When Xu Qiu appeared at the door of the conference room and sat calmly in the corner, Director Zheng suddenly had a bad premonition in his heart.

The protagonist of this meeting is probably going to change hands...

Sure enough, as Xu Qiu took his seat, the main seat in the conference room naturally became the corner where he sat.

"Everyone is here, let's start." Director Zheng calmed down and cleared his throat and said.

Then, Niu Niu's medical records and various examination results were presented in front of everyone.

Director Zheng knocked on the table and said: "Although the patient's reflux is only moderate, she has left ventricular systolic dysfunction, and the lvedd is greater than 70mm. In this case, surgery must be corrected."

The doctor in the imaging department nodded, "The surgery must be performed as soon as possible. The key now is whether to repair or replace the mitral valve!"

Clinically, both methods can treat mitral valve prolapse.

However, there is no clear clinical evidence-based data on the advantages and disadvantages of these two methods in the world, and it is impossible to say which one is better in terms of efficacy and safety.

In China, which is very authoritative in cardiothoracic surgery, they have done clinical research and concluded:

There was no significant difference in the patient's main efficacy index - left ventricular end-systolic volume index - between repair surgery and replacement surgery.

However, the recurrence rate one year after surgery was about 30% in the repair group, but only 2.3% in the replacement group!

Director Zheng also took this into consideration and suggested: "If there is no financial pressure, I would recommend mitral valve replacement."

In the emergency department, many doctors shook their heads.

Director Zheng raised his eyebrows: "Are you having difficulty?"

He Hai touched his chin and said: "Patients may not be able to afford valve replacement. Even if both valves are replaced mechanically, the cost of the operation alone may be close to 100,000."

Director Zheng was also a little embarrassed and said: "How many of the people who come to the hospital are not short of money? Let them chip in?"

He Hai smiled bitterly and said: "Their conditions are more difficult than you think. A few days ago, it was the first time in so many summers that this child had ice cream."

The conference room fell into brief silence.

I don't know who sighed.

If you are not sick and seek medical treatment, it will not only hurt the patient, but also the doctor.

Who can bear to see a desperate patient dying in front of him?

Director Zheng read and reread the examination report in his hand, and finally said solemnly: "Judging from the patient's condition, there is a high probability that the valve will need to be replaced. To repair it, the chest must be opened and then evaluated..."

Plan discussions reached an impasse.

At this time, eyes were subconsciously aimed at Xu Qiu.

Even Director Zheng put down the information in his hand and asked: "Xu Qiu, what do you think?"

Valve replacement is easy for both patients and doctors.

If you want to repair it, I'm afraid it will require both luck and skill.

It's like a broken engine.

Replace it with a new one, dismantle the old one, and return the new one to its original position.

But repair... not just anyone can do it.

"Dr. Xu, what do you think?"

"For valve replacement, the patient can only choose a mechanical valve, and he will have to take warfarin for life after the operation... It is too cruel for a child."

"Yes, although the biological valve only requires anticoagulant medication for three months, it will need to be replaced again in about ten to twenty years, which will be a heavy burden by then."

"We all want to repair it, but it's not that easy. We haven't had any surgery, so we don't know if the valve can be repaired!"

Everyone has different opinions.

After Xu Qiu waited for everyone to calm down, he thought for a long time and said calmly: "The patient's symptoms are not serious, and the patient's physical development has not been seriously affected.

The valve damage should not progress to the point where the valve must be replaced...do valve repair."

Director Zheng's face was solemn.

Ordinary doctors would not dare to make such a clinical judgment without even opening a knife...

If it had been anyone else, the people present might have been arguing for a long time.

However, Xu Qiu had already conquered all the doctors in the cardiac surgery department with Kong Huixia's heart repair surgery.

Even the heart can be repaired after being stabbed like that,

Others were not sure whether the valve could be repaired, but they believed Xu Qiu had the ability!

"Okay, let's prepare for the mitral valve repair first. The mechanical valve should also be prepared in the operating room first."

After Director Zheng finished speaking, he sat next to Xu Qiu and asked, "Are you still the surgeon?"

"Um."

"Well then... I'll be your assistant?"

"Um."

Director Zheng smiled.

Dr. Xu still cherishes words like gold...

…

Niuniu's surgery was finally scheduled for ten o'clock in the morning on the third day.

Heart surgery, no matter how simple it is, is extremely dangerous.

If something goes wrong with the heart by accident, there is basically no chance to make amends.

Mitral valve repair surgery like this one must be performed under extracorporeal circulation.

That is, the heart stops beating, the body temperature drops to 25 to 26 degrees, and then the heart is replaced with an extracorporeal circulation machine to maintain blood supply throughout the body.

The longer the surgery is delayed, the higher the risk and the worse the prognosis.

In the past few days, Niu Niu also began to make physical adjustments.

Start taking antibiotics that day to prevent infection.

Take potassium chloride orally to overcome potassium deficiency.

Correct heart failure...

As well as intravenous drips of glucose, insulin, potassium chloride solution, etc. to protect the myocardium...

The night before surgery.

Liu Susu went to the ward as usual to prepare for Niuniu's routine pre-operative examination.

At this time, a man with a limp leg and a painful face limped into the emergency department and shouted: "Doctor, please help me, my leg hurts!"

Liu Susu paused for a moment and took him to Fan Lei's clinic, which was on duty that day.

"Why don't you send it to Zhou Hua?" Fan Lei was checking his cell phone when he saw that Liu Susu had brought someone here with a displeased look on his face.

"Zhou Hua has gone to deal with a patient with a foreign body in the rectum. You are the only one who is free."

"Okay, okay, sit down. What's going on?"

The patient's face was covered in sweat. He gritted his teeth and shook his head: "My feet hurt. It hurts so much that I can't touch it with water. It feels like I'm having a headache when I walk on the ground!"

After that, the patient takes off his shoes and shows his wounds.

Fan Lei frowned immediately: "Don't take off your shoes yet, what do you do?"

"I work part-time, doing a small job in a furniture factory."

"Has that foot been injured?"

"Yes, he was pricked by a nail!"

Fan Lei nodded, without even looking at it, and said: "The laboratory department is off duty. You probably have tetanus. I will give you symptomatic treatment first. You will go to the ward to stay. You will be admitted to the hospital during the day tomorrow, and then further examination will be done."

.”

The patient wanted to say something else, but seeing Fan Lei's impatient expression, he did not dare to pester and limped away.

When there were only two people left in the consulting room, Liu Susu couldn't bear it any longer and said, "Doctor Fan, you should check me out."

Fan Lei didn't take Liu Susu seriously at all and said, "It's so obvious that you still need to check for tetanus?"

"you……"

"You are a doctor and I am a doctor? Do you want you to teach me how to treat a doctor?"

Liu Susu was furious and said, "If you treat a doctor like this, something will happen sooner or later."

Fan Lei almost laughed out loud. He waved his hand and drove Liu Susu out of the consulting room.

Liu Susu was still a little worried, so she ran over and took a look at the patient's wound. There was indeed a gash overflowing with pus. It was so deep that even the injured toe was a little gray.

"It does seem to be tetanus..."

Liu Susu muttered, and then told the patient: "Hurry up and call a family member to come over and stay with you on the bed, preferably three."
Chapter completed!