"This impact is done across the sternum. The patient has had brain damage from a previous cardiac arrest, so it cannot happen again."
The main point of her words was that considering that the patient, Wei, was a top student, and that everyone was trying to save his academic career with this surgery tonight, they would definitely try their best to avoid any possible brain damage to him. In this case, it would be unlikely to save him with the original method.
Dr. Che certainly agreed with her concern for her classmates, but he said that clinical practice should be based on facts: "Rescue measures are difficult to implement. The risks are as you said, but you have to think about how to find the lesion if you don't stimulate it."
"My idea is this: there is no need to use stimulation to find the lesion. I observed him during his last attack, and with the MRI report I did later, I have a certain understanding of his heart structure."
After everyone at the scene pondered what she meant, many people were shocked: What? She wanted to determine the lesion based on the MRI report and her own observation without any stimulation?
This - probably no one has ever done it successfully. No one present has heard of it. Of course, it is not ruled out that some doctors have really done it this way and succeeded. For example, as Xie said before, she accompanied an acquaintance to do a case, but she couldn't find you. What should she do? She could only rely on the doctor's accumulated clinical experience to try blindly.
If she was an experienced doctor who had performed this operation tens of thousands of times and had this experience and intuition, I believe there wouldn't be so many doubts at the scene.
Dr. Che questioned her, who was young and supposed to have little experience, "Do you think you can determine where the ectopic pacemaker is based on this alone?"
"Teacher, I think I may need to discuss some of the points in your words."
...
...
Xie, what did you say? What point in Dr. Che's words needs to be discussed? Dr. Che thinks you are inexperienced, but you don't admit and discuss your inexperience?
Zhang Desheng and Zhao Zhaowei, who were present at the scene, looked at each other in bewilderment.
Student Pan scratched his forehead with his fingers, lowered his head and smiled: Student Xie definitely didn’t mean that.
Yue Wentong, who was outside with the counselor accompanying the family, came in to help the counselor check the operation situation. When he came in, he happened to see this scene and was stunned: Did he, as the class monitor, come at the wrong time? Did he have to help classmate Xie clean up the mess?
On second thought, it shouldn’t be necessary.
Definitely not. The teachers at the scene couldn't help laughing.
The most shocking thing is that even the big boss Cao Yudong couldn't help but laugh.
Doctor Che in the operating room suddenly realized the omission in his words and admitted his mistake first: "Yes, I was not careful enough in what I said just now."
Originally. What is an ectopic pacemaker? At the cellular level, it is the first myocardial cell that sends out abnormal electrical activity. Can you, a surgeon, see the cellular level? Impossible. The pacemaker can only be called an area. This area can be large or small. If it is a focal atrial tachycardia or ventricular tachycardia, you can find a small area called a pacemaker to burn it. If it is a complicated case like Mr. Wei, huh?
The key point of Dr. Che's imprudence is not that he cannot find the ectopic pacemaker, but that Wei's case is the scar case that gives doctors the most headaches in ablation interventional surgery.
What are the characteristics of scar cases? First of all, we need to talk about why scars can cause atrial tachycardia and ventricular tachycardia. Scar areas are mostly composed of fibrous connective tissue, and living myocardial cells are rare in them.
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