The horror of aortic dissection is more than the above.
The blood running in the dissection can't go where it should go, and at the same time, blood pressure will build up in the dissection and continue to tear the aorta up and down. As long as the outer membrane remains unbroken, it can be torn and torn continuously, causing the affected organs to rapidly expand until vital organs fail. The impact of this disease multiplying in a short period of time is enough to make doctors terrified.
Clinically, as long as the diagnosis is aortic dissection, surgery should be performed immediately if possible. If there are no conditions, the first doctor's order is that the patient must not move. When you move, the blood pressure fluctuates, which will cause the blood in the dissection to continue to tear the aorta. After all, aortic dissection has a chance of becoming chronic after the acute phase is stable, and we can choose an opportunity to create surgical conditions to greatly reduce the risk of death of patients.
Efforts to control and stabilize blood pressure are the first steps all doctors need to do when encountering such patients. And some people insist on going their own way and insist on transferring patients to hospitals. It is not surprising that the patient was subjected to bumps during the transfer.
In fact, it is better to call a cardiothoracic surgeon to Beidusan to help with the operation than to transfer the patient to another hospital. Beidu No. 3 is the top three in terms of hardware, which can meet the needs.
The dissection is torn to the top, the longer and more the dissection occurs, the more difficult the operation, the higher the risk of the operation, and the higher the mortality rate. This is not something that can be fixed by going to a better hospital.
If you insist on turning low-risk surgical patients into high-risk surgical patients, no matter how big a doctor is, it will be difficult for you.
Now that the doctors see that the patient has cerebral ischemia, they know that this operation will inevitably encounter more difficult problems, and they dare not do it without discussing it clearly.
An operation like this requires extracorporeal circulation, and arterial cannulation is performed during the operation to support the patient's cerebral perfusion. As in the previous cardiac surgery, the ascending aorta was selected for arterial cannulation. Patients with aortic dissection can only choose other parts of the body because the disease involves these parts of the aorta. In this case, which vessel to choose for arterial cannulation becomes very critical.
At this time, it would be best if someone can see the overall situation of these circulatory vessels and provide advice and reference. Many people at the scene silently thought of the individual and waited for the surgeon.
"Xie Wanying."
Hearing Teacher Fu shout, Xie Wanying turned around: "Yes."
"You come to the operation later."
As soon as the words fell to the ground, a bunch of sharp eyes shot at the speaker: "Who are you asking?"
This slightly lazy tone is full of unceremonious and unpleasant questions. Others looked over and saw Cao's second child with a fairy face. Everyone immediately remembered this person's status as a teacher, and felt a little guilty.
This group of members of the National Association of China actually acted as if his current teacher did not exist. Cao Zhaomo hummed in his eyes. Why are his students involved in such a high-risk operation. With him as a fairy mentor, it is impossible for his own students to suffer.
The scene froze for a moment.
Those outside the cardiothoracic department were discussing cardiothoracic surgery techniques. Director Lin couldn't get in the way, so he took the opportunity to suggest something within his specialty: "Do a cesarean section first, what do you think, Dr. Fu?"
If the aortic dissection operation is to be performed, the patient who is thirty-three weeks pregnant needs to deliver the fetus first. The heart must be stopped for aortic dissection surgery, even if the placenta is perfused during the operation, the risk to the fetus is still great.
With the consent of his colleagues, Director Lin hurried out to talk to the family members.
Li Yaxi and his father heard from the doctor that they would have a cesarean section first.
After hearing this, Yaxi's father asked the doctor, "If the baby is born at this time, is it a premature baby?"
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Thank you for your support! ! ! good night dears~