When a doctor opened a plug-in

Chen Cang and his party went to the heart surgery together.

If you can invite the director of the cardiology surgery department personally, you can imagine that the patient's family must be rich or expensive, the ward is just an ordinary room, there is no fancy VIP, and there is no such thing as a VIP ward in the emergency center.

This is stipulated by Wu Tongfu, whoever lives in, there is no single room.

The patient’s family returned to the ward, and Xu Ziming brought Ma Yuehui and Chen Cang to the doctor’s office.

Xu Ziming, the director of the Department of Cardiac Surgery, was curious for a long time. He glanced at Ma Yuehui: "Leader Ma, this... why is Chen Cang in your department?"

Xu Ziming was in the evaluation expert group of the Cardiac Surgery Skills Competition and witnessed the champions of Chen Cang.

So I was more impressed with Chen Cang.

Ma Yuehui was taken aback, glanced at Xu Ziming, then turned to stare at Chen Cang, and asked: "Eh? Director Xu, do you know? Xiao Chen, do you know Director Xu?"

Chen Cang was stunned for a moment: "I... don't know..."

Xu Ziming was so pissed off by such a mindless Tie Hanhan like Ma Yuehui, how could there be such a question!

Chen Cang came to the hospital for a few days!

Of course I don't know myself, but I know others, but... you don't give the old man any face!

When Chen Cang said this, it hurts, no!Shameful...

Sure enough, several doctors around looked towards this side.

Xu Ziming blushed!

I’m Xu Ziming, the director of the Department of Cardiac Surgery of the Capital Emergency Center. People don’t know me. I know them. What a shame!

He looked at Ma Yuehui, who was unaware of his problem, and sighed, nothing more, I would be angry with him sooner or later!

Even his boss doesn't bother to care about him, why should I care about him!

Don't be angry!

Xu Ziming looked slowly: "Xiao Chen doesn't know me, but I know Xiao Chen!"

Ma Yuehui was taken aback: "Director Xu, you bastard... not as good as Chen Cang!"

There is another black line on Xu Ziming's face, simply turning a deaf ear: "I was an expert judge at the heart surgery skills competition at the end of last year. Xiao Chen stood out in the competition, so naturally I know him!"

When Chen Cang heard this, he hurriedly smiled awkwardly: "Director Xu, I have been looking up for a long time! I have actually read a lot of your articles, very insightful, I feel that your views on heart valve disease are in place."

"Actually, I have been envious for a long time and have never met! In fact, Director Xu can also say that I am half a teacher!"

After saying this, everyone really felt more comfortable, and the heart surgery doctors started to work.

Hearing what Chen Cang said, Xu Ziming suddenly smiled, yes!Still chat with smart people!

Moreover, Xu Ziming knew that Chen Cang was not polite, but he had really read his own articles, otherwise he would not say these things.

Ma Yuehui coughed: "Xiao Chen, you can be polite, but you can't tell lies!"

Xu Ziming clenched his fists this time!

Decided to make Ma Yuehui "happy"!

Xu Ziming said to the doctor in charge of the patient: "Bring the medical records of the 12-bed patient."

When the doctor in charge heard this, he immediately got up, printed out a copy, and then took the medical record.

"Patient: Male, 15 years old, with mitral regurgitation syndrome, accompanied by left ventricular dysfunction..."

The bedside doctor here actually read the patient's admission record once, giving a few people a general impression of the patient.

Needless to say, Xu Ziming already knew enough about the patient, otherwise he wouldn't let Ma Yuehui and Chen Cang come up.

After taking the medical records, Ma Yuehui and Chen Cang looked through them side by side, and they also had some understanding.

The patient's heart condition is not very good, the left ventricular dysfunction, and the ejection fraction is a little low, which is not good news.

But to be specific, you also need to rely on the video film, take a look at it in detail.

Xu Ziming turned around and said, "Go and get the film!"

After a while, the patient's parents and the bedman came in together.

Holding a lot of video data and photos in his hand.

Zhu Hanliang handed the film over: "This is the film we shot in Hong Kong, this is at the Mayo Clinic, this is at the California Public Hospital..."

Zhu Hanliang spread out a lot of films and inspections, which really shocked Chen Cang.

Maybe this is the rich man?

The whole world is going to see a doctor!

However, after picking up the various examinations and taking a look, Chen Cang suddenly frowned!

This patient's mitral valve cannot be operated on!

Instead, you need to do mitral valve replacement directly!

What is the difference between mitral valvuloplasty and mitral valve replacement?

It can be understood that the door is cracked and can be repaired!

But if there is a hole in the door, you have to use a patch to fill it, but there are too many holes, or when the repair is not good, you can only replace the door!

If mitral valve insufficiency cannot be corrected by plastic surgery, mitral valve replacement is usually required!

However, in this way, a serious problem is again before everyone!

That is the contraindication of mitral valve replacement surgery!

Left heart dysfunction!

This is really not good news.

After reading Ma Yuehui, she frowned tightly: "Director Xu, this left ventricular function has too much influence on the surgical effect of mitral valve replacement!"

Indeed, who doesn't know?

Chen Cang also became contemplative, thinking about countermeasures.

Because the heart is in the early stage after mitral valve replacement, its left ventricular function itself will continue to decrease further!

Therefore, before surgery, the patient's left ventricular function must be accurately evaluated.

Once it is found that patients with poor left ventricular function before surgery, everyone will be willing to undergo surgery!

Because the patient's tolerance to surgery is poor, and the left ventricular function continues to decrease after the replacement surgery, the case fatality rate is very high!

Even after the successful operation, the abnormality of the mitral valve function is corrected, but sometimes the myocardial contractile function is difficult to return to normal.

At this time, the patient’s father, Zhu Hanliang, sighed and said, “In fact, this situation has been going on for many years, and we have not been procrastinated, and we have been looking for hospitals everywhere.”

"We visited a lot of hospitals in the capital, and we went to Huaxi, Xiangya, Hong Kong, and then Singapore! But there was no good way."

"Basically everyone's opinion is that surgery is too risky and immediate surgery is not recommended!"

"We are also worried that the older the child, the worse the heart function, the less conducive to the operation, but there is no way to worry."

"Whenever we make up our minds to have surgery, we are always shaken when we are told that the mortality rate is high."

"Until a few days ago, the child's heart was uncomfortable, so we hurriedly called 120 to the emergency center."