"The reason is this. Her cousin did not suffer a penetrating injury but a closed injury. If it is a closed injury, the most likely one is a cardiac contusion. The most serious consequence of a cardiac contusion is a ruptured heart. Although her cousin's heart may appear to have been slightly injured and there is no evidence of heavy blood loss, in fact, the symptoms of changes in cardiac function are quite significant. Fortunately, from the results of the CT scan, we have found some actual evidence to support our previous inferences. There are signs of lesions in the right and left ventricles, indicating that the coronary vessels of her cousin's heart were impacted, and early lesions of a cardiac contusion are expected to form. For this reason, myocardial fiber damage is almost a 100% certainty. If the myocardial fiber damage is not to the point of rupture or shattering, it may be reversible. Myocardial cells are only ischemic and reversible, and whether it is reversible depends on the coronary blood supply. If the coronary artery itself is damaged and not intervened as soon as possible, the myocardial cells in the myocardial fibers will die one after another and become scars. These dead myocardial cell scars will be scattered throughout the heart, and the energy reserve of cardiac function will be greatly reduced. The patient himself is a physical education teacher, and such a heart is equivalent to ruining his future career and life. Surgery in the future will not be able to solve this problem."
The words that Xie Wanying asked her classmates to relay echoed what Cao Yong had said before. It further explains why a piece of the heart would die permanently and what the outcome would be for the patient after the myocardium dies piece by piece.
The reason why she insisted on supporting her cousin to seek medical treatment in the capital was that when it came to finding medical evidence through CT scans, doctors in the capital were much better than those in local hospitals. Without medical evidence to support it, surgeons will basically not perform surgery rashly, just like the surgeons at the Provincial People's Hospital. The capital has the conditions to find medical evidence from all parties to protect surgery. Similarly, a strong surgical department can provide a backup. A top hospital must be reflected in its comprehensive capabilities.
Xie’s speech was quite long, and the group of doctors listened quietly. There are areas of knowledge that they are very familiar with but do not sound unfamiliar to them. At the same time, there is only one reason why these doctors are willing to listen to what Xie said: there is something else behind his words.
Pan Shihua needed to take a break after reading a paragraph. He needed to organize Xie's thoughts in his mind while reading. He had to work very hard to keep up with Xie's progress.
Every time I review Xie’s ideas, I can always give him some new hints.
"Hey, don't stop, keep reading." Shin Youhwan urged him.
Pan Shihua had to be more careful and hold his breath as he read out the key points of Xie's thinking.
"Since these CT results can provide us with some good evidence, we can infer the path of the patient's heart injury at that time." Pan Shihua read out word for word what Xie said in his notebook.
...
...
When the words "patient injury path map" were mentioned, the first thing that came to the doctors' minds was that Xie might have been to the patient's car accident scene for investigation.
Of course such a thing is impossible. If you are a doctor and want to know the circumstances of the patient's injury, you can only make some reverse inferences based on the patient's injury examination report.
The three-dimensional reverse deduction that Pan Shihua helped Xie Wanying read was the same as the extraneural reverse deduction of the heart, but it was estimated to be more difficult: "Since the patient's heart was not ruptured when he was injured, the possibility of direct impact injury is low. It cannot be ruled out that the heart was squeezed by pulmonary hemothorax and caused secondary heart damage. We must be more careful when trying to draw a three-dimensional dynamic map deduction."
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