Start From Emergency Doctor

Chapter 355

This allowed him to directly put the direction on the coarctation of the aorta.

Coarctation of the aorta refers to the limited stenosis of the aorta and the reduction of the lumen, resulting in a decrease in blood flow. The disease is prone to narrowing of the arterial duct or the connection between the arterial ligament and the aorta. For example, the duct is anteriorly retracted, which may cause heart malformations.

Children often see a doctor for congestive heart failure in their infancy, which is what Shi Yu said.

About half of the medical records will worsen when the ductus arteriosus is closed within one month of birth, manifesting as irritability, difficulty breathing, and so on.

“What about the medical records?” Zhou Yuan said.

At this time, it has been basically determined that the most fundamental cause is coarctation of the aorta, and a series of clinical manifestations of heart failure are due to coarctation of the aorta, which causes arterial stenosis and causes various symptoms of Xiaoding.

Now Zhou Yuan needs to judge the type of coarctation of the aorta.

“Headache, blurred vision, intermittent claudication.”

Seeing these three symptoms, Zhou Yuan has basically determined that it is a post-catheter aortic coarctation.

The symptoms of the disease will aggravate with age, such as headache, blurred vision, and strong pulsation of blood vessels in the head and neck. Because the catheter cannot transport enough blood, the blood supply is insufficient, and it is easy to be afraid of cold, fatigue and even There is intermittent claudication.

Coarctation of the aorta accounts for 5% to 8% of congenital cardiovascular diseases, and there are more male patients than female patients.

More than 95% of the constricted parts are in the aortic isthmus, and a few are located in the aortic arch and other parts. The disease is often associated with patent ductus arteriosus, ventricular septal defect, two-valve aortic valve, congenital aortic stenosis, congenital mitral stenosis or atresia, and other cardiac malformations.

This is a disease that requires surgery, and the difficulty of the operation is relatively high. In the medical field, it was not until 1944 that Crafood had the first successful aortic constriction repair. In recent years, with the continuous improvement of surgical methods, the efficacy and surgery The success rate has increased significantly, but it is also more difficult to perform surgery.

This is why Jiang Xiaoqi wanted to find Zhou Yuan.

Xiaoding itself is a medicine jar, his physical condition is not optimistic, the operation risk is very high, and the operation success rate is relatively low.

Jiang Xiaoqi thought, this kind of surgery was prepared for Zhou Yuan!

“Zhou Yuan, can you do it?” Jiang Xiaoqi asked tentatively.

Zhou Yuan has not done this kind of surgery before. Vascular surgery has been involved in blood vessel transplantation. However, blood vessel transplantation and aortic coarctation surgery are not the same. There is a big difference in the degree of difficulty between the two operations, let alone the details. Aspects of the operation.

“It can be done.” Zhou Yuan said lightly.

He now has eight intermediate treasure chests.(Read more @ wuxiax.com)

It was possible to change to the perfect level technology, but just in case, Zhou Yuan has kept the intermediate treasure chests for no use, and it should be able to come in handy now.

Although Zhou Yuan cannot control the operation of aortic constriction at present, the master-level techniques such as vascular transplantation have given Zhou Yuan a high enough vision. He can see that even if Xiao Ding is transferred to vascular surgery, that The sides will also be difficult to complete.

“The exchange master class constriction resection and end-to-end anastomosis.” Zhou Yuan thought for a while and said to the system.

The remaining five intermediate treasure chests must be used to change the perfect technology. This constriction resection end-to-end anastomosis is aimed at coarctation of the aorta. The application is not very extensive, and the perfect technology must not be used here. .

Coarctation segment resection and end-to-end anastomosis, also known as aortic constriction resection and end-to-end anastomosis, aortic constriction resection and aortic-to-end anastomosis, constriction resection and aortic-to-end anastomosis .

In fact, there are many surgical methods to treat coarctation of the aorta. The coarctation segment resection and end-to-end anastomosis chosen by Zhou Yuan is suitable for young children.

There are other techniques, such as coarctation of aorta and artificial blood vessel transplantation. Those are suitable for patients with narrow and long constriction, and the age is generally required to be over 16 years old.

Xiao Ding is only four years old, and the area where the stenosis occurs is not long, and he can complete the constriction resection and end-to-end anastomosis.

To put it simply, the narrowed section of the aorta is excised, and then the two excised ports are anastomosed, so that the problem of constriction can be fundamentally solved.

Zhou Yuan began to make the final diagnosis of Xiaoding.

This step is used to confirm the location of the surgery and the specific surgical steps.

Most of the coarctation of the aorta is located in the isthmus, with extensive collateral circulation. 98.5% of children can hear vascular murmurs in the chest and back. Xiaoding belongs to this kind.

Moreover, X-ray examination showed that Xiaoding’s heart was enlarged, intercostal arteries expanded, and rib worm-like notches were formed, the upper mediastinum was widened, and the left edge was in a 3-shape.. ……color echocardiography Doppler ultrasound, MRI, and retrograde aortic angiography clearly show the location, range, extent, and collateral circulation of the aorta.

From all angles, Xiaoding’s situation is not easy to be optimistic, but the only good news is that there are no other abnormalities.

Tian Liang had led Ding Mahui and his wife out, and Zhou Yuan went to the meeting room after the inspection, and Ding Mahui and his wife were sitting opposite.

“Doctor, do you want to perform an operation?” Ding Mahui was silent for a long time and asked.

Zhou Yuan nodded silently.

Shi Yu suddenly burst into tears.

Ding Mahui sighed and explained: “The doctor has seen it before and said that it is controlled with drugs and interventional treatment. The risk of surgery is very high. Try to avoid it… The current situation is that surgery must ?”

Zhou Yuan: “The coarctation of the aorta has reached an irreversible point and must be removed.”

Ding Mahui was silent for a long time. Finally, he raised his head and looked at Zhou Yuan solemnly, saying: “I have heard of you. You have performed many miraculous operations. Please save my son! ”

Unknowingly, this man in his forties began to respect Zhou Yuan.

Zhou Yuan pushed over the informed consent form for the operation and said, “I will try my best.”

Ding Mahui took it, signed the name, and then hugged Shi Yu who was whispering.

When he came out of the meeting room, Tian Liang sighed and said: “It’s a pity, after meeting Ding Mahui, I felt that money can’t buy health…”

Ding Mahui is a tycoon in the real estate industry. He belongs to the kind of person whose money is still a figure for him. However, no matter how rich he is, his son Xiaoding still has not been cured.

Over the years, he ran through country M and country Y, and was helpless. Finally, he returned to Yanjing Traditional Chinese Medicine, allowing Xiao Ding to survive on drugs.

“You said… money can’t buy health?” Zhou Yuan said after a moment of silence.

Tian Liang just wanted to say yes, he suddenly remembered that Zhou Yuan was next to him, as if he hadn’t had an operation to stump him!

“Money… can buy health!” Tian Liang said in a daze. .