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Chapter 1601: ?1601?Check the root cause
Chapter 1601: ?1601?Check the root cause
?? Chapter 1601 [1601] Check the root cause
?? No way, can't see it. The doctor in the CT room of the Provincial People's Hospital may be based on the clinician's belief that there is a thrombus in the atrium and that the patient has a pulmonary embolism. It is always correct to add a sentence. After all, the surgeon complained before that the heart problem was not detected before the operation, which caused serious consequences.
?? Regarding how difficult it is to detect atrial thrombus, the detection rate of CT is only tens of percent.
??As Mr. Zhang said, Xiao Shugang was unlucky to meet a doctor who was not skilled enough. Once again, medicine is a multi-disciplinary collaboration, and any department that loses the chain may have major problems. CT room doctor skills are equally important to patients.
??ct can't see it, how about other instruments, such as ultrasound? Sorry, transthoracic echocardiography has a lower detection rate of atrial thrombus than CT. As for transesophageal echocardiography, the detection rate is similar to that of CT.
??If the doctors in the Ultrasound Room of the Provincial People's Hospital are highly skilled, and their ability surpasses that of the doctors in the CT room, they can fill the leak and there will be no further problems. However, when Xiao Shugang was transferred to the Provincial People's Hospital for emergency surgery, the preoperative echocardiography was not performed, and this examination was not performed. It is equivalent to that, according to the ct report, the clinician believes that only the lungs have problems and the heart is fine. This pot is not cautious enough, and the clinician has to bear it.
?? Once again, as Zhang Huayao and the others deduced, the problems in the treatment process are caused by many factors, and each department has the responsibility.
?? The final problem is that the doctors in the Ultrasound Department of the Provincial People's Hospital failed to perform well, so the final result report was written according to the report of the CT room. This is no different from not seeing a thrombus.
?? "They can't find out." Dr. Zhao was so stressed, his head exploded instantly.
?? Before Mr. Xu discussed with him, he did not expect this patient to have such a big problem.
?? "What have I always told you." Dr. Xu took this opportunity to tell the students how important it is for a doctor in the CT room to practice skills well. It can be said that now the hope of patients and clinicians is all with them.
?? Xie Wanying realized this, so she rubbed Teacher Qin's light into the CT room anyway.
?? "Calm down." Dr. Xu patted the students' shoulders and used his powerful aura to cool everyone's minds.
?? Discussion continues. Doctors at the Provincial People's Hospital believed that the patient had a thrombus in the right atrium because the patient had a pulmonary embolism. Pulmonary embolism is closely related to the right atrium.
?? "The key point is to check the right atrium. They didn't find it. We need to find out the problem of the right atrium." Dr. Zhao believes that although the doctors of the Provincial People's Hospital are a bit fictitious, the speculation is somewhat reasonable.
?? "What do you think?" Dr. Xu turned to ask Xie for his opinion.
?? "I think the ventricle, not the atrium, may be the focus of attention," Xie Wanying said.
?? The thrombus in the atrium does not necessarily originate in the atrium, but may originate in the ventricle. The reason is that in the case of cardiac trauma, the most common damage is the right ventricle, which has been mentioned before.
?? Clinicians believe that the patient may have a thrombus in the atrium based on the patient's clinical symptoms. The ct and ultrasonography of the Provincial People's Hospital could not detect thrombus in the right atrium. Is it possible to start from the possible source of atrial thrombus to further identify the problem of the heart?
?? "What you said makes sense, isn't the problem more difficult to investigate?" Dr. Zhao admitted that her speculation was in the right direction, but said with a stern face.
?? (end of this chapter)