dognovel The first operation shocked the whole country!Section 57
The first operation shocked the whole country!Section 57
Qin Feng nodded, and couldn't help but want to laugh.
This is indeed a consultation with provincial experts. After all, the four in front of me are the directors of the two departments of the best hospital in Jinling.
Level is definitely enough!
"Yeah, this situation is also very difficult for me now. The heart artery dissection operation you completed last time left a deep impression on me, so I want to ask you. Do you have any suggestions?"
Liang Donglai suddenly became serious, frowning slightly.
"At present, the patient is 48 years old, but the heart tumor is already the size of a tennis ball."
Qin Feng nodded. Now that he has been found, he still wants to talk about his thoughts.
"And the location of this tumor is also very fatal, almost completely occupying the arteries of the heart, which can be said to be quite troublesome."
"Well, we think so too, so it's been three days now, and we still don't dare to do it."
Liang Donglai nodded when he heard the words, and said with a wry smile,
"The three sets of plans currently prepared are all extremely dangerous to implement, and more than 80% of the patients will not be able to get out of the stage."
Qin Feng glanced at the four-dimensional CT of the heart again, and his expression became serious.
This can't be described as tricky, but it blocks all the ways they can operate.
It is not even known when the artery was squeezed and ruptured, and the tumor could not be removed.
At that time, it will really be impossible to return to heaven!
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Chapter 43
"Qin Feng, you can say it boldly, it doesn't matter."
Liang Dong saw that there was something in his words, and waved his big hand.
"Okay, then I'll say it."
Qin Feng nodded when he heard the words,
"If you want to save your heart, it is impossible to do traditional surgery at present.
I suggest that the heart be removed from the body to strip the tumor and use the full circulatory system to maintain life. "
As soon as the voice fell, the four fell into silence.
Liang Donglai nodded slightly, and looked at him in thought.
"Qin Feng, to be honest, we have also discussed this surgical plan, and it is also the most likely method at present."
Speaking of this, he paused and continued,
"We have the equipment, and the feasibility of operation is basically no problem, the most important thing is time.
If the heart is isolated from the body, even with a full circulatory system, it can only last for one and a half to two hours. "
Qin Feng nodded when he heard the words, the fact is indeed the case.
The total circulatory system is only an auxiliary maintenance system for vital signs, but it cannot be the result of completely guaranteeing the normal blood circulation in the patient's body.
Because the circulatory system cannot continuously produce blood oxygen and basic ecology that supply the whole body.
Even continuous replenishment of blood cannot achieve all the elements to sustain life.
Therefore, in the end, a healthy heart is needed to ensure the patient's life.
two hours,
This is the limit of the whole body circulatory system!
Once it exceeds two hours, various problems such as decreased blood oxygen will cause the decline and damage of body organs and functions.
Especially brain cell death!
At that time, even if the person came back, he would still be a useless person who would drag the whole family down.
This is not what they want to see.
Therefore, if the isolated heart operation is used, the biggest test is the surgeon.
Whether such a large tumor can be successfully removed within two hours and the function of the heart can be restored.
too difficult!
Even Qin Feng himself did not dare to 100% guarantee that the operation could be completed within two hours when he saw this huge tumor that had invaded both atria and arteries.
Of course, there are still seventy to eighty percent!
But this can't be said, because he is now a doctor in the First Hospital of Jiangcheng City, and he is still in the internship period.
Even if you have the ability to try, you don't have the qualifications to throw a knife.
At least until he gets his license.
"Director Liang, can you tell me your plan?"
Qin Feng thought for a while and asked at the beginning.
"Okay, Lao Jin, tell me."
Liang Dong looked at Jin Qiong beside him, nodded and said.
"Okay, Doctor Qin, after two days of research by our expert team of cardiology and internal medicine, in addition to the isolated heart just mentioned, the other two surgical plans are,
[-]. Tumor fractionation and resection, which is to divide the tumor with a gamma knife..."
