Emergency Department of Jiang Intermediate People's Hospital.

Except for Fang Haoyang, all the experts and doctors gathered in the consultation room for preoperative consultation.

Today's patient is the most difficult emergency patient encountered by Jiang Intermediate People's Hospital so far.

Not only Jiang Intermediate People's Court, but also for the entire Jiangzhou Province and even the whole country, this patient today is quite difficult.

"The patient was transferred from Shangjiang Central Hospital. He was 28 weeks pregnant and had a cardiac aortic dissection aneurysm..."

Li Wenjun introduced the patient's condition to everyone.

"Aortic dissection aneurysm of the heart itself is a high-risk disease, with rapid onset and high mortality rate. The patient is also a pregnant woman, and the risk of surgery is increasing in proportion. With the level of our Jiang Intermediate People's Hospital, it is impossible to complete such an operation."

As he said that, Li Wenjun looked at Fang Han: "Xiao Fang, what do you think now?"

The patient's condition is very complicated. The aneurysm may rupture at any time. Once the dissection aneurysm ruptures, it takes only sixty seconds from rupture to death.

The aortic wall of the human body is divided into three layers: inner wall, elastic intermediate membrane and outer membrane. The aneurysm dissection is the state of separation between the true and false cavity of the aortic wall from the tear or lesions of the aortic intrinsic membrane, which separates the middle membrane and expands along the long axis of the aortic to form a separation state between the true and false cavity of the aortic wall.

In this case, the aortic wall will become quite thin, and often a violent breathing or sneezing may cause aorta to rupture.

Aortic dissection is a rare clinical condition, with an incidence rate of one in 100,000 or even one in 200,000 per year.

The probability of happening to pregnant women is very, very low, but once it occurs, it is a very serious disease.

The patient was 28 weeks pregnant and had a twin, and was close to fertility. Now he was found to have aortic dissection of the heart, which means that the relationship between one corpse and three lives is now related.

"Under the patient's current situation, the risk of continuing to transfer to hospital is very high."

Fang Han said: "In terms of medical standards, our Jiangzhou Province has relatively high medical standards in several surrounding provinces. If our Jiangzhou Province cannot get this disease, then the best choice for patients is to transfer to Shanghai or Yanjing. Once the dissection on the road breaks, the consequences are almost predictable."

Everyone said nothing.

What Fang Han said was the truth.

The patient was transferred from Shangjiang City to Jiang Intermediate Hospital, and he took considerable risks along the way. Shangjiang City is not too far from Jiangzhong, and it is two hours away. However, if he was transferred to Shanghai or Yanjing.

In the patient's condition, he cannot take a plane. The bumps and weightlessness at high altitude can easily cause the aortic dissection to rupture. Once it ruptures, it means death.

The risk of transfer to a hospital is very high.

It is said that there is no cardiac surgery department in Jiang Intermediate Hospital, and patients should not choose Jiang Intermediate Hospital in this situation. However, the last time Solis and Fang Han's surgery was also a doctor from Shangjiang Central Hospital. This time the patient came to Jiang Intermediate Hospital because the director of the cardiac surgery department of Shangjiang Central Hospital suggested. To be more straightforward, he came for Fang Han.

But as Li Wenjun said, Jiang Intermediate People's Court cannot handle such a complicated operation.

"Xiao Fang, do you mean we do it?" Li Wenjun asked.

"Dr. Fang, I suggest you be more cautious."

Vice President Tan Wangxue said, "We can't do such a complicated operation at all. In the outside world, you are the only one who is Xiao Fang. This kind of operation cannot be taken down by one person."

"Yes, Xiao Fang, it's better to be cautious." Qin Weihua also spoke out to dissuade him.

The risk of the operation is too great and the consequences are quite serious. One corpse and three lives are gone. If something goes wrong, the negative impact of Jiang Intermediate People's Court will be small, and Fang Han's own future will be great.

Given the current situation of Jiang Intermediate People's Hospital, it is not an exaggeration to push the patient out of the heart. After all, Jiang Intermediate People's Hospital does not have an external area. Although Fang Han can undergo heart surgery, he can rely on Fang Han alone, and such an operation cannot be obtained.

Since you can't get it, let the patient be transferred to the hospital. Even if you are transferred to the Jiangzhou Provincial Hospital or Jiaotong University Medical Affiliated Hospital, it is better than in the Jiang Intermediate People's Hospital.

Fang Han said: "Since our Jiang Intermediate People's Court cannot get it, I suggest contacting several other hospitals immediately to participate in the operation."

"Participate in the operation together?" Tan Wangxue was stunned.

Fang Han nodded: "The patient's situation is complicated. He not only needs to undergo uterine delivery surgery, but also undergo cardiac aortic vascular replacement surgery. The risk is very high. Such a surgery is a very high risk for any hospital. Since one hospital cannot be obtained, I suggest that several hospitals participate in the operation together."

From Fang Han's perspective, he naturally would not easily push the patient out.

It’s not about showing off, but about being responsible for the patients.

