Chapter 499 Chapter 499 Double exits from the right room, the competitor made a mistake

Author: Jiangbian Yuweng

Chapter 499 Chapter 499 Double exits from the right room, the competitor made a mistake

Zhou Can examined the little girl and found that there was a significant bulge in her precordium and an obvious tremor between the third and fourth ribs on the left edge of the sternum.

Especially when pressing this part with your fingertips, the tremor will be more pronounced.

Try examining this area with a stethoscope and hear a very obvious murmur. This is the murmur produced when the heart muscle contracts.

"Is there a problem with the right ventricle?"

Zhou Can didn't dare to be too sure, but made a preliminary diagnosis of the patient's lesions based on his experience.

He listened carefully to the patient's intercostal murmur again.

His brows furrowed slightly. This noise was very strange. He was sure that he had never heard it before.

There are too many types of congenital heart disease.

What kind of lesions can make such a murmur?

It is a good choice to do an echocardiogram on the patient.

Considering the particularity of congenital heart disease, a cardiac X-ray should also be done for auxiliary diagnosis.

After checking, the results came out quickly.

The patient's aorta is 2CM, the left ventricle is 3.3cm, the right ventricle is 2.6cm, and the pulmonary artery is 1.2cm. The atrium is in the upright position, the right loop of the ventricle, the aorta, and the pulmonary artery all originate from the right ventricle in an anteroposterior position, with the aorta in front and the pulmonary artery in the back.

The echo of the ventricular septum is interrupted by about 2.2cm, and the defect is located in the perimembranous outflow tract. The left ventricular blood flows through the ventricular septal defect into the aorta. The echo of the pulmonary valve leaflets is enhanced, and the valve orifice is narrowed, with a diameter of only 0.3cm.

At this moment, Zhou Can finally understood what the strange noise was about.

It turned out that the patient had a double outlet right ventricle.

The diameter of the patient's pulmonary valve is so narrow, no wonder the blood oxygen is so poor.

After investigation, the forward blood flow velocity of the pulmonary valve orifice was only 3.1m/s, the transvalvular pressure difference was 10.44kpa, and mild regurgitation signals could be seen in the pulmonary valve.

Cardiac X-ray examination showed that the patient's bilateral lung fields had slender blood vessel texture, the pulmonary artery segment was retracted, the right ventricle was enlarged, and the right atrium was enlarged.

At this point, there is no doubt that congenital heart disease has been diagnosed.

The patient had double outlet right ventricle and pulmonary artery stenosis.

This requires surgery to cure.

Surgery is risky and difficult.

The cost is also not cheap.

"Your daughter's condition is a congenital heart disease. The condition is serious and requires surgery to correct it as soon as possible. We cannot perform such major surgery in the emergency department. We need to go to the cardiothoracic surgery department for further inquiries. I happen to be going to the cardiothoracic surgery department. If you are willing, I will take you You go over there."

Zhou Can said to his family members.

Director Xueyan has already made two calls urging Zhou Can to come over.

However, because the girl's test results have not yet come out, Zhou Can can only wait.

After all, this little girl's condition is very bad. Doctor Xie on duty lacks rescue experience. If he doesn't handle it well, it could cost a life!

Seeing Zhou Can's enthusiasm, his family members were naturally happy to follow him to cardiothoracic surgery.

Tuya Hospital is so big that it is not easy for them to find the cardiothoracic surgery department at night.

If they follow the procedures in the emergency department, they will probably have to wait a long time, or even wait until tomorrow, before a cardiothoracic surgeon will pick them up.

When he arrived at the cardiothoracic surgery room, Zhou Can arranged for a doctor to treat the child, and after a few instructions, he rushed to the operating room.

It seems that we won't be able to eat dinner today.

Director Xue called him before and learned that he had met a congenital heart disease patient just after the operation. Guessing that he had not eaten dinner, he had prepared two slices of bread and a bottle of milk for him.

Zhou Can was not polite, he finished it off in a few mouthfuls, and his stomach felt a little better.

There is still a tough battle to fight next.

Today's cardiovascular catheterization interventional surgery must be a hellish level of difficulty.

…

In the interventional operating room, the patient made a special request.

"Doctor, can you let me live broadcast the entire surgical treatment process?"

Because this surgery does not require general anesthesia.

The patient is awake throughout the entire procedure.

He wanted to live broadcast the entire operation process and share the surgical treatment process with his fans.

"Why do you have to live broadcast during the operation? You can also share the operation experience with netizens after the operation is over!"

Director Xueyan was obviously not happy.

Under normal circumstances, the hospital will definitely reject this request directly.

As for the reason, it only concerns patient privacy and does not comply with relevant regulations.

Patients are a vulnerable group in the hospital and cannot go against the hospital.

Unless you don’t want to be treated anymore.

"I have posted multiple videos before the operation and told my more than two million fans that I will live broadcast the operation process tonight to share the treatment experience. If you can help me make the operation a success, it will be great for your hospital and for you."

This is a big publicity for the department and even you, the doctor yourself. This is equivalent to a free advertising opportunity!"

The patient does things very inappropriately.

In order to increase the number of followers and increase interaction with fans, I decided to cut it off first and then explain it later.

And I chose to enter the interventional room, and then discussed the live broadcast with the doctors.

When we were in the ward, we didn't say a word.

It's like the bride waits until the man has already invited the guests to the banquet, and then on the wedding day, she makes a temporary request for an increase in the price of the bride price, putting the man and his future parents-in-law on the fire, forcing them to agree.

"Mr. You, please understand that live broadcasting the entire operation process will put considerable pressure on our medical staff who perform the operation. It will inadvertently add obstacles to the operation."

Director Xueyan is still thinking of ways to refuse this matter.

"You are motivated only when you are under pressure! If you refuse to let me live broadcast, it can also be considered as a sign of lack of confidence. That is why you are afraid that something will go wrong during the operation, or even the operation will fail."

The patient's words hit the nail on the head, leaving no room for turning around.

Indeed, as he said, if you are really confident in your surgical skills, how can you be afraid of live broadcasting the surgical process?

At this time, someone called Director Xueyan’s cell phone.

After taking a look, she walked outside and connected.

Came back soon.

"Dr. Zhou, let's go out and discuss the patient's live broadcast of the surgical procedure first!"

"OK!"

Zhou Can took a deep look at the patient and followed him out.

The patient's face showed strong confidence.

It seemed that the hospital would definitely agree.

After coming out, Xue Yan said directly to Zhou Can, "Vice Dean Ye will be here soon. He already knows about this matter. I think Dean Zhu also knows about it. Let's go to the office first!"

Not long after the two arrived at the office, Vice President Ye arrived.

He was very familiar with Director Zhou Can and Xue Yan. After saying hello, he went straight to the topic.

"Director Xue, are you sure about this cardiovascular interventional surgery today?"

"Well...the operation is very difficult, I'm afraid I can only try to challenge it."

Director Xueyan looked at Zhou Can subconsciously.

Because the real surgeon of this operation was Zhou Can.

"Xiao Zhou was captured to be a young man again, right?"

Vice President Ye looked at Zhou Can with a smile.

"I was born to work hard, there's nothing I can do about it! Sister Yan is called upon, so I must come and help her."

Zhou Can’s answer is considered a standard answer.

"Haha, you call it hard work for those who can do it. Tell me, who will perform the surgery today?"

Vice President Ye glanced at the two of them.

It would be crazy to lie in front of him.

No one would do such a stupid thing.
To be continued...