Chapter 633: The Reason for Not Going Undercut!
"Dr. Zhao is here!"
"Hurry up and give way."
The moment Zhao Yuan appeared in the hall in white clothes, everyone immediately gave way.
Zhao Yuan is tall, handsome, and calm, giving people a very imposing feeling, making people almost forget that he is actually only in his twenties.
A person's momentum will grow with the ascension of position.
Medic's momentum has a hidden amplification.
Patients trust confident, steady, and motivated doctors.
Today, Zhao Yuan has become the top combat force in emergency surgery.
Even Xie Changtian and Tong Zheng, the two senior chief physicians, lacked a little bit compared to Zhao Yuan.
This is the hospital.
The hospital is a place where strength can speak.
When you are strong enough, you are strong enough to gain a firm foothold and gain the respect of others.
"The patient is 22 years old this year, working in Lingshan City, and last night he suddenly found abdominal pain and was sent to our hospital."
A middle-aged man burst into tears and looked around blankly.
The doctors around him were all dressed in white, and he didn't know which doctor was experienced.
He could only cry out in despair, "Please save my son." ”
Looking at the helpless and pleading father, the son's heart was like a knife lying on the hospital bed.
Zhao Yuan took the report of the first doctor and carefully looked at the relevant data on it.
The patient is then examined.
The residents immediately stretched their necks and studied Zhao Yuan's techniques and techniques.
Five minutes later, Zhao Yuan said to the nurse beside him, "It should be abdominal pain caused by inferior vena cava thrombosis, let's get checked quickly!" ”
The patient was pushed over for examination, and Zhao Yuan applied for department linkage.
The person who came was Li Xian, and after meeting, he joked, "What, there are still things you can't handle?" ”
Zhao Yuan said humbly, "This patient's situation is quite special, please come over and help take a look." ”
Li Xian studied the report, and the results of the report came out.
The inferior vena cava has an embolism of about three centimeters.
As an experienced thoracic surgeon, I know what this means, such a large embolism will fall off, it will block the pulmonary aorta, and the patient will die suddenly.
Li Xian and Zhao Yuan called the patient's father and told him the actual situation.
When the patient's father heard that his son was in danger of dying at any time, he hurriedly urged, "Doctor, please hurry up and operate on my son!" ”
Li Xian patiently explained, "Inferior vena cava thrombosis is rare, and it is a huge thrombus that exceeds the renal vein. At present, the most correct method is direct surgical thrombectomy. ”
After speaking, he glanced at Zhao Yuan.
Despite the risks associated with thrombectomy, there were no problems for him and Zhao.
Zhao Yuan was silent, "I don't think I can do thrombectomy surgery for the time being, and I should do anticoagulation treatment first." ”
Li Xian was a little surprised, but he knew that Zhao Yuan was not the character to casually raise different opinions.
"What's the point?"
Zhao Yuan patiently explained, "The patient is only twenty-two years old, and it stands to reason that it is impossible for his body to suddenly have a huge blood clot, so he should find out the cause and make a decision." ”
Li Xian stared at Zhao Yuan with a complicated expression.
In fact, he also felt that there were certain doubts in the patient.
"If surgery is not done immediately, the patient's life can be in danger at any time."
Zhao Yuan said in a deep voice: "I recommend doing an immunological test of antiphospholipid antibodies. ”
Li Xian's eyes lit up, "Do you suspect that he is antiphospholipid antibody syndrome?" ”
Zhao Yuan explained the reason, "Although antiphospholipid antibody syndrome is mostly found in pregnant women, it occasionally appears in young men. During my physical examination, I found that there was a certain abnormality in his nervous system, which was probably caused damage to his neuropsychiatric system. ”
When Li Xian heard this, he nodded with some admiration, "Your analysis is extremely reasonable!" ”
Although Li Xian is a provincial-level well-known expert in thoracic and cardiac surgery, he will also have his weaknesses.
In the area of diagnostics, his level is not outstanding.
But this is generally only compared to some diagnostic experts.
The main thing is that this patient's situation is too special.
It is rarely seen in thoracic and cardiac surgery.
However, in emergency surgery, similar patients are occasionally seen, mostly pregnant women.
Zhao Yuanneng can connect this, which is enough to prove the value of multi-discipline.
While waiting for the results of the examination, Zhao Yuan asked Qin Yi to give the patient anticoagulation treatment first.
The patient's father was a little anxious when he saw that the operation had not been scheduled yet, and went directly to the office.
Zhao Yuan hadn't reacted yet.
The father directly wanted to kneel down for Zhao Yuan, "Doctor Zhao, please, hurry up and operate on my son!" ”
Zhao Yuan had a headache.
However, he still held back his temperament and helped the other party up.
"I can understand your feelings, but the cause of your son's illness is still undetermined, and he can't be operated on immediately."
The father was puzzled, "Didn't you say there was a blood clot?" Blood clots are like coagulated engine oil, just remove it, isn't it? ”
Zhao Yuan patiently explained, "Although I am a surgeon and usually do surgery, I don't always go under the knife. Sometimes conservative treatment is more appropriate than surgery. ”
The father looked at the young doctor in front of him.
It was difficult for him to understand Zhao Yuan's behavior.
Zhao Yuan is a surgeon and is definitely more inclined to solve problems surgically.
However, listening to his tone, it seems that he does not want to solve the problem with surgery now.
Zhao Yuan sighed secretly.
Surgeons are not bloodthirsty maniacs.
Once the knife is used, even the smallest trauma will cause harm to the patient.
Dedicated surgeons don't take a patient lightly.
The test results were finally in, and the antibody response was positive.
Lee Hyun was also surprised to learn of this result in the Department of Thoracic and Cardiac Surgery.
He knew that Zhao Yuan's diagnosis level was very high, but he didn't expect that he had even surpassed himself in the judgment of this condition.
Antiphospholipid antibody syndrome is an immune disease in which the immune system attacks blood vessels and constantly destroys the endothelium of blood vessels, resulting in the formation of blood clots.
At this time, if surgery is taken, it will not only treat the symptoms but not the root cause, and even aggravate the formation of blood clots.
In other words, if it weren't for Zhao Yuan's questioning, it might have caused medical malpractice.
Li Xian thought about it, and his heart palpitated.
Lee Hyun came to the emergency surgery department again.
Zhao Yuan is formulating a conservative treatment plan for the patient.
After Zhao Yuan finished the doctor's order, he invited Li Xian to the office and made him a cup of hot tea.
Li Xian held the teacup and said with emotion, "Today you have taught me a lesson." ”
Zhao Yuan was shocked and hurriedly said, "Director Li, how can you say that." ”
Li Xian waved his hand, "Eighty percent of the surgeons will directly give the patient a knife when they encounter the situation just now." But the fact that you can control the inertia is so valuable. ”
Li Xian's words are not an exaggeration.
This patient is special, and the cause is really difficult to detect.
If it weren't for Zhao Yuan's perceptiveness, the consequences would be unimaginable.