Doctor Peerless

Chapter 638 Powerless
Director Tian took the case and examination report and looked at them carefully.

His brows were gradually furrowed, and the expression on his face became more and more serious.

Fang Jianzhang's heart was tugging, and Director Tian didn't speak, but from his serious expression, it could be seen that the condition was quite serious.

After a while, Boss Zhu had already served two dishes.

Director Tian put down the case.

He thought for a while, and said: "This condition is very serious. There are problems with multiple heart valves. It is already an advanced multiple valve disease."

The human heart is divided into four chambers: the left atrium, the left ventricle, the right atrium, and the right ventricle. The two atria are connected to the two ventricles, and the two ventricles are connected to the two aortas.Heart valves grow between the atrium and the ventricle, between the ventricle and the aorta, and act as one-way valves to ensure the unidirectional movement of blood flow, which plays an important role in ensuring the normal function of the heart.

There are four valves in the heart, which are equivalent to four gatekeepers in simple terms, preventing blood from returning to the atrium or ventricle that has just left.

In the heart, this is a small tissue that has an important function.

Once damaged, the long-term manifestations are palpitation, shortness of breath, dyspnea, angina pectoris and so on.The final development is heart failure.

The current level of medical treatment is capable of surgical repair and artificial replacement of heart valves.This kind of operation, the current security, is still possible.

However, the risks of any operation must be combined with the actual situation of the patient.

The same operation, performed on children, the elderly and adults, the risk must be very different.

The risks of heart valve surgical repair and artificial replacement depend largely on the patient's heart function and the number of diseased valves.

Obviously, for a strong heart, the operation for a single valve replacement is equivalent to being simpler.

However, patients with multiple valve replacements and poor heart function are quite dangerous, or in other words, basically not suitable for surgery.

And Fang Jianzhang's father was in this situation.

There are problems with multiple valves, and the onset time is long, and it has entered the advanced stage, and the heart function is very weak.

From Director Tian's point of view, he has lost the conditions for valve replacement surgery.

When Fang Jianzhang was in his hometown, he took his father for an examination, and the local hospital believed that the risk of surgical treatment was too high.It can only be treated conservatively, and the extension of one day is one day.

But even so, Fang Jianzhang still did not give up, he said: "Director Tian, ​​please see if this situation can be treated with surgery."

"In this case, the risk is extremely high. I don't recommend it." Director Tian said truthfully.

"Thank you." Fang Jianzhang said weakly.

But he could accept it calmly.Because Director Tian was not the only one who gave this statement.

But at this time, he suddenly thought of another thing, and said: "If you treat conservatively, how long will it last?"

Since surgery fails, conservative treatment is the only hope.

Fang Jianzhang still hopes that his father can persist for a few more days.

Doctors are generally reluctant to talk about this kind of problem. Things like diseases sometimes develop very quickly. If the prediction is not accurate, they are afraid that the patient's family will make trouble.

Therefore, when Fang Jianzhang asked doctors in his hometown hospital, the answers he got were quite vague.

However, since they are all colleagues and acquaintances, Director Tian still said sincerely: "Based on the current information, it may be two or three years."

Word to here.

Fang Jianzhang had nothing to say.

Director Tian is a top-notch cardiologist in the province, and the result of his diagnosis is almost indistinguishable.

Two or three years.

So quickly, Fang Jianzhang's mood sank to the bottom.

For a while, the atmosphere in the private room was a little gloomy.

At this time, Dean Cheng on the side broke the silence, "He can't replace multiple valves like his father, so can we directly consider a heart transplant or something like that?"

Director Tian felt amused when he heard it.

This old Cheng, as expected, has been working in administration for a long time, and he is not familiar with the clinical situation.

Heart transplantation, in the field of organ transplantation, is extremely difficult.

Do the simplest data analysis.

For kidney transplantation, thousands of operations can be performed in the whole country every year.A highly qualified attending doctor who often uses a scalpel in the Department of Urology is competent.

As for heart transplantation, there are only over 100 heart transplant operations in the country every year.

To use an inaccurate analogy, a kidney transplant is equivalent to changing a tire on a car.Heart surgery, that is to change the engine of the car.

And the engine of this car cannot be turned off.

Central Hospital is already a good hospital in Qinzhong.

But no heart transplant was performed.

Director Tian still told the truth: "Heart transplantation is indeed the last way to treat this disease, but it is too difficult. Our hospital can't carry it out. There are not many hospitals in the country that can carry it out. And the probability of operation failure is not small. . Postoperative rejection treatment is also a difficult problem. If you are not fully sure, it is better to treat conservatively.”

Fang Jianzhang has been working in the frontline of the clinic. The Department of Urology, more or less, has been exposed to issues related to organ transplantation. After all, kidney transplantation is still carried out in large hospitals.

So he understands everything Director Tian said.

Finally he said: "Thank you Director Tian."

Director Tian was a little embarrassed when he saw that he couldn't help, he said: "The medical records and reports are not comprehensive, how about this, you transfer the old man to our Cardiac Surgery Department, and I will show him again, it is conservative treatment, our hospital The level is also good.”

Cheng Huimin was very happy, and said: "This is a good way, let's do it like this. I will also help coordinate the hospitalization expenses when the time comes."

Although he failed to see his father's illness cured, Fang Jianzhang was already very grateful. He picked up the wine glass and said a little excitedly: "Then I am very grateful to Dean Cheng and Director Tian."

After speaking, he drank it down.

The pressure of the past few months has all been drunk in this glass of wine.

……

This is the emergency center.

Zhou Sheng and Su Quan changed into white coats and walked out of the lounge one after the other.

At this time, Cao Xin was still changing clothes in the lounge.

Su Quan took two quick steps to catch up with Zhou Yisheng.

"My God, it was really dangerous just now, thanks to your reminder. I don't know if Cao Xin will tell his uncle."

Zhou Sheng smiled, "You didn't do anything excessive just now, besides, as far as I know, Cao Xin is not a stingy person."

Jing Zhousheng said so.

Su Quan felt relieved.

The two were talking.

Cao Xin ran out of the lounge in a panic.

Su Quan immediately stopped discussing Cao Xin's question, and led Cao Xin into a consulting room.

Now Su Quan is fully capable of handling general diagnosis and treatment independently.

Zhou Sheng also went to another consulting room and started another night of busy work in the emergency center.

……

(End of this chapter)