Chapter 1636： 【1636】Touch the surgical threshold

Chapter 1636 [1636] Touch the threshold of surgery

Everyone continued to listen, and a doctor nodded: This patient's injury is not easy to review. Direct injuries are always easier to scrutinize than indirect injuries. Indirect injuries are like hidden mines, which are extremely difficult to dig.

"Looking through the simple medical records of the patient's previous transfer, combined with the CT radiograph after the lung operation, the patient's hemopneumothorax was expected to cause two-thirds of the left lung atrophy, and the hemopneumothorax pushed the heart and great vessels in the mediastinum and the main bronchus to the right. The parallel displacement, which is common in clinical practice, does not cause much damage to the patient's heart."

That's right, but it is very difficult for a hemopneumothorax to cause damage to the heart. The heart is surrounded by a pericardium for a second layer of protection, and the heart is located off-center in the human body. If the impact injury is not a penetrating injury, it is basically unlikely that the person will hit the center in the standard direction. Therefore, it is relatively rare for this to happen clinically. The lack of clinical data of cases led to the insufficient estimation of the patient's heart damage by the doctors of the Provincial People's Hospital at the beginning.

The doctor here also had the same doubts when they received Xiao Shugang's medical record. How Xiao Shugang's heart was damaged seems to be a bit of a mystery. The mystery is not solved, how to do surgery. Like Fu Xinheng's point of view at the beginning, if the doctor is unclear, the operation cannot be performed. The threshold has to be touched first.

Now someone is touching this threshold, can you touch it?

All the doctors at the scene were listening carefully and listened down.

Du Ye Qing tapped the pen in his hand. If he heard any sign of something wrong with his academics, he would call to stop, no matter who the other party was. Wrong is wrong.

Pan Shihua's eyes helped Xie to see the surgeon's point. He squeezed his heart for Xie and continued to help Xie to continue: "According to the above inference, other accidents can only occur during the heart translation process. Considering After the patient was injured, limited by the local medical conditions, he had to be transferred to the hospital several times urgently for medical treatment. The possibility of such accidental re-injury was very high. The vehicle was bumpy in the middle, causing a certain angle of twist in the process of cardiac translation, followed by The second-degree impact. The heart rotates eight to ten degrees to the left, and the impact force is about five degrees from the right side of the patient to the left side of the chest wall. Continue to search for evidence of anastomosis to further identify injured coronary arteries that may require bypass surgery."

"Wait." Du Ye Qing raised the pen in time and called to stop.

"Bring the CTs over here." Shin Woo-hwan turned around and called for the people below to take the films and get the films.

Obviously, their thoughts could not keep up with Xie's mind.

After the    film came, a group of doctors put their heads together to study whether what Xie had just said made sense.

Du Yeqing, who had just stated repeatedly that he wanted to stick to conservatives, stopped talking about the importance of things with the mouth holding the CT film.

"This is?" Jiang Mingzhu asked.

was hit by Tan Kelin.

For the other party to be tempted, the necessity of surgery must outweigh the risks of surgery. Earlier, Cao Yong and Tao Zhijie were demonstrating the necessity of surgery. Xie Wanying's words are to further demonstrate the necessity of surgery in the front, and then talk about how to reduce the risk of surgery.

Tan Kelin, as Xie's surgical enlightenment teacher, taught Xie's surgical basics clearly.

Mr. Tan, who does not like to teach, is an absolute good teacher.

(end of this chapter)