This doctor has a system

Chapter 96 96. Pulmonary Vein Atresia

"What?" The child's father had no hope at first, but when he heard Gao Feng's affirmative words, his heart twitched.

"The atresia of the upper pulmonary veins will lead to stagnation of blood flow in the lungs, resulting in repeated hemoptysis." Gao Feng explained to him.

"It's best to do an enhanced CT right now. Your film is a bit long, and you can't see it clearly on a computer."

"It's best to ask the directors of the Imaging Department to take a look after it's done. I think the possibility is very high." Gao Feng reported to Director Zhao.

The dull Dong Qianqian nodded repeatedly, and the quick-witted Li Youliang had already sat in front of the computer. He quickly logged into Director Zhao's account and opened the checklist.

"It's noon. There are too many people in the morning. I will take him to do it at noon." Li Youliang contacted the imaging department.

"Thank you." Xiao Zhang's father was a little excited at the moment.

"That's fine, you go to my office to rest for a while." Director Zhao said to him, "I will ask the students to call you directly when the time comes."

"Gao Feng, are you sure?" After the patient and his family left, Director Zhao began to ask Gao Feng. To be honest, she didn't see anything, mainly because the incidence of this disease was very low. .

"It shouldn't be wrong. He had signs in the chest enhancement CT last time. We can confirm it after watching the film at noon."

Hearing Gao Feng's words, Director Zhao was determined, "Okay, you guys do your work first, and we'll talk about it at noon."

Dong Qianqian looked at Gao Feng with admiration in her heart. She also looked at it for a long time just now, but she didn't find anything.

"How do you watch movies so well?" she asked, "Who taught you?"

"Self-taught." Gao Feng replied without humility.

At noon, Li Youliang took the patient for an examination. Director Zhao directly called Director Li Xianmin of the Imaging Department and told him about the patient's condition.

"Gao Feng from our department said it was congenital atresia of the upper pulmonary veins, please take a good look at it."

Director Li Xianmin attached great importance to it. He called a few people to look at the patient's enhanced chest CT on the computer, "Old Dai, what do you think?"

Director Li told everyone about the patient's symptoms, and the imaging diagnosis also needs to be combined with clinical practice, especially when encountering such a rare disease.

Lao Dai is very accomplished in chest imaging. If you want to ask how tall he is, it is probably at least as tall as a three-story building.

"There's something wrong with the pulmonary veins here. Why are there so many small collateral vessels? It can't be that this pulmonary vein is congenitally small and atresia." Lao Dai touched his eyes, "I guess it's a congenital development. The problem."

It was the first time for many graduate students in the imaging department to hear about this disease, and some of them hurriedly took notes.

"Let me contact the thoracic surgery department. This requires surgical treatment." Director Zhao communicated with Xiao Zhang's father, "It is estimated that the shrunken left upper lung needs to be cut off. Then let the thoracic surgery doctor explain it to you. Tell me about the surgery."

Director Tian from the Department of Thoracic Surgery soon came to the Department of Respiratory Medicine. He was very familiar with Director Zhao. Generally, patients who needed to be transferred under the name of Director Zhao were given to him.

Director Tian is dark and strong, giving people a solid feeling. He picked up the film and looked at it for a long time, "You can take a thoracoscopic examination first. If it is upper pulmonary vein atresia, you should be able to see obvious signs under the microscope."

Xiao Zhang's family members were quickly hospitalized and followed Director Tian.

"How's your experiment going?" Director Zhao asked a few words.

"It's okay, and it's going well. I'm going to write an article soon." Gao Feng roughly talked about the progress.

"If it can be published, you can be the corresponding author with a name of Youliang, and you don't need to use my name, and I don't need it now." Director Zhao confessed.It seems that she wants Li Youliang to show her face more.

"At the end of the year, the excellent evaluation will be used first. It is said that the hospital will give us a few more places in the respiratory department this time, so that we will have an advantage when evaluating professional titles."

Gao Feng nodded, but he didn't take it to heart. The evaluation in the hospital went out first and other units didn't recognize it, so it didn't mean much.

Director Tian of the Thoracic Surgery Department returned to the department and arranged a bed for Xiao Zhang, and first made preoperative preparations, such as blood drawing and electrocardiogram.

"Director Yan, come over and take a look at this patient's film." Director Tian called to stop Yan Shijian who was passing by, "The imaging department and the respiratory department thought it was superior pulmonary vein atresia."

Director Yan became interested, "This disease is rare, and I haven't had it before."

"What are you going to do? I'll help you tomorrow."

Director Tian is notoriously stable, he thought for a while and said, "I'm going to use a thoracoscope to have a look first, and if I can see the problem, I will continue to do it."

"Just cut the lungs, I'm afraid there will be problems."

Director Yan agreed with his opinion, "We can discuss it again when the shift is over tomorrow morning."
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Xiao Zhang was picked up by people in the operating room after 9 o'clock, and his parents waited anxiously outside the operating room.

Xiao Zhang was also shaking all the time, "Are you cold?" The nurse in the operating room asked, "Let me get you a thin quilt."

"Thank you sister, I'm not cold, I'm just scared." Xiao Zhang's voice trembled a little, "Is it going to be given anesthetic later? Does it hurt?"

"It doesn't hurt, don't worry, you will fall asleep as soon as the anesthetic is applied." The nurse comforted him.

"Okay, come on." The fat anesthetist beckoned, and Xiao Zhang smiled at him. The anesthetist went to him yesterday for anesthesia assessment.

"Don't be afraid, you won't know anything after I inject a tube of medicine." The anesthesiologist began to draw medicine and adjust the anesthesia machine.

Director Tian and Director Yan came in with two people, "Is everything ready? Well, let's start."

The anesthetist didn't brag, he hadn't finished pushing half the tube of medicine, and Xiao Zhang fell unconscious, "It's quite sensitive, I will use less medicine later." The anesthesiologist muttered.

Thoracoscopy is a piece of cake for Zhang Fei to eat bean sprouts for Director Tian.

While doing it, he explained the steps to one of his students. After all, he has been working for more than 20 years, and there are too many opportunities to use mobile phones in large hospitals.

Director Tian made an angle, and under thoracoscopic examination, he found that the surface of the patient's lungs and mediastinum were densely covered with frontal collateral vessels, and the left upper pulmonary vein was small and atresia.

"It's really an atresia of the left upper pulmonary vein." Director Yan immediately became interested, "The lungs have to be cut."

The anesthetist immediately stood up from the round stool, "Good guy, another big job."

"It's not a big job." Director Tian didn't rush, "It's not difficult for him, it just takes time."

"Isn't time-consuming a big job for me?" The anesthesiologist took two more tubes of medicine, then skillfully turned on the phone, found a movie that lasted more than two hours, and watched it.

"Look at these anesthesiologists, we are exhausted here, they sit there and check their mobile phones." Director Yan complained while doing it, "I knew I was also doing anesthesia at that time."

"Sitting on a round stool, holding a mobile phone, and wearing a floral hat looks silly."

"Going to work is like fishing."

(End of this chapter)