Signed In At The Hospital, The First Operation Shocked The Whole Country!
Chapter 43: There is no way, I can only change the heart
"Qin Feng, you can speak boldly, it doesn't matter."
Liang Dong saw that he had something to say and waved his hand.
"Okay, then I'll just say it."
Qin Feng nodded when he heard this.
"If you want to save your heart, it is impossible to complete traditional surgery at present.
I recommend that the heart be isolated from the tumor and use the full circulatory system to maintain life. "
As soon as the voice fell, the four fell silent.
Liang Donglai nodded slightly and looked at him for a moment.
"Qin Feng, to be honest, we have also discussed this surgical plan, and it is the method that may have the most chance at the moment."
Speaking of this, he paused and continued,
"We have the equipment, and the feasibility of the operation is basically no problem. The most important thing is time.
If the heart is isolated, even if it is on the full circulatory system, it can only last for one and a half hours to two hours. "
Qin Feng nodded when he heard the words. This is indeed the case.
The full circulatory system is only an auxiliary maintenance system for vital signs, but it cannot be the result of completely guaranteeing the patient's normal blood circulation in the body.
Because there is no way in the circulatory system to continuously produce blood oxygen and basic ecology for the whole body.
Even if it continues to replenish blood, it can't reach all the elements that sustain life all the time.
Therefore, in the end, a healthy heart is needed to ensure the lives of patients.
Two hours,
This is the limit of the systemic circulatory system!
Once more than two hours, due to various problems such as decreased blood oxygen, the body organs and functions will be damaged and damaged.
Especially brain cell death!
At that time, even if the person returns, it is still a waste of the whole family.
This is not what they want to see.
Therefore, if the heart surgery is performed, the biggest test is the surgeon.
Will it be possible to successfully remove such a large tumor and restore cardiac function within two hours?
too difficult!
Even Qin Feng himself, seeing this huge tumor that has encroached on the double atrium and arteries, dare not 100% guarantee that the operation can be completed within two hours.
Of course, there are still 70 to 80%!
But this cannot be said, because he is now a doctor in the Jiangcheng First Hospital and is still in the internship period.
Even if you have the ability to try, you don't have the qualifications to throw a knife.
At the very least, he has to wait until he gets his license.
"Director Liang, can you tell me your plan?"
Qin Feng thought for a while and asked at the beginning.
"Okay, Lao Jin, you can talk about it."
Liang Dong looked at Jin Qiong beside him and nodded.
"Okay, Dr. Qin, after two days of research by our team of extra-cardiac and internal medicine experts, in addition to the heart isolation just mentioned, the other two surgical plans are:
1. Tumor segmentation resection method is to use gamma knife to segment the tumor..."
Half an hour later,
Jin Qiong stopped. Both sets of surgical procedures were very complicated and could not be eradicated at one time, requiring multiple operations to complete.
After Qin Feng heard this, he already had a certain number in his heart.
If these two programs are used on patients, the chances of survival may be lower than they thought.
It can even be said that miracles do not happen like this!
Removal of segmented tumors in various positions of the heart through 3-5 operations is not impossible, but every operation is a gambling!
As long as there is one accident, the patient's life will not be saved.
In the current state of the patient, it is difficult to undergo such heart surgery consecutively in a short period of time.
The body can't bear it.
"Director Liang, the three directors, I don't think these two surgical options are advisable."
Qin Feng pondered for a moment, and shook his head solemnly.
"Actually, you should know the possibilities of these two surgical options.
Not to mention whether the patient can bear it, even if it can bear it, the possibility of recurrence is almost 90% or more.
Once the tumor cells have spread in a short period of time, the patient’s heart capacity may not last for even a month.
Not even as effective as the current conservative treatment! "
As soon as he finished speaking, the four of them were silent again.
Because every time Qin Feng said something very straightforward and decisive, it hit their sore spots.
This is the drawback of the program!
