Chapter 2619： 【2619】Who is suitable

Chapter 2619 [2619] Who is suitable

The horror of aortic dissection is more than the above.

The blood running in the dissection cannot go where it should go, and at the same time, blood pressure will form in the dissection and continue to tear the aorta up and down. As long as the adventitia remains intact, it can be torn and torn continuously, so that the "broken blood" organs of the whole body can be rapidly expanded until the vital organs die. The multiplied effects of this disease in a short period of time are enough to terrify doctors.

Clinically, as long as it is diagnosed as aortic dissection, surgery will be performed immediately if conditions permit. If there are no conditions, the first doctor's order is that the patient must not move. When you move, the blood pressure fluctuates, which will cause the blood in the dissection to continue to tear the aorta. After all, aortic dissection has a chance of transitioning from acute to chronic after stabilization in the acute phase, and it is possible to choose another opportunity to create surgical conditions to greatly reduce the risk of death of patients.

Efforts to control and stabilize blood pressure are the first steps that all doctors need to do when encountering such patients. And some people go their own way and insist on transferring patients to hospitals. It is not surprising that the patient was subjected to bumps on the way to the hospital.

In fact, it is better to call a cardiothoracic surgeon to Beidusan to help with the operation than to urgently transfer the patient to another hospital. Beidu San is a comprehensive top three, which can meet the needs in terms of hardware.

The dissection is torn to the top. The longer the dissection occurs, the more difficult the operation is, the higher the surgical risk and the higher the mortality rate. This is not something that can be solved by moving to a better hospital.

You have to turn low-risk surgical patients into high-risk surgical patients.

Now that the doctors see that the patient has cerebral ischemia, they know that this operation will inevitably encounter more difficult problems, and they do not discuss clearly what they dare not do.

Surgery like this requires cardiopulmonary bypass and intraoperative arterial cannulation to support the patient's cerebral perfusion. Cannulation of the ascending aorta was chosen as in previous extracardiac surgery. Patients with aortic dissection can only choose other parts of the body because the disease involves these parts of the aorta. In this case, which vessel to choose for arterial cannulation becomes critical.

At this time, if someone can see the overall situation of these circulatory blood vessels, it would be best to provide opinions and reference. However, many people at the scene silently thought of individuals and waited for the main surgeon.

"Xie Wanying."

Hearing Teacher Fu shouting, Xie Wanying turned around: "Yes."

"You will come to the surgery later."

As soon as the words landed, a pair of sharp eyes shot at the speaker: "Who are you asking?"

This slightly lazy tone is full of rude and unpleasant questions. Others looked over and saw the second child of the Cao family with a fairy face. When everyone remembered this person's teaching status, they had to feel a little guilty.

These members of the National Association seem to think that his current teacher does not exist. Cao Zhaomo hummed in his eyes. Why was his student involved in such a high-risk operation. With his immortal mentor, it is impossible for his own students to be affected.

The scene was stiff for a moment.

Heart and chest were discussing cardiothoracic surgery expertise. Director Lin couldn't get in the way. He took the opportunity to propose things within his specialist scope: "First cesarean section, what do you think, Dr. Fu?"

For aortic dissection surgery, this 33-week gestational patient needs to deliver the fetus first. Cardiac arrest is required in aortic dissection surgery, even if the placenta is perfused during the operation, the risk to the fetus is still high.

With the approval of his colleagues, Director Lin hurriedly went out to talk to his family.

Li Yaxi and his father heard the doctor say that they should have a cesarean section first.

Aki's father heard this and asked the doctor, "Is the baby born at this time, is it a premature baby?"

Thank you for your support! ! Good night dears~