2219 Surgery estimated to remove 400g of myocardium
"What kind of hysteria is happening in the middle of the night?"
More than ten minutes later, Su Yun went downstairs and nagged unhappily.
"I suspect his old man has dilated cardiomyopathy or advanced stages, so go and take a look." Zheng Ren said.
Su Yun looked at the tears on the man's face and knew that the boss was causing trouble again. However, this time he "picked" the patient, and he could tolerate it.
He called a car, and the man came to the hospital with Zheng Ren and Su Yun in a confused look on his face.
He took the movie and almost woke up when the wine was drunk.
The night wind was slightly cool, and he was a little confused with the film and information, and he didn't know why he believed the young man's words.
Even if it can be cured, I can't afford to pay hundreds of thousands of dollars. I can't make up hundreds of thousands of dollars in selling houses and land. I can't raise money? Then the interest will crush the human bones and slags.
If you meet a kind-hearted person, but no matter how kind-hearted you are, you can help you pay for medical treatment? No one's money is caused by the strong wind.
"What do you mean by two?" After the man came down with the film, he remembered to ask the other person what his name was.
"It's not important." Su Yun took the film bag and took out a regular chest film.
He glanced at the light and his hands were frozen in the air.
"Oh, such a big heart!" Su Yun said in surprise.
The patient had left pleural effusion, and the heart images were mixed in the effusion and it was difficult to distinguish. But this was not difficult for Zheng Ren and Su Yun. It was obvious that the patient's condition was serious at a glance.
The dilation of heart malformations is mainly the left ventricle, and the right ventricle and left and right atria also have dilation to varying degrees.
The electrocardiogram shows severe right bundle branch block, extensive st-t changes, high voltage of the left ventricle, hypertrophy of the left atrium, pathological q waves can occur due to myocardial fibrosis, and low voltage of each lead.
Echocardiac showed that the left ventricle was significantly enlarged, the left ventricle outflow tract was expanded, and the pulsation amplitude of the ventricular septum and posterior wall of the left ventricle were weakened.
The patient has rapid ventricular heart rhythm, accompanied by severe atrioventricular block. In other words, sudden death is possible at any time.
There is no medical advice, but Zheng Ren speculated that the effect of conservative treatment of internal medicine is limited now.
The period of anti-heart failure and correcting arrhythmia has passed. The best way to do now is heart transplantation, which is what men say about heart swapping.
If patients with advanced dilated cardiomyopathy undergo heart transplantation, the survival rate of more than one year will reach 85%-90%, and the effect will be good.
But the problem arises again. The high cost and lack of donors make it difficult to do surgery. It is not even a matter of money or not. Without donors, where can I go for a heart transplant?
Unless Su Yun said that the project team of Rongcheng West China will take down the project of 3D printing heart as soon as possible.
"Boss, have you forgotten it? If you have a volume reduction surgery, how many myocardium will you have to be removed?" Su Yun recalled countless data and said with emotion.
"It costs about 350g of myocardium, so that's less." Zheng Ren said.
"..." The man was stunned. Are the myocardium they said is the muscle of the heart? Can that thing survive after cutting it off?
"That's right, we are doctors from 912." Zheng Ren then said seriously: "We just happened to have a project that can perform surgery on patients for free. After the operation, there should be a certain subsidy."
Immediately, Zheng Ren saw the man looking at him with suspicious eyes.
He said this, he looked like a liar, and Zheng Ren smiled in his heart.
"I'll say it." Su Yun thought Zheng Ren was wrong and interrupted his words with contempt.
"Your father is in serious condition and will die at any time." Su Yun told the truth.
The man knew about this, and the doctor said this many times.
"The longest estimate is to live another two or three months. There is a scientific research activity on our side that allows for free surgery. The success rate of the surgery is not high. If you want to give it a try, go to us."
"The specific free situation will be explained in detail at that time." Su Yun looked at the man's eyes and suddenly blew his breath, with black hair floating on his forehead, "Do you think you are lying to?"
The man is silent.
"To put it bluntly, I can guess the situation in your house just when you wear it. How much can you squeeze out by breaking the bones and pressing oil? It's not enough to waste your time."
The words are not nice, but that's the reason.
"You discussed with your family that the operation is very likely to fail. If the operation fails, the person will die on the operating table. Whether to give it a try, you decide for yourself."
"To be honest, this is just a dead horse as a living horse, and it's a glimmer of hope." Su Yun smiled and said, "I suggest you have surgery. Come, scan the code, add a friend, and I'll send you the address."
The man thought Su Yun’s words made sense.
But is there any free medical treatment in the world? If he was talking about a scientific research project, it would be possible.
Scan the QR code, add a friend and send him the address.
"If you want to have surgery, go to the hospital to find me. A 912 doctor can't stop you from having three or two."
When the 912 banner was launched, the man believed it.
"If you want to do it, hurry up. Your old man may not be able to do it anytime and anywhere. Don't discuss it for three or five days, and finally pull it over and wait for death. There is no need for this." Su Yun kept telling the unpleasant truth.
The man nodded and tried very hard.
He was a little dazed and confused, and sometimes he even thought he was dreaming. He would come from whatever he wanted. If this was not a dream, he could be anything else.
If this is a dream, I hope I will never wake up.
"Okay, it's very late, let's go back to sleep. You have decided, tell me on WeChat." After Su Yun said that, he pulled Zheng Ren and left.
In the night wind, the man watched the two departing figures fall into infinite trouble.
"Boss, is it very likely that the operation will be successful?" Su Yun asked.
"Not big." Zheng Ren said: "The left ventricular malformation and dilation, and the degree of myocardial hypertrophy is less likely to be cut into 350g of myocardium. A normal heart is only 300g, and cutting off a heart more than a lot, so it is difficult to postoperative care."
"I don't want to listen to you." Su Yun said contemptuously: "Do you think you can do it? Our 912 intensive care is very strong. How about the patients with liver transplantation? The postoperative recovery is not necessarily discharged."
Zheng Ren smiled.
"Forget it, what should I do if I do the surgery?" Su Yun asked.
"m4.18x, calculated according to this formula... without ultrasound examination through the esophageal tube, only preliminary judgment can be made..."
"Boss, we are here. You're just talking as if you were explaining the condition to the patient's family." Su Yun said unhappily.
"Cut about 400g of myocardium." Zheng Ren finally gave an answer.
Su Yun confirmed his guess.
I was right, 400g! The weight of myocardium cut off by successful left ventricular volume reduction in the world is 302g.
Chapter completed!