As for Tetralogy of Fallot, foreign studies have shown that the mortality rate of surgery is high if the child is younger than three months old, and surgery is too late if the child is older than two years old. 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, the decision on whether to perform surgery depends on the individual patient's individual indicators. The patient's age will be used as a reference value.

In any case, radical surgery is definitely much riskier than palliative surgery. The failure of this kind of surgery does not mean that the doctor cannot do it. The main problem is whether the child can withstand the surgical changes. Even if correction is considered healthy from a medical point of view, it is difficult for children who have already adapted to their crooked bodies to accept such a big change all of a sudden. A person is a whole person, not just a heart.

As mentioned before, in order to solve this problem, surgical experts around the world have explored and invented many specific surgical procedures, but none of them can perfectly solve all cases. The failure rate of surgery for critically ill children in pediatric cardiac surgery has always been high.

Zhang Da Lao raised two fingers:

Two years old?

Two months?

It should be the latter two months.

If a doctor thinks surgery is necessary after two months, then the seriously ill child has no choice but to wait, right?

...

...

"Do palliative care first." Cao Dong said according to the routine clinical thinking.

"He said he didn't want to have a thoracotomy." Cao Zhao pointed out the main demands of the child's family.

Palliative surgery may also require thoracotomy instead of small incision surgery or interventional surgery. Therefore, statement 4 is a general term for a large category of diseases. It is best not to jump to conclusions before seeing the specific medical records.

Zhang Da Lao must have said the same thing: "Let the other party send the medical records first."

"Are they anxious?" Cao Yudong asked.

An old doctor like Dalao is kind-hearted and experienced, and he will first care about the feelings of the sick child's family.

It must be urgent, otherwise they would not wait for the results of Company B's surgery to be demonstrated.

Furthermore, the patient's family is Chinese, and they trust the doctors and technology of their own country more.

After this analysis, the doctors felt that the child's illness might be less serious, because if he was really in critical condition, how could he fly back to China for surgery?

"Doctor Xie, do you think this medical record should be accepted or not?" Boss Zhang asked the person involved, stating that he was only Doctor Xie's agent.

Without seeing the child's medical records, Xie Wanying could only make some preliminary guesses based on the current information: "It may be like this. The family heard from someone that early corrective surgery, i.e. radical surgery, would do more good than harm to the child."

The above statistical results show that the surgical mortality rate is high, but they 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 guaranteed, children, even newborns, should undergo radical surgery as soon as possible instead of delaying or doing any palliative surgery.

This principle is easy to understand. Correcting the wrong parts in time can prevent the child's body from continuing to grow wrong. For example, early surgery can prevent right ventricular hypertrophy and outflow tract stenosis from becoming more serious.

The family of the child did not pursue open-chest surgery, obviously wanting to maximize the success rate of the child's surgery. It is generally acknowledged that minimally invasive surgery is far less harmful than open-chest surgery. The second most important issue for children is the scarring caused by the incision, which has been mentioned before.

After hearing what she said, the big guys said: Well, that makes sense.