Zhou Can examined the little girl and found that there was a significant bulge in her precordial area, and there was a significant tremor between the 3rd and 4th ribs on the left edge of the sternum.

In particular, the tremor is more pronounced when the fingers are pressed against this area.

Try to examine the area with a stethoscope and hear a very noticeable murmur. This is a murmur made when the heart muscle contracts.

"Is there a problem with the right ventricle?"

Zhou Can didn't dare to be too sure, but only relied on experience to make a preliminary diagnosis of the patient's lesions.

Again, he listened carefully to the patient's intercostal murmur.

His brow furrowed slightly, this murmur was very strange, he was sure, he had never heard it before.

There are so many types of congenital heart disease.

What kind of lesion can make such a murmur?

It is a good option to give the patient an echocardiogram.

Considering the particularity of congenital heart disease, a cardiac X-ray should also be done to assist in diagnosis.

After investigation, the results of the examination came out quickly.

THE PATIENT'S AORTA IS 2 CM, THE LEFT VENTRICLE IS 3.3 CM, THE RIGHT VENTRICLE IS 2.6 CM, THE PULMONARY ARTERY IS 1.2 CM, THE ATRIUM IS IN THE ANTERIOR POSITION, THE RIGHT VENTRICULAR LOOP, THE AORTA AND THE PULMONARY ARTERY ARE ALL FROM THE RIGHT VENTRICLE IN ANTERIOR AND POSTERIOR POSITIONS, WITH THE AORTA IN FRONT AND THE PULMONARY ARTERY IN THE POSTERIOR.

The ventricular septal echo is interrupted by about 2.2 cm, the defect is located in the perimembranous outflow tract, the left ventricular blood flow enters the aorta through the ventricular septal defect, the pulmonary valve leaflet echo is enhanced, and the valve orifice is narrowed, with a diameter of only 0.3 cm.

At this moment, Zhou Can finally understood what the strange noise was about.

It turned out that the patient belonged to the right ventricular double outlet.

The diameter of the patient's pulmonary valve orifice is so narrow, no wonder the blood oxygen is so poor.

After examination, the anterior blood flow velocity of the pulmonary valve orifice was only 3.1m/s, and the transvalvular pressure difference was 10.44kpa, and the pulmonary valve could see a mild regurgitation signal.

Cardiac x-ray showed that the patient's bilateral lung fields were slender, the pulmonary artery segments were retracted, the right ventricle was enlarged, and the right atrium was enlarged.

At this point, there is no doubt that congenital heart disease has been diagnosed.

The patient has a right ventricular double outlet and pulmonary artery stenosis.

This requires surgery to cure.

Surgery is risky and difficult.

The cost is also not cheap.

"Your daughter's condition is a congenital heart condition, which is serious and needs surgery as soon as possible. We can't do this kind of major surgery in the emergency department, and we need to go to the cardiothoracic surgery department for further questioning. I'm going to cardiothoracic surgery, and I'll take you there if you want. ”

Zhou Can said to the family.

Director Xueyan had already made two calls urging Zhou Can to come over.

However, because the results of this girl's examination have not yet come out, Zhou Can can only wait.

After all, this little girl's condition is very bad, Dr. Xie on duty lacks rescue experience, in case it is not handled well, this is a human life!

Seeing that Zhou Can was so enthusiastic, the family members were naturally happy to follow him to cardiothoracic surgery.

Tuya Hospital is too big, and it is not easy for them to find a cardiothoracic surgery department at night.

It is estimated that it will take a long time to follow the procedure in the emergency department, and even wait until tomorrow before a cardiothoracic surgeon will pick them up.

When he arrived at the cardiothoracic surgery department, Zhou Can arranged for the doctor to receive the child, and after a few instructions, he rushed to the operating room.

It seems that I can't eat dinner today.

Director Xue called him before and learned that he had just met a patient with congenital heart disease after surgery, and guessed that he had not eaten dinner, and had prepared two slices of bread and a bottle of milk for him.

Zhou Can was not polite, three or two mouthfuls were dry, and his stomach was a little more comfortable.

There's an uphill battle ahead.

Today's cardiovascular catheter intervention must be hellish in difficulty.

……

In the interventional operating room, the patient made a special request.

"Doctor, can you let me live stream the whole procedure?"

Because no general anesthesia is required for this procedure.

The patient is awake throughout the procedure.

He wanted to broadcast the entire surgery live and share the surgical treatment with his fans.

"Why does it have to be live during the operation? You can also share your surgical experience with netizens after the operation! ”

Director Xueyan was obviously not very happy.

Under normal circumstances, the hospital would have rejected such a request outright.

As for the reason, the direct one relates to patient privacy and does not comply with the relevant regulations.

Patients are a vulnerable group in the hospital and cannot work against the hospital.

Unless you don't want to be cured.

