【1367】Give the patient who takes regret medicine the bottom line
It is an adenosine diphosphate (ADP) p2y12 receptor antagonist. The first generation of this drug has just been developed and launched not long ago. How can it be widely expanded to be used after PCI surgery?
Only the continuous development and release of new drugs can not only treat diseases, but also greatly promote the development of surgery and protect patients before, during and after surgery.
The other students saw her sudden silence and wondered what was wrong with her.
Xie Wanying just thought that if this patient delayed for a few more years, he might be able to get dapt treatment and the advent of drug-coated stents.
These measures can reduce complications within the stent. The absorbable biological stent is further away from being released, and patients may not be able to wait. They can only keep installing stents. Each installation of multiple stents is equivalent to multiple risk points. Doctors never approve of this
This method does not mean that the more brackets installed, the better.
When necessary, abandon the installation of stents and choose surgical bypass surgery. However, after bypass surgery in patients with simple arterial stenosis, which is not a structural heart disease, if the patient does not have enough self-restraint and does not manage his postoperative body well, the same thing will happen again.
Arterial narrowing.
When a doctor treats a disease, the effectiveness will be greatly reduced without the cooperation of the patient.
It is estimated that after the first operation, this patient thought that he would be fine after the stent was installed, and continued to run around busy. Doing business requires socializing, smoking and drinking, and not listening to the doctor's advice. It would not be surprising if something happened again soon.
If the patient can learn this lesson and follow the doctor's advice from now on, the doctor must try his best to give the patient as much time as possible between reinstalling the stent.
Who knows that this kind of patient is very common in clinical practice? If the patient wants to take the regretful medicine, it will only test the technical limit of the doctor.
Several people hurriedly finished their meal and rushed to the interventional operating room.
Most large-scale examination instruments in hospitals are placed on the first floor. The reason is that instruments with ionizing radiation, such as X-ray machines and CT machines, require radiation protection facilities. Building these special computer rooms is as expensive as the examination room. Compared with ordinary
Regarding the configuration of the operating room, the interventional room must be equipped with an angiography machine as standard. Therefore, all interventional operating rooms in the National Association are placed on the first floor and concentrated in one area.
The cardiovascular department is not the only one that performs interventional surgeries. Other departments also have interventional techniques. For example, Zhao Zhaowei, who was mentioned last time, plans to perform ERCP, which is an interventional surgery in the Department of Gastroenterology. However, cardiovascular interventional surgeries are the most common and most common.
For emergencies, one of the two interventional operating rooms in the hospital is exclusively for the Department of Cardiovascular Medicine, and other departments share the same interventional operating room.
Are interventional surgeries, like endoscopy, performed by internists? For example, the choledochoscopy performed by the National Association is performed by the Department of Hepatobiliary Surgery, so these surgeries should be considered separately by hospital, and should be decided by the departments of each hospital. The first priority for surgeries is
The condition is that the doctor's skills must pass the standard, and which doctor has better skills will do it in which department. For example, neurointerventional technology, in the National Association of Neurosurgery, is done by neurosurgery, but the neurosurgery in the National Association of Neurosurgery cannot do it because of its poor technology.
There is only one cardiovascular catheter interventional room in the National Association, which is a little short. It is said that after many applications, the hospital finally approved the expansion of the cardiology department to two interventional operating rooms. I heard that Brother Jin complained that the hospital's practice was like squeezing toothpaste.
Privately speaking, Dean Wu is no ordinary stingy person.
Dr. Wu's idea of calculating costs and benefits is that there are relatively few interventional surgeries in other departments, and cardiovascular surgeries can occupy their operating rooms, which equals three. Three is a lot in China.
