"Doing such an impact across the sternum, the patient has had a brain injury from cardiac arrest before, and cannot do it again."
What she said mainly meant that, considering that the patient student Wei is a top student, everyone intends to save his academic career after tonight's operation, and must try to avoid any possible brain damage to him as much as possible. As a result, it is impossible to use the original method to rescue.
For the sake of her classmates, Dr. Che definitely agrees, but clinically speaking must be based on facts: "Rescue measures are difficult to implement, and the risk of risk is as you said, but you have to think about how to find the lesion if it is not stimulating."
"My idea is this, there is no need to use stimulation to find the lesion. I observed him when he had an attack last time, and I have a certain understanding of his heart structure from the MRI report later."
After everyone at the scene pondered the meaning of what she said, many people said in their hearts: What? She wants to judge the lesion only based on the MRI report and her own observation without stimulation
This—should have never been done successfully. No one present had heard of it. Of course, it is not ruled out that some doctors really do this and succeed. For example, what Xie said before she accompanied her acquaintances to do medical cases, but she really couldn’t find you what to do, so she had to rely on the clinical experience accumulated by the doctor herself to try it out.
If she is an old doctor who has performed tens of thousands of cases of this operation and has this experience and intuition, I believe there will not be so many doubts on the scene.
Dr. Che questioned her, who should be young and inexperienced: "Do you think you can determine where the ectopic pacemaker is based on these alone?"
"Teacher, I think it may be necessary to discuss some of the points in your words."
Classmate Xie, what did you say, what points in Dr. Che's words need to be discussed? Dr. Cha thinks you are inexperienced and you don't admit to discussing your inexperience
Zhang Desheng's classmate Zhao Zhaowei looked at each other at the scene.
Classmate Pan scratched his forehead with his fingers, lowered his head, and smiled: Classmate Xie definitely didn't mean that.
Yue Wentong, who was outside with the counselor and his family members, sneaked in to help the counselor check the operation situation. When he came in, he happened to be stunned by this scene: Did he, the monitor, come at the wrong time? He has to help classmate Xie with the aftermath
Thinking about it, it shouldn't be necessary.
Certainly not. The teachers at the scene couldn't help laughing.
The most frightening thing is that even the boss Cao Yudong couldn't help laughing.
Dr. Che in the operating room suddenly realized the omission in his words, and admitted his mistake first: "Yes, what I said just now was not cautious enough."
It was. What is an ectopic pacemaker? At the cellular level, it is the first cardiomyocyte to emit abnormal electrical activity. Can you, a surgeon, see the cell level? impossible. Pacing points can only be called regions. The area is big and small. If it is focal atrial tachycardia and ventricular tachycardia, it is okay for you to find a small area called a pacemaker to burn. If it is the complicated case of Mr. Wei, huh
Speaking of Dr. Che's carelessness, the key point is not that it cannot be called finding an ectopic pacing point, but that Wei's case belongs to the most troublesome scar case in ablation intervention.
What are the characteristics of scar cases? First of all, we need to talk about why scars produce atrial tachycardia and ventricular tachycardia. The scar area is mostly composed of fibrous connective tissue, and living cardiomyocytes are in the minority.