Another important factor is that, as Lin Hao suspects, the child's clinical symptoms are "too mild", and there are many cases that do not match the description of the disease in the textbook.
It is written in the textbook that the clinical symptoms of this type of children are: dyspnea, hypoxia cyanosis, heart failure, etc. If the operation is not performed as soon as possible, it is a type of severe neonatal heart disease that will soon die.
Of course, it is written in the textbook that children with left heart dysplasia are easily missed, because the above symptoms may reappear after a few hours or within a day or two.
Looking back at the child's birth history, this is really the case. The child's birth records showed that there were no major problems such as dyspnea and heart failure. In view of the fact that the routine examination of newborns does not include electrocardiography and echocardiography. In such a short period of time when the child is asymptomatic, it is unreasonable to accuse the maternity hospital of missing a diagnosis of the child.
When they realized that the child had some breathing problems, the maternity hospital did not act in breach of responsibility, but did the child's examination as soon as possible. So the problem is not a failure of responsibility, but the limited technical capabilities of grassroots hospitals.
The neonatal echocardiogram displayed by the maternity hospital did not give a diagnosis name, but it was initially suspected that the child had a heart defect or heart disease. To make an accurate diagnosis, you need to find a specialist in a specialized hospital to make a judgment.
Once again, it is not easy to make a diagnosis of left heart dysplasia. The main reason is that this disease is very rare clinically in China, and there are many patients abroad.
Clinicians do not rely on textbook guidelines to make a diagnosis. Who makes there are too many similar diseases in clinical practice, and too many special cases that confuse each other. Clinicians need to learn real cases in clinical practice, so that they can make a diagnosis before they can make a diagnosis. Therefore, the primary hospital failed to make a diagnosis and send Shouer here.
Two days have passed, and the child's symptoms are still so "mild". Young doctors who have never seen such a case must have something to worry about when they make a diagnosis. Therefore, Dr. Cheng dared not say anything for a long time, and could only wait for his superiors to confirm or deny his position.
Now it is not a missed diagnosis but is there a possibility of a misdiagnosis.
Is it really such a severe disease of left heart dysplasia
If not, transfer to anal atresia surgery is required. You see, Dr. Wu, who was in charge of the anal atresia surgery, came out and said either let my surgery go first.
If it is this disease, needless to say, the heart surgery may have to be performed tonight. Non-cardiologists know that left heart hypoplasia is more likely to kill the child in the short term than fistulaed anal atresia.
"Yingying, what do you think?" Lin Hao turned his head and asked classmate Xie.
Unlike them, classmate Xie may have already had part of the answer in his mind by staring at the child's ECG monitor early in the morning.
Like other students, she has not seen the echocardiogram report for the time being. Xie Wanying can only make judgments based on what she has observed, and said: "I guess this child's left ventricular cavity is relatively small, and there is mitral valve atresia."
Sounds like a sign of left heart hypoplasia.
Back to the original question, what is left heart dysplasia.
The reason why left heart dysplasia is called a syndrome shows that it is not an abnormality but a combination of multiple abnormalities.
In medicine, the heart can be divided into left heart system and right heart system. Left heart system, including the left atrium, left ventricle, and atrioventricular openings such as the mitral aortic valve and connected blood vessels such as the ascending aorta.