I can see health

Chapter 775 Lu Chen's Rejection

The third area of ​​the heart, the doctor's office.

"Left ventricular outflow tract obstruction?"

Director Zhang Liang looked at Lu Chen in surprise.

Lu Chen nodded, "I checked with bedside ultrasound, and the velocity of the outflow tract of the left ventricle increased. I suspect that there is an obstruction of the outflow tract."

"But we did an echocardiogram a few days ago, and there was no report of left ventricular outflow obstruction?" Zhang Liang still didn't believe it.

Professional sonographers, using professional machines, did not see it.

Can Lu Chen use a portable ultrasound machine to see it?

"How about this, find Director Xia and ask him to do a bedside echocardiography." Lu Chen suggested.

Director Xia is a director of the Ultrasound Department of Guanghai First Hospital who specializes in echocardiography.

Lu Chen stayed in the Cardiology Department of Guanghai No. [-] Hospital for a month, and found that even this Director Xia had the highest level.

"no problem."

Zhang Liang also agreed with Lu Chen's opinion.

This patient has something to do with him. If you can't find out carefully, the risk of going for surgery is very high.

Afterwards, Zhang Liang immediately called Director Xia of the Ultrasound Department.

Director Xia also had to sell his face, and immediately came with an ultrasound machine.

In order to prevent Director Xia from giving hints, everyone did not tell him the relevant diagnosis in advance.

Lu Chen stood aside, staring closely at Director Xia's operation.

Director Xia said while doing ultrasound, "Aortic valve calcification is very serious!"

"Bicuspid aortic valve (Type 0), aortic valve stenosis (severe), average flow velocity is 4.7m/s, average pressure difference is about 102mmHg."

"..."

Director Xia mentioned many different parameters, but he didn't talk about left ventricular outflow obstruction.

Is it really not?

Lu Chen is quite confident in his ultrasound technology.

He has an ultrasound skills card and has been training in the system virtual space for a long time, especially in cardiac ultrasound.

Lu Chen's ultrasound skills are not inferior to any other specialist directors.

Now, this left ventricular outflow tract obstruction has decided the fate of the patient!

Yes, it is a contraindication to surgery and cannot be operated on!

If not, TAVR surgery can be performed within a limited time limit.

As Director Xia's ultrasound operation drew to a close, Lu Chen's frown became deeper and deeper.

Between him and Director Xia, others would definitely trust Director Xia's ability to operate ultrasound.

But at this moment, Director Xia suddenly let out a soft "Huh".

His ultrasound probe stopped at the location of the left cardiac outflow tract.

Lu Chen looked at the picture in front of him calmly, but Zhang Liang became a little uneasy, and quickly asked: "Director Xia, is there any problem?"

Director Xia frowned, and said slowly: "The velocity of the left ventricular outflow tract has increased significantly, and there should be left ventricular outflow tract obstruction!"

Everyone was taken aback for a moment, it was really the result of Lu Chen's doing!

"Director Zhang, I don't think you are very surprised?" Director Xia glanced at Zhang Liang and said softly.

Zhang Liang smiled helplessly, "Director Lu also had an ultrasound just now, and said it was outflow tract obstruction, we still don't believe it."

"Yeah?" Director Xia glanced at Lu Chen curiously, "Director Lu's ultrasound surgery is not simple, it's not easy to be able to notice this."

Conventional echocardiography is sure to identify the blood flow velocity of the outflow tract very well.

But in this patient with severe aortic valve stenosis, outflow tract flow velocities were rarely noticed.

Even a sonographer sometimes misses something.

"Okay, the ultrasound results are almost what I said." Director Xia put away the ultrasound equipment after reading the echocardiography, "Overall, it's similar to last time, except for one more diagnosis, left ventricular outflow tract obstruction."

"Okay, thank you Director Xia for coming up in person." Director Zhang Liang thanked quickly.

"No thanks, this was originally my job." Director Xia finished speaking and glanced at Lu Chen, "Director Lu, we can have a good discussion if we have the opportunity."

"Okay, but it must be Director Xia, you are amazing." Lu Chen smiled.

"Hehe." Director Xia smiled and shook his head, then pushed the ultrasound machine away.

……

The third area of ​​the heart, the doctor's office.

Zhang Liang's expression was a little dignified, and he looked at Lu Chen.

"Surgery can't be done?"

"This is an absolute contraindication!" Lu Chen said in a deep voice, "The risk of sudden death during the operation is extremely high!"

"Then watch the patient's heart failure continue to worsen?" Zhang Liang couldn't bear it, "Aren't we going to do anything?"

"Let's strengthen the drug treatment, and see if we can use other drugs to treat heart failure, such as Xinhuosu or levosimendan." Lu Chen thought for a while, and then named out a few relatively new drugs.

"Hey, but... really can't try to have an operation?"

"No!" Lu Chen shook his head firmly, "Anyway, with me, I won't do it for him."

In such patients, the risks of surgery far outweigh the benefits.

Even if the operation is barely successful, it will cause great harm to the patient!
Whether patients can benefit after surgery is another matter.

Apart from expensive medical expenses, Lu Chen can't think of what this surgery can bring.

After writing down his consultation opinion, he left with Jin Miao.

……

In the third area of ​​the heart, the director's office.

"Director Zhang, my dad... really can't have surgery anymore?"

A young man with a haggard face, shaggy hair, and red eyes, as if he hasn't had a good rest in many days.

"No." Zhang Liang shook his head, "I invited the TAVR surgery experts from our hospital to see, your father has surgical contraindications, so he can't do this TAVR surgery."

"But didn't you say before that you can definitely do it?" The young man gritted his teeth, hoping to hear some leeway from Zhang Liang's mouth.

"The previous ultrasound did not find outflow tract obstruction, but this re-examination found the problem." Zhang Liang patiently explained.

The young man lowered his head and did not speak, but his trembling shoulders had already betrayed his current mood.

Suddenly, there was a plop.

The young man knelt on the ground.

"Director Zhang, I beg you, think of a way to operate on my dad."

As the saying goes, a man has gold under his knees.

Zhang Liang also couldn't bear it, and hurried forward to help the young man up.

"You don't have to do this, haven't we been thinking of a way?"

"But, you said before that without the operation, my dad might not survive this month!" The young man was emotional, and he seemed to be unable to accept the result.

Zhang Liang was silent for a while, then raised his head and said slowly: "Why don't you go to the higher-level hospital, Kyoto or the devil's capital?"

"It's too far away." The young man shook his head. "You said before that the risk on the road is very high. I'm afraid my father will die before he reaches the capital."

The custom here is that people can't die in the hospital, they have to take a breath and drag them home.

Otherwise, you cannot enter the ancestral hall of the clan.

"Director Zhang, besides yours, are there other places where we can perform surgery?"

"How about...you go to Guanghai Central Hospital and ask?" Zhang Liang looked at the hopeful eyes of the young man, and could only let him go to Shi Langqin to try his luck.

"They...can do it?" The young man stopped crying and looked up at Zhang Liang.

"Professor Shi Langqin of the Central Hospital is the expert with the strongest TAVR surgery ability in Guanghai area, except for Director Lu Chen of our hospital."

　Recently, I am really tired in the department, especially tired.

　　Sometimes I really want to go to a relaxed department...

　　Go to bed early.

　　
　
(End of this chapter)