His careful thoughts were suddenly exposed in public, and Dr. Hu instantly turned red. teapot

"I'm a little doctor, what reputation is there, it's not that I don't think Dr. Yun's diagnostic thinking is not consistent with the textbook, so I'm a little surprised!"

Naturally, it was impossible for Dr. Hu to admit his carefulness, so he quickly explained in disguise.

However, such words are heard in the ears of everyone, and the rights and wrongs are already clear to everyone.

With the words of the previous person, Dr. Hu's mind is naturally solid.

"Dr. Yun is not only good at surgery, but also at the level of diagnosis and differential diagnosis. It's not ordinary! It's not something that our acquaintances can match. ”

"Yes, Dr. Yun's diagnosis level is very high, and we were surprised last time, I never thought that myocardial infarction and extensive myocardial ischemia could be identified by calculation. ”

"The identification method that Dr. Yun said yesterday is also very powerful, even Director Zhang is ready to apply for this as a research project! The way of thinking of geniuses is not something that mortals like us can understand. ”

Everyone sees Dr. Hu's thoughts, and everyone is naturally ashamed of Dr. Hu's self-indulgence and wanting to play tricks on Yuntian!

You must know that during this period of time, everyone watched Yuntian perform surgery every day and learned all kinds of knowledge from Yuntian, and Yuntian's status in the hearts of this group of young doctors was not ordinarily high.

But right now, someone actually hit Yun Tian with the idea, how could this group of young doctors agree!

What's more, a mortal Ju Ran, who is almost the same as himself, dares to challenge a peerless genius like Yun Tian, and he doesn't know where the courage comes from.

Therefore, everyone despises Dr. Hu for three points and eats seven points, and everyone has a discussion about each sentence.

Although the content of what everyone said did not mention half a word of themselves, there were words in everyone's words, and Dr. Hu naturally knew who these words were aimed at.

His mind was seen through, and at this time, he was so despised and ridiculed by everyone, Dr. Hu couldn't wait to dig a hole in the ground and get into it himself, and die of shame.

Maybe what you're doing is really wrong?

Dr. Hu was not completely incorrigible and began to reflect on himself.

In the operating room, Yuntian's operation level is still so high, and Yuntian has completed coronary angiography at this time that everyone is discussing.

The condition is exactly the same as Yun Tian's estimate, and there are generalized coronary artery spasms and stenosis.

However, as it stands, repeated use of nitroglycerin can alleviate symptoms.

"Let's use nitroglycerin first, and then you can end the operation after using nitroglycerin depending on the patient's condition. ”

Yun Tian roughly assessed the condition of the patient's coronary artery stenosis on the screen and gave an opinion on the operation.

"The stenosis is so severe, it's already more than 70%, is there really no need to install a bracket?"

Doctor Huayang Shu asked in surprise.

One of the most important treatment options for coronary artery stenosis is stenosis, which is greater than 70%.

In the patient in front of him, the two most severe stenosis of the coronary arteries have obviously exceeded 70%.

Normally, a stent is needed to prevent infarction.

"The patient is still so young, and we should not only consider the patient's later recovery, but also the patient's survival status. The patient is so young, I don't think it's better to have a stent fitted. ”

Yuntian also understands that the patient's coronary artery stenosis meets the surgical standard.

However, as Yuntian said, we should not only consider the short-term solution of the patient's disease problem, but also consider the patient's survival in the long run.

The patient is only 24 years old, the body mass index is not exceeded, although the blood lipid is super high, but in Yuntian's experience, the patient's condition should be a metabolic abnormality caused by liver and kidney deficiency caused by long-term night.

Such abnormalities can be recovered through active intervention to regulate and improve living conditions.

And the most important thing is that after the installation of the coronary artery stent, although the coronary artery blood vessels have been dredged to a certain extent and to a certain extent, there are also certain hidden dangers.

If the coronary artery is compared to a flowing water channel, coronary artery stenosis is like a canal covered with moss on both sides, because the presence of such substances as moss seriously hinders the speed of water flow in the canal.

As a result, the garbage and some floating debris in the water will be deposited in this place and mixed with the moss, and finally block the flow of water in the entire canal.

In the human body, coronary artery infarction or stenosis is generally the same principle.

Using a stent to unblock a coronary artery is like using a barbed wire fence to trap the moss on both sides of a drain, although it will improve the local water flow in a short period of time.

But in the long run, barbed wire in the canal will also impede the flow of water.

It can also cause some small floating objects in the water to be caught by the barbed wire.

Over time, it will form new patches and blockages, and the place where the barbed wire is installed will be more likely to be clogged than the rest of the drain.

This is the hidden danger of coronary artery stent intervention.

There are various emergency responses in the human body, but the reason is similar, and the part where the bracket is installed must be more prone to secondary blockage than other places.

It's just that this time is a little longer.

Therefore, the people who do coronary artery stent surgery are slightly older.

Perhaps the stents have not been waited for to be blocked again, and the patient's other bodily functions have been weakened.

Therefore, after coronary artery stent implantation, the benefits for patients outweigh the harms.

Therefore, doctors will actively perform coronary artery stent intervention.

Clinically, secondary blockage at the stent site often occurs.

Once the patient has a secondary blockage at the stent site, the stent cannot be put in again.

Patients can only choose another heart bypass surgery to alleviate the problem of insufficient blood supply to the coronary arteries.

In the elderly, we are not sure whether the secondary blockage of the coronary artery stent came earlier, or whether the patient's other physical functions declined earlier.

So we can choose to take this risk and go for surgery, after all, it is a real benefit for the patient to improve their heart function in the short term.

But for this young patient who is only 24 years old, the harm outweighs the good!

The 24-year-old body is relatively tired of various body tissues and basically does not decline rapidly, and will not suffer from aging and death in a short period of time.

However, secondary stenosis of coronary artery stents is a sure occurrence.

It can be as short as 5 years or as long as more than 10 years, and the probability of occurrence is already very high.

Naturally, we cannot directly ignore the inevitable problems and forcibly give patients coronary artery stent intervention.

Therefore, Yuntian's opinion is that it tends not to give coronary artery stent treatment to patients.

"Although the patient is only 24 years old, but the patient's coronary artery stenosis is greater than 70%, if there is no coronary artery stent intervention, the patient is very likely to have a heart attack directly next time! In severe cases, it may even directly threaten the patient's life! If coronary artery stent intervention is not done, the risk of patient blockage is very large.

Dr. Huayang Shu completely disagreed with Yun Tian's statement and retorted.