Everyone continued to listen, and a doctor nodded: This patient’s injury isn’t easy to retrospectively analyze. Direct injuries are always easier to scrutinize than indirect ones. Indirect injuries are like hidden landmines, extrely difficult to unearth.
"Reviewing the patient’s previous records of simple hospital transfer dical history, combined with postoperative lung CT films, the blood pneumothorax at the ti is estimated to have caused two-thirds shrinkage of the left lung, pushing the heart, major blood vessels, and main bronchus to the right side within the diastinum. Clinically common parallel displacent does not cause significant damage to the patient’s heart."
That’s correct, indeed, a blood pneumothorax rarely harms the heart. The heart is double-protected by the pericardium, and its position is relatively central in the body. When a person is hit, unless it’s a penetrating injury, it is generally unlikely to hit squarely in a direct center direction. Therefore, this situation is rarely seen clinically, and the lack of clinical data led doctors at the Provincial People’s Hospital to initially underestimate the cardiac damage in the patient.
Doctors here received Xiao Shugang’s dical records and had similar doubts. How Xiao Shugang’s heart was damaged seems sowhat mysterious. If this puzzle isn’t solved, how could surgery be planned? Like Fu Xinheng’s initial standpoint, surgery cannot proceed under unclear circumstances; the threshold has to be grasped first.
Is there soone trying to grasp this threshold now? Can it be grasped?
All the doctors present listened earnestly, listening further.
Du Yeqing’s pen tapped into the palm of his hand. He would shout "stop" if he heard even the slightest hint of academic error, no matter who the person might be. Wrong is wrong.
Pan Shihua’s eyes caught the point from the surgeons for Student Xie, nervously continued to support Student Xie by saying: "According to the above deduction, it can only be that other accidental events occurred during the heart’s parallel displacent. Considering the patient’s injury and subsequent constraints by local dical conditions, several ergency hospital transfers were necessitated, increasing the likelihood of such accidents. Midway vehicle jolting led to a certain angle of twist during heart displacent, followed by a secondary impact. The heart rotated eight to ten degrees to the left, with the impact force from the patient’s right side to the left side with a central chest wall angle of approximately five degrees; the injured sites corresponded with two lesions shown on CT films. Using IVUS inspection to further seek corroborating evidence might indicate the necessity for coronary artery bypass surgery."
"Wait a minute," Du Yeqing raised his hand with the pen, calling a halt.
"Bring the CT films over," Shim Youhuan turned and called on soone below to bring the films.
Evidently, their line of thought couldn’t keep up with Student Xie’s rapid deductions.
After the films were delivered, a group of doctors gathered their heads together to study whether Student Xie’s words made sense.
Previously insisting on conservative approaches, Du Yeqing, with the CT films in hand, didn’t continue to argue about weighing priorities anymore.
"What’s this?" Kang Mingzhu questioned.
It was exactly what Tan Kelin hit upon.
If the surgery must proceed, the necessity must outweigh the risk. Earlier, Cao Yong and Tao Zhijie were proving the necessity of the surgery. Xie Wanying’s words further argue for the necessity of the surgery initially, followed by suggestions on how to lower the surgical risk.
Tan Kelin, as Student Xie’s surgical enlightennt teacher, taught her surgical fundantals thoroughly.
Teacher Tan, who doesn’t favor ntoring, is indeed a truly good teacher.
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