You may wonder, how can you not find the lesion when you have an electrophysiological map for measurement.
An electrophysiogram is not a map, it is not intuitive at all. If you look at it with your own eyes in the operating room, you will find that it is like an electrocardiogram, with waveforms and data moving, without ground images.
In fact, when analyzing this in the operating room, the doctor must consider the electrocardiogram connected to the patient's body surface on site.
Through the principle of electrocardiogram that we have learned before, we know that electrocardiogram can identify some diseases, but it is impossible to say that it is 100% accurate. When dealing with complex cases, its direction may be vague and wrong. The same is true for electrophysiological graphs.
It's like a group of seniors arguing about whether she was talking about bidirectional ventricular tachycardia or atrioventricular differential conduction. You can imagine how difficult it is to distinguish based on these pictures alone. Moreover, one of the important reasons for the failure of the discussion by the seniors at the beginning was that the patient's ventricular tachycardia stopped, and the electrocardiogram was pulled in time, and it did not show up afterward. The electrophysiological graph is comparable to the electrocardiogram, and it also needs to reflect the abnormal lesions when the patient has an attack. The electrophysiological map shows nothing when the patient is not having seizures. It didn't show where the doctor went to find the lesion.
Looking at it this way is troublesome. The doctor performed this operation on Mr. Wei in order to treat his ventricular tachycardia and prevent him from having fatal ventricular tachycardia next time. How to find if the ventricular tachycardia is temporarily gone.
How to solve this contradiction is generally adopted in two clinical ways, either using drugs or directly using electrodes to stimulate his ventricular tachycardia so that the doctor can find the target.
Hearing such a thing, it is suffocating: to deliberately stimulate the patient's dangerous disease attack
Doctors can't risk their patients' lives. The premise for doctors to dare to do this is to know how to control the patient's ventricular tachycardia.
Doctor Gao and Director Che, who went through the medical records, thought so.
You guys rescued this kid before, what kind of medicine was used, or how many joules of defibrillation were used, if it was stimulated and needed to be rescued, I will do the same.
After reviewing the patient's medical records, Dr. Che was astonished, and accidentally discovered the terrifying blind spot of this emergency case: "Is there any specific measures?"
Director Gao hurriedly glanced at the medical records again, there really were none. The emergency patient was sent in urgently, so I didn't have time to look at the medical records carefully. I just went to read the examination report. Anyway, a bunch of emergency doctors are here to ask questions at any time.
The unbelievable voices of the surgeons came into the control room from the operating room, but they asked their colleagues in the control room to refute: Is it because time is too tight, did you not have time to write your medical records clearly
Holding the intercom, Cao Dong hesitated for a moment, and replied, "It should be clearer in the medical records."
"Have you used amiodarone?" Dr. Che asked the junior doctor who was helping to review the medical records.
"No." The young assistant replied.
Shen Youhuan quickly walked over and took a look. When he was in Seoul, he saw a group of them busy examining the patients. He also didn't notice this. Thinking back now, a group of people in the ward were talking about the little junior sister getting lucky, and it turned out that it was such a big "bumping the big luck" that he was so shocked that he dropped his tongue.
"You mean hammering?!" Dr. Che and Director Gao's exclamation almost broke his throat.
When the experienced seniors heard it, Almighty realized how lucky it was.
How to proceed with this patient's surgery
Big luck again? Who dares
"Who got lucky, is he there?" Dr. Che took no time to ask.
"Yes." Cao Dong turned his head.
－－－－－Off Topic－－－－－
Thank you for your support! ! ! good night dears~