Chapter 1218

According to everyone's understanding of Chen Cang, he is definitely not a person without a target.

Now suddenly put forward to liberalize the inclusion criteria, there is definitely a problem!

Thinking of this, everyone looked up and stared at Chen Cang.

Meng Xi also stared at his eldest disciple curiously, full of curiosity.

She has always studied the disease. When she was at Karolinska college in Sweden, she had followed her tutor in surgery and clinical trials.

Know the danger of this disease!

Once the inclusion criteria are released, the probability of mortality and complications will definitely increase significantly.

Because after the release, many patients who have fallen into despair will join in.

These people already have the heart of death. If there were free clinical trials, they would never participate in normal surgery.

After all, there is a big difference between spending money and saving money.

In medical work, the most painful thing is that people are gone and money is gone.

lose both men and money!

How many sufferings do the living suffer?

That's why Yu Wan is such a short-sighted patient.

Therefore, if the inclusion criteria are liberalized, many people will definitely join in, and there is no lack of cases at all.

But!

At the same time, disputes and topics will also come up.

After all, the mortality rate is high!

There are naturally more right and wrong.

Even when there are more dangerous patients, the distribution of case severity is biased towards severe patients. This mortality is obviously too high.

Meng Xi has always admired his mentor. The mentor has always wanted to deal with this matter, but there has been no result.

Because it is still very difficult to reduce mortality!

Should our students do what our teachers can't do?

Thinking of this, Meng Xi's eyes shine brightly.

I'm looking forward to it.

Li Baoshan is much calmer than others.

He just looked at Chen Cang quietly. Anyway, he would support Chen Cang.

Chen Cang got up with a smile and said, "do you remember my intermediate exam the other day? The Kawasaki patients I met."

"The degree of damage to his great vessels is even more dangerous than that of Ma fan's patients. There are many dissections on the thoracoabdominal aorta. There is no way to operate at all, and even the dissection rupture of great vessels occurred."

"At that time... I thought of a special surgical treatment method, which can effectively reduce the mortality."

"What I want is to use this surgical method in our clinical surgery to reduce the mortality of risk patients!"

Hearing Chen Cang's understatement, people's hearts are not very calm.

Think of an operation temporarily?

How difficult... It is!

After all, other experts and professors haven't studied it for so long. Did you study this operation?

It's easy to say. How can there be such a simple thing?

At this time, Chen Cang's phone suddenly rang.

"Chen Cang, this is Xiao Zhehai." as soon as I answered the phone, Xiao Zhehai's voice came out.

After hearing this, Chen Cang hurriedly asked, "Hello, director Xiao."

Xiao Zhehai is a big player in the field of large blood vessels in China, and technology is naturally speechless.

Xiao Zhehai's voice seemed a little low, which made Chen Cang curious.

"There's something I'd like to ask you for a favor."

After hearing this, Chen Cang didn't hurry to promise. After all... Xiao Zhehai asked himself to help. Will this be a small favor?

Who is Xiao Zhehai?

This is Sun Zhong of Anzhen Hospital, also known as the leader of great blood vessels and the big man on the top 100 list of Chinese famous doctors.

For macrovascular surgery, China has always been known as North Sun Zhong and South Xiao Zhehai.

However, Sun Zhong's position in the industry is higher, and Xiao Zhehai is more casual, so it is generally believed that Xiao Zhehai can't compare with Sun Zhong.

However, although Chen Cang has not seen Sun Zhong, he has witnessed Xiao Zhehai's operation with his own eyes. He can only say that it is very powerful!

After all, the speed of intercostal artery anastomosis, Xiao Zhehai is the first in China.

Chen Cang hesitated for a moment and said, "director Xiao, you said you would try your best to help me."

Xiao Zhehai breathed loudly and seemed nervous: "there is an operation that I can't do. I don't want to find Sun Zhong. I want to ask you for help."

"But... The patient died once. The situation is too dangerous. I'm not sure myself."

After hearing this, Chen Cang gave a thump in his heart: "what's the situation?"

Xiao Zhehai sighed: "he was a patient of mine in Ruijin. When I operated at that time, the patient had massive bleeding and interlayer rupture. The situation was very critical."

"At that time, I saved his life as much as possible, but there was no way to operate. Now his situation is more dangerous, and the operation is imperative."

After that, Xiao Zhehai sighed: "the patient does not meet the surgical indications, the probability of bleeding is very high, the mortality is very high, and the preoperative survival rate is less than two layers!"

"Are you... Willing to do it?"

Xiao Zhehai's voice was a little uneasy.

This patient was his nightmare. In order to pursue speed and reduce postoperative complications, the patient had an aortic rupture during the operation.

After successful hemostasis, the operation can no longer be carried out.

In this regard

Xiao Zhehai saved the patient's life as much as possible.

However, life was saved, but the patient couldn't get out of the ICU.

After hearing this, Chen Cang was suddenly silent.

What is non-compliance with surgical evidence?

This means that patients have some complications, resulting in great risk of surgery, high mortality, and may be accompanied by a variety of accidents.

According to the guidelines, this situation cannot be operated on.

Once the operation is performed, it may not be able to get off the operating table.

Because surgery is not the best choice.

But

Xiao Zhehai really doesn't want to see him lying in the ICU with a tube inserted every day to monitor vital signs.

During the ward round yesterday, he said to Xiao Zhehai, "director Xiao, thank you for letting me live, but... I don't want to live like this."

"I want to see the sun and go out for a walk. I don't think there's much difference between lying here and dying."

"I want to have the last operation."

This sentence gives Xiao Zhehai too much feeling.

After hesitating for a long time, Xiao Zhehai decided to invite Chen Cang to complete the operation.

Chen Cang shook his head. At least he is a king boss. It is conceivable how difficult it is.

Thinking of the Kawasaki patients a few days ago, I felt that I had found a way to survive.

Chen Cang feels scared!

What would happen if I didn't come up with that idea?

And this patient, let Xiao Zhehai feel unsure of the operation, will it be easy?

But

Chen Cang was silent for a moment. When Xiao Zhehai sighed and thought Chen Cang refused, he promised: "time, place!"

……

PS: inclusion criteria: in the process of scientific research, specify the samples and formulate some conditions. Only those who meet these conditions can be put into the test.

Thank QQ for reading the scenery and the 100000 reward from the boss.