Not only can they not get the surgery with such a great risk, but they can't get the surgery, but even the provincial hospital and the medical affiliated hospital cannot get the surgery. Even Shanghai Hospital and Yanjing Hospital dare not say that they can get it.

One corpse and three lives.

The safety of a pregnant woman is not only related to the pregnant woman himself, but also to the child.

Children at 28 weeks of pregnancy have a high birth risk rate and low survival rate. Coupled with the pregnant woman's cardiac aortic dissection aneurysm...

When the hospital was doing the examination and analysis just now, Fang Han had carefully measured the pros and cons.

The reason why Li Wenjun and others felt that the Jiang Intermediate People's Court could not take this surgery was not because of Fang Han's level, but because Jiang Intermediate People's Court currently does not have relevant teams in the field of heart.

Except for Fang Han, other doctors have never participated in cardiac surgery, and nurses have hardly participated in it. Except for Fang Han, they are all novices. How to do this surgery?

Therefore, Fang Han suggested to invite foreign aid.

"The last time Dr. Solis did several surgeries in our hospital was the cooperation of the doctor team from the provincial hospital and the medical affiliated hospital. This time we can also ask the doctors from the provincial hospital and several other hospitals to participate, and I will take the lead in the surgery."

Li Wenjun pondered slightly and looked at Tan Wangxue.

This is also the difference between Fang Han and now. Not only does he have an extraordinary status in Jiang Intermediate People's Court, but he also underwent liver and heart surgery. Everyone knows Fang Han's level very well.

Although Fang Han is still young now, in Jiang Intermediate People's Court, in some circles that are familiar with Fang Han, others should pay attention to his words.

If Fang Han had said this two years ago, someone would have been quarrel with him long ago.

The authority of a doctor is established through repeated treatments.

The superb surgical level and the recovery of patients with difficult and complicated diseases have already made Fang Han establish absolute authority in Jiang Intermediate People's Court.

"Okay, I think Xiao Fang's proposal is still feasible. As doctors, we must also be responsible for the patients. Xiao Fang's proposal is indeed the best way at present. Let's contact several other hospitals."

"Director Jiang, there is no problem with our obstetrics department?" Fang Han asked Jiang Yue'e again.

This operation can be said to be two surgeries: aortic vascular replacement of the heart for caesarean section, first undergoing caesarean section, and then immediately undergoing cardiac aortic vascular replacement. Both surgeries should be fast.

Not to mention caesarean section, it is necessary to save time as much as possible, which also has a very high requirement for obstetrics.

"no problem."

Jiang Yue'e said: "Our obstetrics and gynecology department of Jiang Intermediate Hospital is not a simple traditional Chinese medicine department, but also an elite surgical treatment team."

"Okay, then that's it. Obstetrics department will prepare immediately and wait for the doctors from other hospitals to take their seats. Obstetrics department will be the first hit and the first level of this operation."

"Fang Han, you must do a caesarean section first, so you cannot have a heart surgery first?" Zhuo Haihua, deputy director of the obstetrics department, asked.

"Of course not!"

Before Fang Han could speak, Kuang Mingzhuo said: "Card surgery requires the establishment of external circulation, and physical cooling and other means must be taken at that time. If the heart surgery is performed first, it will be very dangerous to the child."

The obstetrician and gynecology doctors went to make preoperative preparations first, while Fang Han and Chen Yuan walked out of the consultation room.

In the corridor outside the rescue room, the patient's family was waiting anxiously.

The patient's parents, parents-in-law, husband, and a whole family, had a haggard face and a sad face.

"doctor!"

Seeing Fang Han and Chen Yuan discharged from the hospital, the patient's family hurriedly came up like a rush. Before Fang Han could speak, the patient's husband hurriedly said: "Doctor, it really doesn't work. We protect the adults, protect the adults, please save my wife, please."

"Don't worry!"

Chen Yuan hurriedly said: "It's not about protecting adults or children now."

"Doctor, you mean, both can be kept?"

The patient's family did not understand this. They only knew that the operation was very dangerous. After all, the patient was transferred from Shangjiang City to hospital, and they knew some of the situations.

"The fetus is 28 weeks old. In this case, we must have a caesarean section before we can have a heart surgery. It is not as simple as protecting adults or children."

Chen Yuan patiently explained to the patient's family.

Fang Han didn't say anything, looking at the family in front of him.

The twins are 28 weeks old. For this family, they should have been waiting for the arrival of a new life with joy. But who would have thought that the child had not been born yet, but he ushered in such a sudden change.

The patient's aortic dissection is caused by advanced pregnancy, and the probability is relatively very, very low, but such a low probability event occurs to the patient.

The risk of surgery is almost increased by cesarean section and arterial dissection.

Fang Han originally planned to say something to the patient's family, but looking at the family's expectant eyes and worried expression, he couldn't say a word.

Even if you have a system in your body, Fang Han is not very sure about this operation. If the artery ruptures during caesarean section, the system's props are actually not very effective.

This operation is only one aspect of the doctor, and the patient's willpower and luck are also crucial.
Chapter completed!