v3 Chapter 940： Rare spells

Chapter 940 Rare spells

Department of Cardiology in the Fifth Hospital of the Magic City.

Lu Chen stood on the podium.

shows this paper from an American scholar on the projection screen at the front of the classroom.

Everyone looked at them intently.

Lu Chen began to explain in detail the content of "patients with acute myocardial infarction complicated by severe mitral regurgitation" mentioned in this article.

"Compared three surgical modalities—surgical mitral valve replacement, transcatheter mitral valve edge-to-edge repair, and conservative medical therapy—in patients with acute myocardial infarction complicated by severe mitral regurgitation."

"Research on the difference in prognosis, the results show that early aggressive transcatheter edge-toedge repair (TEER) can significantly improve the long-term prognosis of patients and reduce in-hospital mortality."

showed everyone in the classroom, and began to discuss at a high pace.

Modern medicine focuses on evidence-based medicine.

means that any treatment method must be proved by experiments, and specific data on the effectiveness of the treatment must be produced.

and cannot use individual differences to explain that a certain drug treatment is effective.

This paper by Lu Chen, although not from China, is the most advanced research in the world.

"Director, I think you are right, this patient will definitely not be able to undergo surgery." Jin Miao immediately stood up and looked around, "If you want to completely solve the severe mitral valve regurgitation, there is only one way to go, and that is to go through Catheter intervention!"

Lu Chen nodded with a smile.

What   Jin Miao said, this is what he thought.

If there is still a glimmer of hope for this patient, then this glimmer of hope is pinned on catheter intervention!

Afterwards, the rest of the classroom also nodded in agreement.

A mature surgical team can offer different opinions, but can also quickly get a unified solution.

However, the surgical plan has been determined.

But the difficulty and risks of this operation are in front of everyone.

"Director Jin, are you sure about this operation?"

An attending doctor in the department asked Jin Miao.

Now, Jin Miao has also been promoted to deputy chief physician.

Jin Miao paused, then slowly shook his head: "I have done ordinary transcatheter mitral valve replacement surgery, but after such acute myocardial infarction, patients with mechanical complications of mitral valve prolapse, I really have no idea. did."

The implication is that he is not too sure.

When the others heard this, they all turned their attention to Lu Chen.

In the entire fifth hospital of the magic capital, Jin Miao's interventional surgery ability is one in a thousand.

Even in the field of interventional cardiology in China, any cardiologist will give a thumbs up when they hear Jin Miao's name.

If you want to say that the one who can stabilize Jinmiao's head is only Lu Chen!

However, Director Lu Chen has not performed the operation himself for a long time.

At this moment, Lu Chen on the podium spoke up.

"This kind of mitral valve intervention after acute myocardial infarction is still blank in our country."

"Even in the world, it's a rare technique."

If there is only severe mitral regurgitation in a single place, there are many doctors who can complete this type of surgery independently.

However, in patients with severe mitral regurgitation during acute myocardial infarction, this procedure is required.

In comparison, this risk is not a star and a half!

Acute myocardial infarction, in simple terms, is the death of myocardial cells and necrosis of cardiac muscle tissue.

In this case, the contractility of cardiac function decreases, and it is easy to develop heart failure.

Secondly, myocardial cell necrosis will lead to damage to the heart structure.

This patient suffered from severe mitral regurgitation caused by rupture of the chordae tendineae.

Serious complications that can lead to heart rupture!

This is better understood.

Necrotic heart tissue beats less, but normal myocardial tissue beats the same as before.

As a result, a shearing force is generated between the necrotic normal myocardial tissue.

Under the action of shearing force, the heart is extremely easy to rupture!

Once the heart is broken, the mortality rate is almost 100%!

It can be seen that the difficulty of this operation is to dance on the tip of a needle!

…

showed that there was a brief silence in the classroom.

Lu Chen raised his head this time and looked at Jin Miao.

"You are the patient's doctor, what is the opinion of the patient's family?"

In the face of such critically ill patients, in addition to the opinions of doctors, the opinions of family members are more important.

is active treatment, or give up and go home.

This is the decision that ultimately determines the fate of the patient.

If this kind of patient chooses to go home for conservative treatment, Lu Chen is sure that he will not survive for a week!

"The patient is an ordinary working family." Jin Miao said, "In order to treat his illness, he has sold his house and traveled to many hospitals, and finally came to us."

Lu Chen looked solemn.

This kind of patient is more difficult.

Empty people and wealth is a situation that no one wants to see.

"Jin Miao, you call the patient's family member to the doctor-patient communication room, and I will communicate with him."

"Okay." Jin Miao nodded slightly, stood up and left the classroom.

This case discussion is just over.

The final solution is available, but the specific operation is still in doubt.

…

Jin Miao quickly called the patient's family to the doctor-patient communication room.

in the communication room.

In front of Lu Chen sat a man in his thirties.

His hair was fluffy and his eyes were bloodshot, and it seemed that he had not rested for a long time.

"Doctor, how is my mother?"

As soon as we met, the man asked hurriedly.

Lu Chen shook his head slightly: "The situation is not very good. You should also know that the diagnosis from the doctor in the outside hospital is acute myocardial infarction combined with severe mitral valve regurgitation..."

Lu Chen was interrupted by a man before he could finish speaking.

"Doctor, don't tell me these professional terms, I just want to know what to do next!"

The man shook his head helplessly.

Actually, in his heart, he seems to already know the final outcome of his mother.

He is not a native of Modu.

This time, in order to cure the disease, he traveled through mountains and rivers, and went to many hospitals in the magic capital.

The family spent more than half of the money, but in the end there was no hope of finding a cure.

Lu Chen was patient and slowly said to the man in front of him: "Don't worry, I'm the director of the Cardiology Department of the Fifth Hospital of the Magic City. I'll explain the condition to you now. As for the next treatment method, I'll explain it to you. ."

Hearing Lu Chen's words, the man hurriedly looked down at his badge, "You...you are Director Lu, right?! I know you, I came to the Fifth Hospital this time because a patient told me..."

The man's expression suddenly became excited.

Lu Chen hurriedly said: "I said, don't get excited, the treatment needs to be done step by step."

"Okay." The man nodded immediately and did not continue speaking.

Lu Chen saw this and continued: "Your mother's current illness is because the heart valve is broken due to myocardial infarction. Simply put, the window in a room is broken."

The window is broken, what should I do?

One is to repair, the other is to replace the whole broken window with a new one.

(end of this chapter)