Chapter 4220 [309] Countless

The operation in the operating room was carried out in an orderly manner.

I mentioned the problem of smooth operation before, and I know that it is not easy to achieve smooth operation. Most of the time, it seems that it can be done smoothly, but in the end, I have to have another surgery.

Let’s talk about Fan Yunyun’s answer. Is it correct?

Questions like this are of course not like answering elementary school math questions with only one number as the exact answer. Instead, there will be large circles and small circles, and within what range the answer is correct, and then there is the question of accuracy.

Answer: Coronary artery malformation. What does coronary artery malformation look like?

Deformity of human body parts generally refers to abnormality beyond the level of healthy people. By analogy, the criteria for judging whether a coronary artery is deformed can refer to not only the size of the coronary artery, but also the distribution and direction of the coronary artery, etc.

Viewed this way, it is a type of coronary artery disease, which is similar to other coronary artery diseases.

Therefore, as Dr. Pan Shihua said as the instructor, starting from the perspective of pediatrics is completely different.

Dr. Fan Yunyun focused on congenital changes in coronary artery malformations, and the first thing to consider was the cause.

The first thing cardiac surgeons want to do is to accurately define coronary malformations.

The more precise definition of coronary artery malformation is usually abnormal origin of coronary artery, abnormal course of coronary artery, abnormal internal structure of coronary artery and abnormal termination of coronary artery.

It can be known that this disease has similarities with other coronary artery lesions and needs to be distinguished from acquired heart diseases.

What is the significance of the difference?

Myocardial infarction is the most common type of acquired coronary artery disease. The cause is known to be particularly related to coronary atherosclerosis, involving acquired personal factors, smoking history, diabetes history, and hyperlipidemia.

These acquired factors may eliminate the need for surgery. It is equivalent to saying that taking medicine under certain conditions, regulating the patient's own eating habits, taking medicine and exercising, etc. can slow down the progression of the disease or even reverse it.

The congenital condition is different. If it is a congenital disease like this, everyone knows that taking medicine is useless, and the only way to take action is to have surgery.

On the other hand, if coronary artery disease is acquired, under certain circumstances, surgery can only be done to solve the problem.

The congenital condition is different again. It may be said that either surgery is performed at the beginning, or the patient is destined to not need surgery for the rest of his life.

At this time, the doctor may want to consider whether it is congenital or a combination of congenital and acquired diseases.

The complexity of medical cases is unimaginable to outsiders, and clinical medicine has never had a standard and unified answer.

What's more, this patient happens to be neither too old nor too young, making the distinction between nature and nurture even more blurry.

This shows that cardiac surgeons who are jealous of Dr. Fan Yunyun's answers can only be called incompetent. No wonder they were scratched so hard by Teacher Pan.

The answer given by Dr. Fan Yunyun is really a generalization within a generalization, and it cannot be used specifically in cardiac surgery.

However, no matter what, a pediatric intern is quite capable of flattering other specialties.

What's more, Dr. Fan Yunyun's general answer at least provided practical thinking directions for other bystanders who had not participated in the surgery discussion.

When everyone follows the surgeon's thoracoscope to observe the blood vessels on the surface of the patient's heart, it is time to test the medical brains of the doctors on site into three-dimensional computers. Luo Jingming shook his head: It would be very difficult for him to make inferences after looking at it like this. This was the same reason why he voluntarily gave up pursuing the pinnacle field of surgery such as extracardiac neurosurgery.

To put it bluntly, it can be called the pursuit of human blood vessels to the extreme. To put it bluntly, neurosurgery can be called the pursuit of human nerves to the extreme.

There are countless blood vessels and nerves in the human body.