It is also the root cause of their fear of doing this operation.
"Qin Feng, do you think there is any other way?"
Several people in Liang Donglai looked at each other, all seeing helplessness, sighed and asked.
"At present, except for the opportunity to be isolated from the body, all the plans for cardiac resection may not be effective.
There is no way for this disease, and there is only one last solution. "
Qin Feng thought for a while, and said solemnly.
"Change your heart!"
......
Slap~
Just after finishing these three words, Jin Qiong took a deep breath, threw the plan in his hand on the table, and looked at Liang Donglai.
"Lao Liang, Doctor Qin is right."
"May I not know? But how can a suitable heart be so easy to find?"
Liang Donglai was holding his forehead, feeling a little tired.
In fact, everyone knows this plan, that changing the heart is the perfect surgical plan.
At present, in the case of the patient, either conservative surgery is performed to control the development of the tumor as much as possible.
Then block the artery invaded by the tumor, and use an artificial blood vessel to reopen an artery.
This can at least ensure that the patient can live for 6 months to 1 year.
With this time, you can wait for the right heart.
Of course, the opportunity is also small.
Or take the risk and perform surgery to remove the tumor from the heart.
Gamble!
"Director Liang, these are the only two paths you can choose."
Qin Feng continued,
"From a global perspective, the systemic circulatory system is already at its peak.
Even the top-notch expert will only give you these two options. "
"Yes, as far as current medical technology is concerned, we really have no other options."
Liang Donglai heard the words, pondered for a few seconds, with a relief on his face, and said with a faint smile.
"Qin Feng, it seems that it was really right to find you, thank you!
You solved a big problem for us! "
Qin Feng also smiled and shook his head.
In fact, he knew that even without himself, Liang Donglai and the others would not dare to easily try the surgical plan for tumor separation.
These four surgical options are all gambling, but the gambling of tumor separation and resection is too painful for the patient.
Even for the rest of the time, he would have been waiting for death in pain.
For the other two, life or death is instantaneous.
But as long as it succeeds, the patient can at least live healthy and happy.
This is also another kind of humanity...
medicine,
Not only let patients live, but let patients live with quality.
The video consultation is over,
In the end, Liang Donglai couldn't help but threw an olive branch, but Qin Feng declined.
He has signed a three-year contract with the Jiangcheng First Hospital, and he certainly can't go to other hospitals.
Liang Donglai was very sorry, even regretted not taking him away when he was in Jiangcheng.
Otherwise, there will be a better young expert in Jinling First Hospital!
"Don't worry, Director Liang, I will go to Jinling to participate in the National College Student Clinical Competition in a while. Let's see you then."
It's time to end, Qin Feng said with a smile when faced with the kind invitation.
"National College Student Clinical Competition? Are you also coming to participate?"
Liang Donglai was shocked when he heard what he said, and was very surprised immediately.
"Great, me and the director of internal medicine Kong Yuanling are both judges this time!"
The judges?
Qin Feng was also stunned when he heard this.
Huh!
What do you say?
Accidentally, I became acquainted with the two judges who were going to participate in the competition and had a consultation together!
If this is known to other students who came to participate in the competition, wouldn't it be red-eyed?
"Well, this is really unexpected."
Qin Feng was a little bit dumbfounded, really didn't know what to say, his luck,
"Then see you in Jinling, Director Liang."
"Okay! See you in Jinling! I'm waiting for you!"
Liang Donglai also waved his hand enthusiastically, and the video was interrupted.
"Huh~"
Liang Donglai let out a long sigh of relief, looked at the three of them, and couldn't help showing a touch of pride.
"How? I said this is an expert, right?"
"Is this Qin Feng really an intern?"
The director of internal medicine Kong Yuanling was shocked and asked with her eyes wide open.
"I feel that he is more professional than you..."
"Puff~~~!"
Liang Donglai received ten thousand crits in his heart!
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