At this moment, a group of people were actually about to leave, as they felt there was nothing to see.
When Dr. Xie said this, Director Fang was the first to be stunned.
Other colleagues in the capital immediately stopped and looked back: What problem did Xie Juanwang see with his sharp eyes that others didn't?
"What do you mean?" He pulled the sleeve of Director Fang's white coat.
Director Fang came back to his senses and answered, "Yes, yes."
Vice President Xiang could tell that his subordinate's tone was a little flustered.
Director Fang was shocked. It was his fault that he did not take the other party seriously at first, but he was slapped in the face by Dr. Xie's words.
To be more specific, it is like this: no one here introduces the patient's medical history. All the doctors who pass by can see is the closed chest drainage tube, and the only thing they can determine is whether the patient has pneumothorax.
As for the term refractory pneumothorax, it is more professional and falls within the scope of discussion among the bigwigs in the circle. It is an academic topic and its standards have not yet been partially recognized by relevant national agencies. Only professional bigwigs can blurt out this term.
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Could Dr. Xie be a small shrimp? Director Fang wanted to wipe his brain and figure out what was going on.
"Refractory pneumothorax?" As expected, other specialist leaders asked the specialist leaders.
Dr. Duan Sanbao, a colleague of Dr. Xie in the same department, had nothing to say about this. After all, Dr. Xie would come up with some things from time to time that he didn't know about either.
The establishment of professional standards for refractory pneumothorax will be 10 to 20 years later. However, this patient today happened to meet Dr. Xie, who was reborn and familiar with the future of medicine.
"Generally speaking, patients with pneumothorax who have been treated for more than two weeks or have recurrent pneumothorax more than three times should be considered to have refractory pneumothorax." Dr. Xie Wanying explained to everyone in the simplest and most popular words.
We have talked about pneumothorax before, and we know that the first step in treating pneumothorax is usually closed chest drainage.
The key point here is that closed chest drainage only drains accumulated air and relieves atelectasis.
Just like the principle of surgical treatment of the human body that we have mentioned many times, the purpose of surgical treatment is to promote the self-repair of human tissues. It is the body's own tissue cells, not surgery, that actually repair the wound.
As a result, if closed chest drainage fails to relieve atelectasis, the treatment effect will be greatly reduced.
Therefore, pneumothorax, which is difficult to be cured in one clinical treatment, is more common in patients with more complicated lung conditions and who continue to have air leakage symptoms after closed chest drainage. Such cases are of course more common in frail and sick elderly people.
Everyone saw that the person lying on the bed was an old man in his seventies or eighties.
The family members saw the doctors stop talking and started eavesdropping. It was obvious that the family members were worried about their family member's illness.
Refractory pneumothorax will prolong the course of the disease and have terrible negative impacts on the patient and his or her family in terms of physical, mental and economic aspects.
Therefore, a more accurate definition in clinical medicine is: the most feared thing should be difficult to treat diseases rather than some temporary serious illness.
The family member came up anxiously and interrupted the doctors' conversation, saying, "Director Fang, you said my dad would be able to have the tube removed in about a week. Now it's the third week. When can he be removed? If not, what should I do if my dad can't be discharged from the hospital?"
"Didn't I explain this to you? Elderly people recover more slowly. If things don't work anymore, the patient needs to be transferred to a higher-level hospital."
"What are they going to do at the hospital above? Surgery? Can my dad have surgery?"
Yes, it is the simplest and most brutal method in surgery. If the wound cannot heal, just open it and sew it up.
But not all patients have the physical condition to withstand surgery.
Director Fang looked speechless.
The family members’ intelligence gathering work was correct.
"Can single-port thoracoscopic surgery solve this problem?" A group of colleagues from the capital thought of Dr. Xie's new technology and started discussing it secretly.
Single-port thoracoscopic surgery only requires local anesthesia, and the old man should be able to withstand such an operation. The problem is that the patient needs to be transferred to the capital for treatment? The distance is too far and the ambulance cannot be used for transfer.
Let the patient go on a special plane? The patient's family obviously doesn't have the financial means to do so.
"There's no need to rush to make a decision. Let's wait until Dr. Song comes." said Dr. Xie Wanying.
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