When it comes to tetralogy of Fallot, foreign studies have shown that surgery less than three months old has a high mortality rate, and surgery over two years old is too late. This is just a statistical result and cannot represent all cases. People have individual differences, and infants and young children are no exception. The age of surgery for this disease has always been a controversial area in surgery.
In this case, depending on the specific case, it is necessary to look at the individual indicators of the child to decide whether to operate. The age group of the children will be used as a reference value first.
In any case, radical surgery is definitely much riskier than palliative surgery. Failure of this kind of surgery does not mean that the doctor cannot perform it. The main question centers on whether the child can tolerate the surgical changes. Even if correction is considered healthy from a medical point of view, for children who have already adapted to a crooked body, a sudden big change is difficult to accept. A person is a whole person, not just the heart.
I have mentioned before that in order to solve this problem, surgical experts all over the world have tried many inventions and many targeted surgeries, but none of them can perfectly solve all cases. The surgical failure rate of critically ill children in pediatric cardiac surgery remains high.
Boss Zhang raised two fingers:
Two years old?
Two months?
It should be the latter two months.
If a doctor thinks it is necessary to perform an operation after two months, does it mean that the seriously ill child has no choice but to wait?
"Do palliation first." Cao Dong said according to clinical routine.
"He said he didn't want to open his chest." Cao Zhao said the key points of the appeal of the family members of the child.
Palliative surgery may also require a thoracotomy rather than small incision surgery or interventional surgery. Therefore, statement 4 is a general term for a large category of diseases. It is best not to draw random conclusions before seeing specific medical records.
Boss Zhang must have said the same thing: "Let the other party send the medical records first."
"Are they anxious?" Cao Yudong asked.
Old doctors like the boss are kind and experienced, and they first care about the feelings of the families of the children.
Urgent, it must be urgent, otherwise he would not wait for the results of Company B's surgical demonstration.
Furthermore, this patient’s family members are Chinese, so they trust their own country’s doctors and technology more.
At this point in the analysis, the big doctors felt that the child's illness might be less severe, because if he had to fly back to China for surgery, what if he was really in critical condition?
"Doctor Xie, do you think you can accept this medical record?" Zhang asked the client, stating that he was just Dr. Xie's agent.
Without seeing the child's medical records in detail, Xie Wanying could only make some preliminary speculations based on the current information: "It may be so. Someone in the family heard that early corrective surgery, that is, radical surgery, would do more good than harm to the child."
The statistical results mentioned above are that the mortality rate of surgery is high, but they do not say that early surgery is completely useless for children. In fact, surgical experts have always believed that if the success rate of the operation can be ensured, children, even newborns, should undergo radical surgery as soon as possible instead of delaying or performing palliative surgery.
This truth is too easy to figure out. Correcting the mistakes in time can prevent the child's body from continuing to make mistakes based on the mistakes. Early surgery can avoid worsening of right ventricular hypertrophy and outflow tract stenosis.
The family members of the child do not pursue thoracotomy and obviously want to maximize the success rate of the child's surgery. It is recognized that minimally invasive surgery is far less harmful than open surgery. The second is the more important issue of scarring from incisions that has been discussed before for children.
After hearing what she said, all the bosses said: Hey, that makes sense.
Thank you for your support! ! ! Good night, dears~
(End of chapter)
