Chapter 3865 【3865】Justified

When it comes to tetralogy of Fallot, foreign studies have shown that surgery less than three months old has a high mortality rate, and surgery over two years old is too late. This is just a statistical result and cannot represent all cases. People have individual differences, and infants and young children are no exception. The age of surgery for this disease has always been a controversial area in surgery.

In this case, depending on the specific case, it is necessary to look at the individual indicators of the child to decide whether to operate. The age group of the child will be used as a reference value first.

In any case, radical surgery is definitely much riskier than palliative surgery. This kind of operation failure does not mean that the doctor cannot do it. The main question centers on whether the child can tolerate the surgical changes. Even if correction is considered healthy from a medical point of view, for children who have already adapted to a crooked body, a sudden big change is difficult to accept. A person is a whole, not just a heart.

I have mentioned before that in order to solve this problem, surgical experts all over the world have tried many inventions and many targeted surgeries, but none of them can perfectly solve all cases. The surgical failure rate of critically ill children in pediatric cardiac surgery remains high.

Brother Zhang raised two fingers:

Two years old?

two months?

It should be the latter two months.

If a doctor thinks it is necessary to perform an operation after two months, does it mean that the seriously ill child has no choice but to wait?

"Palliative first." Cao Dong said according to the clinical routine.

"He said he didn't want to have his chest opened." Cao Zhao said the key points of the child's family's appeal.

Palliative surgery may also require a thoracotomy rather than a small incision or interventional surgery. Therefore, the fourth statement is a general term for a large category of diseases. It is best not to draw conclusions without seeing the specific medical records.

Brother Zhang must have said the same thing: "Let the other party send the medical records first."

"Are they in a hurry?" Cao Yudong asked.

Veteran doctors like Daxie are benevolent and experienced, and they first care about the mood of the children's family members.

Urgent, it must be urgent, otherwise I wouldn't wait for company B's surgery to demonstrate the results.

Furthermore, the family members of this patient are Chinese, and after all, they believe in the doctors and technology of their own country.

At this point in the analysis, the big doctors felt that the child's illness might be less severe, because if he had to fly back to China for surgery, what if he was really in critical condition?

"Doctor Xie, do you think this medical record will be accepted?" Mr. Zhang asked the client, expressing that he was just the attitude of Dr. Xie's agent.

Without seeing the child's medical records in detail, Xie Wanying could only make some preliminary guesses based on the current information: "It may be so. Someone in the family heard that early corrective surgery, that is, radical surgery, would do more good than harm to the child."

The statistical results mentioned above say that the mortality rate of surgery is high, but it does not say that early surgery is completely useless to children. In fact, surgical experts have always believed that if the success rate of the operation can be ensured, children, even newborns, should undergo radical surgery as soon as possible instead of delaying or performing palliative surgery.

This principle is too easy to figure out. Correcting the wrong place in time can prevent the child's body from continuing to grow wrong on the wrong basis. Such as early surgery can avoid right ventricular hypertrophy and outflow tract narrowing more serious.

The family members of the child do not pursue thoracotomy, and obviously want to maximize the success rate of the child's operation. It is recognized that minimally invasive surgery is far less harmful than thoracotomy. The second is the more important issue of incision scars that have been mentioned before for children.

After hearing her words, all the bosses said: Hey, there are reasons and evidence.

Thank you for your support! ! ! Good night, dears~