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【2116】Not easy

"Teacher Du, we know that you have gone to the gynecology department now." Du Yeqing explained their plan in detail, "But everyone knows that you are very famous in the obstetrics department. In fact, up to now, some obstetrics departments in Beijing

Patients who are in doubt need to come back to you for help."

Everyone in the hospital knows that Du Haiwei's reputation and skills in obstetrics were once well-known, but now he seems to have no successor.

Xie Wanying couldn't help but recall the two miraculous scenes in which Teacher Du rescued women in difficult labor. There really was no one to replace Teacher Du.

No matter how others praised him, after receiving the diagnosis and coming to Guozhi, he was on Zhang Huayao's pirate ship. Du Haiwei accepted his fate and said: "The patient needs a cesarean section. Do you want me to come over and help with the cesarean section?"

It is impossible for this patient to be transferred to the Obstetrics and Gynecology Department of Beidou San for delivery, for fear of being too late. Because this patient's condition is too serious, if he is transferred to Beidou San for cesarean section, he may die immediately after the operation and be seen by the doctor.

"Yes." Du Yeqing officially expressed his position on behalf of Guozhi's attending doctor team, explaining to Du Haiwei why he was the one invited, "Teacher Du, you can see with your own eyes that this patient's condition is so serious, can you leave it to her and

Our doctor's operation time is very short. Only Mr. Du can take out the baby and complete the cesarean section in the shortest possible time. After that, the patient will be taken over by our cardiac surgery team for heart surgery."

"After cesarean section, are you going to perform a combined heart-lung transplant on the patient?" Du Haiwei asked.

For late-pregnancy patients with heart disease combined with pulmonary hypertension, if the effect of medication is limited and the disease cannot be reversed, it is likely that combined heart-lung transplantation or double-lung transplantation plus cardiac surgery will be the only option.

Originally, cardiac surgery was the responsibility of the cardiothoracic surgery team and had nothing to do with the obstetrician-gynecologist. However, since the obstetrician-gynecologist is required to cooperate, it is necessary to at least provide the patient's condition. Otherwise, the obstetrician-gynecologist will perform the anatomies in front of him.

Uterine delivery surgery must be a scary experience.

The truth is, heart-lung transplantation is far from easy as imagined.

Maybe some medical research institutes in obstetrics and gynecology recommend this kind of rescue operation, but this surgery is not performed by obstetrics and gynecology, but by cardiothoracic surgeons. It is cardiothoracic surgeons, not obstetricians and gynecologists, who really have to consider whether it can be done.

Doctors. It is equivalent to saying that obstetricians and gynecologists can only speak out, while cardiothoracic surgeons need to contribute all their labor and skills.

There is currently no precedent for cardiothoracic surgery in China to perform combined heart-lung transplantation to rescue postpartum women like this, and there is none abroad. As a result, once such a patient appears, it is impossible for obstetricians and gynecologists to speak for cardiothoracic surgeons and say that they can only rescue them.

It is recommended to terminate the pregnancy.

Everyone couldn't help but speculate that Zhang Huayao might have accepted this patient because he wanted to gain fame by performing the world's first surgery. Soon, Ye Qing's words completely denied this inference.

To be able to achieve the position of director, it is impossible for Zhang Huayao, an old evil man, to take any big risks and bring down the entire hospital if he overturns. He is an old genius and has a sharp academic eye for selecting patients.

Du Yeqing took the patient's medical record handed over by Dr. Yu and opened it to Du Haiwei to explain the patient's situation in detail: "When this patient first asked Director Zhang of our hospital for help, he said he absolutely did not want a transplant. The patient has a strong desire to

I wish to get pregnant, and I am afraid that taking anti-rejection drugs after surgery will affect subsequent pregnancy and childbirth.”

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