My medical skills add experience

Chapter 570 Infant Hypertension and the Harm of Inbreeding
"Has the patient had vascular problems since he was a child? The family members have not responded to this problem. Fortunately, the operation was not rushed, otherwise the risk factor of the operation will be multiplied."

After hearing this, several directors felt a little terrified in their hearts.

Before the operation, the patient's past medical history and underlying diseases are usually known. The family members did not respond to such an important matter, and they did not ask.

There is also a question of responsibility.

It can even be understood as a loophole in the program.

The cardiothoracic surgery department thought that the patient was a patient who had been treated in the hospital, and had been passed by the emergency department and the cardiovascular department.If there is any medical history, hasn't it been asked clearly?
So I didn't think about it at all.

"The directors are all experts in cardiac surgery. What do you think is the cause of the patient's systemic arterial malformation?"

Zhou Can is more interested in the etiology.

Patients who want to undergo heart surgery must find out the cause of arterial disease.

This is also the duty of prudence that doctors need to fulfill, which can reduce the risk of the entire perioperative period as much as possible and greatly improve the success rate of the operation.

"It's hard to say the specific reason. It is possible to find the cause only after examination, the patient's childhood experience, and whether the parents and grandparents also have such diseases. However, there are many strange diseases in this world, and they cannot be found at all. specific reason."

"One thing should be certain, it is related to the patient's long-term high blood pressure."

"Yes, I also think it is related to a long history of high blood pressure."

Everyone expressed their opinions.

Most of the top experts in cardiothoracic surgery gathered at the scene, each of them is knowledgeable, knowledgeable, and has rich clinical experience.

"Was you born with high blood pressure?"

Zhou Can felt that this conclusion was a bit scary.

When chatting with family members last time, Zhang Qilian's wife only told Zhou Can that Zhang Qilian had vascular disease since he was a child, which was difficult to treat in China.In order to cure his illness, he went to Japan to study abroad.

Not only for studying medicine, but also for curing diseases.

"The patient's current situation is very critical, and the obstacle must be removed as soon as possible to advance the operation. It is better to invite the family members directly to participate in the consultation."

Director Xueyan suggested.

Every time she sees such acute and critically ill patients in the department, she feels very anxious.

It is precisely because of her strong sense of responsibility that the death rate in the department can be effectively controlled.The current mortality rate of cardiothoracic surgery has dropped to the lowest level in history.

Zhou Can contributed a lot to it, and director Xueyan's strong sense of responsibility also contributed a lot.

"I think it's very good. Inviting the family members over will also make it convenient for everyone to ask the patient's past medical history face to face."

Soon, the family members were invited into the consultation room.

During the doctor's consultation, if the situation is special, or the status of the patient and family members is relatively noble, it is possible to invite the family members to discuss together.

Of course, because the family members are not professionals, they are more likely to observe and answer the doctor's questions.

It can be seen that Zhang Qilian's wife's eyes were red and swollen, and her face was haggard.

Zhang Qilian's condition suddenly deteriorated again, which put her under a lot of pressure and suffered mental torture.

It can also be seen that she has a deep relationship with Zhang Qilian.

Oriental women have always been loved by men in terms of husbands and children.In Japan, in most families, the man earns money to support the family, and the woman stays at home full-time.

Young adult women who are not married are more active in the workforce.

Under normal circumstances, when the husband comes home, the hostess will greet him on her knees.

Of course, this kind of kneeling is kneeling and sitting.

Kneeling is a very common etiquette in Japan.Not to mention bowing, it really took Li Duo Bu blame to a new level.

In any case, it can be seen from these details that women depend on and respect their husbands.

Zhang Qilian was able to marry such a beautiful Japanese woman who loved him so deeply, it was really a blessing that he had cultivated for several lifetimes.

"Hello doctors, please take care of my husband's illness!"

She bowed to everyone.

Etiquette is the standard salute in Japan.

"You are welcome, Mrs. Zhang, please sit down! We invite you to come over to participate in the discussion because your husband is in critical condition, and we have not yet grasped some information. In order to save time, we need to understand it face to face with you."

Director Xueyan asked her to sit at the head of the consultation table.

Under normal circumstances, two people can sit here, and most of the time it is for nurses or family members.

