Not surprisingly, the knowledge of bystanders is always of great use.
Occasionally, the surgeon will ask the anesthetist when he encounters some difficult problems and is unable to come up with a solid idea. Because the anesthesiologist and nurse stay in the operating room every day and see many surgeries, they may be able to come up with some solutions.
Inspire the surgeon.
Doctor Mo hesitated on his lips.
Shen Youhuan came closer to see what was going on in the field.
After reading it, he noticed that he blinked: What happened to the mitral valve of this patient? It was completely weird. It was hard to tell for a while that the original valve was not installed well enough and the joint after removal was not good.
Or it may be that other lesions occurred in these parts of the patient's heart, leading to the current results.
The current surgical situation is relatively rare. No wonder the surgeon needs to stop and think about the next step.
"Yingying, what do you think?" Shen Youhuan didn't care about trivial matters. He didn't think about whether he wanted to save face or not. He directly asked the junior sister who thinks differently from ordinary people.
The senior brother asked, and Xie Wanying said based on her own observations: "I think this patient has cardiac hypertrophy and compensatory hypertrophy of the ventricle and atrium. If you want to really repair this place, a cut may be the key to solving the problem. Teacher Du may have
This idea.”
After hearing what she said, a group of people almost screamed: A big blow?
Du Meng'en winked at Zhang Shuping to express his full surprise: Do you think this person is a girl?
Zhang Shuping shook his head and said he didn't know. He only remembered that his uncle's evaluation of whether a surgeon was good or bad could be described in one word: bold and careful.
It is a bit difficult for young doctors to be courageous enough and careful enough. Young female medical students are relatively less courageous, but they can do very well in details. Male medical students are prone to not being careful enough.
At the same time, she is more daring to try. Classmate Xie Wanying is different. Most teachers evaluate her as being more courageous.
The prerequisite for being bold and daring is that you must have sufficient technical skills, otherwise it will become reckless.
The scariest part was that Dr. Du, who was standing by the operating table, looked calm and not surprised, indicating that Xie had once again figured out what the surgeon was thinking.
Shen Youhuan nodded. The junior sister's words are supported by certain data and cannot be called playing the piano randomly. The examination report in this patient's medical record states that the heart shadow is enlarged. For patients like this, as Xie Wanying said, since compensated pulmonary hypertension has
Yes, compensatory hypertrophy of the ventricles and atria is a very normal thing.
The question is whether this compensatory change is reversible, and whether the doctor needs to make a special cut to modify it. If it is excessive, there is no need to cut off the side with this knife, the doctor will make extra moves to cut, and the result will be after the valve is installed and cut.
What should I do if it becomes counterproductive?
For example, Zhang Huayao believes that pulmonary hypertension is reversible and does not require treatment for the time being. We did not focus on this area during the preoperative discussion, which means that we initially judged that this area should be a reversible lesion, so we did not plan to perform unnecessary surgery.
The human body is not a simple machine, it has the ability to repair and adjust itself. Doctors should not underestimate the human body's own repairman.
It is for this reason that the surgeon was hesitant and needed to seek more evidence to support his decision.
"Tell me again why it is necessary to make a cut." Du Yeqing asked.
