Chapter 1601 [1601] Check the Root Cause
No way, can't see it. The doctors in the CT room of the Provincial People's Hospital may be based on the clinician's belief that there is a thrombus in the atrium and that the patient has a pulmonary embolism. It is always right to add a sentence of suspicion. After all, the surgeon complained that the heart problem was not detected before the operation, which led to serious consequences.
As for how difficult it is to detect atrial thrombus, the detection rate of CT is only a few dozen percent.
As Mr. Zhang said, Xiao Shu was just unlucky to meet a doctor with insufficient skills. It once again shows that medicine is a multidisciplinary collaboration, and any department that loses its chain may cause major problems. CT room doctor technology is also very important to patients.
I can't see it on CT, what about other instrumental examinations, such as ultrasound? Sorry, transthoracic echocardiography has a lower detection rate of atrial thrombus than CT. As for transesophageal echocardiography, the detection rate is similar to that of CT.
If the doctors in the ultrasound room of the Provincial People's Hospital are highly skilled and capable of surpassing the doctors in the CT room, they will be able to fill in the leaks and there will be no further problems. But when Xiao Shu was transferred to the Provincial People's Hospital for emergency surgery, the preoperative echocardiography was not done, and this examination was not prescribed. In other words, based on the CT report, clinicians believe that only the lungs have problems and the heart is fine. This pot is not cautious enough, and clinicians have to bear it.
Once again, as Zhang Huayao and the others deduced, there are many factors that cause problems during the treatment process, and each department is responsible.
The final problem is that the doctors in the Ultrasound Department of the Provincial People's Hospital failed to perform beyond their normal skills, resulting in the final result report being written according to the report of the CT room. It is impossible to completely determine whether there is a thrombus in the right atrium, which may or may not be present. This is no different from not seeing a thrombus.
"They can't find out." Dr. Zhao was so stressed that his head exploded instantly.
Before Mr. Xu discussed it with him, he did not expect this patient's problem to be so serious.
"What I have been telling you all the time." Dr. Xu took this opportunity to tell the students how important it is for a CT doctor to practice well. It can be said that the hope of patients and clinicians now lies with them.
Just because Xie Wanying realized this, she walked into the CT room under Teacher Qin's light no matter what.
"Calm down." Dr. Xu patted the students on the shoulder, using his powerful aura to cool everyone's minds.
Discussion continues. Doctors at the Provincial People's Hospital believed that the patient's right atrium had a thrombus because the patient had a pulmonary embolism. Pulmonary embolism is closely related to the right atrium.
"The key point is still to check the right atrium. They didn't find out. We need to find out the problem of the right atrium." Dr. Zhao thinks that although the doctors of the Provincial People's Hospital are a little bit of a sideshow, the speculation is a bit reasonable.
"What do you think?" Dr. Xu turned to ask classmate Xie for his opinion.
"I think the ventricles rather than the atria may be the focus of attention," Xie Wanying said.
Thrombus in the atrium does not necessarily originate from the atrium, but may originate from the ventricle. The reason is that in the case of heart trauma, the most common damage is the right ventricle, which has been mentioned before.
Based on the patient's clinical symptoms, clinicians believe that the patient may have a thrombus in the atrium. The ct and ultrasound of the Provincial People's Hospital can't find the thrombus in the right atrium. Can we start with the possible source of the atrial thrombus to further find out the heart problem.
"What you said makes sense. Isn't the problem more difficult to investigate?" Dr. Zhao admitted that her speculation was in the right direction, but said with embarrassment.