"If you have any questions, just ask, as long as I know, I will provide as much detail as possible."

She sat down a little shyly.

"During our discussion just now, I learned from Dr. Zhou that your husband has suffered from vascular disease since he was a child. This will be a huge risk for heart surgery. Do you know the specific cause?"

"I know a little bit, this matter is related to Qilian's privacy, please keep it secret."

After speaking, she stood up again and bowed to everyone.

"Protecting patient privacy is what we should do, you don't have to worry about it."

Director Xueyan made a promise to her.

"When he was young, Qilian once told me that he developed high blood pressure less than three months after he was born. At that time, the medical conditions in his hometown were not very developed, and the doctor only said that this kind of situation was very rare. Because of consideration When the baby's tolerance level is poor, the doctor is also extremely cautious about the medication. The doctor also told Qilian's parents that because the child is still young, the blood vessels are very flexible, and if the blood pressure does not continue to rise, there will be no major problems."

High blood pressure in children is rare, but it still occurs.

Infants with high blood pressure are indeed extremely rare.

Most people develop secondary hypertension with age.Such as aortic stenosis, renal artery stenosis, renal aneurysm and so on.

"At that time, Qi Lian did not receive treatment. Later, when he was five months old, he developed irritability, crying at every turn, and even vomiting, profuse sweating and other obvious symptoms. His family took him to see a doctor again , Since then until the age of 19, he has always relied on drugs for maintenance and treatment."

For the first time, she told the doctors present about Zhang Qilian's childhood medical history.

Born with high blood pressure, this kind of baby is especially difficult to bring.

Sometimes, because the parents don't understand medicine, the children can't speak.Parents will also complain to others that my children don't know why they are so difficult to take care of, and they are especially prone to crying.

A little disturbed, it will wake up, and then cry non-stop.

In fact, in this case, parents should be vigilant and be more patient and careful with their children.

Because babies are uncomfortable, they cannot express them as accurately as adults.

Crying is their only means of expression.

It would be even more terrifying if one day they stopped crying and making noise.

Zhang Qilian suffered from such a strange disease since he was a child, and it is indeed pitiful.Perhaps it was the experience of growing up with illness that made his personality a little weird.When Zhou Can dealt with Zhang Qilian in the car that time, his first feeling was that he was a bit cold.

Maybe it's not enough to describe it as shady.

It is more vivid to use the word cold.

In addition, his actions are also extremely paranoid and ruthless.

It is said that children who have endured too much pain since childhood are often cruel when they grow up.This should make sense.

The domestic medical level has been relatively backward decades ago.

It is relatively advanced now, but there is still a gap with developed countries.

When encountering some difficult-to-treat diseases, it is more to make use of the medical characteristics of the country and adopt the method of combining traditional Chinese and Western medicine for treatment.

First of all, there is one point to be explained. The slogan of integrating traditional Chinese and Western medicine is put forward not only out of consideration of national conditions, but also a kind of helplessness.

With the decline of Chinese medicine, everyone in Chinese medicine has almost disappeared.

Even if there are a few veteran Chinese medicine practitioners with relatively high levels, they cannot continue to practice medicine because of the limitation of their medical qualifications.

Generally speaking, traditional Chinese medicine is still seriously declining, and the treatment effect is poor.

This caused the common people to lose confidence in Chinese medicine, and instead preferred Western medicine for treatment.This is a terrible vicious circle, which will further lead to the decline of Chinese medicine.

Because there is no market, Chinese medicine practitioners need to eat and support their families, so they cannot continue their practice.

In desperation, I had to switch careers.

This is basically the current status of Chinese medicine in China.

Of course, it's better now.Some wise people put forward the propaganda slogan that Western medicine treats the symptoms and Chinese medicine treats the root.This is very effective, and the side effects of traditional Chinese medicine treatment are small, and it has basically been deeply rooted in the hearts of the people.

This is a trace of living space created by Chinese medicine desperately fighting.

After talking about Chinese medicine, let's talk about the current situation of Western medicine in China.Medical instruments and appliances, and medicines are the two magic weapons of western medicine.

Because our country was very backward and poor at that time, the development of western medicine started very late, coupled with the technological blockade of foreign countries, resulting in a serious generational gap between the treatment level of western medicine and developed countries.

