BXBX NOVEL Chapter 2117: [2117] Domestic and foreign phase left
Under such a premise, a patient like this, who can obtain extensive medical information, will naturally make the best choice for himself, and simply say that he will have a heart-lung transplant sooner or later.
But this patient was the only one who did not expect that domestic doctors said that she could do non-transplant surgery before surgery.
"Director Zhang thinks it's okay not to do a transplant, but foreign doctors think it must be done?" Du Haiwei re-checked whether the information he heard was inaccurate.
Foreign medicine is relatively developed, and domestic doctors have always learned from foreign advanced medicine. Most of the patients are domestic doctors who worship foreigners in medicine and can understand. If a patient settled abroad for medical treatment earlier, it is right to first listen to the professional advice of foreign doctors. Du Haiwei is more right to ask one more question now.
"Yes." Du Yeqing nodded, "After our Director Zhang carefully judged her condition, we believe that this patient was a heart patient who had undergone mitral valve replacement before. The deterioration of her condition this time was due to the artificial replacement abroad. There is a problem with the mechanical valve, re-stenosis and thrombosis occur, the situation is more critical, and the severe pulmonary hypertension caused by the regurgitation of the tricuspid valve occurs. The overall condition of the patient is considered to be secondary pulmonary hypertension. The possibility is very high , you can try to do heart surgery first to improve the condition. Foreign doctors think that her pulmonary blood vessels have changed substantially and must be transplanted."
Whether to do lung transplantation for pulmonary arterial hypertension, this controversial point may be in the judgment of domestic and foreign doctors on the patient's pulmonary arterial vascular disease. That is: whether the patient's pulmonary artery is sentenced to death. If it is believed that the pathological changes in the narrowing and stenosis of the blood vessels cannot be reversed, there is no magic medicine for internal medicine to deal with the pathological changes of the pulmonary blood vessels. This is also the reason why primary pulmonary arterial hypertension was later called idiopathic pulmonary arterial hypertension.
Surgical words cannot be said to completely remove these pulmonary vessels for reconstruction. In the last pulmonary interventional operation, we can intuitively feel the distribution of pulmonary blood vessels, like the dense branches and leaves of lush branches almost all over the entire lung tissue. Removing these blood vessels is equivalent to removing the entire lung. To remove the entire lung to find a replacement, it can only be a double-lung transplant.
Zhang Huayao can't bet on it, he is relying on his own technology and experience to judge the pulmonary blood vessels of this patient, which has not undergone irreversible changes, so he can try. Who is right and who is wrong between Guozhi's doctor and foreign doctor, I really can't come to a conclusion for a while. The final judgment result is to wait until the operation is completed and then look at the follow-up situation of the patient.
In any case, the patient only heard that he could not do the transplant, and even if he took a big gamble, he was willing to go back to China to find Zhang Huayao.
This fact fully shows that patients' needs for doctors will never be to see doctors at home or abroad, and whoever does it.
Du Mengen, who was listening, frowned and blinked: Xie’s tricky answer was right, he was a patient with heart disease and had secondary pulmonary arterial hypertension. And it is the academic result supported by the big brother Zhang. Xie classmate is just a piece of academic research, and is a smart school.
(end of this chapter)