Chapter 3655        【3655】Dimensional Reduction Strike

It is said that it is blind insertion, and it is impossible to completely blind insertion. It is difficult for patients to move to the interventional room for interventional surgery, but it does not mean that no other medical resources can be used. Referring to previous cases of neurosurgery, it is desirable to use the convenience of ultrasound to locate it.

strategy.

When I saw that there was indeed an echocardiography machine in the ward.

Here comes a question: If multiple wires can be used to select stimulation, ventricular stimulation should be preferred during rescue. Because learning about heart physiology is more important to know ventricular activity.

On the other hand, transthoracic echocardiography is also difficult to observe for the right atrium and requires special position.

Using transthoracic echocardiography on the bedside can help the doctor send the electrode through the tricuspid valve.

Shin Youhuan wanted to say that this young junior sister had never arrived at the ward from a distance and could reach the academic focus. She clearly had the clairvoyance of medicine with great power or touched his senior brother Shen's brain.

The problem is, the patient she mentioned is that the tricuspid valve is not good, where is it bad? Can't the echocardiography be seen?

Everyone looked back to search for medical records. This seems that this item is not listed in the patient's existing cardiac examination results.

"He has moved his tricuspid petals downward." Xie Wanying said again.

"Has his tricuspid valve moved down?" Everyone looked for it again, and asked a lot of questions. "Which inspection report did you read it?"

"Breast radiograph."

Chest X-ray?!A high-level dimensionality reduction strike?

"She is too rich in medical association." Dr. Zuo Jinmao, who is too easy to talk, couldn't help but make a big talk again.

Is she thinking randomly? Everyone knows that an ordinary chest x-ray refers to an x-ray of the chest. It can only roughly capture the outer contour of the heart, but definitely cannot capture the structure inside the heart, including the tricuspid valve.

It is better to look at echocardiography. Echocardiography can observe the position of the tricuspid valve, and use the control. Comparison of the attachment point of the tricuspid valve on the tricuspid valve annulus and the attachment point of the mitral valve, whether it exceeds the normal gap range.

To determine whether the tricuspid valve has deformed downward. At the same time, if the tricuspid valve is severely moved downward, the tricuspid valve closure problem will cause changes in the internal hemodynamics of the heart. These are the same as the internal blood flow test of the heart on echocardiography.

It is reflected.

"I personally think this patient is not the tricuspid valve downward malformation we usually talk about in clinical practice, but the overall heart structure leads to such a result." Xie Wanying said.

The reason for the failure of the surgery has nothing to do with disease factors. Some are abnormalities in the patient's own organs. Even subtle abnormalities may catch the doctor off guard. The human body of the doctor's anatomy and surgery case is based on the data of most people.

Doctors who do not know about various cases have no idea about it and have no idea to start.

Everyone understood that the "downward movement" she said means that the tricuspid valve may be lower than the mitral valve in most people, which is equivalent to the tricuspid valve growing, so the guidewire electrode is over the tricuspid valve.

The path of the valve opening and closing gate becomes longer, and the process is inevitably difficult. Such special cases are very difficult for doctors who have never done such cases.

From the side, it can be reflected that the intervention master Senior Brother Shen is not not good. The powerful Senior Brother Shen can feel the danger and it is right not to dare to circle the tricuspid valve too much.
Chapter completed!