After driving for about half an hour, I saw the building of Pinghuai Hospital standing tall in the night, and it was quite large.
The two brothers of the Cao family spoke.
"Is there any expansion for this building?" Cao Yong asked because his impression was a bit blurred because he didn't come here recently.
Cao Zhao replied, "I'm not sure. They said they were expanding the emergency building."
The expansion of the emergency building is for business needs. Like Guozhi, the number of cases in Pinghuai's emergency intervention center is increasing day by day, and the operating room needs to be expanded. Hospitals generally place the intervention center on the first floor to facilitate emergency treatment and placement of special equipment. Pinghuai's intervention center is behind the emergency building.
After greeting in advance, the patient bypassed the emergency department and was sent directly to the entrance of the intervention center.
The emergency trolley was pushed out, and a group of people hurriedly transferred the patient to the lathe and sent it to the interventional operating room.
It was Director Gao of Pinghuai Cardiology Department who was going to perform interventional surgery on the patient.
It's a rare trip to sneak into someone's operating room, and Shen Youhuan is ready to spy on information.
Director Gao recognized him immediately: "Doctor Shen from Guozhi is here."
"Hello, Director Gao."
"Would you like to come into the operating room and have a look?"
The other party invited him to go in and have an in-person inspection, and Shen Youhuan accepted it generously for the sake of his junior.
Radiofrequency ablation, like any surgery, has risks. Compared with other cardiovascular interventional procedures, the technology of radiofrequency ablation is generally not well-received in the medical circle or among ordinary people.
The reason is like the small underarm and thoracic incision surgery that Dr. Chen Xiang hates. As long as a technique is difficult for ordinary doctors to perfect, this technique cannot be too popular. This is exactly the case with radiofrequency ablation. It seems that the threshold for ordinary doctors to get started is not high, but the number of cases with complications and poor results is relatively high. This is reflected in various medical research literature descriptions.
Where is the specific difficulty of this technology, we must first talk about how this technology operates.
Using the conventional operation method of interventional surgery, a catheter is used to enter the heart from the peripheral blood vessels, and the electrophysiological examination of the heart is performed, and then the target is determined for ablation. The so-called ablation involves placing a special catheter called an ablation catheter into the heart cavity, and burning to death the myocardium that would emit an ectopic pacemaker and cause a malignant arrhythmia of the heart.
From the above simple description, we can know where the technical risks of this operation are.
Heartburn is no joke. If it is burned wrong, it will be ineffective if it is small, and it will make the heart's conduction system worse, making malignant arrhythmia more malignant, or directly burning the heart with high power and burning a hole. These are all the most dreaded complications, albeit extremely rare.
Cardiac surgery is needed just in case. Different from putting stents in coronary angiography, the heart surgery of this kind of surgery is nothing more than repairing the hole when your heart is burned out. If coronary artery stenting is not feasible, cardiac surgery can be replaced by a bypass. At present, cardiac surgery has very few means to solve the heart conduction system.
Less does not mean not at all. For example, maze surgery, the most famous surgery to solve this kind of problem, claims that the cure rate for atrial fibrillation is 95% higher than that of catheter intervention. The problem is that this procedure is most effective for isolated AF. Others that are more complicated, such as student Wei, should be discounted.
General doctors do not advocate or recommend it. Maze surgery requires drastic reconstruction of the surface of the atrium. The surface of the atrium is thin and cannot withstand people's modification.