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¡¾2137¡¿Encountering obstacles

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    Then he turned around and looked at the operating table.

    Now the surgery is at a critical stage.

    Several surgeons tried their best to remove the artificial mitral valve that had been installed in the patient's stopped heart. It was really sticky and filled with blood clots.

    Doctors must take it carefully to avoid residual blood clots.  Otherwise, once the heart recovers, the blood clots will pump along with the blood flow of the heart, leading to pulmonary embolism or cerebral thrombosis.

    Du Mengen and Zhang Shuping stood in the corner until their ankles ached. It was not easy to be a medical student.  I am here to observe and learn without working. The more I watch, the more anxious I become. I wish more than anyone else that the operation could be over as soon as possible.  In fact, when looking at an operation, there are very few so-called technical scenes. The scene that medical students see most is nothing more than the scene where the doctor is forced to do his job slowly like now.  It won't work without grinding, as a little carelessness will bring many postoperative problems to the patient.

    Dr. Du Yeqing is a conservative and will pay more attention to every detail of the operation within the limit of time.

    Touching the sore back of his neck, Du Meng was no longer interested in becoming a cardiac surgeon.  Extracardiac surgery takes too long and is excruciating.  In comparison, routine surgeries in gynecology are relatively short, and obstetric surgeries are even shorter.

    Zhang Shuping, who was standing next to him, had a stiff face and was obviously trying to harden himself.

    "It doesn't work here." The surgeon on the operating table muttered.

    "What's wrong?" Du Meng'en asked the more experienced student Zhang.

    Zhang Shuping is just a trainee. He doesn¡¯t usually practice in his uncle¡¯s hospital. It is rare to see this kind of surgery. He thought about it for a long time and answered: "Is it true? The valve opening is not working -"

    Valve orifice?  Zhang should not only refer to the opening and closing of the valve, but also to the location of the valve.

    When the surgeon removes the broken artificial valve, he needs to consider what valve to replace it next. It is necessary to explore and judge the surrounding environment of the valve site to select the appropriate valve type.

    Simply put, artificial valves are roughly divided into two types: mechanical valves and biological valves.  This patient used a mechanical valve before, but something went wrong. According to conventional thinking, if it doesn't work, he must use another type. Maybe he can replace it with a biological valve to avoid the same problem.

    However, there will never be such a simple thinking path map to refer to in solving medical problems.

    First, let¡¯s review, why did this patient choose a mechanical valve for his first surgery?

    The doctor who performs the surgery for the first time should know that the patient is a young woman and the patient needs to become pregnant.  Mechanical valves require long-term use of anticoagulants such as warfarin after surgery, which can easily produce blood clots and affect women's pregnancy and childbirth.  Various shortcomings indicate that a mechanical valve should not be the first choice for this young woman in need.

    Like this patient, it was precisely due to the special hypercoagulable state during pregnancy that the mechanical valve developed thrombosis and blocked the valve orifice, and had to urgently need another operation.

    So, the doctor who performed the surgery on the patient for the first time did not consider the patient well?

    On the contrary, cardiac surgeons routinely introduce various valves to patients before surgery.  This means that as long as the patient's physical condition permits, it is entirely up to the patient to decide which type of valve he wants to install.  Let the patient make the choice first because the patient has his or her own economic calculation of the cost of treatment.  How much money patients are willing to spend on medical treatment is something non-doctors can decide for them.  (Remember the website address: www.hlnovel.com
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