Signing in at the hospital, the first operation shocked the whole country!

Hearing this, Liu Chang was a little curious but followed suit and took off Sun Peng's shoes and socks.

The exposed soles of the feet are also very long, especially the five toes. The thumb and the other three toes except the little finger are almost in a straight line.

Alien skeleton!

Seeing this, the conjecture in Qin Feng's heart was further confirmed.

Compared with the previous abnormal ECG, the possibility is greatly increased.

"Liu Chang, come out for a moment."

Thinking of this, Qin Feng said, and Liu Chang followed out after hearing the words.

"Director Qin, what's the matter?"

"Liu Chang, let me ask you, have any of the patient's parents or other immediate family members suffered from serious illnesses? And there are obvious height and bone problems."

Qin Feng said in a calm tone.

"A serious illness? A bone problem?"

Liu Chang was obviously taken aback when he heard this, and then fell into deep thought.

"There's nothing wrong with his parents, but his grandfather is also tall and had a heart attack. I don't know him very well, but I've only met him a few times."

Family history!

"Take me to meet the family."

A special rare disease was instantly locked in Qin Feng's mind, and he said immediately.

"They'll be here soon."

Soon, Qin Feng waited for Sun Peng's parents.

As soon as he entered the hall, he saw a very tall figure, who was no more than two meters tall.

"Director Qin, they are here."

When Liu Chang saw someone coming, he quickly brought the couple over.

"Director Qin, this is the patient's parents, cousin, brother-in-law, and this is Director Qin from our emergency department."

"Director Qin, hello, hello."

The man took the initiative to step forward, lowered his head to look at Qin Feng, and grasped his hand with a nervous expression on his face.

"How is my son? Is there any danger?"

"Hello, the patient's condition is not very good now. Aortic dissection is very dangerous. We have conducted a consultation and will arrange surgery immediately as long as the condition is stable."

Qin Feng nodded and explained,

"At that time, you will need to sign for the surgery and critical illness."

"Critical illness? Is my son that serious?"

Hearing this, the woman on the side almost fainted, and the man's face became a little ugly.

"Don't worry, there is no problem now, and the specifics need to be further discussed with our cardiothoracic surgery department.

but......"

Speaking of this, Qin Feng stopped and carefully looked at the man who was a full head taller than him in front of him.

"I want to ask, does your family have a history of Marfan syndrome?"

???

After the words fell, the couple in front of them looked at each other in blank dismay.

But Liu Chang, who was standing on the side, trembled violently, his face changed drastically, and his eyes stared at Qin Feng in shock.

"Doctor, what is an equine... what syndrome?"

The man asked proactively.

"It's like this. When we examined the patient, although the patient was caused by arterial dissection, other symptoms were also found. Generally speaking, if there is no original cause or predisposing factor, the probability of this happening very small.

So I suspect that the patient may have Marfan syndrome, which leads to this typical cardiovascular disease. "

Qin Feng patiently began to explain,

"As for Marfan syndrome, it is a rare hereditary congenital disease with spider finger syndrome, and its main features are bone abnormalities, connective tissue dystrophy, cardiovascular abnormalities, etc. Inherited disorders of basic defects.

To put it simply, it is chromosomal dominant inheritance, with obvious characteristics and abnormalities in body and bones.

Once you get this disease, it is likely to lead to dysfunctional conditions such as organ dysplasia and cardiovascular and cerebrovascular diseases.

Very typical is the disease of heart valves and great vessels, and mainly aortic disease and valve disease, which have already appeared in patients. "

After listening to the explanation, the patient's father's face became even more ugly, and he subconsciously looked down at himself.

"Well, Doctor Liu, arrange an examination for the father of the child to see the situation."

Seeing this, Qin Feng looked at Liu Changdao who was on the side.

If it is true, the patient is likely to have hereditary Marfan syndrome!

However, there is one situation that he did not mention, because Marfan syndrome also has a name, which is Death.

In cardiac surgery, it is an extremely rare and fatal genetic rare disease. Generally, patients with this disease usually live between 30 and 40 years old.

If the genetic severity is low, it may be possible to live longer, but the later the disease, the greater the probability of the body's possible diseases, and even death due to the accumulation of multiple diseases.

There is no cure!

Even Qin Feng, who has a system in his body, cannot break through the existing medicine and change a person's complete genes for decades.

......

Chapter 362 Joint Consultation of 5 Major Departments

For a moment, both parents were stunned by Qin Feng's words.

The mother's legs went limp, and she collapsed to the ground, completely losing her mind.

They have only this one child, if it really disappears, it will be a disaster for this family.

"Qin...Director Qin, how long is my son...how long?"

The man's hands couldn't help shaking, and even his voice was intermittent.

In such a situation, he can only keep thinking as much as possible, and it can't be all messed up at this time, otherwise who will save the child?

"In theory, we will complete the operation as smoothly as possible to ensure the quality of life in the later stage, but this operation is still very dangerous.

We need to perform a replacement operation of the ascending aorta and aortic arch, and replace all the damaged large blood vessels with artificial blood vessels. "

Qin Feng nodded, "If other vascular problems continue to occur in the later stage, then consider it again. The most important thing now is to save your life."

