I Can See Health

Remember [new] in one second! The Cardiac Surgery Classroom of the Fifth Hospital of Magic City.

Lu Chen stood on the podium.

This paper from an American scholar is shown on the projection screen at the front desk of the classroom.

Everyone looked attentively.

Lu Chen began to explain in detail what this article talked about about "patients with acute myocardial infarction complicated by severe mitral regurgitation."

"To compare three surgical approaches—surgical mitral valve replacement, transcatheter mitral edge-to-edge repair, and medical conservative management—in patients with acute myocardial infarction complicated by severe mitral regurgitation."

"Study on the difference in prognosis, the results show that early and aggressive transcatheter edge-to-edge repair technology (transcatheter edge-to-edge repair, Teer) can significantly improve the long-term prognosis of patients and reduce mortality during hospitalization."

Everyone in the classroom began to discuss it.

Modern medicine emphasizes evidence-based medicine.

This means that any treatment method must be experimentally proven and specific data on the effectiveness of the treatment must be produced.

Individual differences cannot be used to explain the effectiveness of a certain drug treatment.

Although the paper Lu Chen produced is not from China, it is the most advanced research in the world.

"Director, I think you are right, this patient will definitely not survive surgery." Jin Miao immediately stood up and looked around the crowd, "If you want to completely solve the severe mitral regurgitation, there is only one way, and that is through surgery. Catheter intervention!”

Lu Chen nodded with a smile.

What Jin Miao said was what he was thinking.

If there is still a glimmer of hope for this patient, then this glimmer of hope lies in catheter intervention!

Afterwards, other people in the classroom also nodded in agreement.

A mature surgical team can put forward different opinions, but can also quickly obtain a unified solution.

However, the surgical plan was decided.

But the difficulty and risks of this operation are before everyone.

"Director Jin, are you sure about this operation?"

An attending doctor in the department asked Jin Miao.

Now, Jin Miao has been successfully promoted to deputy chief physician.

Jin Miao paused, and then slowly shook his head: "I have done ordinary transcatheter mitral valve replacement surgery, but I really don't have patients with mechanical complications of mitral valve prolapse after acute myocardial infarction. Did it.”

The implication is that he doesn't have much confidence.

After hearing this, everyone else turned their attention to Lu Chen.

Among all the five hospitals in the Magic City, Jin Miao's ability in interventional surgery is one of the best.

Even in the field of interventional cardiology in China, any cardiologist who hears Jin Miao's name will give him a thumbs up.

If the one who can stabilize the golden seedlings is Lu Chen!

However, Director Lu Chen has not performed surgery himself for a long time.

At this time, Lu Chen on the podium spoke.

"This kind of mitral valve interventional surgery after acute myocardial infarction is still blank in our country."

"Even internationally, it is a rare technique."

If there is only severe mitral regurgitation in a single location, there are many doctors who can perform this type of surgery independently.

However, patients with severe mitral regurgitation during acute myocardial infarction need this surgery.

In comparison, the risk is not that high!

Acute myocardial infarction, simply put, is the death of myocardial cells and necrosis of cardiac muscle tissue.

In this case, the contractile capacity of the heart function decreases, which may easily lead to heart failure.

Secondly, myocardial cell necrosis will lead to damage to the heart structure.

This patient had severe mitral valve regurgitation caused by chordae tendineae rupture.

Serious complications can lead to heart rupture!

This is better understood.

The beating amplitude of the necrotic heart tissue is reduced, but the beating amplitude of the normal myocardial tissue is the same as before.

As a result, a shear force will be generated between the necrotic normal myocardial tissue.

Under the action of shear force, the heart is extremely easy to rupture!

Once the heart is broken, the mortality rate is almost 100%!

It can be seen that the difficulty of this operation is like dancing on the tip of a needle!

…

There was a brief silence in the classroom.

Lu Chen raised his head this time and looked at Jin Miao.

"You are the patient's bedside doctor. What are the opinions of the patient's family?"

In the face of such critically ill patients, in addition to the opinions of doctors, the opinions of family members are more important.

Either take active treatment or give up and go home.

This is the decision that ultimately determines the patient's fate.

If this kind of patient chooses to go home for conservative treatment, Lu Chen is sure that he will not survive a week!

"The patient is an ordinary working-class family," Jin Miao said. "In order to get treatment, he sold his house and visited many hospitals before finally coming to us."

Lu Chen looked solemn.

This kind of patient is even more difficult to deal with.

Losing both people and money is a situation that no one wants to see.

"Jin Miao, please call the patient's family to the doctor-patient communication room, and I will communicate with him."

"Okay." Jin Miao nodded slightly, stood up and left the classroom.

This case discussion is the end.

The final solution is available, but the specific operation is still questionable.

…

Jin Miao quickly called the patient's family to the doctor-patient communication room.

In the communication room.

Sitting in front of Lu Chen was a man in his thirties.

His hair was fluffy and his eyes were bloodshot. It looked like he hadn't rested for a long time.

"Doctor, how is my mother?"

As soon as they met, the man asked hurriedly.

Lu Chen shook his head slightly: "The situation is not good. You should also know the diagnosis made by doctors from outside hospitals. It is acute myocardial infarction combined with severe mitral regurgitation..."

Before Lu Chen could finish speaking, he was interrupted by the man.

"Doctor, don't use these professional terms with me, I just want to know the next step of treatment!"

The man shook his head helplessly.

In fact, in his heart, he seemed to already know his mother's final outcome.

He is not a native of Magic City.

This time, in order to treat a disease, UU read books www.uukanshu.net traveled across mountains and rivers and visited many hospitals in the magical city.

The family spent more than half of their money, but in the end there was no hope of treatment.

Lu Chen calmed down and slowly said to the man in front of him: "Don't worry, I am the director of the cardiology department of the Fifth Hospital of Shanghai. I will explain the condition to you now. As for the next treatment method, I will explain it to you clearly. "

Hearing Lu Chen's words, the man quickly lowered his head and looked at his badge, "You... you are Director Lu, right?! I know you. I came to the Fifth Hospital this time because a patient told me..."

The man's expression suddenly became excited.

Lu Chen said quickly: "I told you, don't get excited yet. Treatment needs to be done step by step."

"Okay." The man nodded immediately and did not continue talking.

Seeing this, Lu Chen continued: "Your mother's current illness is caused by a broken heart valve due to myocardial infarction. To put it simply, the window in a room is broken."

The window is broken, what should I do?

One is to repair, and the other is to replace the entire broken window with a new one.