No way, it can't be seen. The doctor in the CT room of the Provincial People's Hospital may have added a word of suspicion based on the clinical doctor's belief that there was a thrombus in the atrium and the patient had a pulmonary embolism. After all, the surgeon had complained before that the heart problem was not detected before the operation, which led to serious consequences.
It is very difficult to detect atrial thrombus. The detection rate of CT is only a few percent.
As Mr. Zhang said, Xiao Shugang was unlucky to meet a doctor with insufficient skills. This once again shows that medicine is a multi-disciplinary collaboration, and if any department fails, it may cause big problems. The skills of doctors in the CT room are also very important to patients.
CT cannot show it, how about other instruments, such as ultrasound? Sorry, the detection rate of transthoracic echocardiography for atrial thrombus is lower than that of CT. As for transesophageal echocardiography, the detection rate is about the same as that of CT.
If the ultrasound doctors in the Provincial People's Hospital were highly skilled and had capabilities that surpassed those in the CT room, they would have been able to correct the problem and avoid the subsequent problems. However, when Xiao Shugang was transferred to the Provincial People's Hospital for emergency surgery, a preoperative cardiac ultrasound was not performed and this examination was not ordered. This was equivalent to the clinician believing that only the lungs had problems and the heart was fine based on the CT report. This was due to not being cautious enough, and the clinician should bear the blame.
Once again, as Zhang Huayao and others have inferred, problems that arise during the treatment process are due to multiple factors, and every department shares responsibility.
The final problem is that the doctor's skills in the ultrasound department of the Provincial People's Hospital were not up to par, resulting in the final result report being written according to the report from the CT room. It was impossible to fully determine whether there was a thrombus in the right atrium. It may or may not be. This is no different from not finding the thrombus.
"They can't find out what it is." Doctor Zhao was under so much pressure that his head suddenly exploded.
Before Teacher Xu discussed it with him, he had not anticipated that this patient had such serious problems.
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"That's what I've always told you." Dr. Xu took this opportunity to tell the students how important it is for a CT room doctor to master his skills. It can be said that the hopes of patients and clinicians now rest with them.
Because Xie Wanying realized this, she took advantage of Teacher Qin and sneaked into the CT room.
"Calm down." Dr. Xu patted the student's shoulder and used his powerful aura to cool everyone's mind.
The discussion continued. The doctor at the Provincial People's Hospital believed that the patient had a blood clot in the right atrium because he had pulmonary embolism. Pulmonary embolism is closely related to the right atrium.
"The focus is still on checking the right atrium. They didn't find it, so we need to find out the problem with the right atrium." Dr. Zhao believes that although the doctors at the Provincial People's Hospital made some fabricated statements, their speculation does make sense.
"What do you think?" Dr. Xu turned to ask Xie for his opinion.
"I think the focus may be on the ventricles rather than the atria," said Xie Wanying.
The blood clot in the atrium may not originate from the atrium, but may originate from the ventricle. The reason is that if there is a heart injury, the right ventricle is most often damaged, and the reason for this has been mentioned before.
Based on the patient's clinical symptoms, the clinician believed that the patient might have a blood clot in the atrium. The CT and ultrasound of the Provincial People's Hospital could not find a blood clot in the right atrium. Can we start from the possible source of the atrial clot and further identify the heart problem?
"What you said makes sense, but doesn't this make the problem more difficult to investigate?" Doctor Zhao admitted that her speculation was on the right track, but said it with difficulty.
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