Doctor Peerless

Chapter 676 Results of the discussion

Wang Xiaoming rambled on for a long time that seemed to have nothing to do with the patient's condition.

In fact, his intentions are also very obvious.

That is to win a little more impression points for Jing Xinghai in front of Director Tian and Cao Xiangwen.

This patient, with his abilities, is difficult to handle.

He hopes Director Tian and Cao Xiangwen can take over.

With Director Tian and Cao Xiangwen's level, they might be able to help him.

Wang Xiaoming and Jing Xinghai didn't know each other either, they were neither relatives nor relatives.

But so young and a medical student.

Wang Xiaoming has a good impression of him, or sympathy for him.

Wang Xiaoming wanted to help him.

Both Cao Xiangwen and Director Tian listened silently, and did not interrupt Wang Xiaoming because he said something unrelated to his illness.

To be honest, from Wang Xiaoming's simple words, they also felt sympathy for this unfortunate young man.

But after being doctors for a long time, the two of them are obviously more rational than Wang Xiaoming.

Wang Xiaoming was still talking.

"About half a year ago, the patient had frequent fever symptoms. At that time, he didn't pay much attention to it, thinking it was just a common cold. Later, he developed symptoms of anemia, and his weight dropped sharply, which attracted his attention. He went to the local county hospital for a blood test. , took X-rays, but the cause was not found out. Thinking that the one-year teaching support would end soon, he planned to wait until he returned to Qinzhong for a comprehensive examination, but recently he had chest pain symptoms again, so he advanced After finishing teaching, come to our hospital for an examination, this chest X-ray was only released today..."

Half of it is a description of the disease, and the other half is a story.

Cao Xiangwen sighed after hearing this.

This young man was about the same age as his nephew.

Director Tian said in a deep voice, "Did you take the ECG?"

Wang Xiaoming immediately took out an electrocardiogram report and handed it to Director Tian, ​​"It was done in the emergency department. When we got here outside the heart, we did it again."

"Emergency?!"

Director Tian couldn't help asking questions while receiving the report.

Immediately, he figured it out, the patient's condition was very hidden.

It is impossible for him to find someone outside his heart to see a doctor directly.

I must have gone to the emergency room first, then went to the cardiothoracic department through the triage of the emergency room, and finally arrived here.

Cardiac patients, except definite cardiac patients.

Other recessive ones are basically emergency shunts.

In the past, Director Tian would not have raised any questions when he heard the word emergency.

Because Zhou Sheng has been "troublesome" these past few days, he is quite sensitive to the word "emergency" now.

Upon hearing this patient had been to the emergency room.

He couldn't help but speak out immediately.

Zhou Sheng had two heart surgeries in the emergency room, and that only got around in the emergency room.

This patient who came out of his heart.

It happened only recently, and Director Arita, Cao Xiangwen, and Fang Jianzhang knew about it.

So Wang Xiaoming didn't know about it.

See Director Tian is so sensitive to the word "emergency".

He had question marks all over his head, "Yes, this patient was originally triaged in the emergency department."

Director Tian knew that he had lost his composure, so he adjusted his mood and said remedially: "Yeah, this condition is still relatively hidden. I didn't expect that the level of those in the emergency center is still good."

Director Tian said so.

But there was a question in his mind, had this patient been handled by Zhou Sheng, if Zhou Sheng had seen this patient, would he cut off his beard?

Director Tian glanced at the ECG report.

Although it is not clear whether Zhou Sheng has seen this patient.

But he knew that those people in the emergency center must have triaged the patient to the cardiothoracic department based on the electrocardiogram.

After reading the electrocardiogram report, he handed the report to Cao Xiangwen, and Cao Xiangwen looked at it.

The electrocardiogram showed sinus bradycardia, frequent premature ventricular contractions, accompanied by short bursts of ventricular tachycardia, and significant changes in ST-T.

Cao Xiangwen had a solemn expression on his face.

Director Tian already knew what was going on, but he asked Cao Xiangwen, "Xiao Cao, what do you think?"

Cao Xiangwen was brought up by Director Tian.

At this moment, it’s like a student accepting a teacher’s question, but Cao Xiangwen is obviously a student with good character and learning, “Combined with the electrocardiogram and CT images, it can basically be concluded that it is a heart tumor. The possibility of a benign tumor is relatively high, but the tumor is very huge…”

Speaking of this, Cao Xiangwen paused for a moment, and then said: "From the CT, it is speculated that this tumor is not small, it is a huge cardiac tumor, if it is operated on, it will be extremely difficult! Without surgery... there is no good way to treat it."

Director Tian was very satisfied with Cao Xiangwen's answer. He nodded and added: "Such a large tumor is really rare. If it is found earlier and smaller, it will be easy to handle. It took so long. It is estimated that the tumor has already invaded the endocardium, and if surgery is performed, even part of the endocardium will have to be removed..."

When Wang Xiaoming heard this, his brows, which were already tightly furrowed, were even more furrowed together.

Previously he thought it was just to remove the tumor.

Now listen to Director Tian's words, in order to deal with this tumor, even the surgery has to go deep into the endocardium.

If so, the difficulty of the operation is even higher than he expected before!
The heart can be seen as an irregular spherical muscle tissue, in addition to the myocardium, the heart is surrounded by a layer of membranous tissue called the epicardium.Correspondingly, the inner surface of the heart is also covered with a layer of membranous structure, which is called the endocardium.

After endocardial resection, the atria and ventricles must be defective, and must be repaired.

Therefore, in addition to removing the tumor, this operation also involves the reconstruction of the atria and ventricles.

Judging from the current report, although it is impossible to specifically determine how large the area of ​​tumor invasion is, it is definitely a huge tumor on the whole.

The reconstruction of the atria and ventricles is also an arduous project.

Even impossible projects.

The discussion almost stopped here.

None of the three were talking.

After a minute or two of silence, Director Jiang said: "The best way to deal with this kind of heart surgery is surgical resection, but considering the current situation, the risk of surgery is extremely high, so let's observe it first."

Cao Xiangwen didn't speak.

Wang Xiaoming also nodded in agreement.

After all, after hearing Director Tian's words, he already knew that the risk of this operation was much greater than what he had previously expected.

Wang Xiaoming wanted to save Jing Xinghai.

But surgery saves lives.

If the risk is too high, not only doctors, but also patients cannot bear it.

First, observe and observe.

Maybe, there will be a miracle, and the patient's tumor will stop growing, or even suddenly shrink in size.

Wang Xiaoming hoped in his heart.

……

emergency center.

Zhou Sheng saw two or three patients.

They are all little monsters, not even small bosses.

Zhou Sheng looked at the patients who were not waiting for a while, he stood up and prepared to walk around...

(End of this chapter)