He didn't say it to death. According to the situation of Marfan syndrome, what Sun Peng is facing may be the replacement of large blood vessels in the whole body, not just the cardiovascular system.

This kind of surgery has such a high degree of difficulty that it is unique!

Even in Xiehe or other top tertiary hospitals, no one can guarantee it. After all, this is a terminal illness that will never die.

According to Qin Feng's knowledge, there are probably only [-] or [-] surgeons in China who can complete a complete set of vascular replacement operations for Marfan syndrome.

Even Qin Feng himself is not sure that he can do it well.

Because there are too many large blood vessels that need to be replaced, including branches of the thoracoabdominal aorta, two intercostal arteries, bilateral renal arteries, superior and inferior mesenteric arteries...etc.

The slightest mistake in any link will kill the patient at any time!

"Doctor, please save the child~

We only have one son, if he is gone, how will we live! "

At this moment, the woman cried bitterly and knelt down on the ground, tightly pulling on the sleeve of his white coat, begging.

Seeing such a scene, Qin Feng couldn't help but heaved a long sigh in his heart, and helped the woman up first.

He really wanted to say to the couple in front of him, 'No problem, don't worry. '

But the reality is indeed cruel. Some diseases cannot be overcome by manpower now, especially many rare diseases that can only be maintained with drugs. Marfan syndrome does not even have drugs, so it can only wait for death.

"Doctor Liu, take care of them first and go see the child."

Qin Feng looked at Liu Changdao at the side,

"I went to the directors of the Cardiac Surgery Department to confirm the operation plan and sign to arrange the operation as soon as possible."

"I know Director Qin."

Liu Chang nodded, and then led the two of them to the lounge.

Qin Feng returned to the office and contacted Gao Quan and Liu Guofeng, the two deputy directors of the Heart Surgery. This kind of major surgery requires cardiac surgery.

Although the patient's physiological indicators are gradually stable now, aortic aneurysm or dissecting aneurysm rupture may occur at any time before the operation.

Including severe embolism and obstruction caused by thrombus falling off during the operation, postoperative lung infection and impaired renal function, these are all close to death.

Soon, Sun Peng's inspection report came out.

Genetic testing confirmed the existence of Marfan syndrome itself!

The two directors of the Cardiac Surgery Department were also shocked when they got the news.

Now it's all right, the difficulty rises linearly.

Ascending aortic surgery + total aortic arch replacement.

With such a difficulty level, there may not even be 5 doctors in China who can perform the surgery!

"Director Shen, please."

Liu Guofeng frowned as he looked at the inspection report in front of him.

Shen Biao is currently the senior director of Cardiac Surgery of Union Medical College Hospital, the vice president of the Institute of Cardiac Surgery of Union Medical College Hospital, the vice chairman of the National Association of Cardiac Surgery, the most experienced top expert in Cardiac Surgery in China, and the distinguished professor of Cardiac Surgery in several first-class medical schools.

It is also the Dinghaishenzhen of the Cardiac Surgery Department of Xiehe Hospital!

"I think it's okay, but Director Shen is still teaching at Guangchuan Medical University, and he won't be back until two days at the earliest."

Gao Quan nodded, but he was a bit embarrassed,

"Why don't you make a phone call first?

This operation cannot be delayed, in case the dissection ruptures, it will really be too late. "

"Director Gao, please call Director Shen, if you can come back as soon as possible."

Qin Feng also agreed with the two of them.

This operation is very difficult. The most important thing is that there are too many uncertainties in Marfan syndrome.

Now we really need a top expert to ensure the smooth completion of this operation.

At 10 o'clock in the morning, I finally contacted Director Shen Biao who was far away in Guangchuan.

When he learned that the patient had Marfan Syndrome, Shen Biao's eyes lit up, even with a little expectation in his seriousness.

Immediately after that, he asked to pass all the information over, so he had to take a closer look.

You know, for a top specialist doctor with profound technology, ordinary patients can no longer satisfy their desire for breakthrough.

It is also difficult to encounter more challenging rare cases. This is not about doctors picking patients, but more about hoping to continuously improve technology and experience in a specialized field.

That's why many patients hope to be treated by top experts, but those experts actually don't want to receive ordinary consultations.

Minor diseases are given to small doctors, serious diseases are given to big doctors, and terminal diseases are given to top experts. This can actually ensure the healthy development of medicine.

"Well, I don't have classes after 4:[-] p.m., so let's have an on-site consultation.

Lao Gao, please make an appointment with Director Ye of the Department of Anesthesiology, Director Peng of the Department of Neurology, Director Ma of the Department of Neurosurgery, and Director Zheng of the Vascular Surgery Center, tell them about the situation, and participate in the consultation together. "

After Shen Biao briefly read the information, he immediately decided to consult.

"Immediately transfer the patient to the CCU, must monitor the situation 24 hours a day, and try my best to ensure physiological stability. Once the operation plan is confirmed, I will rush back immediately!"

"Okay Director Shen, I'll make arrangements right away."

"Right, wait a minute."

Before Gao Quan finished speaking, Shen Biao suddenly seemed to remember something,