Of course, we are working hard to catch up now, and the results are pretty good.

However, there are still large gaps in many areas.

This must have a clear understanding.

Those who studied Western medicine in their early years were basically of English origin.This requires students to learn English before studying medicine.

Invisibly increased the difficulty of medical study for medical students.

Up to now, some of the top international medical journals are still required to be in English.Including the most well-known SCI, SSCI.

If it's just that, it can still be overcome.

However, the technical blockade of instruments, equipment, and medicines is a flaw.

Make bricks without straw.

These hard conditions cannot be solved, and it is impossible to raise the level of medical treatment.

Expose a cruel medical situation.

When rescuing critically ill patients, the first thing doctors consider is always imported drugs and equipment.Because the effect of domestic products is much worse, the effect may not be obvious, or even have serious negative effects.

For example, the same drug has the same ingredients.

With the current technology, it is not difficult to detect the ingredients of medicines.

But if you think that all medicines have the same ingredients and everyone has the same effect, then you are really wrong.

Imported drugs have advanced slow-release technology, which can precisely control the length of time for patients to absorb this drug.At this point, there are still great technical barriers for domestically produced products.

Think about it, too, with more than 200 years of technology accumulation and precipitation, it is too difficult to reach the same height as others in decades.

To sum up, it is normal that our level of western medicine lags behind that of developed countries.

The decline of traditional Chinese medicine and the failure of western medicine to catch up with the advanced level of other people have made it difficult to treat difficult diseases.

then what should we do?

You can't just watch the patient die like this, can you?

This is not difficult for some wise people in our country.

The slogan of integrating traditional Chinese and Western medicine also followed the trend.Take the best of the two and use it to fight the disease.

Although it has not been widely recognized yet, I believe that as long as we continue to work hard in this direction and cultivate deeply, we will reach a very high level one day.

"Your husband has high blood pressure since he was born. Is it hereditary? Do his parents and grandparents have similar diseases?"

Director Xueyan asked.

"No, none of them have this disease. The cause of my husband's disease may be...his parents were married by consanguineous relatives."

When it came to the specific reason, she hesitated.

In the end, he told the doctor about his illness and told the real reason.

Marriage between close relatives is very harmful, so many countries do not advocate close relative marriage.

This violates human relations and is not good for future generations.

The birth rate of deformed children in close relatives is very high, and there are various rare diseases, and the occurrence rate of strange diseases is also extremely high.

"The cause is now basically clear. The patient suffered from high blood pressure since he was a child, which caused systemic arterial disease. We will conduct some necessary examinations on your husband to see if he meets the criteria for surgery."

"Please everyone!"

She was smart, stood up, bowed, and left.

Because to call her in is to understand the problem.

"Zhou Can, I know that you are also very busy at the emergency department. However, this patient's condition is very critical. You can help me make a clear diagnosis and then draw up a surgical plan. If necessary, I'm afraid I have to ask you to help me." Let's go after surgery."

Director Xueyan made a request to him.

"No problem. Saving the lives of patients is the first priority, and I am willing to fully cooperate."

Zhou Can readily agreed.

"Considering that the patient has a history of hypertension for more than 50 years and the condition of blood vessels in the body is extremely bad, it is recommended to perform heart surgery first. A heart transplant can only be used as a backup method."

He could almost foresee that the biggest challenge in operating on patients would come from the arteries.

……

After more than an hour, Zhang Qi even finished the checks that should be done.

The anesthesiologist is headed by Feng, the highest director of Tuya Hospital, who will participate in the discussion of surgery and the assessment of patients.

The stakes are very high.

The family members were willing to take risks and cooperated very well, which also made the operation possible.

Director Xueyan personally acted as the chief surgeon, and Zhou Can was actually the second chief surgeon. He mobilized the strongest backbone of cardiac surgery and went all out to complete the operation.

Vice President Ye and Vice President Bai attached great importance to this operation.

Because this is an important publicity for Tuya Hospital.

The hospital was going to use this case to make a big publicity, stepping the Third Hospital into a muddy pit, and helping Tuya's two departments of cardiothoracic surgery and cardiovascular department to establish golden signs.

This is a major strategic decision for the hospital.

Therefore, the leaders of the hospital attach great importance to it.

(End of this chapter)