Doctor: start with the heart

Chapter 56 The situation is serious
After half an hour.

Zhao Xu stood in the emergency room, holding the emergency report of the heart color Doppler ultrasound of the little boy Xiaohao in his hand, with an unusually solemn expression on his face.

The report of the color Doppler echocardiography showed: the heart shifted to the right, the right atrium and right ventricle were enlarged, the perimembrane of the upper segment of the interventricular septum was interrupted, the aorta was widened, and the root moved forward, straddling the interventricular septum, riding on it. The span rate reaches 80%.The right ventricular outflow tract showed muscular tubular stenosis with an inner diameter of 0.28 cm. The pulmonary valve leaflets were echogenic, the leaflets were small in development, and their opening was obviously restricted.

This report completely confirmed Zhao Xu's diagnosis, which was tetralogy of fallot.

Moreover, according to the report, the little boy Xiaohao's aortic straddle rate is as high as 80%, and the arteriovenous shunt is severe, which will cause insufficient arterial oxygen supply and form a very serious hypoxia.

Under such a severe hypoxic situation, the little boy Xiao Hao would not be able to last long without surgery to correct it.

"Doctor Zhao? Is it serious?"

Xiaohao's mother, Chen Meng, saw Zhao Xu holding the checklist in his hand, with a solemn expression, and couldn't help asking in a trembling voice.

Since Xiaohao's father died, she and her son depended on each other for life. If anything happened to his son, she really didn't know how to spend the rest of her life, and she didn't even know if she had the courage to continue living.

"In his condition, an operation must be performed immediately, otherwise, he may not be able to last for too long."

Zhao Xu looked at Chen Meng and said slowly.

Hearing Zhao Xu's words, Chen Meng felt his eyes darken, his legs went weak, and he couldn't stand up immediately and fell to the side.

And Liang Mu, a tough man standing beside him, supported Chen Meng with quick eyesight and hands.

"Doctor Zhao, what is the success rate of the operation?"

Liang Mu is also a person who has seen big scenes. He has a big heart, and as a criminal policeman, observing words and demeanor is a basic skill. When he saw Zhao Xu's face was so serious after reading the checklist, he knew that the difficulty of this operation must be very high of.

"Tetralogy of Fallot is a very complex congenital heart disease with multiple defects. Therefore, to perform this kind of surgery, it is necessary to correct multiple deformities of the heart at the same time, including the straddle of the aorta, Ventricular septal defect, etc. The most important thing is that this kind of operation needs to be supported by multiple techniques such as general anesthesia, extracorporeal circulation and cardiac arrest."

Zhao Xu introduced with a serious face.

"Extracorporeal circulation? Cardiac arrest?"

When Liang Mu heard these two terms, even if he didn't study medicine, he still sounded terrified.

"Yes, to repair the defect of the heart, an extracorporeal circulation must be established first, and all the blood vessels connected to the heart are connected to the extracorporeal circulation equipment, and the equipment replaces the pumping function of the heart. Therefore, in this process , the heart will be temporarily stopped. Depending on the patient's physical tolerance, the risk is different."

Zhao Xu introduced slowly again.

"That is to say, if the arrest cannot be recovered, this person is likely to leave like this?"

Liang Mu was also extremely intelligent, and he analyzed the true meaning of what Zhao Xu wanted to say very keenly.

"Yeah, that's basically it."

Zhao Xu nodded.

"Then how long can Xiaohao survive without surgery?"

Liang Mu supported Chen Meng, and asked this question very solemnly.

"It's hard to make it through tonight."

Zhao Xu said slowly, at the moment he was feeling uncomfortable. Such a cute and lively child had to face life and death, it was too cruel!

As soon as Zhao Xu said this, Liang Mu and Chen Meng fell silent. Both of them were smart people. They understood that Zhao Xu was only telling a cruel fact in a very euphemistic way.

Without surgery, they can't even make it through tonight. For Chen Meng and Liang Mu, this is actually no choice!

"Doctor Zhao, if your operation is successful, what will happen to Xiaohao in the future?"

Chen Meng is also recovering a bit at the moment. She has lived with her children for so many years, and her psychological quality and endurance have also been honed.

"If the operation is successful, there is no problem with normal life. You just can't do strenuous exercise. Of course, being a policeman may not be enough."

Zhao Xu explained that seeing the solemn atmosphere, he also brightened it up a little.

"Yes, Xiao Hao wanted to be a policeman since he was a child."

When Chen Meng talked about Xiaohao's dream of becoming a policeman, Chen Meng's face softened a little, and the gaze he looked at Zhao Xu softened a lot, adding a sense of trust.

"Doctor Zhao, are you sure?"

Liang Mu pondered for a moment, then suddenly looked at Zhao Xu and said.

From the very beginning, the young doctor introduced Xiaohao's condition strictly and told them all about the risks.

However, Liang Mu observed very keenly that although Zhao Xu's face was serious, no matter from his expression or his eyes, he did not see any panic or fear in Zhao Xu's eyes.

Therefore, he judged that the young-looking doctor in front of him was definitely not a human being, and he must be sure about this operation.

As soon as Liang Mu's words came out, Chen Meng also looked at Zhao Xu all of a sudden, and his eyes that were a little bit dark suddenly brightened up again.

"He is still young. For congenital heart disease, the younger the discovery, the higher the success rate of surgery and the better the prognosis."

Zhao Xu thought for a while and said.

In front of so many people, Zhao Xu couldn't directly say that he was completely sure.

In a hospital, as a doctor, such words must never be said, it is a taboo.

"Then Xiaohao will ask Dr. Zhao!"

Liang Mu heard Zhao Xu's subtext, and he also understood that in the hospital, no doctor would tell the patient before the operation that he was [-]% sure of the operation.

Surgery is a complicated job full of unknown factors, and no one can predict what will happen.

But when Zhao Xu said this, Liang Mu also understood, meaning that Xiao Hao was still young, fortunately he discovered it early, and he was sure of the operation.

"Amu, should we take Xiaohao to the pediatrics department? Aren't children's surgeries performed in the pediatrics department?"

At this time, Chen Meng suddenly pulled Liang Mu aside, and said quietly.

"On the way here, I already got to know this Dr. Zhao with Dr. Jiao. Did you know that he had performed heart surgery with the director of the Cardiac Surgery Department before, and he was approved by the director. Not only that, I heard that Dr. Jiao The doctor said, although Dr. Zhao is young, his surgical skills are now recognized by the whole hospital. What kind of hospital is the First Affiliated Hospital that can be recognized by the whole hospital? How high do you think this level is. "

Liang Mu said in a very methodical analysis.

His ability of analysis and reasoning is very strong, otherwise, he would not be able to solve so many major cases, and he became the captain when he was less than 30 years old.

"Well, I trust you, Amu."

Chen Meng nodded.

(End of this chapter)