Director Xu slowly explained, "The patient, Mr. Zhang, is a 51-year-old male farmer from a brigade adjacent to ours. Three days ago, he complained of chest pain, shoulder pain, stomach pain, pain when swallowing, and frequent sweating and chills. He went to the brigade's barefoot doctor, who told him to come to the hospital for an examination as soon as possible. However, he didn't take it seriously, took the painkillers prescribed by the barefoot doctor, and went home."
Today, while working, I felt the pain unbearable again, so I went straight to the town hospital. But the town hospital said they couldn't treat it, and maybe the military hospital might be able to help. So I came to our hospital again."
Xu Zhiyi nodded and said to Dr. Zhang and the others who had rushed over, "Doctor Zhao, Dr. Li, please take the patient for a detailed examination."
Xu Zhiyi looked up at the people in the room and asked, "Who among you is the patient's family member?"
One of them slowly raised his hand, his eyes red and his voice trembling slightly: "Doctor, I'm his son. Is my father okay?"
"Your father needs a detailed examination. Please go with our doctor."
Just when Zhang Laodi's son Qiangzi was about to go out, another person stopped him.
"Qiangzi, ask the doctor here what disease your father has and how to treat it. I'm with your father, I'll send someone to follow him right away."
Xu Zhiyi pointed suspiciously, "Who are you?"
Zhang Lao's son said, "This is our team leader. The people behind him are from our team. If it weren't for them, I wouldn't have been able to bring my father to the hospital so quickly. Doctor, is my father okay? What's wrong with him? Will my father die? Please save my father. He is the only relative I have."
Xu Zhiyi looked at Mr. Zhang's son who had come down, and he and Doctor Chen helped him up. "Captain, they're not the patient's relatives. Please let them all go. And please comfort him."
After a while, only Dr. Chen from the emergency department, Xu Zhiyi, Xiao Zhao, the team leader, and the patient's son were left in the office.
After Qiangzi calmed down, Xu Zhiyi slowly said, "According to our preliminary diagnosis, your father has aortic dissection. We will need to wait for the test results before making any further plans."
Qiangzi looked up at Xu Zhiyi and the others in confusion, "Doctor, what do you mean by active dissection? Is it serious?"
Xiao Zhao explained: "Aortic dissection, also known as aortic dissecting aneurysm, is a serious cardiovascular emergency caused by a rupture in the intima of the aorta, which allows blood to enter the middle layer of the arterial wall, forming a dissecting hematoma, which gradually extends and peels off the intima and media of the aorta.
This is a very serious heart condition that usually requires surgery.”
Qiangzi's emotions, which had just stabilized, collapsed again. "Doctor, I beg you, please save my father, I beg you. Even if I lose everything, I will not save my father. He is the only relative I have. Please, save my father."
The captain comforted Qiangzi from the side, "Qiangzi, calm down first. Listen to what the doctor said. The doctor is not unwilling to save your father. Let's wait for your father's results to come out, and then we can make plans."
A moment later, Mr. Zhang's examination report came out, confirming that it was aortic dissection.
Qiangzi was speechless at this moment, "Doctor, why did my father get this disease? Why did my father get this disease?"
Xu Zhiyi said slowly, "Aortic dissection has many contributing factors. Your father is 51 years old, and the incidence of aortic dissection increases with age. In addition, high blood pressure, long-term smoking, dyslipidemia, diabetes, and hereditary vascular disease can all contribute to aortic dissection."
Doesn't any of your elders have a history of heart disease?"
The captain beside him nodded and said, "Doctor, Qiangzi's aunt died of a heart disease. This disease is hereditary."
Xu Zhiyi nodded.
The captain looked at the patient's son and muttered to himself: "What should we do now? Will Qiangzi also... Oh no!"
Qiangzi looked at Xu Zhiyi and the others, "Doctor, how should we treat it?"
Xu Zhiyi said, "You can lower your father's blood pressure by taking medicine. Of course, you can also choose some conservative treatments. But that method is not suitable for your father's current condition."
Doctor Chen spoke slowly, "Dissection is a ticking time bomb. If it ruptures, we won't be able to save the patient even if we want to. None of us can guarantee that the dissection won't rupture!"
Qiangzi said firmly: "Doctor, if the operation is done, will my father survive?"
Xu Zhiyi spoke slowly, "We can't guarantee anything. We can only do our best to save your father."
The captain looked at Qiangzi and asked, "What if we don't do this operation? How long can Qiangzi's father live?"
"This depends on the patient's condition. With conservative treatment, the risk of death for patients with type A aortic dissection increases by 1% per hour within 48 hours. Even if they survive for more than two weeks, less than 10% of patients will survive for more than a year. Type B aortic dissection, on the other hand, carries a lower risk than type A. If type B aortic dissection is treated conservatively without surgery, the one-year survival rate is approximately 55%, and the five-year survival rate is approximately 45%."
Doctor Chen sighed and said, "Your father has type A active dissection. The best treatment is surgery."
Qiangzi said, "That means my dad is the most seriously ill. If he doesn't have surgery, he can only live for two weeks. If the surgery is successful, my dad can live forever. Is that right?"
Xu Zhiyi continued, "This operation is extremely difficult and risky. You need to be prepared."
Qiangzi looked up at Xu Zhiyi and Dr. Chen and the others, "Doctor, we'll do it. But I don't have that much money. I can write you an IOU and pay you back later."
The captain said, "Qiangzi, don't you think about it? What if your father can't get off the operating table?"
Qiangzi shed tears, "Captain, if that's the case, I'll accept it. The doctor said that if my father doesn't have surgery, at best, he'll only have less than a year to live. If he doesn't, he'll die, but if he does, he might still be able to live. I want to save my father."
"Captain, I know that my father and I have been able to survive all these years because of you and the people in the team. If I have this operation, even if my father dies in the future, I will have no regrets. But if my father really can't be cured, I'm afraid I will not be able to have peace in the future. I won't be able to sleep!
"Captain, we don't have much money at home. Can I borrow some money from the village first? I will definitely pay you back in the future."
The captain patted Qiangzi on the shoulder and said, "Qiangzi, since you want treatment, then we will treat you. As for the money, don't worry, I will go back and borrow money from every household for you. If it's still not enough, I will write an IOU with you and guarantee it for you together."
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