"If you think about it carefully, pathological things are originally out of the normal and healthy order, just like tumors growing blindly."
"Well. What you said makes sense."
"Teacher, you should know that pulmonary vein atrial fibrillation. The ectopic pacemaker area of ??the pulmonary veins that causes atrial fibrillation is also very disordered. We can't deal with it, so we build an isolation zone to cut it off and drive the left atrial electrical activity. During this period, if we use three-dimensional Target monitoring can be more accurate in determining whether ablation is successful. We can learn from this method."
Atrial fibrillation caused by pulmonary veins is similar to a scar area, and ablation of a single pacemaker by ordinary methods is not effective. The surgical improvement is to ablate and block all four pulmonary vein openings, doubling the effect. Abnormal areas during ablation are detected using a three-dimensional voltage mapping system. Specifically, each catheter placed in the heart cavity is detected and then special software is used to synthesize a three-dimensional image to help doctors identify and guide doctors to perform ablation in areas with abnormal electrical potential. The ablated lesioned pulmonary vein area will change from high voltage to low voltage, thus confirming that the ablation is effective.
"I understand the steps you mentioned. But in pulmonary vein electrical isolation, we first use electrophysiological examination to confirm that the ectopic pacing originates from the abnormal area of ??the pulmonary vein muscle cuff before performing ablation. During the three-dimensional mapping to verify the ablation effect, the patient always belongs to It's during an attack. You can't avoid the irritated lesions. Are you still thinking of trying your luck to bet on the area you're considering?"
This time 7 5zw.co*m Zhang Si. Others at the scene could tell that the chief surgeon became more and more enthusiastic as they discussed academic matters with Mr. Xie.
?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? 35835 Besides, this was a conversation with a young junior. At first, Dr. Che's tone was arrogant and questioning. It's better now, maybe he didn't notice it himself. Unknowingly, I looked at the other person not as a junior but as a peer, and I started to talk academically and bluntly.
The discussion at the scene quickly turned into an argument between the two big guys. ¡ª¡ªThis is the only thought that can flash in everyone's mind.
Later it was confirmed that the taste was indeed correct.
Xie Wanying said: "Teacher, you can say that I am betting. As I said before, I made inferences based on the patient's cardiac magnetic resonance results and the patient's first attack scene that I observed. What I inferred was not the lesion area, but the Normal area. Because I said, the lesion area is disordered, and it is meaningless to dwell on it. What I want to analyze is the orderly normal area."
"You can tell what is normal and what is abnormal without stimulation?"
"According to the structure of the heart, the places where blind growth occurs must be disordered, and the places where blind growth occurs are orderly. Scars may grow blindly or not. For example, what I observed during today's surgery is that compensatory thickening has There are also blind growths and non-blind growths. As for the compensatory thickening of non-blind growths, doctors have always had a relatively accurate prediction and can deal with it, right?"
Dr. Che¡¯s throat got stuck.
Others at the scene heard this, and it was obvious that Dr. Che showed signs of defeat in the first round of this argument, which was similar to a boss conversation.
There is no need to be surprised that the younger generation is better than the older generation in an academic debate. There are many in the academic circle. Once does not mean all.
Control the big one and control the owl. What surprised the seniors and teachers present, including those who knew Mr. Xie, was the following.
Think about what young medical students usually think about at this stage?