1636 Chapter [1636] Touching the Threshold of Surgery

Everyone continued to listen, and a doctor nodded: This patient's injury is not easy to review. Direct injuries are always easier to scrutinize than indirect injuries. Indirect injuries are like hidden landmines, which are extremely difficult to dig.

"Looking through the simple medical records of the patient's previous hospital transfer, combined with the CT scan after the lung surgery, it was estimated that the patient's hemopneumothorax caused two-thirds of the left lung to shrink, and the hemopneumothorax pushed the heart, great vessels and main bronchi in the mediastinum to the right. The common clinical parallel displacement cannot cause too much damage to the patient's heart."

That's right, it's just that pneumothorax is very difficult to cause damage to the heart. The heart is surrounded by the pericardium as a second layer of protection, and the heart is located off-centre in the human body. If a person's impact injury is not a penetrating injury, it is basically impossible to hit it in a standard central direction. Therefore, it is relatively difficult to see this happening clinically. The lack of clinical data of the cases caused the doctors in the Provincial People's Hospital to underestimate the patient's heart damage at the beginning.

The doctors here also had the same doubts when they received Xiao Shugang's medical records. How Xiao Shugang's heart was damaged seems a bit of a mystery. If this mystery is not solved, there is no need to talk about surgery. Just like Fu Xinheng's point of view at the beginning, the doctor can't operate if he doesn't know clearly. The threshold has to be touched first.

Now someone is touching this threshold, can they touch it?

All the doctors present were listening carefully, and continued to listen.

Du Yeqing tapped the pen in his hand, if he heard any sign of academic inadequacy, he would yell to stop, no matter who the other party was. Wrong is wrong.

Pan Shihua's eyes helped classmate Xie see the point of the surgeon, and he held his heart for classmate Xie again, and continued to help classmate Xie and said: "According to the above inference, it can only be that other accidents occurred during the process of heart translation. Consider After the patient was injured, limited by the local medical conditions, he had to be transferred to the hospital several times urgently for medical treatment. This kind of accident has a high probability of re-injury. The vehicle bumped halfway, causing the heart to twist at a certain angle during the translation process, followed by Received a second-degree impact. The heart rotates eight to ten degrees to the left, and the impact force is about five degrees from the right side to the left side of the patient and the center of the chest wall. The injured part and the two lesions shown on the CT film are estimated to be consistent. Use IVUS to check Continue to search for evidence of anastomosis to further identify injured coronary arteries that may require bypass surgery."

"Wait." Du Yeqing raised the pen in his hand in time and shouted to stop.

"Bring the CT film here." Shen Youhuan turned to call the people below to take the film.

Obviously, their train of thought couldn't keep up with Xie's thinking.

After the film was brought, a group of doctors gathered their heads to study whether what Xie just said was true.

Du Ye Qing, who had just repeatedly stated that he would stick to the conservatives, stopped talking about the importance of the matter with his mouth holding the CT scan.

"This is?" Jiang Mingzhu asked.

It was hit by Tan Kelin.

If the other party wants to be tempted, the necessity of the operation must outweigh the risk of the operation. In front, Cao Yong and Tao Zhijie were demonstrating the necessity of surgery. What Xie Wanying said is to further demonstrate the necessity of surgery in the front, and then talk about how to reduce the risk of surgery.

As Xie's first surgery teacher, Tan Kelin taught Xie the basics of surgery clearly.

Teacher Tan, who doesn't like to teach, is an absolutely good teacher.