" Jiang Mingzhu asked.
It was Tan Kelin who said it right.
For the other party to be interested, the necessity of surgery must outweigh the risks of surgery. Earlier, Cao Yong and Tao Zhijie were demonstrating the necessity of surgery. Xie Wanying's words were that the necessity of surgery was further demonstrated in the first part, and how to reduce the risks of surgery later.
Tan Kelin, as Xie's first surgical teacher, taught Xie the basics of surgery thoroughly.
Teacher Tan, who doesn't like to teach, is an absolutely good teacher.