As far as tetralogy of Fallot is concerned, foreign studies have shown that the mortality rate of surgery is high for children less than three months old, and it is too late for surgery after two years of age. This is only a statistical result and cannot represent all cases. There are individual differences in people, and infants and young children are no exception.
. The age of surgery for this disease has always been a controversial area in surgery.
In this case, it is necessary to look at the individual indicators of the child to decide whether to perform surgery in a specific case. The age group of the child will be used as a reference value first. In any case, radical surgery is definitely much more risky than palliative surgery. This kind of operation failure does not mean that the doctor cannot do it. The main question is whether the child can withstand the surgical changes. Even from a medical point of view
I think that correction is healthy, but for children who have adapted to the long and crooked body, it is difficult to accept a big change all at once. A person is a whole, not just a heart. As mentioned before, in order to solve such problems, surgical experts all over the world have explored many inventions and many specific surgical methods, but none of them can perfectly solve all cases. The failure rate of critically ill children in pediatric cardiac surgery has been high
of.
Brother Zhang raised two fingers:
two years old
two months
It should be the latter two months.
If it is two months, a doctor thinks that surgery is necessary, should it be that the critically ill child has no choice but to wait
"Palliative first." Cao Dong said according to the clinical routine.
"He said he didn't want to have his chest opened." Cao Zhao said the key points of the child's family's appeal.
Palliative surgery may also require a thoracotomy rather than a small incision or interventional surgery. Therefore, the fourth statement is a general term for a large category of diseases. It is best not to draw conclusions without seeing the specific medical records.
Brother Zhang must have said the same thing: "Let the other party send the medical records first."
"Are they in a hurry?" Cao Yudong asked.
Veteran doctors like Daxie are benevolent and experienced, and they first care about the mood of the children's family members.
Urgent, it must be urgent, otherwise I wouldn't wait for company B's surgery to demonstrate the results.
Furthermore, the family members of this patient are Chinese, and after all, they believe in the doctors and technology of their own country.
After analyzing this point, the big doctors felt that the child's illness might be less serious, because if he was going to fly back to China for surgery, how could he fly if his life was really dying.
"Doctor Xie, do you think this medical record will be accepted?" Mr. Zhang asked the client, expressing that he was just the attitude of Dr. Xie's agent.
Without seeing the child's medical records, Xie Wanying can only make some preliminary speculations based on the current information: "It may be so. The family members have heard from someone who said that early corrective surgery, that is, radical surgery, is more beneficial than harmful to the child." The statistical results mentioned above It is said that the mortality rate of surgery is high, but it is not said that early surgery is completely useless to children. In fact, surgical experts have always believed that if the success rate of surgery can be ensured, children, even newborns, should be operated on as soon as possible.
Radical surgery rather than delay or palliative surgery.
This principle is too easy to figure out. Correcting the wrong place in time can prevent the child's body from continuing to grow wrong on the wrong basis. Such as early surgery can avoid right ventricular hypertrophy and outflow tract narrowing more serious. The family members of the child did not pursue thoracotomy, and obviously wanted to maximize the success rate of the child's operation. It is recognized that minimally invasive surgery is far less harmful than thoracotomy. The second is the more important cut-edge for children that has been mentioned before.
scar problem. After hearing her words, all the bosses said: Hey, there are reasons and evidence.