Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 170
Possibly complete inversion of the great arteries!
Complete transposition of the great arteries (TGA) is the most common cyanotic congenital heart disease in the neonatal period, with an incidence rate of 0.2‰-0.3‰.
This disease accounts for about 5%-7% of the total number of congenital heart diseases, ranking second in cyanotic congenital heart disease.
Simply put, the aorta on the heart is reversed!
The heart of a normal person is divided into left heart and right heart by septal tissue, and the right heart outputs blood to the lungs through the pulmonary artery growing above it.
The inhaled oxygen is "mixed" into the blood through the lungs, and the oxygenated blood then returns to the left heart through the pulmonary veins.
Transposition of the great arteries means that the pulmonary artery and the aorta on the heart are reversed.
In this way, the blood that is output from the aorta to the arterial network and finally reaches the whole body will no longer have the process of "mixing" oxygen through the lungs, resulting in blood deprivation of oxygen, and eventually all organs will die of "hypoxia and suffocation".
The mortality rate of neonates suffering from this disease is very high, reaching more than 80%, and the remaining 20% can rarely live beyond the age of 3 without surgery.
But this disease can usually be found through ultrasound examination during pregnancy, why this pregnant woman didn't show anything?
The operation must be done as soon as possible, otherwise the child will not be able to hold on soon!
5 minutes later,
Wang Yue, director of obstetrics and gynecology, and several attending physicians, Zhang Fan and Cao Ke, who were out of his mind, all came.
Looking at the ultrasound image on the projection screen, I was shocked.
Cao Ke, the deputy director of Heart Surgery, frowned and said in a deep voice.
"Congenital aortic reversal, this is troublesome!"
Zhang Fan beside him had a look of astonishment, he was too familiar with this disease!
Because there was the same case at the last seminar in Zhujiang, the congenital aortic reversal surgery for newborns.
He was amazed when he saw it!
The chief surgeon was the director of cardiology and the vice president of the 325 Military Hospital in Beijing, who is also a well-known cardiothoracic surgeon in the country!
I didn't expect to meet him this time!
It's just...fate!
Chapter 119 On-site surgery teaching, forced to accept red envelopes!
"It's not impossible for us to perform aortic reversal surgery, but this is the first time a newborn encounters it."
Cao Ke, Deputy Director of Heart Surgery, spoke first,
"It's too difficult, and I'm afraid the success rate..."
The voice fell,
Everyone was silent.
Zhang Fan did not speak either. Although he had seen such a case not long ago and listened to a systematic explanation, he was still shocked when he saw the ultrasound and CT images.
The baby's condition is a complete transposition of the great arteries, coupled with the fact that he was just born, it is basically impossible to use corrective transposition, that is, atrial switch surgery.
At present, the best way is to perform arterial level transfer, and now there are three choices in front of them!
Glenn's operation: cut off the bifurcation of the right pulmonary artery and the main pulmonary artery, and establish an artificial tube to connect the vein.
Senning operation: The atrium is turned horizontally, but arrhythmia is prone to occur after the operation.
Switch operation: arterial switching of great vessel misplaced in neonates.
"Director Zhang, do you think this operation can be done?"
Director of Obstetrics and Gynecology Wang Yue looked at Zhang Fan opposite, frowning tightly.
"Let me tell you something first. We have cases and surgical experience in the operation of aortic inversion outside the heart, but this is the first time for newborns."
Zhang Fan thought for a while and said,
"Although the surgical procedures are the same, there are two most difficult points at present.
First, the newborn is just two hours old, and everyone knows how thin and fragile the aorta of the baby's heart is, which places extremely high demands on the surgeon!
Second, according to the current situation, what surgical plan should we adopt? This needs to be discussed. Is it to switch the ventricles or switch the arteries?The risks of these two are different, as is the postoperative recovery, which needs to be determined by the child's parents. "
After the voice fell, everyone nodded.
This is indeed a big challenge!
"How about this, you guys discuss the operation plan first, I will discuss with the family members and explain the situation clearly."
Wang Yue stood up and said to Zhang Fan and Cao Ke,
"I'll talk about the rest, but I still hope it can be done in our hospital, please."
"Well, we thought so too."
Zhang Fan and Cao Ke looked at each other and nodded.
Immediately, Director Wang Yue led Xu Yingying out of the meeting room and headed to the ward.
And Zhang Fan and Cao Ke began to study how feasible this operation is, and what surgical plan should be used is the most suitable.
......
transplant center,
Qin Feng has just finished patrolling the ward, and he hasn't been on the operating table for a while.
