Returning to ’90s, She Became Famous in Major Surgical Fields

   Chapter 2739 [2739] Never heard of it

   "To do this kind of impact across the sternum, the patient has suffered brain damage from cardiac arrest before and cannot do it again."

   What she said mainly meant that considering that the patient Wei is a scholar, everyone intends to save his academic career in tonight's operation, and must try to avoid any possible brain damage to him as much as possible. In this way, it is unlikely to be rescued by the original method.

   For her consideration for her classmates, Dr. Che would definitely agree with her, but clinically speaking, she must speak according to the facts: "Rescue measures are difficult to implement, and you are worried about risks as you said, but you have to think about how to find the lesion if it is not stimulated."

   "My thinking is that there is no need to borrow stimulation to find the lesions. I observed him when he had a seizure last time, and with the MRI report made later, I have a certain understanding of his cardiac structure."

   After everyone on the scene pondered what she meant, many people said wow in their hearts: What? Does she want to judge the lesions only based on the MRI report and her own observations without stimulation?

  This—should have never been done successfully. No one there had heard of it. Of course, it is not ruled out that there are doctors who have done this and succeeded. For example, classmate Xie said before that she accompanied her acquaintance to do the case, but she couldn't find what to do, so she could only try it blindly by relying on the clinical experience accumulated by the doctor herself.

   If she is an old doctor who has performed this operation and has performed tens of thousands of cases, she has experience and intuition, and I believe that there will be no such loud doubts at the scene.

   Dr. Che asked her, a young man who should not have much experience: "Do you think you can determine where the ectopic pacemaker is based on this alone?"

   "Teacher, I think it may be necessary to discuss some of the points in your statement."

  Xie classmate, what did you say, what points of view in Dr. Che’s words need to be discussed? Dr. Che thinks you are inexperienced and you don't admit to discussing your inexperience?

   Zhang Desheng and Zhao Zhaowei, who were at the scene, looked at each other in dismay.

   Classmate Pan scratched his forehead with his fingers, bowed his head, and smiled: Classmate Xie definitely didn't mean that.

  Yue Wentong, who was outside with the counselor to accompany his family members, got in to help the counselor investigate the situation of the operation. When he came in, he happened to encounter this scene and was stunned: Did he, the monitor, come at the wrong time and have to help Xie to deal with the aftermath?

   Thinking about it, it should not be used.

   is definitely not necessary. Seeing the teachers at the scene couldn't help laughing.

  The most terrifying thing is that even the big boss Cao Yudong couldn't help laughing.

   Doctor Che in the operating room suddenly realized the omission in his words, and first admitted his mistake: "Yes, I was not careful enough in what I said just now."

   It is. What is an ectopic pacemaker, at the cellular level, is the first cardiomyocyte to emit abnormal electrical activity. Can you, a surgeon, see the cellular hierarchy? impossible. A pacemaker can only be called a zone. This area is big and small. If it's focal atrial tachycardia, it's okay for you to find a small area called a pacemaker to burn. If it's the complicated case of student Wei, eh?

   The key point of Dr. Che's imprudence is not that it cannot be called finding an ectopic pacemaker, but that Wei's case is the scar case that is the most troublesome for doctors in ablation intervention.

  What are the characteristics of scar cases? First of all, we need to talk about why scars cause atrial tachycardia and ventricular tachycardia. The scar area is mostly composed of fibrous connective tissue, and living cardiomyocytes are in the minority.

   (end of this chapter)

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