"To make such an impact across the sternum, the patient has suffered brain damage due to cardiac arrest before and cannot do it again."
The main meaning of her words was that considering that the patient, Mr. Wei, was a top student, everyone wanted to perform tonight's surgery to save his academic career, and we must try our best to avoid causing any further brain damage to him. As a result, it is impossible to rescue using the original method.
Dr. Che definitely agreed with her concern for her classmates, but she had to speak based on the clinical facts: "Rescue measures are difficult to implement, and the risks are as you mentioned, but you have to think about how to find the lesion without irritation."
"My idea is this, there is no need to use stimulation to find the lesion. I observed it during his last attack, and with the subsequent MRI report, I have a certain understanding of his heart structure."
After everyone at the scene pondered what she meant, many people said in their hearts: What? She wants to determine the lesion based solely on the MRI report and her own observations without stimulation?
This--no one has ever successfully done it. No one here had heard of it. Of course, it is not ruled out that some doctors actually do this and succeed. For example, what Xie said before was that she accompanied an acquaintance to do a case study, but she really couldn't find what to do with you, so she had to rely on the doctor's accumulated clinical experience to try blindly.
If she were an experienced doctor who had performed tens of thousands of surgeries and had this experience and intuition, I believe there would not be such a loud voice of doubt.
Doctor Che asked 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 there may be some points in your words that need to be discussed."
Mr. Xie, what are you talking about? What points in Dr. Che’s words need to be discussed? Dr. Che thinks you are inexperienced and you don’t admit to discussing your inexperience?
Zhang Desheng’s classmate Zhao Zhaowei at the scene looked at each other.
Classmate Pan scratched his forehead with his fingers, lowered his head, and smiled: Classmate Xie definitely didn't mean this.
Yue Wentong, who was outside with the counselor and his family, got in to help the counselor check on the operation situation. When he came in, he was startled by this scene: Did he, the monitor, come at the wrong time and have to help Xie with the aftermath?
When I think about it, I shouldn't need it.
Definitely not. The teachers at the scene couldn't help laughing.
The most shocking thing is that even the boss Cao Yudong couldn't help laughing.
Doctor Che in the operating room suddenly realized the omission in his words, and he admitted his mistake first: "Yes, what I just said was not cautious enough."
It is. What is an ectopic pacemaker? At the cellular level, it is the first cardiomyocyte that emits abnormal electrical activity. Can you, a surgeon, see at the cellular level? impossible. The pacemaker point can only be called a region. This area is large and small. If it is focal atrial tachycardia and ventricular tachycardia, you can find a small area called the pacemaker point and burn it. If it’s a complicated case like Mr. Wei, huh?
The key point in Dr. Che's imprudent remarks is not that it cannot be called finding an ectopic pacemaker, but that Wei's case is one of the most troublesome scar cases for doctors in ablation and interventional surgery.
What are the characteristics of scar cases? First of all, we have to talk about why scars produce atrial tachycardia and ventricular tachycardia. The scar area is mostly composed of fibrous connective tissue, and living cardiomyocytes are in the minority.
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