Capítulo 1635: Chapter 1635: Hidden anings
“The reason is like this. Her cousin’s injury was not penetrating but a closed injury, and the greatest possibility with a closed injury is a heart contusion. The most severe consequence of a heart contusion is heart rupture. Her cousin’s heart appeared to have minor injuries on the outside without signs of massive blood loss; in fact, the symptoms of heart function alteration were quite significant. Fortunately, from the CT scan results now, we found so actual evidence to support the previous inference. There are signs of lesions in the right and left ventricles, indicating that the coronary vessels in her cousin’s heart were impacted, predicting the early pathological changes of a heart contusion. Therefore, myocardial fiber damage is almost a certainty. If the myocardial fibers are damaged but not broken, there might be a reversible possibility; if myocardial cells are only ischemic, it could be reversible, depending on the coronary blood supply. If the coronary itself is damaged and not intervened quickly, myocardial cells in the myocardial fibers will gradually die, turning into scars, the entire heart will be covered with these dead myocardial cell scars, and the heart’s energy reserve will plumt. The patient himself is a sports teacher, and such a heart would an the ruin of his future career and life. Future surgeries will not be able to solve this problem.”
This segnt of what Xie Wanying asked a classmate to relay was in correspondence with what Cao Yong had said earlier. It further elucidated why a heart would suffer permanent necrosis in parts and what would be the outco for the patient as myocardial patches die.
The reason she insisted her cousin co to the Capital for dical treatnt, just the part about finding dical evidence through a CT scan, doctors at the Capital are much stronger than those in local hospitals. Without the support of dical evidence, surgeons rashly performing surgery is like the surgeons at the Provincial People’s Hospital. The Capital has the conditions to find various dical evidence to protect surgeries. Likewise, a strong surgical departnt can back it up. A top hospital is naturally reflected in its comprehensive ability.
Student Xie’s words were a bit lengthy, and a group of doctors quietly listened. Among these were fields of knowledge they were very familiar with and did not sound unfamiliar, and the reason these doctors could listen had only one: Student Xie’s words contained deeper anings.
Pan Shihua needed to take a break after reading a section, as he needed to sort through Student Xie’s thoughts in his mind while reading, making a great effort to keep up with Student Xie’s pace.
Every ti he revisited Student Xie’s thoughts, it would always give him so new insights.
“Hey, don’t stop, keep reading.” Shim Youhuan urged him.
Pan Shihua must be more cautious, holding his breath, as he would next co to the key points of Student Xie’s thoughts.
“Because these results from the CT can provide us with part of the evidence, allowing us to speculate on the path map of the patient’s heart injury at that ti.” Pan Shihua read word for word from the notes recording Student Xie’s words.
The term “path map of the patient’s injury” sparked the thought in the doctors’ minds that perhaps Student Xie had visited the patient’s accident site for research.
Such a thing was, of course, impossible. As doctors, to know the scene of the patient’s injury, they can only rely on the injury report of the injured to make so reverse inferences.
The three-dinsional reverse deductions that Pan Shihua helped Xie Wanying read were similar to neurological reverse deductions of heart conditions, but surely estimated to be more difficult: “Because the heart did not rupture when the patient was injured, the possibility of direct impact injury is relatively low, not ruling out the compression of the heart by pulmonary blood or pneumothorax causing secondary heart injury. We must be more careful and cautious when attempting to create three-dinsional dynamic simulations.”
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