Chapter 3865 【3865】reasonable
Chapter 3865 [3865] Justified
As far as tetralogy of Fallot is concerned, foreign studies have shown that the mortality rate of surgery is high if the patient is less than three months old, and it is too late for surgery if the patient is over two years old. 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, in a specific case, it is necessary to look at the individual indicators of the child to decide whether to perform surgery. 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 if correction is considered healthy from a medical point of view, it is unacceptable for a child who has adapted to a crooked body to undergo a major change all at once. A person is a whole, not just a heart.
I said before that in order to solve such problems, surgical experts all over the world have explored many inventions and many targeted surgical methods, but none of them can perfectly solve all cases. The surgical failure rate of critically ill children in pediatric cardiac surgery has always been high.
Boss Zhang raised two fingers:
Two years old?
Two months?
It should be the latter two months.
If it is two months and a doctor thinks that surgery is needed, it should 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 thoracotomy and small incision surgery or interventional surgery cannot be performed. 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 would not wait for the results of company B's surgery demonstration.
The family members of this patient are Chinese, and after all, they believe in the doctors and technology of their own country.
After the analysis, 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 person involved, expressing that he was just the attitude of Dr. Xie's agent.
Without seeing the patient’s medical records, Xie Wanying can only make a preliminary guess 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 say that the mortality rate of surgery is high, but it does not say 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 undergo radical surgery as soon as possible instead of delaying or doing 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. Such as early surgery can avoid right ventricular hypertrophy and outflow tract narrowing more serious.
The family members of the child do not pursue thoracotomy, and obviously want 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 issue of incision scars that have been mentioned before for children.
After listening to her words, all the bosses: Hey, there are reasons and evidence.
Thank you for your support! ! good night dears~
(end of this chapter)