Chapter 1635 【1635】There Is Something in the Words
"The reason is this. Her cousin is not a penetrating injury, but a closed injury. The most likely cause of a closed injury is a heart contusion. The most serious consequence of a heart contusion is a rupture of the heart. Her cousin's heart looks like a minor injury but not serious. The manifestation of blood loss, in fact, the symptoms of heart function changes are quite obvious. Fortunately, from the results of CT scans, we have found some actual evidence to support the previous inference. There are signs of lesions in the right ventricle and left ventricle, which shows that her cousin's heart is abnormal. Coronary vessels are impacted, and early lesions are expected to form in the heart contusion. For this reason, myocardial fiber damage is almost a 100% thing. If the myocardial fiber is damaged and not broken, it may be reversible, and the myocardial cells are only ischemic. It can be reversible, and whether it is reversible depends on the blood supply of the coronary arteries. If the coronary arteries themselves are damaged and are not intervened as soon as possible, the cardiomyocytes in the myocardial fibers will die one after another and become scars. These dead cardiomyocyte scars will spread throughout the heart. The energy reserve dropped drastically. The patient himself is a physical education teacher, and such a heart means that his future career and life are useless. Future surgery will not be able to solve this problem.”
What Xie Wanying told her classmates to repeat echoes what Cao Yong said before. It further explains why the heart permanently dies and what the patient's outcome is after the myocardial death.
The reason why she insisted on supporting her cousin to seek medical treatment in the capital was that doctors in the capital were much better than local hospitals in terms of finding medical evidence for CT. There is no medical evidence to support it, and basically surgeons operate rashly, just like the surgeons at the Provincial People's Hospital. The capital has this condition to find medical evidence from all sides to escort the surgery. Likewise, strong surgery can give you the bottom line. A top hospital must be reflected in its comprehensive capabilities.
Classmate Xie's words were a bit long, and a group of doctors listened quietly. There is a field of knowledge that they are very familiar with here, which sounds familiar. At the same time, there is only one reason why these doctors can listen to it: the words of classmate Xie have meaning in their words.
Pan Shihua needed to take a break after reading a paragraph, and he needed to sort out Xie's thoughts while reading in his mind. He had to work hard to keep up with Xie's progress.
Every time I revisit Xie's ideas, I can always give him some new hints.
"Hey, don't stop, keep reading." Shen Youhuan urged him.
Pan Shihua had to be more careful, hold his breath, and then read the key points of student Xie's thinking.
"Because these CT results can provide us with some evidence, we can speculate on the path map of the patient's heart injury at that time." Pan Shihua read student Xie's words word by word according to the notebook.
When talking about the patient's injury path map, the first thing a group of doctors could think of was that Mr. Xie might have visited the scene of the patient's car accident to investigate.
Such a thing is of course impossible. If it is a doctor, if you want to know the scene of the patient's injury at that time, you can only make some inferences based on the injury examination report of the injured.
Pan Shihua helped Xie Wanying read the three-dimensional reverse calculation, which is the same as the nerve external reverse calculation of the heart, but it is estimated to be more difficult: "Because the patient's heart was not ruptured when he was injured, the possibility of direct impact injury is low, and it is not ruled out that there is pulmonary blood pneumothorax Compressing the heart causes secondary damage to the heart. We have to be more careful when we try to do 3D animations."