"I have already posted a number of videos before the surgery and told my more than two million followers that there will be a live broadcast of the surgery tonight to share the treatment experience. If you can help me make the operation successful, it will be a great publicity for your hospital, your department, and even your doctor himself. This is equivalent to a free advertising opportunity! ”

The patient is very inauthentic in doing things.

In order to increase the number of fans, in order to increase the interaction with fans, there was a first cut and then a prelude.

And chose to enter the intervention room, so I discussed the live broadcast with the doctors.

When I was in the ward, I didn't say a word.

It's like the bride waits until the man has already invited the guests to the banquet, and then on the wedding day, she temporarily asks for a bride price increase, puts the man and his future in-laws on the fire to roast, and forces them to agree.

"Mr. You, please understand that broadcasting the entire operation process live will cause considerable pressure on our medical staff who do the operation. It invisibly adds obstacles to surgery. ”

Director Xueyan is still trying to find a way to refuse this matter.

"There is pressure to be motivated! If you refuse to let me live, it can also be considered a sign of lack of confidence. This is the case for fear of mistakes during the operation, or even failure of the operation. ”

The patient's words hit the nail on the head, leaving no room for maneuver.

Indeed, as he said, if you are really confident in your surgical skills, how can you be afraid of live streaming the surgical process?

At this time, someone called Director Xueyan's mobile phone.

She took one look and walked outside to connect.

Soon back again.

"Doctor Zhou, let's go out first and discuss the patient's live broadcast of the surgical process!"

"Okay!"

Zhou Can took a deep look at the patient and followed.

The patient's face showed a strong sense of confidence.

It seems that the hospital will definitely agree.

After coming out, Xue Yan said directly to Zhou Can, "Vice Dean Ye will come over soon, he already knows about this matter." I guess Dean Zhu also knows, let's go to the office first! ”

Not long after the two arrived at the office, Vice President Ye really arrived.

He was very familiar with Zhou Can and Director Xueyan, and after saying hello, he went straight to the point.

"Director Xue, are you sure of today's cardiovascular interventional surgery?"

"Uh...... The surgery is very difficult, so I'm afraid I can only try to challenge it. ”

Director Xueyan subconsciously looked at Zhou Can.

Because the real surgeon of this operation is Zhou Can.

"Xiao Zhou was arrested as a strong man again, right?"

Vice Dean Ye looked at Zhou Can with a smile.

"I'm just born to work hard, I can't help it! Sister Yan has a call, and she must come over to give her a hand. ”

Zhou Can's answer is a standard answer.

"Haha, you call the capable to work hard. You two will give me an explanation, who is in charge of today's operation? ”

Vice President Ye's gaze swept over the two of them.

It would be crazy to lie in front of him.

No one would do such a stupid thing.

He asked about this matter directly in front of the two of them, and he also had the meaning of not treating the two of them as outsiders.

"I'm going to let Zhou Can be the main surgeon, his interventional surgery ability is very strong, and the intraoperative strain ability is extremely good, and there may be some hope for him to be the main surgeon."

Director Xueyan is colorful.

"Well, I've guessed a few points. Xiao Zhou is indeed a young cadre in our hospital! Young people, it's a good thing to venture more. Vice Dean Ye nodded, his gaze gently falling on Zhou Can's face. How sure are you? ”

"It's low. I'm afraid it won't be more than 30%. ”

Zhou Can replied truthfully.

"This patient, as far as I know, has had surgery in two major hospitals before. These two big hospitals are not simple. The first is Imperial Renhe Hospital, which is the strongest hospital in China. At that time, more than a dozen cardiovascular experts were assembled, and more than four hours of interventional surgery were performed, but it failed. ”

Vice President Ye revealed a shocking news.

I really didn't expect that this was a patient who couldn't even succeed at Renhe Hospital.

"When the patient went to the hospital, he didn't mention that he had been seen in other hospitals! This man is just too cunning. ”

After hearing this, Director Xueyan felt shocked and angry.

If I had known that the patient had been treated in Renhe Hospital, and more than a dozen of the top cardiovascular experts in the imperial capital had been gathered, the operation was not successful. She would never agree to an interventional procedure on a patient.

"This incident really reminded us that we should be extra careful when treating difficult patients in the future. It took nearly a hundred years and generation after generation to erect the signboard of Tuya, and it was not easy to have today's situation. To destroy this signboard, it only takes a doctor with a little influence in the hospital to make a big mistake. Xinxiang Women's and Children's Hospital is a lesson from the past. Of course, it's now back on its feet. ”

Vice Dean Ye reminded the two of them in a more serious tone.

Xue Yan is already a famous doctor, and she is building as a key famous doctor in cardiothoracic surgery.

Zhou Can is a quasi-famous doctor, although he is still in the reserve queue, he has actually begun to emerge and has a certain degree of popularity.

Whether it is in the emergency department or pediatrics, the number of patients who specialize in seeing Zhou Can and doing surgery is increasing day by day.

