Director Tian took the case and examination report and looked at them carefully.
His brows gradually furrowed, and the expression on his face became more and more solemn.
Fang Jianzhang's heart was twitching, and Director Tian did not speak, but from his serious expression, it could be seen that the condition was quite serious.
After a while, Boss Zhu had already served two dishes.
Director Tian put down the case.
He thought for a while and said: "This condition is very serious. There are problems with multiple heart valves. It is already advanced polyvalvular disease."
The human heart is divided into left atrium, left ventricle and right atrium. The right ventricle has four chambers. The two atria are connected to the two ventricles respectively, and the two ventricles are connected to the two aorta. The heart valve grows between the atrium and the ventricle.
, acts as a one-way valve between the ventricle and the aorta, ensuring one-way movement of blood flow, and plays an important role in ensuring the normal function of the heart.
There are four valves in the heart, which are simply equivalent to four gatekeepers, preventing blood from returning to the atrium or ventricle that it has just left.
In the heart, this is a small tissue, but it plays a very important role.
Once damaged, the long-term manifestations are palpitation, shortness of breath, difficulty breathing, angina, etc. The final development is heart failure.
With the current medical level, it is possible to perform surgical repair and artificial replacement of heart valves. The current safety of this kind of surgery is still acceptable.
However, the risks of any surgery must be combined with the patient's actual condition.
If the same surgery is performed on children, the elderly, and adults, the risks will definitely vary.
The risks of heart valve surgical repair and artificial replacement mainly depend on the patient's heart function and the number of diseased valves.
Obviously, for those with strong heart function, single valve replacement surgery is relatively simpler.
As for patients with multiple valve replacement and poor heart function, it is quite dangerous, or in other words, they are basically not suitable for surgery.
Fang Jianzhang's father fell into this situation.
There are problems with multiple valves, and the disease has lasted for a long time. It has entered an advanced stage, and the heart function is very weak.
From Director Tian's current point of view, the conditions for valve replacement surgery have been lost.
When Fang Jianzhang was in his hometown, he had already taken his father for a check-up. The local hospital believed that the risks of surgical treatment were too high. They could only use conservative treatment and extend it one day at a time.
But even so, Fang Jianzhang still did not give up. He said: "Director Tian, look at this situation and see if it can be treated with surgery."
"In this case, the risk is extremely high. I don't recommend it." Director Tian said truthfully.
"Thank you." Fang Jianzhang said weakly.
But he was able to accept it calmly because Director Tian was not the only one to make this statement.
But at this moment, he suddenly thought of another thing and said, "If we take conservative treatment, how long will it last?"
Since surgery is not possible, conservative treatment is the only hope.
Fang Jianzhang still hopes that his father can persist a little longer.
Doctors generally don't want to talk about this kind of problem. Diseases sometimes develop very quickly. If the prediction is not accurate, they are afraid that the patient's family will cause trouble.
So when Fang Jianzhang asked the doctors in his hometown hospital, the answers he got were quite vague.
However, since they are all colleagues and acquaintances, Director Tian still said sincerely: "Judging from the current information, it may be two or three years."
That's it.
Fang Jianzhang had nothing more to say.
Director Tian is a top-notch cardiac expert in the province, and the results of his diagnosis are almost indistinguishable.
Two or three years.
So quickly, Fang Jianzhang's mood sank to the bottom.
For a moment, the atmosphere in the private room was a bit gloomy.
At this time, Dean Cheng on the side broke the silence, "If his father cannot replace multiple valves, can he directly consider a heart transplant or something like that?"
When Director Tian heard this, he felt funny in his heart.
As expected of this old process, I have been working in administration for a long time and I am no longer familiar with clinical situations.
Heart transplantation is extremely difficult in the field of organ transplantation.
Do the simplest data analysis.
For kidney transplants, thousands of operations are performed across the country every year. A highly qualified surgeon in the urology department who often uses scalpels can do it competently.
As for heart transplantation, the number of operations nationwide is only over 100 per year.
To use an inaccurate metaphor, kidney transplantation is equivalent to changing a tire on a car. Heart surgery is equivalent to changing the engine of a car.
Moreover, the car's engine cannot be turned off.
The Central Hospital is already a good hospital in Qinzhong.
But no heart transplant surgery has been performed.
Director Tian still told the truth: "Heart transplant surgery is indeed the last way to treat this disease, but it is too difficult. Our hospital cannot carry it out. There are not many hospitals across the country that can carry it out. And the probability of surgery failure is not small."
"Postoperative rejection treatment is also a difficult problem. If you are not completely sure, it is better to treat it conservatively."
Fang Jianzhang has been working on the frontline of clinical practice. In the urology department, he is more or less exposed to issues related to organ transplantation. After all, kidney transplantation is still carried out in large numbers in large hospitals.
So he understood everything Director Tian said very well.
Finally he said: "Thank you, Director Tian."
Seeing that he was not of much help, Director Tian felt a little embarrassed. He said: "The medical records and reports are not comprehensive. Let's do this. You transfer the old man to our cardiac surgery department, and I will give him another look. It is conservative treatment. Our hospital
The level is also pretty good.”
Cheng Huimin was very happy and said: "This is a good idea, so let's do it. When the time comes, I will also help coordinate the cost of hospitalization."
Although he failed to take good care of his father's illness, Fang Jianzhang was already very grateful. He picked up the wine glass and said excitedly: "Thank you so much, Dean Cheng and Director Tian."
After saying that, he drank it all in one gulp.
The stress of the past few months was all washed away in this glass of wine.
…
This is the emergency center.
Zhou Shengsheng and Su Quan changed into white coats and walked out of the lounge one after another.
At this time, Cao Xin was still changing clothes in the lounge.
Su Quan took two quick steps to catch up with Zhou Yisheng.
"My God, it was really dangerous just now. Thanks to you for reminding me. I don't know if Cao Xin will tell his uncle."
Zhou Sheng smiled and said, "You didn't do anything excessive just now. Besides, as far as I know, Cao Xin is not a stingy person."
Jing Zhousheng said this.
Su Quan felt more relieved.
The two were talking.
Cao Xin ran out of the lounge.
Su Quan immediately stopped discussing Cao Xin's problem and led Cao Xin into a consulting room.
Su Quan is now fully capable of handling general diagnosis and treatment independently.
Zhou Sheng also arrived at another clinic and started another busy night of work in the emergency center.