The work of stem cell transplantation has begun to be gradually decentralized. The deputy director, Tang Dandan, is in charge of the main operation, leading several attending doctors to take turns to perform the operation.
bell bell~
While he was looking at the case, suddenly his phone rang.
"Hello, Brother Joe."
"Brother Qin! I have good news for you!"
On the phone, Qiao Changping's cheerful voice came,
"I brought Yiyi to Jiangcheng to deliver a report to you."
"What? Have you returned to Jiangcheng?"
Qin Feng was taken aback when he heard the words, and then said pleasantly.
"Well, Yiyifei was clamoring to come to see you, and the Phase III clinical report and production documents just needed your signature, so I brought her along."
"Where have you been?"
"I just got off the plane, I know you are in the hospital, I will take Yiyi to the playground first, and come back at night after you get off work."
"Okay! Tell Yiyi that Uncle Qin will take him to eat delicious food in the evening."
Qin Feng said with a smile.
While chatting, suddenly the landline next to him rang.
"Okay, I won't bother you anymore, hang up, see you tonight."
Qiao Changping on the phone also heard the voice and interrupted their conversation.
"Okay, then hang up."
Qin Feng immediately picked up the landline.
"Hello, I'm Qin Feng."
"I'm Zhang Fan, Qin Feng, are you free now?"
He was taken aback by the voice on the phone, and glanced at the caller ID again.
"Director Zhang, why do you call me through the internal line of the obstetrics and gynecology department?"
"Don't mention it, we've encountered a difficult situation here. The newborn is born with transposition of the great arteries. He was born just 2 hours ago. Can you come over and have a look?"
"Newborn congenital aorta offside?"
When Qin Feng heard the words, why did he feel so familiar?
I seem to have heard it somewhere!
and many more!
Isn't this one of the classic cases of the seminar that Zhang Fan discussed with himself on the plane?
It can't be such a coincidence, it really happened in just a few days.
"Okay, I see, I'll go right away."
Qin Feng immediately agreed and hung up the phone.
"What's the matter, Director Qin, has the obstetrics and gynecology department encountered difficulties?"
Tang Dandan behind him also heard it, and immediately cast a curious look.
"Yes, newborns have a problem with the aorta of the heart, and the congenital arteries are reversed."
Qin Feng frowned slightly, couldn't help sighing, put on a white coat and opened the door,
"Director Tang, I leave this place to you. If you have anything to do, please contact Lao Ji or Vice President Liu. Thanks for your hard work."
"It's okay, you go quickly, you are the busiest in the whole hospital."
Tang Dandan couldn't help shaking his head when he heard the words, and said with a helpless smile,
"Our chief director is busy performing operations on other departments every day. If the training plan hadn't stopped, I probably wouldn't be able to do it anymore, hehehe~"
"What did Deputy Director Tang say? I heard everything."
As soon as the words fell, Ji Zhonghe opened the door and walked in with a smile.
"Aren't you afraid that I will sue you in front of Qin Feng?"
Snapped!
"Old Ji, I'll watch you go. If you are capable, you can take over my class. Let me see how long you can last?"
Hearing this, Tang Dandan raised her eyebrows, and slapped the pen on the table angrily.
"Hahaha! Just kidding, you see that you are serious, the transplant center is not supported by you, how can Qin Feng be so relaxed? Right?"
Seeing this, Ji Zhonghe hurriedly stepped forward with an apologetic smile on his face, trying to comfort him.
"Humph!"
Tang Dandan rolled his eyes at him, and continued to pick up his pen to work.
.......
"What! How did my son get this disease? Could it be a misdiagnosis?"
In the obstetrics and gynecology office, the child's father was struck by lightning after hearing Director Wang Yue's words.
Everyone is stunned!
Never thought that my child would have congenital heart disease.
"Mr. Zhao, don't worry. The incidence rate of this disease is about [-]/[-] among newborns. Although it is very sad, it is very possible to be cured as long as the operation is performed in time."
Seeing this, Wang Yue quickly persuaded,
"Now I'm just telling you about the necessary conditions and risks of the operation. After all, the baby was just born two hours ago."
"Then what to do now? Can you do it?"
The man's tears were about to come out, and he looked at the two with shortness of breath.
"The director of our heart surgery is studying this operation. It will take a while to see if the operation can go smoothly."
"Okay, okay! As long as it can cure my child, I am willing to spend any money!"
Hearing this, the man nodded tremblingly, as if he was stupid.
Suddenly he took out his wallet from his bosom, took out three to four thousand yuan in cash, and stuffed it into Director Wang Yue's bosom,
"I beg you doctors, you must save the child. We waited for three years to conceive him with great difficulty. Please!"
As he said that, the man knelt on the ground, trying hard to put the money into the pocket of Wang Yue's coat.
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