In addition to being treated at Renhe Hospital, this patient was recently treated at the city's No. 3 Hospital. It was performed by the Japanese psychic expert. You know, that Japanese cardiosurgery specialist is very strong in endoscopic surgery and interventional surgery. It is also the main signboard of the Third Hospital. The whole operation was broadcast live, and the result was unfortunate, and the Third Hospital also failed. ”

This man is simply a-stirring stick.

is already seriously ill, and he has to stir up the storm everywhere.

He has slapped Renhe Hospital and the Third Hospital in the face, and now it is the turn to dismantle the signboard of Tuya's cardiothoracic surgery.

"No, it stands to reason that he has already been treated in the Imperial Capital Renhe Hospital, the third hospital in this city. All ended in failed operations, so why bother to suffer a crime in our hospital again? If the operation fails, the cost will definitely have to be paid! The patient himself suffered. ”

Director Xueyan's face was full of puzzlement.

He went to Imperial Nin Hoa Hospital for surgery because it is the strongest hospital in the country.

Later, I went to the Third Hospital for treatment, and that was because of the presence of Japanese cardiosurgery specialists.

Both hospitals have failed, is it still necessary to come to Tuya Hospital for treatment?

In any case, Tuya Hospital cannot have a higher level of cardiovascular interventional treatment than the first two hospitals, right?

"That's exactly what I want to say, according to reliable sources, after the Third Hospital failed to operate on this patient, they started to use their crooked brains to make our reputation stink. The patient came to Tuya Hospital for treatment this time, and all the expenses were paid by the Third Hospital, and after the matter was completed, the patient will be given a considerable amount of 'hardship fee'. At the same time, through this kind of live broadcast, the patient himself can also add a lot of new fans, and can also improve the viscosity with old fans. Count it all in one fell swoop. ”

Vice President Ye is very well informed.

Whether it is the Third Hospital, the Provincial People's Hospital, or even the Xinxiang Hospital, it is difficult to escape his ears if there is any wind and grass.

Between large hospitals, in fact, it is a bit like countries sending spies to each other.

Intelligence gathering has been a top priority since ancient times.

Even Sun Tzu said in the Art of War, knowing oneself and knowing one's opponent is the only way to survive a hundred battles.

"Since this patient is a problem, I think it is better to directly refuse to let him live broadcast, even on the grounds that his body does not meet the surgical indicators, refuse to operate on him and send him away."

Director Xue Yan hated this kind of patient who deliberately made trouble.

Because she's been planted many times.

"Xiao Zhou, what is your opinion?"

After hearing this, Vice President Ye turned to ask Zhou Can's opinion.

"I ......" Zhou Can looked at Xue Yan.

"It doesn't matter, if you have any opinions, just say it. We're just talking about it now. ”

Vice President Ye comforted him.

"I don't think there's a way back. The patient has already been scheduled for surgery, and the person has already entered the intervention room, and the sudden cancellation of the operation at this time will only make people belittle the cardiothoracic surgery department of Tuya Hospital. The reputational damage is likely to be even more serious than the failure of this operation. A gentleman stands between heaven and earth, and he does not stand without faith. Taking a step back, even if the surgery fails, so what? Isn't there already a third hospital and the imperial capital Renhe Hospital to back us up? ”

Zhou Can talked eloquently and said his thoughts.

In terms of strategy, even though Director Xueyan has a much higher education than him, she is far inferior to him.

Zhou Can has only been admitted to graduate school, and the results of the written examination have not yet come out. It is equivalent to still being an undergraduate, at most a little stronger than the average undergraduate.

Xue Yan is a real doctoral graduate and is currently a professor at Tuya Medical College.

Zhou Can is really worse than her in terms of academics.

"Xiao Zhou's analysis is very thorough and in place. Our hospital can only enter this time, not retreat. In my opinion, you can't just let the patient live. Our hospital itself had to record the whole procedure. In case of failure, just admit defeat. If it succeeds, then desperately publicize it, and strive to seize this opportunity to push cardiothoracic surgery to a higher level. Even with Tuya Hospital, it can become famous. ”

Vice President Ye is even more courageous than Zhou Can.

Otherwise, all the leaders are bear-hearted leopard galls!

When doing things, in addition to the necessary steady, when it is time to fight, they will be extremely crazy.

Of course, some leaders are also crazy when they become corrupt and corrupt. There are more than 100 lovers and billions of bribes.

This crisis is both a challenge and an opportunity for the Department of Cardiothoracic Surgery at Tuya Hospital.

The Third Hospital spent money to invite patients to come to Latuya Hospital to cushion their backs, but it was a bad chess game and a stupid move.

Because of the failure of the operation, the reputation of Tuya Hospital will suffer somewhat, but it will not be particularly large. If the surgery is successful, the benefits will be unimaginable.

(End of chapter)