Wang Xiaoming rambled on for a long time, which seemed to have nothing to do with the patient's condition.
In fact, his intention is also very obvious.
That is to gain more impression points for Jing Xinghai in front of Director Tian and Cao Xiangwen.
This patient is very difficult to deal with given his abilities.
He hopes Director Tian and Cao Xiangwen can take over.
With the level of Director Tian and Cao Xiangwen, they might be able to help him.
Wang Xiaoming and Jing Xinghai don’t know each other either, they are neither relatives nor friends.
But he is so young and a medical student.
Wang Xiaoming had a very good impression of him, or rather felt pity for him.
Wang Xiaoming wanted to help him.
Both Cao Xiangwen and Director Tian listened in silence, and did not interrupt Wang Xiaoming because he said some topics unrelated to his illness.
To be honest, from Wang Xiaoming's simple words, they also felt sympathy for this unfortunate young man.
But after being doctors for a long time, the two of them are obviously more rational than Wang Xiaoming.
Wang Xiaoming continued to talk.
"About half a year ago, the patient frequently had fever symptoms. At that time, he didn't pay much attention and thought it was just a common cold. Later, he developed symptoms of anemia and lost weight sharply. This attracted his attention and he went to the local county hospital for a blood test.
, X-rays were taken, but
No cause of the disease was found. He thought that one year of volunteer teaching would be over soon, and he planned to wait until he returned to Qinzhong for a comprehensive examination. However, he recently developed symptoms of chest pain, so he ended his teaching service ahead of schedule and came to our hospital for a check-up.
This chest X-ray was just released today..."
Half of it is a description of the condition, and half of it is a story.
Cao Xiangwen sighed after hearing this.
This young man is about the same age as his nephew.
Director Tian said in a deep voice: "Have the electrocardiogram been taken?"
Wang Xiaoming immediately took out an electrocardiogram report and handed it to Director Tian, "We did it in the emergency room. We did it again when we got to the hospital."
"Emergency?!"
Director Tian couldn't help but ask questions while taking the report.
Immediately, he figured out that this patient's condition was very hidden.
It is impossible for him to directly find a doctor outside his heart.
He must have gone to the emergency department first, then was triaged by the emergency department to the Department of Cardiothoracic Medicine, and finally ended up here.
Extracardiac patients, except patients with definite heart disease.
Other hidden cases are basically emergency diversion.
In the past, Director Tian would have never raised any questions when he heard the word emergency.
Because Zhou Sheng has been "in trouble" these past few days, he is now quite sensitive to the word "emergency".
As soon as I heard about this patient, I went to the emergency room.
He couldn't help but speak up immediately.
On Monday, two heart surgeries were performed in the emergency room, and the news only spread in the emergency center.
This patient had an external cardiac amputation.
It happened recently, and only a few people including Director Arita, Cao Xiangwen, and Fang Jianzhang knew about it.
So Wang Xiaoming didn’t know about it.
Director Jiantian is so sensitive to the word "emergency".
His head was full of questions, "Yes, this patient was initially triaged in the emergency department."
Director Tian knew that he was a little out of control. He adjusted his mood and said remedially: "Yeah, this condition is still relatively hidden. I didn't expect that the people in the emergency center are still good at it."
Director Tian said this.
But there was a question in my mind: had this patient been treated by Zhou Sheng? If Zhou Sheng had seen this patient, would he have amputated his beard?
Director Tian glanced at the electrocardiogram report several times.
Although I don’t know whether Zhou Shengsheng has ever seen this patient.
But he knew that those at the emergency center must triage the patient to the cardiothoracic department based on the electrocardiogram.
After reading the electrocardiogram report, he handed the report into Cao Xiangwen's hands, and Cao Xiangwen took a look at it.
The electrocardiogram showed sinus bradycardia, frequent premature ventricular beats, short bursts of ventricular tachycardia, and significant ST-T changes.
Cao Xiangwen had a solemn expression on his face.
Director Tian already knew it, but he asked Cao Xiangwen: "Xiao Cao, what do you think is going on?"
Cao Xiangwen was brought up by Director Tian alone.
At this moment, it is like a student accepting questions from a teacher, but Cao Xiangwen is obviously a student with both good character and academic performance. "With the combination of electrocardiogram and CT image, it can be basically concluded that it is a heart tumor. It is more likely to be a benign tumor, but the tumor is very huge..."
At this point, Cao Xiangwen paused and then said: "Based on the CT scan, it is estimated that this tumor is not small. It is a giant heart tumor. It will be extremely difficult to operate! Without surgery... there is no good way to treat it."
Director Tian was very satisfied with Cao Xiangwen's answer. He nodded and added: "Such a large tumor is indeed rare. If it were discovered earlier and smaller, it would be easier to handle. After wasting so long, I It is estimated that the tumor has invaded the endocardium. If surgery is performed, even the endocardium will have to be partially removed..."
When Wang Xiaoming heard this, his frown, which was already frowning, became even more twisted.
Previously he thought he just wanted to remove the tumor.
Now, according to Director Tian, in order to deal with this tumor, surgery must go deep into the endocardium.
If so, the difficulty of the operation would be higher than he had previously expected!
The heart can be regarded as an irregular spherical muscle tissue. In addition to the myocardium, the outside of the heart is surrounded by a membranous tissue called the epicardium. Correspondingly, the inner surface of the heart is also covered with a membranous structure. This It's called the endocardium.
After endocardial resection, the atrium and ventricle must be defective and must be repaired.
Therefore, in addition to removing the tumor, this surgery also involves the reconstruction of the atria and ventricles.
Judging from the current reports, although it cannot be determined specifically how large the area invaded by the tumor is, overall it is definitely a huge tumor.
The reconstruction of the atria and ventricles is also an arduous project.
Even impossible projects.
The discussion almost came to a halt at this point.
None of the three people spoke.
After being silent for a minute or two, Director Jiang said: "The best way to deal with this kind of heart surgery is surgical resection, but considering the current situation, the risk of surgery is extremely high, so let's observe it first."
Cao Xiangwen said nothing.
Wang Xiaoming also nodded in agreement.
After all, after listening to Director Tian's words, he already knew that the risks of this operation were much greater than he had previously expected.
Wang Xiaoming wanted to save Jing Xinghai.
But surgery saves lives.
If the risk is too high, it will be unbearable not only for doctors but also for patients.
First, let’s observe.
Maybe there will be a miracle and the patient's tumor will stop growing or even suddenly become smaller.
Wang Xiaoming hoped in his heart.
…
Emergency center.
I saw two or three patients on Monday.
They are all little monsters, not even a mini-boss.
Zhou Sheng looked at the patients who were not waiting for treatment. He stood up and prepared to walk around...