Director Tian took the case and the inspection report and looked at it carefully.

His brow tightened, and the expression on his face became more and more solemn.

Fang Jianzhang's heart tugged, Director Tian did not speak, but from his serious expression, it was already seen that the condition was quite serious.

After a while, Boss Zhu had already served two dishes.

Director Tian put down the case.

He thought for a moment and said, "This condition is very serious, there are problems with multiple heart valves, and it is already an advanced multi-valve disease. ”

The human heart is divided into four chambers: left atrium, left ventricle and right atrium and right ventricle, the two atria are connected to the two ventricles, and the two ventricles are connected to the two major arteries. The heart valve grows between the atria and ventricles, between the ventricles and the aorta, and plays a role as a one-way valve to ensure one-way blood flow and play an important role in ensuring the normal function of the heart.

There are four valves in the heart, which are simply equivalent to four doormen, that prevent blood from flowing back into the atria or ventricles that have just left.

In the heart, it's a small tissue, but it's very important.

If it is damaged, the long-term manifestations are palpitation, shortness of breath, difficulty breathing, angina pectoris, etc. The eventual development is heart failure.

At the current level of medical care, it is possible to achieve surgical repair and artificial replacement of heart valves. This kind of surgery, the current safety, is still okay.

However, the risks of any surgery should be taken into account the actual situation of the patient.

The same surgery, for children, the elderly and adults, the risks must be very different.

The risks of surgical repair and replacement of heart valves depend on the patient's heart function and the number of diseased valves.

Obviously, the surgery for single-valve replacement with strong heart function is equivalent to being simpler.

And for patients with multiple valve replacement, poor heart function, it is quite dangerous, or rather, basically not suitable for surgery.

And Fang Jianzhang's father belongs to this situation.

There are problems with multiple valves, and the onset of the disease has been for a long time, and it has entered an advanced stage, and the heart function is very weak.

From Director Tian's point of view, he has lost the conditions for surgical treatment of replacement valves.

When Fang Jianzhang was in his hometown, he had already taken his father for a check-up, and the local hospital thought that the risk of surgical treatment was too high. It can only be treated conservatively, and prolonging one day is one day.

But even so, Fang Jianzhang still didn't give up, he said: "Director Tian, look at this situation, can it be surgically treated." ”

"In this case, the stakes are extremely high. I don't recommend it. Director Tian told the truth.

"Thank you. "Fang Jianzhang has no strength to say.

But he was able to accept it calmly. Because Director Tian is not the only one who gave this statement.

But at this time, he suddenly thought of something again, and said, "If it is treated conservatively, how long can it last?"

Since surgery is not possible, conservative treatment is the only hope.

Fang Jianzhang still hopes that his father can hold on for a few more days.

This kind of problem is not willing to be talked about by doctors, and sometimes the disease develops very quickly, and in case the prediction is not accurate, I am afraid that the patient's family will find trouble.

Therefore, when Fang Jianzhang asked the doctor in his hometown hospital, the answers he got were quite vague.

However, since they are all colleagues and acquaintances, Director Tian still said very sincerely: "Judging from the current information, it may be two or three years." ”

That's it.

Fang Jianzhang didn't have anything to say.

Director Tian is in the province and is a first-class extracardiac expert, and the results of his diagnosis are not far from ten.

Two or three years.

So quickly, Fang Jianzhang's mood sank to the bottom.

For a while, the atmosphere in the private room was a little gloomy.

At this time, Dean Cheng on the side broke the silence, "If you can't replace multiple valves like his father, can you directly consider a heart transplant or something like that." ”

When Director Tian heard this, he felt funny in his heart.

This old Cheng has really been in administration for a long time, and he is not familiar with the clinical situation.

Heart transplantation, in the field of organ transplantation, is extremely difficult.

Do the simplest data analysis.

Kidney transplantation can be performed thousands of surgeries a year across the country. Urology is a highly qualified attending who often uses a scalpel and is competent.

As for heart transplantation, the number of surgeries in the country in a year is only more than 100.

To use an inaccurate analogy, a kidney transplant is equivalent to changing the tires of a car. Heart surgery, that is, changing the engine of the car.

And the engine of this car can't be turned off yet.

The central hospital is already a good hospital in Qinzhong.

However, no heart transplant has been performed.

Director Tian still told the truth: "Heart transplantation is indeed the last way to treat this disease, but it is too difficult. Our hospital can't do it. There are not many hospitals in the country that can carry out it. And the probability of surgical failure is not small. Postoperative rejection treatment is also a problem, and if you are not completely sure, it is better to treat it conservatively. ”

Fang Jianzhang has been working in the clinical frontline, urology, more or less, all have to come into contact with the problem of organ transplantation, after all, kidney transplantation is still carried out more in large hospitals.

Therefore, what Director Tian said, he understands very well.

Finally, he said, "Thank you, Director Tian." ”

Director Tian was a little embarrassed to see that he didn't help much, and he said: "Looking at the medical records and reports are not comprehensive, so let's do it, you transfer the old man to our cardiac surgery, and I will show him again, it is conservative treatment, and the level of our hospital is also good." ”

Cheng Huimin was very happy and said: "This method is good, just do it." When the time comes, I will also help coordinate the cost of hospitalization. ”

Although he couldn't take care of his father's illness, Fang Jianzhang was already very grateful, he picked up his wine glass and said a little excitedly: "Thank you so much Dean Cheng and Director Tian." ”

With that, he drank it all.

The pressure of these months has been all in this glass of wine.

……

This side of the urgent care center.

Zhou Zhou and Su Quan changed into white coats and walked out of the lounge one after the other.

At this time, Cao Xin was still changing clothes in the lounge.

Su Quan took two quick steps and chased Zhou Sheng.

"Oh my God, it was so dangerous, thanks to your reminder. I don't know if Cao Xin will tell his uncle. ”

Zhou Zhou smiled, "You didn't do anything excessive just now, besides, as far as I know, Cao Xin shouldn't be a stingy person." ”

So said it on Monday.

Su Quan was much more relieved.

The two talked.

Cao Xin ran out of the lounge.

Su Quan immediately stopped discussing Cao Xin's question, and he led Cao Xin into a consultation room.

Now Su Quan is fully capable of dealing with general diagnosis and treatment independently.

On Monday, I went to another clinic and started another night of busy work at the emergency center.

……

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