Chapter 2117 [2117] Domestic and Foreign Disagreements

Anti-rejection drugs are most likely to cause miscarriage and fetal teratogenicity in pregnant women. If you have to be pregnant, the result of not taking these drugs will probably be more harm than good, causing the patient's condition to deteriorate rapidly during pregnancy and waiting to die.

Under such a premise, such a patient who has access to a wide range of medical information will naturally make the best choice for himself, and let's just get pregnant, anyway, sooner or later he will have a heart-lung transplant.

It's just that this patient didn't expect that the domestic doctor said that she could have a non-transplant operation before the operation.

"Director Zhang thinks that transplantation is not necessary, but foreign doctors think transplantation is necessary?" Du Haiwei re-confirmed whether there was any error in the information he heard.

Foreign medicine is relatively developed, and domestic doctors have always learned from foreign advanced medicine. Most of the patients are psychological domestic doctors who worship foreign countries and xenophobic medicines can understand. The patient settled abroad for medical treatment earlier, so it is right to listen to the professional advice of foreign doctors first. It would be more right for Du Haiwei to ask one more question now.

"Yes." Du Yeqing nodded, "Our Director Zhang carefully studied and judged her condition, and believed that this patient was a heart patient who had a mitral valve replacement. There was a problem with the mechanical valve, it was narrowed again and thrombus occurred, the situation was more critical, and severe pulmonary hypertension was caused by regurgitation of the tricuspid valve. Overall, the possibility of secondary pulmonary hypertension is very high. , you can try to do heart surgery first to improve the condition. Foreign doctors think that her pulmonary blood vessels have undergone substantial changes, and a transplant operation is necessary."

Whether or not to perform lung transplantation for pulmonary arterial hypertension may be a controversial point in the judgment of domestic and foreign doctors on the patient's pulmonary artery vascular disease. That is: whether the patient's pulmonary artery was sentenced to death. If it is considered that the pathological changes of narrowing and stenosis of the blood vessels cannot be reversed, there is no magic medicine in internal medicine to deal with the substantial pathological changes of the pulmonary vessels. This is also the reason why primary pulmonary hypertension was later called idiopathic pulmonary hypertension. The cause is unknown, and there is no cure but transplantation.

In terms of surgery, it is impossible to completely remove these pulmonary vessels for reconstruction. In the last pulmonary interventional operation, we could intuitively feel that the distribution of pulmonary blood vessels is like densely packed branches and leaves almost covering the entire lung tissue. Removing these blood vessels is equivalent to removing the entire lung. To remove the entire lung and find a replacement, the only option is a double lung transplant.

Zhang Huayao couldn't bet on it, but relied on his own technology and experience to judge that the patient's pulmonary vessels had not undergone irreversible changes, so he could try. Whether Guozhi's doctors or foreign doctors are right and who is wrong, I really can't draw a conclusion at this moment. The final judgment is to wait until the operation is completed and then look at the follow-up situation of the patient.

In any case, the patient only heard that he could not do the transplant, even if it was a big gamble, he was willing to run back to China to find Zhang Huayao.

This incident fully demonstrates that patients' demand for doctors will never be to see domestic or foreign doctors, and whoever does it will go to them.

Du Mengen, who was listening at the scene, frowned and blinked: Student Xie's tricky answer was right, he was a heart patient with secondary pulmonary hypertension. And it is the academic result supported by the big brother Zhang. Classmate Xie is just an academic, he is a smart school.