Start as an Emergency Physician

This led him to direct his direction to coarctation of the aorta.

Coarctation of the aorta is a narrowing of the aorta that narrows the lumen and reduces blood flow. The disease is prone to coarctation of the ductus arteriosus or the junction of the arterial ligament with the aorta, and if the duct is retracted anteriorly, cardiac malformations may occur.

Children often present as infants with congestive heart failure, which is what Shi Yu said.

About half of all medical records will have symptoms worsened by the time the ductus arteriosus closes within the first month of life, manifesting as irritability, difficulty breathing, etc.

"What about the medical records?" Zhou Yuan said.

At this time, it has been basically determined that the most fundamental cause is coarctation of the aorta, and a series of clinical manifestations of heart failure are due to the coarctation of the aorta, which causes arterial narrowing and causes various symptoms of Xiaoding.

Now Zhou Yuan needs to determine the type of coarctation of the aorta.

"Headache, blurred vision, intermittent claudication. "

Seeing these three symptoms, Zhou Yuan has basically determined that it is postductal aortic coarctation.

The symptoms of the disease will worsen with age, such as headache, blurred vision, strong blood vessel pulsation in the head and neck, and the lower body is unable to transport enough blood because the catheter cannot transport enough blood, so there is insufficient blood supply, easy to be afraid of cold, easy to fatigue and even intermittent claudication.

Coarctation of the aorta accounts for 5%~8% of congenital cardiovascular diseases.

More than 95% of the coarctation sites are in the aortic isthmus, and a few are located in the aortic arch and other sites. It is often associated with cardiac malformations such as patent ductus arteriosus, ventricular septal defect, two-valve aortic valve, congenital aortic stenosis, congenital mitral stenosis, or atresia.

This is a disease that requires surgery, and the difficulty of surgery is also relatively high, in the medical field, until 1944, Crafood secondary aortic coarctation repair was successful, in recent years, with the continuous improvement of surgical methods, the efficacy and success rate of surgery have been significantly improved, but the difficulty of surgery is also relatively high.

This is also why Jiang Xiaoqi wanted to find Zhou Yuan.

Xiaoding itself is a medicine jar, his physical condition is not optimistic, the risk of surgery is very high, and the success rate of surgery is relatively low.

Jiang Xiaoqi thought, this kind of operation is for Zhou Yuan!

"Zhou Yuan, can you do it?" Jiang Xiaoqi asked tentatively.

Zhou Yuan had not done this surgery before, but the vascular surgery department had been in contact with vascular grafting, but vascular grafting and aortic coarctation surgery are different, and the difficulty coefficient of the two operations is very different, not to mention the detailed operation.

"It can be done. Zhou Yuan said lightly.

He now has eight mid-level treasure chests.

It could have been changed to a perfect-level technique, but just in case, it was useless for Zhou Yuan to keep an intermediate treasure chest, and now it should come in handy.

Although Zhou Yuan is currently unable to control the surgery of coarctation of the aorta, the master techniques such as grafting have given Zhou Yuan a high enough vision, and he can see that it will be difficult to complete the transfer of Xiao Ding to the outside of the blood vessels.

"Exchange master coarctation segment excision end-to-end anastomosis. Zhou Yuan thought for a while and said to the system.

The remaining five intermediate treasure chests must be exchanged for the perfect level technique, this coarctation segment excision end anastomosis is for aortic coarctation, and the application is not very widespread, and the perfect level technique must not be used here.

Coarctation resection end-to-end anastomosis, also known as aortic coarctation resection and end-to-end anastomosis correction, aortic coarctation resection and aorto-end anastomosis, coarctation segment resection and aortic contrato-end anastomosis.

In fact, there are a variety of surgical methods for the treatment of coarctation of the aorta, and the end anastomosis of the coarctation segment selected by Zhou Yuan is suitable for young children.

There are other procedures, such as coarctation of the aorta and artificial vascular grafting, which are suitable for patients with long and narrow coarctation segments, and are generally required to be over 16 years of age.

Xiao Ding is only four years old, and the site where the stenosis occurs is not long, and the end anastomosis of the coarctation segment can be performed.

To put it simply, it is to remove a section of the coarctation of the aorta, and then anastomose the two excised ports, so that the problem of coarctation can be fundamentally solved.

Zhou Yuan began to make a final diagnosis of Xiao Ding.

This step is used to confirm the location of the incision and the specific surgical procedure.

Most of the coarctation of the aorta is located in the isthmus, and extensive collateral circulation is formed, and vascular bruits can be heard in the chest and back in 98.5% of children. Xiao Ding: This belongs to this kind.

Moreover, x-ray examination showed that the heart was enlarged, the intercostal arteries were dilated, and a rib worm-like notch was formed. Echocardiography, color ultrasound Doppler, MRI, and retrograde aortic angiography clearly show the location, extent, and degree of coarctation of the aorta, as well as collateral circulation.

By all accounts, Ding's situation is not optimistic, but the only good news is that there are no other deformities other than that.

Tian Liang had already led Ding Mahui and his wife out, and Zhou Yuan also arrived in the conference room after the inspection, and Ding Mahui and his wife sat opposite.

"Doctor, are you going to have surgery?" Ding Mahui asked after a long silence.

Zhou Yuan nodded silently.

Shi Yu suddenly couldn't cry.

Ding Mahui sighed and explained: "The doctor has seen it before, saying that it is controlled with drugs first, interventional treatment is carried out, and the risk of surgery is very high, so try to avoid it... Now is it necessary to have surgery?"

Zhou Yuan: "The coarctation of the aorta has reached the point of no return, and it must be removed. "

Ding Mahui was silent for a long time, and finally, he raised his head, looked at Zhou Yuan solemnly, and said, "I have heard of you, you have performed many miraculous surgeries, please save my son!"

Unconsciously, the man in his forties began to use honorific words for Zhou Yuan.

Zhou Yuan pushed the informed consent form over and said, "I will do my best." "

Ding Mahui took it, signed his name, and then hugged Shi Yu, who was whimpering in a low voice.

Coming out of the conference room, Tian Liang sighed and said, "It's a pity, after meeting Ding Mahui, I felt that money can't buy health..."

Ding Mahui is a tycoon in the real estate industry, and he belongs to the kind of person who money is still a number to him, but no matter how rich he is, his son Xiaoding has not been cured so far.

Over the years, he ran through countries M and Y, but he couldn't do anything, and finally returned to Yanjing Traditional Chinese Medicine, allowing Xiaoding to survive with medicine.

"You say... Can't money buy health?" Zhou Yuan was silent for a moment and said.

Tian Liang just wanted to say yes, but he suddenly remembered that Zhou Yuan was next to him, as if there was no operation that could stump him!

"Money... You can buy health!" Tian Liang said stunned. _

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