After half an hour,
Jin Qiong stopped. The two sets of surgical plans were very complicated, and they could not be eradicated at one time, requiring multiple operations to complete.
After Qin Feng heard this, he had already made up his mind.
If these two programs are used on patients, the chances of survival may be lower than they thought.
It can even be said that miracles do not happen like this!
It is not impossible to remove segmented tumors in different parts of the heart through 3-5 operations, but each operation is a gamble!
As long as there is an accident, the patient's life cannot be saved.
Given the current condition of the patient, it is difficult to undergo such consecutive heart surgeries in a short period of time.
The body can't bear it.
"Director Liang, the three directors, I don't think these two surgical options are advisable."
Qin Feng pondered for a moment, then shook his head in a serious tone,
"Actually, how many possibilities are there for these two surgical options, you should have a good idea.
Not to mention whether patients can bear it, even if they can bear it, the possibility of recurrence is almost over 90%.
Once the tumor cells spread within a short period of time, with the patient's heart capacity, it may not be able to last for a month.
It is not even as effective as the current conservative treatment! "
As soon as he finished speaking, the four fell silent again.
Because every time what Qin Feng said was very straightforward and decisive, he hit their sore spots.
This is the drawback of the program!
It is also the root cause of their reluctance to perform this operation.
"Qin Feng, do you think there is any other way?"
Liang Donglai and the others looked at each other, seeing helplessness, and asked with a sigh.
"At present, apart from the possibility of ex vivo, all plans for heart resection may not be effective.
There is no way out for this disease, and there is only one last way left. "
Qin Feng thought for a while, then said solemnly,
"Change the heart!"
......
slap~
As soon as these three words were finished, Jin Qiong took a deep breath, threw the plan in his hand on the table, and looked at Liang Donglai.
"Old Liang, Doctor Qin is right."
"Can I not know? But how can it be so easy to find a suitable heart?"
Liang Donglai held his forehead, feeling a little tired.
In fact, everyone knows this plan well, and heart replacement is the most perfect surgical plan.
As far as the patient is currently concerned, either conservative surgery should be performed to control the development of the tumor as much as possible.
Then the arteries invaded by the tumor are blocked, and an artificial blood vessel is used to re-open an artery.
This can at least ensure that the patient can live for 6 months to 1 year.
With this time, you can wait for the right heart.
Of course, the chances are equally slim.
Or take the risk and have an ex vivo tumor resection of the heart.
Gamble!
"Director Liang, these are the only two paths you can choose."
Qin Feng continued,
"From a global point of view, the systemic circulatory system is already at its peak.
Even the top psychological experts will only give you these two options. "
"Yes, as far as the current medical technology is concerned, we really have no other choice."
Hearing this, Liang Donglai pondered for a few seconds, with a look of relief on his face, and said with a light smile,
"Qin Feng, it seems that I was right to find you, thank you!
You solved a big problem for us! "
Qin Feng also shook his head with a smile.
In fact, he knew that even without himself, Liang Donglai and the others would not dare to easily try the surgical plan of tumor separation.
These four surgical options are all gambling, but the gambling of tumor separation and resection is too painful for patients.
Even in the remaining time, he will be waiting in pain to die.
For the other two, life or death is an instant.
But as long as it succeeds, the patient can at least live a healthy and happy life.
This is another kind of humanity...
medicine,
It is not just to let patients live, but to let patients live with quality.
The video consultation is over.
In the end, Liang Donglai couldn't help throwing out an olive branch, but Qin Feng declined.
He has signed a three-year contract with the First Hospital of Jiangcheng City, so he will definitely not be able to go to other hospitals.
Liang Donglai was very regretful, and even regretted not taking him away when he was in Jiangcheng.
Otherwise, there will definitely be an even better young expert in the No. [-] Hospital of Jinling City!
"Don't worry, Director Liang, I will go to Jinling to participate in the National Undergraduate Clinical Competition in a while, and we will see you then."
It's time to end, Qin Feng said with a smile in front of the warm invitation.