Everyone continued to listen, and a doctor nodded: This patient's injury is not easy to review. Direct injuries are always easier to figure out than indirect injuries. Indirect injuries are like hidden mines, which are extremely difficult to dig out.
"Looking through the patient's simple medical records of transfer to other hospitals and combining them with the CT scans of the lungs after surgery, it is estimated that the patient's hemothorax at the time caused two-thirds of the left lung to shrink. The hemothorax pushed the heart, large blood vessels and main bronchus in the mediastinum to move to the right. The common parallel shift in clinical practice does not cause much damage to the patient's heart."
That's right, but it's hard for hemothorax to cause damage to the heart. The heart is protected by the pericardium, and the heart is located in the center of the human body. If a person is hit by an impact injury that is not a penetrating injury, it is basically unlikely to be hit in the standard center direction. Therefore, it is difficult to see this happen clinically. The lack of clinical data on the case led to the doctors at the Provincial People's Hospital underestimating the patient's heart damage at the beginning.
The doctors here also had the same doubts when they received Xiao Shugang's medical records. How Xiao Shugang's heart was damaged seemed to be a bit of a mystery. If this mystery is not solved, how can we talk about any surgery. Just like Fu Xinheng's initial point of view, the doctor can't perform surgery if he doesn't know the whole situation. The threshold must be touched first.
Now someone is touching this threshold, can they reach it?
All the doctors present were listening attentively.
Du Yeqing tapped the pen in his hand against his palm. If he heard any sign of something not being academic, he would shout "stop", no matter who the other party was. Wrong is wrong.
Pan Shihua's eyes helped Xie to see the surgeon's point, and he was worried for Xie again, and continued to help Xie: "According to the above inference, other accidents can only happen during the heart translation. Considering that the patient was limited by local medical conditions after the injury, he had to be transferred to the hospital for emergency treatment several times. The possibility of this accidental injury is very high. The vehicle was bumpy during the journey, causing the heart to twist at a certain angle during the translation, followed by a second impact. The heart rotated eight to ten degrees to the left, and the impact force was about five degrees from the right side of the patient to the left side and the middle of the chest wall. The injured part and the two lesions shown on the CT film are estimated to be consistent. Use IVUS examination to continue to look for consistent evidence and further determine the injured coronary artery that may require bypass surgery."
"Wait." Du Yeqing raised the pen in his hand in time and shouted to stop.
...
...
"Bring the CT film here." Shen Youhuan turned around and called the people below to bring the film.
Obviously, their thinking could not keep up with Xie's thinking.
After the film was brought, a group of doctors gathered their heads to study whether what Xie had just said made sense.
Du Yeqing, who had just repeatedly stated that he would stick to being a conservative, stopped talking about what was important while holding the CT scan.
"What is this?" Jiang Mingzhu asked.
Tan Kelin was right.
In order for the other party to be tempted, the necessity of the surgery must be greater than the risk of the surgery. Earlier, Cao Yong and Tao Zhijie argued for the necessity of the surgery. Xie Wanying's words further argued for the necessity of the surgery in the first part, and then talked about how to reduce the risk of the surgery in the second part.
As Xie's first surgical teacher, Tan Kelin taught Xie the basics of surgery very clearly.
Teacher Tan, who doesn't like to teach, is definitely a good teacher.
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