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¡¾1636¡¿Touch the threshold of surgery

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    Everyone continued to listen, and a doctor nodded: This patient¡¯s injuries are not easy to review.  Direct injuries are always easier to evaluate than indirect injuries.  Indirect injuries are like hidden landmines, super hard to dig out.

    "Looking through the patient's simple medical records of transfer to another hospital, combined with the postoperative CT scan of the lungs, it was estimated that the patient's hemopneumothorax caused two-thirds of the left lung to shrink, and the hemopneumothorax pushed the heart, great blood vessels, and main bronchi in the mediastinum to move to the right.  . Parallel displacement, which is common in clinical practice, does not cause much damage to the patient's heart."

    That¡¯s true, but hemopneumothorax is 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 in the center of the human body.  If a person suffers an impact injury that is not a penetrating injury, it is basically impossible to hit him in a standard direction.  Therefore, it is relatively rare to see this situation happen clinically. The lack of clinical data on cases led to the doctors at the Provincial People's Hospital not adequately predicting the patient's heart damage at the beginning.

    The doctor here had the same doubts when he received Xiao Shugang¡¯s medical records.  How Xiao Shugang's heart was damaged seems to be a bit of a mystery.  If this mystery is not solved, how can we perform surgery?  Like Fu Xinheng's initial view, doctors cannot perform surgery if they don't know clearly.  The threshold must be touched first.

    Someone is touching this threshold now. Can they touch it?

    All the doctors present were listening attentively and listened.

    The pen in Ye Qing's hand was tapping into the palm of his hand. If he heard any sign of academic misconduct, he would shout stop, no matter who the other party was.  What's wrong is wrong.

    Pan Shihua's eyes helped Xie catch the surgeon's eye, and he continued to help Xie continue: "According to the above inference, other accidents can only occur during the translation process of the heart. Consider it.  After the patient was injured, he was limited by local medical conditions and had to be transferred to the hospital several times for medical treatment. The possibility of re-injury in this accident was very high. The vehicle bumped in the middle, causing the heart to twist at a certain angle during translation, followed by  Received a second-degree impact. The heart rotated eight to ten degrees to the left. The impact force was from the patient's right side to the left side and the angle between the center of the chest wall and the chest wall was about five degrees. The injured area and the two lesions shown on the CT film are estimated to be consistent. Use ivus to check  Continue to look for evidence of anastomoses to further identify injured coronary arteries that may require bypass surgery.¡±

    "Wait." Ye Qing raised the pen in his hand in time and shouted stop.

    "Bring the CT scan here." Shen Youhuan turned around and called to the people below to get the scan.

    "Obviously, their thinking can no longer keep up with Xie's thinking.

    After the film was brought, a group of doctors put their heads together to study whether what Xie just said made sense.

    Ye Qing, who had just repeatedly declared that he would stick to the conservative side, stopped talking about the importance of life and death while holding the CT scan.

    "This is?" Jiang Mingzhu asked.

    It was Tan Kelin who said it right.

    For the other party to be interested, the necessity of surgery must outweigh the risks of surgery.  Earlier, Cao Yong and Tao Zhijie were demonstrating the necessity of surgery.  Xie Wanying's words are to further demonstrate the necessity of surgery at the beginning, and then talk about how to reduce the risk of surgery.

    As Mr. Xie¡¯s first surgical teacher, Tan Kelin taught Mr. Xie clearly the basics of surgery.

    Teacher Tan, who doesn¡¯t like to teach, is an absolutely good teacher.  (Remember the website address: www.hlnovel.com
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