Vol 3 Chapter 2219: Surgery to remove 400 g of myocardium

"What kind of hysteria is in the middle of the night?"
After more than ten minutes, Su Yun went downstairs and was very unhappy.
"I suspect the old man in his family is dilated cardiomyopathy, or advanced, go and see." Zheng Rendao.
Wu Suyun looked at the tears on the man's face, knowing that the boss was doing something wrong. However, this time I picked up the heart-thoracic patient, I can bear it myself.
Howling a car, the man came to the hospital with Zheng Ren and Su Yun aggressively.
He took the film and at this time the wine was almost awake.
Ye Yefeng was slightly cold, he was a little at a loss with the film and information, and did not know why he believed the young man's words.
Even if it can be cured, it can't afford hundreds of thousands of expenses. Selling a house or land is not enough for hundreds of thousands. Carry money? The interest is to crush human bones.
I met a kind person, but no matter how kind I can help myself to pay for medical treatment? No one's money was brought by the wind.
"Two, how do you call them?" After the man came down with the film, he remembered and asked what his name was.
"It doesn't matter." Su Yun took the film bag and took out a chest radiograph.
He glanced at the light, his hands stagnated in the air.
"Ah, such a big heart!" Su Yun said in surprise.
The patient has left pleural effusion, and the image of the heart is mixed in the effusion, which is difficult to distinguish. But this is not to stump Zheng Ren and Su Yun. At a glance, the patient's condition is serious.
The expansion of cardiac malformations is mainly left ventricle, and the right ventricle and left and right atria also have different degrees of expansion.
The ECG showed severe right bundle branch block, extensive ST-T changes, high left ventricular voltage, and left atrial hypertrophy. Pathological Q waves can occur due to myocardial fibrosis, and each lead has low voltage.
Echocardiography showed a significant enlargement of the left ventricle, an expansion of the left ventricular outflow tract, and a decrease in the amplitude of the ventricular septum and the left ventricular posterior wall.
The patient has rapid ventricular rhythm, accompanied by severe AV block. In other words, there is a possibility of sudden death at any time.
There is no doctor's order, but Zheng Ren speculates that the effect of conservative treatment of internal medicine is limited.
I have passed the period of fighting heart failure and correcting arrhythmia. The best way to do it now is heart transplantation, which is what men say to change their heart.
If patients with advanced dilated cardiomyopathy undergo heart transplantation, the survival rate of more than one year is more than 85% -90%, and the effect is still good.
However, the problem came again. The high cost and lack of donors made it difficult to perform the surgery. It's not even money or money. Where there is no donor, where to go for a heart transplant.
Unless Su Yun said, the Rongcheng Huaxi project team took the 3D printed heart project as soon as possible.
"Boss, have you forgotten? How much myocardium would I have to cut if I had volume reduction surgery?" Su Yun recalled countless data and said with emotion.
"About 350g of myocardium, this is still less said." Zheng Rendao.
"..." Men listened to 懵, are they saying that the heart muscle is the muscle of the heart? After that thing is cut off, can it still survive?
"Yes, we are doctors of 912." Zheng Ren later said positively: "It happens that we have a project that can perform free surgery on patients. There should be some subsidies after surgery."
Immediately, Zheng Ren saw the man looking at himself with skeptical eyes.
I said this myself, it was so much like a liar, Zheng Ren smiled inwardly.
"Let me do it." Su Yun thought Zheng Ren was wrong and interrupted his disdain.
"Your father, is seriously ill and will die at any time." Su Yun told the truth.
The man knows this, the doctor here has said many times.
"The longest estimate is that we can live another two or three months. We have a scientific research activity on our side, which can be operated free of charge. The success rate of the operation is not high. If you want to try it, go to us."
"The specific free situation, when the time comes to elaborate." Su Yun looked at the man's eyes, suddenly breathed, black hair floating on his forehead, "Do you think you lied to you?"
The man is silent.
"Speaking badly, just wear it on your body, I can guess what's going on in your house. How much oil can be squeezed by breaking bones? It's not enough time to lie to you."
Slang is not good, but the truth is just that.
"You and your family have discussed with you, there is a high probability that the operation will fail. If you fail, you will die on the operating table. If you want to give it a try, you decide."
"To be honest, this is a dead horse as a living horse doctor, how can it be a glimmer of hope." Su Yun laughed: "I suggest you have surgery. Come, scan a code, add a friend, I will send you the address."
The man thought that Su Yun was right.
Is there anything else in the world to see a doctor for free? If it was a scientific research project according to what he said, it would be possible.
Scan the code and add a friend Su Yun to send him the address.
"If you want to have an operation, go to the hospital and look for me. Doctor 912, you must not be the one who sent you the three melons."
The banner of 912 came out and the man believed it.
"Hurry up to do it. Your father may not be able to do it anytime, anywhere. Don't grind about it for three or five days, and finally pull it over and wait for death. It's not necessary." Su Yun kept saying it badly truth.
The man nodded and worked very hard.
He was a little embarrassed, confused, and sometimes even thought he was dreaming. What comes to mind is not what dreaming can be.
If this is a dream, I hope I will never wake up.
"Okay, it's late, let's go back to sleep. You decide, WeChat tells me." Su Yun finished, pulled Zheng Ren and turned away.
In the night wind, the man looked at the two leaving figures and plunged into infinite trouble.
"The boss ~ EbookFREE.me ~ is the possibility of successful surgery?" Su Yun asked.
"Not big." Zheng Ren said: "Left ventricular malformation is dilated, and the degree of myocardial hypertrophy is less than 350g of myocardium. A normal heart is more than 300g, and a large portion of a heart is cut off. It will be difficult to close. "
"I don't want to listen to you like this." Su Yun said scornfully, "Do you think that only you can do it? Our 912 intensive care is very strong. What about patients with liver transplantation, the postoperative recovery is not proper Are going to be discharged. "
Zheng Ren smiled.
"You forget it, what exactly is the operation?" Su Yun asked.
"M = 4.18 × R3, calculated according to this formula ... There is no transesophageal ultrasound examination, only preliminary judgment ..."
"Boss, this is just the two of us. Don't you talk as well as tell the patient's family about the condition," Su Yun said unhappyly.
"Cut myocardium of about 400g." Zheng Ren finally gave an answer.
Wu Suyun confirmed his guess.
I'm not wrong, 400g! The weight of myocardium removed by successful left ventricular volume reduction in the world is 302g.
MD! Why is it so hard?
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