When the results of the examination came out, Zhang Rui looked at the film and subconsciously gasped!

How so?

The situation in the morning is fine, how can there be a problem after a few hours of work?

When Zhao Yuan arrived at the consultation room, the doctors above the deputy senior level of thoracic and cardiac surgery in the hospital were waiting.

Zhao Yuan glanced at the film and frowned, "The patient's situation is very special, I can't wait for tomorrow, I have to do surgery quickly, the plan I gave is to use thoracoscopic aortic stent graft implantation, plus cerebral thrombosis interventional removal." If you have any opinions, please let us know."

One of the deputy chief physicians was puzzled, "Dean Zhao, how did you find out that the patient had signs of cerebral infarction?"

Zhao Yuan glanced at Zhang Rui, and then at the others.

The biggest difficulty for this patient is not surgery, but diagnosis.

If I had been a day late, the situation would have been completely different.

The condition of the elderly is painless aortic dissection, which is easily ignored in clinical practice.

Before the onset of the disease, the patient has no obvious symptoms, usually the body has no abnormal reaction, and may wake up suddenly one day, the legs and feet are not flexible, and even the desire to speak cannot be spoken.

Dissecting lesions begin distal to the ascending aorta and involve the aortic arch, the left common carotid artery, and the left subclavian artery.

To put it bluntly, aortic dissection can lead to cerebral infarction. Look at the book

Once a cerebral infarction occurs, the difficulty is greatly increased.

Because acute cerebral infarction is a contraindication to surgery.

Surgery involves the injection of an anesthetic, which is risky.

For patients with cerebral infarction, it may aggravate the condition and even induce more serious complications, which will cause certain dangers to life, so it is not recommended to take surgery during the attack of acute cerebral infarction.

In that case, the acute cerebral infarction can only be controlled by taking medicine to stabilize the acute cerebral infarction to a certain extent, and after half a year after the onset of the cerebral infarction, the condition is controlled, and surgery is considered.

In short, because of Zhao Yuan's timely discovery, a tragedy was avoided.

Zhao Yuan glanced at the deputy chief physician, did not hide it, and patiently explained, "First, when I looked at the patient's information, I found that there was something abnormal, and there were some abnormalities in the patient's brain image. Second, when I was examining the patient, some of his reactions showed signs of cerebral infarction, which were not obvious, but they could still be diagnosed."

The deputy chief physician bowed slightly.

Zhang Rui took a deep breath, and Zhao Yuan really had two brushes.

The reason why he predictively judged that the patient had the possibility of acute cerebral infarction was because he was also an expert in the field of neurosurgery, and in addition, he had accumulated a lot of practical experience in emergency work for a long time.

Neurosurgery requires a lot of reading of the films, and through some small details that are easy to overlook, to study the next wave of the development of the disease.

Emergency surgery can visually corroborate one's own conjectures during the physical examination.

Although Zhao Yuan explained it very simply, there were many knowledge points hidden in it.

Then Zhao Yuan began to explain his surgical ideas, and he was ready to use hybrid surgery.

This surgery will involve several university disciplines.

At the end of the consultation, everyone was talking.

"Zhao Yuan's move to light the mountain gate is really good."

"If the problem is not detected in time, it is estimated that the operation will not be done tomorrow."

"I can't do it tomorrow, at least in half a year."

"This patient has waited for more than a month in order to wait for Zhao Yuan to undergo surgery, and if he knows that he will have to wait for half a year, he will definitely not be able to accept it."

"Fortunately, there is no problem, if there is a real cerebral infarction, let alone any personal tour surgery, our hospital brand will also be lost."

"Top experts are not in vain."

Zhang Rui returned to the office, called up the comparison between the previous film and today's film, watched it for half an hour, and finally found clues from the two films, and a looming white line appeared along the aortic network of the chest.

Zhang Rui saw it

I felt a lot of sweat pouring out of my back.

Zhang Rui realized that he might have almost caused a major medical accident due to his lack of experience.

Zhang Rui's mentality towards Zhao Yuan at this moment has also undergone earth-shaking changes.

originally questioned Zhao Yuan, but now he turned into admiration.

When a master makes a move, it is not necessary to wait until the bayonet is red to distinguish the winner from the loser.

Especially the contest of surgical ability.

In fact, before entering the operating table, there is a distinction between superior and inferior.

Zhao Yuan is really powerful.

If you have an acute cerebral infarction, the surgery will be cancelled.

The ultimate responsibility has to fall on oneself.

Although it was Zhao Yuan's personal surgical inspection, the data collection in the early stage was provided by himself.

Zhao Yuan reorganized the surgical plan.

Encountering this special situation is also something that Zhao Yuan does not want to see.

Long before leaving, Zhao Yuan had actually made a surgical plan for each patient.

However, planning cannot keep up with changes, especially aorta-related conditions, which can vary over the course of a few hours, requiring a high degree of foresight.

Although medicine divides the human body into many parts, in fact, it is important to look at it as a whole, especially the blood vessels that spread throughout the body.

The heart is the power pump, and the arteries and veins are connected to it.

The yellow throat of shabu-shabu is the superior lumen artery that has just come out of the heart.

The main blood supply vessel of the heart is called the coronary artery, and many patients with thrombosis, such as the thrombus in the lower leg, have been emphasizing that taking aspirin is not afraid of blockage, but fear of the blood clot falling off, and then blocking the coronary artery or blocking the lungs or blocking the brain.

Coronary arteries, lungs, and the brain are extremely fatal once embolism occurs.

When the old man's son heard that the operation was going to be performed immediately, he was stunned.

In order to wait for Zhao Yuan's main knife, he couldn't wait to count the days with his fingers all the time.

Now I suddenly learned that I was going to have an immediate operation, and I felt like I had put an atomic bomb in my heart.

"Dean Zhao, my dad, is my dad okay? Why do you suddenly have to have immediate surgery? Could it be that the disease is progressing too fast? What is the success rate of the surgery? Please get my father back." My son is also the chairman of a large company, and he is fragile like an ordinary person at the moment.

Zhao Yuan patiently reassured, "It's lucky to have surgery on your father now. Because your father has signs of acute cerebral infarction, if you do it now, the physical indication can still resist anesthesia, and when the operation occurs tomorrow, the cerebral infarction appears, and the operation cannot be done, so you can only wait until a few months later, when the cerebral infarction is relieved, and then the operation will be performed."

The son understood what Zhao Yuan meant, "Thank you, thanks to you."

He knew that if Zhao Yuan hadn't discovered the problem in time, he would probably wait until tomorrow to start the operation.

Zhao Yuan's diagnostic ability made his son feel a little at ease.

"Do it late, do it early, it's all done, it's better to be happy."

The old man's mentality is good.

Zhao Yuan encouraged softly, "The operation time is estimated to be three hours, don't be too nervous, just treat yourself as a sweet dream."