Chapter 1367 [1367] Give the Patient Who Regrets Taking the Medicine the Truth
It is an adenosine diphosphate (ADP) P2Y12 receptor antagonist. The first generation of this drug has just been developed and launched on the market. How can it be expanded to a large area after PCI.
Only the continuous research and development of new drugs can not only treat diseases, but also greatly promote the development of surgery and protect patients' preoperative, intraoperative and postoperative care.
Seeing her sudden silence, the other students wondered what happened to her.
Xie Wanying was just thinking that if this patient waits for a few more years, she might be able to get DAPT treatment and drug-coated stents.
These measures can reduce complications within the stent. Absorbable bioscaffolds are still far away from the market, and it is difficult for patients to wait. Can only keep installing brackets. Each installation of multiple brackets is equivalent to multiple risk points. Doctors never approve of this practice. The more brackets are installed, the better.
When necessary, abandon the installation of stents and choose surgical bypass surgery. It’s just that patients with simple arterial stenosis who do not belong to heart structural disease have bypass surgery, and if the patient is not self-disciplined enough to manage his postoperative body poorly, arterial stenosis will also occur again.
When a doctor treats a disease, without the cooperation of the patient, the curative effect will be greatly reduced.
It is estimated that after the first operation, the patient thought that he was fine after installing the stent, and continued to run around busy. Entertainment is indispensable for doing business, smoking and drinking without listening to the doctor's persuasion, it is not surprising that accidents will happen again soon.
If the patient can learn from this lesson and follow the doctor's advice from now on, the doctor must try to give the patient as much time as possible between reinstalling the stent this time.
Who makes this kind of patient clinically very common. If the patient wants to take regret medicine, it can only test the technical limit of the doctor.
After eating in a hurry, several people rushed to the interventional operating room.
Large inspection instruments in most hospitals are placed on the first floor. The reason is that instruments with ionizing radiation, such as X-ray machines and CT machines, need radiation protection facilities, and building these special computer rooms is as expensive as the inspection room. Compared with the configuration of ordinary operating rooms, interventional rooms should be equipped with angiography machines as standard. Therefore, all the interventional operating rooms of the National Association of China are placed in one area on the first floor.
Cardiology is not the only department that performs interventional surgery, other departments also have interventional techniques. For example, Zhao Zhaowei mentioned last time plans to do ERCP, which is an interventional surgery in the Department of Gastroenterology. It’s just that cardiovascular interventional operations are carried out the most and most urgently. There are two interventional operating rooms in the hospital, one is exclusive to the Department of Cardiovascular Medicine, and other departments share one interventional operating room.
Is interventional surgery the same as endoscopy performed by physicians? For example, the choledochoscopy of the Guoxie is performed by the Department of Hepatobiliary Surgery, so these operations should be discussed separately in specific hospitals, and the departments of each hospital make their own decisions. The first condition for performing surgery is that the doctor's skills must pass the test, and whichever doctor is more skilled will perform the surgery. For example, neurointerventional technology is performed by neurosurgery in the National Association of China, but the neurology department of the National Association of China is unable to do it.
There is only one cardiovascular catheter intervention room in the National Association, which is a little less. It is said that after repeated applications, the hospital finally approved the expansion of the Department of Cardiology to two interventional operating rooms. It was heard that Senior Brother Jin complained desperately about the way the hospital did it like squeezing toothpaste, and privately said that Dean Wu was not an ordinary stingy guy.
Dean Wu's calculation of cost and benefit is based on the fact that there are few interventional surgeries in other departments, and cardiovascular can occupy their operating rooms, which means there are three, which is quite a lot in China.