When the test results came out, Zhang Rui looked at the film and gasped subconsciously!
how so?
Things were fine in the morning. How could something go wrong after just a few hours?
When Zhao Yuan arrived in the consultation room, doctors above the associate senior level in the hospital's Department of Thoracic and Cardiovascular Surgery were waiting.
Zhao Yuan took a look at the film and frowned, "The patient's situation is very special. He cannot wait until tomorrow and must undergo surgery immediately. The plan I gave is to use thoracoscopic aortic stent grafting and interventional removal of cerebral thrombosis. . If you have any opinions, you might as well share them."
A deputy chief physician asked puzzledly, "Dean Zhao, how did you discover that the patient had signs of cerebral infarction?"
Zhao Yuan glanced at Zhang Rui and then at the others.
The biggest difficulty for this patient was not the surgery, but the diagnosis.
If I had arrived one day late, the current situation would be completely different.
The old man's condition is painless aortic dissection, which is easily ignored in clinical practice.
Before the onset of the disease, the patient had no obvious symptoms, and his body usually had no abnormal reactions. He might suddenly wake up one day and feel that his legs and feet were not flexible, and he could not even speak if he wanted to.
The dissection starts from the distal end of the ascending aorta, involves the aortic arch, and affects both the left common carotid artery and the left subclavian artery.
To put it bluntly, aortic dissection can lead to cerebral infarction. Read the book
Once a cerebral infarction occurs, the difficulty increases greatly.
Because acute cerebral infarction is a contraindication to surgery.
Surgery requires an injection of anesthesia, and the risks of anesthesia are relatively high.
For patients with cerebral infarction, it may aggravate the condition, even induce more serious complications, and pose a certain danger to life. Therefore, surgical treatment is not recommended during an acute cerebral infarction.
In that case, the disease can only be controlled by taking medicine and the acute cerebral infarction can be stabilized to a certain extent. Half a year after the onset of cerebral infarction, the condition is under control, and then surgical treatment can be considered.
In short, because of Zhao Yuan's timely discovery, a tragedy was avoided.
Zhao Yuan glanced at the deputy chief physician and explained patiently, "First, when I was looking at the patient's information, I found something abnormal. There were some abnormalities in the patient's brain image. Second, I was treating the patient During the physical examination, some of his reactions showed signs of cerebral infarction. Although it was not obvious, it could still be determined."
The deputy chief physician nodded slightly.
Zhang Rui took a deep breath, Zhao Yuan indeed had two brushes.
The reason why he predicted the possibility of acute cerebral infarction in the patient is that he is also an expert in the field of neurosurgery. In addition, he has worked in emergency departments for a long time and accumulated a lot of practical experience.
Neurosurgery requires a large number of film readings to study the next development trend of the disease through some small details that are easily overlooked.
Emergency surgery can directly confirm their conjectures during physical examination.
Although Zhao Yuan's explanation is very simple, there are many knowledge points hidden in it.
Zhao Yuan then began to explain his surgical ideas, and he planned to use hybrid surgery.
This surgery will involve knowledge points from several major disciplines.
After the consultation ended, everyone was talking about it.
"Zhao Yuan's move to highlight the mountain is really awesome."
"If the problem is not discovered in time, the surgery may not be possible tomorrow."
"Not only can't it be done tomorrow, it will have to wait at least half a year."
"This patient has been waiting for more than a month for Zhao Yuan to operate. If he knew he would have to wait half a year, he would definitely not be able to accept it."
"Fortunately, there was no problem. If he really had a cerebral infarction, our hospital's brand would have to be lost, let alone any personal tour surgery."
"Top experts are not just for nothing."
Zhang Rui returned to the office and compared the previous film with today's film. After watching it for half an hour, he finally found clues from the two films. A faint white line appeared along the aorta network of the chest.
Zhang Rui saw
When I figured out the problem, I felt a lot of sweat pouring out of my back.
Zhang Rui realized that he might have almost caused a major medical accident due to his lack of experience.
Zhang Rui's mentality towards Zhao Yuan has also undergone earth-shaking changes at this moment.
I had doubts about Zhao Yuan at first, but now I have great admiration for him.
When masters compete with each other, they don't have to wait until the bayonet sees red to determine the winner.
Especially the competition of surgical ability.
In fact, before entering the operating table, there is a distinction between superior and inferior.
Zhao Yuan is really awesome.
If it enters the acute cerebral infarction stage, this operation will be cancelled.
The final responsibility has to fall on yourself.
Although it was Zhao Yuan's personal surgical tour, the early data collection was all provided by himself.
Zhao Yuan reorganized the surgical plan.
Zhao Yuan didn't want to see this special situation.
Long before departure, Zhao Yuan had actually made a surgical plan for each patient.
But plans cannot keep up with changes, especially for aorta-related conditions. Different situations may occur within a few hours, requiring doctors to be highly foresighted.
Although medicine divides the human body into many parts, in fact, it should be viewed as a whole, especially the blood vessels throughout the body.
The heart is a power pump with arteries and veins connected to it.
The yellow throat in hot pot is the superior vena artery that just comes out of the heart.
The main blood supply vessel of the heart is called the coronary artery. For many patients with blood clots, such as blood clots in the calves, doctors have always emphasized that taking aspirin is not for fear of blockage, but for fear that the blood clot will fall off and then block the coronary arteries, lungs, or brain.
Once embolism occurs in the coronary arteries, lungs, and brain, it is extremely fatal.
The old man's son was shocked when he heard that surgery would be performed immediately.
In order to wait for Zhao Yuan to be the surgeon, I could not wait to count the days on my fingers.
Now that I suddenly learned that I needed immediate surgery, I felt like an atomic bomb had been dropped in my heart.
"Dean Zhao, my dad, is my dad okay? Why do you need to have surgery all of a sudden? Is the disease progressing too fast? What is the success rate of the surgery? Please be sure to save my father." After all, my son is also a big family. The chairman of the company is as fragile as an ordinary person at this moment.
Zhao Yuan patiently reassured, "It's lucky to operate on your father now. Because your father has signs of acute cerebral infarction. If you do it now, the physical signs can still withstand the anesthesia. If you wait until tomorrow for the operation, the cerebral infarction will appear, and the operation will not be done." The only way to do it is to wait a few months for the cerebral infarction to subside before performing surgery."
The son understood what Zhao Yuan meant, "Thank you, thank you."
He knew that if Zhao Yuan had not discovered the problem in time, he would probably wait until tomorrow to start the operation.
Zhao Yuan's diagnostic ability gave his son some peace of mind.
"Do it late, do it early, it's all done, it's better to have fun."
The old man has a good attitude.
Zhao Yuan encouraged softly, "The operation is expected to take three hours. Don't be too nervous. Just treat it as a sweet dream."
