When it comes to tetralogy of Fallot, foreign studies have shown that surgery under three months old has a high mortality rate, and surgery over two years old is too late. This is just a statistical result and cannot represent all cases. People have individual differences, and infants and young children are no exception.
.The age of surgery for this disease has always been a controversial area in surgery.
In this case, it is necessary to look at various indicators of the individual patient to decide whether to operate in a specific case. The age of the child will be used as a reference value first.
In any case, radical surgery is definitely much riskier than palliative surgery. Failure of this kind of surgery does not mean that the doctor cannot do it. The main problem is whether the child can tolerate the surgical changes. Even if the correction is considered medically correct
Healthy, but for children who have adapted to a crooked body, a sudden big change is difficult to accept. A person is a whole person, not just the heart.
As mentioned before, in order to solve this problem, surgical experts all over the world have tried many inventions and many targeted surgeries, but none of them can perfectly solve all cases. The failure rate of surgical operations for critically ill children in pediatric cardiac surgery has always been high.
Boss Zhang raised two fingers:
Two years old?
Two months?
It should be the latter two months ago.
If a doctor decides to operate after two months, does it mean that the seriously ill child has no choice but to wait?
"Do palliation first." Cao Dong said according to clinical routine.
"He said he didn't want to open his chest." Cao Zhao said the key points of the appeal of the patient's family.
Palliative surgery may also require thoracotomy rather than small incision surgery or interventional surgery. Therefore, statement 4 is a general term for a large category of diseases. It is best not to draw random conclusions before seeing specific medical records.
Boss Zhang must have said the same thing: "Let the other party send the medical records first."
"Are they anxious?" Cao Yudong asked.
An experienced doctor like the boss is kind-hearted and experienced. He first cares about the feelings of the children's families.
Urgent, it must be urgent, otherwise they would not wait for the results of Company B's surgical demonstration.
Furthermore, this patient’s family members are Chinese, so they trust their own country’s doctors and technology more.
At this point in the analysis, the doctor leaders felt that the child's illness might be less serious, because if he had to fly back to China for surgery, how could he fly if he was really in critical condition?
"Dr. Xie, do you think you can accept this medical record?" Zhang asked the client, stating that he was just Dr. Xie's agent.
Without seeing the child's medical records in detail, Xie Wanying could only make some preliminary speculations based on the current information: "It may be so. Someone in the family heard that early corrective surgery, that is, radical surgery, would do more good than harm to the child."
The statistical results mentioned above refer to the high surgical mortality rate, but do not say that early surgery is completely useless for children. In fact, surgical experts have always believed that if the success rate of surgery can be ensured, children, even newborns, should undergo radical surgery as early as possible instead of delaying or delaying surgery.
What kind of palliative surgery is it?
This principle is too easy to figure out. Correcting the mistakes in time can prevent the child's body from continuing to grow based on the mistakes. Early surgery can prevent right ventricular hypertrophy and outflow tract stenosis from becoming more serious.
The family of the child does not pursue thoracotomy, but obviously wants to maximize the success rate of the operation for the child. It is generally recognized that minimally invasive surgery is far less harmful than thoracotomy. Secondly, scarring from the incision is more important for children as mentioned before.
question.
After hearing what she said, all the bosses said: Hey, that makes sense.