The blood vessels in this patient's body are so weird that even experienced doctors can't feel them. This situation gave him a very bad feeling, and Dr. Fang did not think he would be successful if he tried again.
Jin Tianyu is more skilled than him and his intuition should be the same as his. The risk of forcing the operation like this is too high.
"Otherwise, I'll go and tell him, their cardiothoracic surgery department is here -" Dr. Fang thought about it in his mind and whispered to Jin Tianyu to give up. If Jin Tianyu is afraid of embarrassment, he can go ahead and say it.
After hearing this, Jin Tianyu glared at him, unable to believe that these words could come out of his mouth.
How could he not seek a surgeon to save his face? He, Jin Tianyu, had a bad temper. He was a doctor after all, so how could he consider his own face on such an issue.
He was almost bored to death because no robot among his own could understand him. At least the robot knows how to reply to Dr. Xu, and telling the other party will not be a hindrance to face.
What can the surgeon do?
Fu Xinheng is here, and this robot is as precise as a machine in doing things, and it doesn't care about anyone's face. Fu Xinheng didn't interrupt or speak. The only reason he could explain was that he felt the same, such a patient would die on the surgical operating table.
This was the point of his hesitation to send the patient to surgery.
For coronary artery bypass grafting, the first choice for elderly patients like this should be the great saphenous vein, but in this patient's case, the great saphenous vein failed. So he wanted to say that the patient's last attending physician, Dr. Xu, didn't do his job well, so how could he be embarrassed to say anything to others?
A doctor also has responsibilities for postoperative management of patients, not to mention that this patient trusts Dr. Xu.
If the patient does not cooperate with the subsequent examination and treatment, you have to urge him. Doctors must be good at coercion and inducement. If you don't do these tasks well, the next time a patient gets sick, it will be you or your colleagues who will be stumped. The worst thing will be the patient himself.
Well, everyone knows that the veins in the patient's lower extremities cannot be selected as bypass materials.
Choose an artery? It is better to put the artery on the artery and connect it than to cut off the vein and connect it to the artery. It is more original.
Patients who are under 70 or 80 years old can try to choose arterial surgery. But if you look at the current situation of PCI, the condition of the arteries in the upper body is probably just as bad.
Of the upper body arteries to choose from, surgeons prefer the internal mammary artery. However, the internal mammary artery is a very short section. Regardless of whether the internal mammary artery can be used like the great saphenous vein, this length alone is simply not enough for surgeons to use in difficult cases.
If you open the chest and look at it, it will appear that the internal mammary artery is not needed for the complicated condition of three-vessel disease. This patient's situation is predicted to have poor layout of the coronary blood vessels of the heart. Surgical bypass surgery does not exclude the need to rearrange the distribution of cardiac blood vessels. At this time, more circulatory collaterals need to be established, and more of the patient's own good-length blood vessels are needed as materials.
If the great saphenous vein doesn't work and the internal mammary artery doesn't work, where should the surgeon go to find vascular materials?
Hurry and casually set up a line to end the operation? Bypass is not PCI, it is to extend the interval of postoperative restenosis to more than ten years. How high is the risk of a patient having one thoracotomy? Can you allow multiple thoracotomies? Thoracoscopy? Can a patient with such a complicated condition undergo thoracoscopy? Prepare for the worst outcome first.
The words that junior sister Xie Wanying argued with Dr. Xu on the phone were true.
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