2137 Chapter 2137 [2137]

Then turned his head to look at the operating table.

Now the operation is just at the critical period.

Several surgeons tried their best to remove the previously installed artificial mitral valve in the patient's beating heart, which was really sticky and thrombused.

Doctors should take it carefully to avoid residual thrombus. Otherwise, as soon as the heart recovers, the thrombus will be pumped along with the blood flow of the heart, which may cause pulmonary embolism or cerebral thrombosis.

Du Mengen and Zhang Shuping stood in the corner until their ankles became sore. It was not easy being a medical student. Watching and studying here without working, the more I watched, the more anxious I became, and I wished that the operation would end sooner than anyone else. In fact, looking at an operation, there are very few so-called technical pictures, and the most common scene seen by medical students is nothing more than the scene where doctors are forced to grind their labor slowly like they are now. No grinding is not enough, a little bit of carelessness will bring many postoperative problems to patients.

Dr. Du Yeqing is a conservative, and will make every detail of the operation more careful within the limited time.

Touching the back of his sore neck, Du Mengen was no longer interested in being a heart surgeon. Extracardiac surgery takes too long and is tormenting. In contrast, routine surgery in gynecology is relatively short, and obstetrics is even shorter.

Zhang Shuping, who was standing beside him, had a stiff face, obviously trying to stiffen himself.

"It's not very good here." The surgeon on the operating table grumbled.

"What's not so good?" Du Mengen asked classmate Zhang who was more skilled.

Zhang Shuping is just a trainee, and he doesn’t practice in his uncle’s hospital, so this kind of surgery is rare, so he thought about it for a long time, and answered, “Isn’t it, the valve opening is not good——”

Valve mouth? Zhang should not only refer to the opening and closing of the valve, but also the location of the valve.

While removing the broken artificial valve, the surgeon needs to consider what valve to replace next. It is the only way to choose the appropriate valve type by exploring and judging the surrounding environment of the valve site.

In simple terms, artificial valves are roughly divided into two types: mechanical valves and biological valves. Previously, this patient used a mechanical valve but had a problem. Considering it according to the inertial thinking, something that doesn’t work must be of another type. Maybe it can be replaced with a biological valve to avoid the same problem.

However, there is never such a simple thinking path map as a reference for the solution to medical problems.

First of all, let’s review, why did this patient choose a mechanical valve for the first operation?

The doctor who performed the operation for the first time should know that the patient is a young woman, and the patient herself has the need to become pregnant. Due to the long-term use of warfarin and other anticoagulants after surgery, mechanical valves are prone to thrombosis, which will affect women's pregnancy and childbirth. All these shortcomings mean that a mechanical valve should not be the first choice for this young woman in need.

Like this patient, it was precisely because of the special hypercoagulable state during pregnancy that the thrombus occurred in the mechanical valve and blocked the valve orifice, so he had to urgently need another operation.

In this way, the doctor who performed the operation on the patient for the first time did not think carefully about the patient?

On the contrary, preoperative cardiac surgeons routinely introduce various valves to patients. That is to say, as long as the patient's physical condition permits, it is completely up to the patient to decide which valve to install. Allowing patients to make choices first is because patients have their own economic interests in calculating the cost of medical treatment. How much patients are willing to spend on their own medical treatment is something that non-doctors can decide for patients.