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¡¾2117¡¿Contradictions at home and abroad

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    Most anti-rejection drugs can cause miscarriage in pregnant women and teratogenicity in the fetus.  If pregnancy is necessary and the result of not taking these drugs is high, the gain may outweigh the loss, causing the patient's condition to rapidly deteriorate during pregnancy and waiting to die.

    Under such a premise, patients like this who have access to extensive medical information will naturally make the best choice for themselves. Let alone getting pregnant, they will need a heart-lung transplant sooner or later anyway.

    ¡°What this patient didn¡¯t expect was that doctors in China said she could undergo non-transplantation surgery before surgery.

    "Director Zhang thinks that transplantation is not necessary, but foreign doctors think that transplantation is necessary?" Du Haiwei made sure there was no error in the information he heard.

    Foreign medicine is relatively developed, and domestic doctors have always been learning from advanced foreign medicine.  Domestic doctors can understand the psychological psychology of most patients who worship foreigners in medicine.  If a patient has settled abroad for medical treatment earlier, it is right to listen to the professional advice of foreign doctors first.  Du Haiwei would be right to ask more now.

    "Yes." Du Yeqing nodded, "After carefully analyzing her condition, Director Zhang concluded that this patient had undergone mitral valve replacement surgery before.  There is a problem with the mechanical valve, stenosis occurs again and thrombus occurs. The situation is more critical. Severe pulmonary hypertension is caused by regurgitation in the tricuspid valve. Looking at the patient's entire condition, the possibility of secondary pulmonary hypertension is very high.  , you can try heart surgery first to improve the condition. Foreign doctors believe that her pulmonary blood vessels have undergone substantial changes and a transplant is necessary."

    The controversial point of whether to do lung transplantation for patients with pulmonary arterial hypertension may lie in the judgment of domestic and foreign doctors on the patient¡¯s pulmonary artery disease.  That is: whether the patient's pulmonary artery is sentenced to death.  If it is considered that the pathological changes of narrowing and narrowing of blood vessels are irreversible, there is no magic medicine in internal medicine that can deal with such pathological changes of pulmonary blood vessels.  This is also the reason why primary pulmonary hypertension was later called idiopathic pulmonary hypertension. The cause is unknown and there is no cure but transplantation.

    It is impossible for surgery to completely remove these pulmonary blood vessels and reconstruct them.  During the last pulmonary interventional surgery, we could intuitively feel that the distribution of pulmonary blood vessels is like a lush tree with dense leaves covering almost the entire lung tissue. Removing these blood vessels is equivalent to removing the entire lung.  To remove the entire lung and find a replacement, the only option is a double lung transplant.

    Zhang Huayao cannot say that he is betting. He relies on his own skills and experience to judge that the patient's pulmonary blood vessels have not undergone irreversible changes and can be tried.  I really can't draw a conclusion for a while about who is right or wrong between the doctors from Guozhi and the doctors from abroad.  The final decision will be made after the surgery is completed and then based on the patient's subsequent condition.

    No matter what, the patient only heard that he didn¡¯t need a transplant, and even if it was a big gamble, he was willing to run back to China to find Zhang Huayao.

    This incident fully demonstrates that patients¡¯ demand for doctors will never be to see domestic or foreign doctors, whoever is good at it.

    Du Meng¡¯en, ??who was listening at the scene, raised his eyebrows and blinked: Xie¡¯s clever answer was right. He is a heart patient with secondary pulmonary hypertension.  And it is an academic result supported by a big boss like Mr. Zhang.  Mr. Xie is not just an academic, he is a smart guy.  (Remember the website address: www.hlnovel.com
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