Most of the anti-rejection drugs can cause miscarriage in pregnant women and teratogenicity in the fetus. If pregnancy is necessary and the result of not taking these drugs is not worth the gain, the patient's condition will deteriorate rapidly during pregnancy and the patient will die.
Under such a premise, patients like this who have access to extensive medical information will naturally make the best choice for themselves. Let alone getting pregnant, they will need a heart-lung transplant sooner or later anyway.
However, this patient did not expect that doctors in China said that she could undergo non-transplant surgery to treat her disease before surgery.
"Director Zhang thinks that transplantation is not necessary, but foreign doctors think that transplantation is necessary?" Du Haiwei made sure there was no error in the information he heard.
Foreign medicine is relatively developed, and domestic doctors have been learning from advanced foreign medicine. Most of the patients have a mentality of worshiping foreign countries in medicine, which domestic doctors can understand. Patients who settled abroad for medical treatment earlier are right to listen to the professional opinions of foreign doctors first. Du Haiwei now has many
It would be more correct to ask.
"Yes." Du Yeqing nodded, "After carefully analyzing her condition, Director Zhang concluded that this patient had a heart disease and had undergone a mitral valve replacement surgery before. The deterioration of her condition this time was due to the artificial implant that was replaced abroad.
There is a problem with the mechanical valve, stenosis occurs again and thrombus occurs. The situation is more critical. Severe pulmonary hypertension is caused by regurgitation in the tricuspid valve. Looking at the patient's entire condition, the possibility of secondary pulmonary hypertension is very high.
, you can try heart surgery first to improve the condition. Foreign doctors believe that her pulmonary blood vessels have undergone substantial changes and a transplant is necessary."
The controversial point of whether to perform lung transplantation in patients with pulmonary arterial hypertension may lie in the judgment of domestic and foreign doctors on the patient's pulmonary artery disease. That is: whether to sentence the patient's pulmonary artery to death. If the pathological essence of the vascular narrowing and stenosis is considered to be
The changes cannot be reversed, and there is no miracle drug in internal medicine that can deal with this substantial pathological change in the pulmonary blood vessels. This is also the reason why primary pulmonary hypertension was later called idiopathic pulmonary hypertension. The cause is unknown and there is no cure.
Do a transplant.
It is impossible for surgery to completely remove these pulmonary blood vessels and transform them. In the last pulmonary interventional surgery, we can intuitively feel that the distribution of pulmonary blood vessels is like a lush tree with dense leaves covering almost the entire lung tissue. Removing these blood vessels is equivalent to
Removal of the entire lung. To find a replacement for the entire lung, the only option is a double lung transplant.
Zhang Huayao couldn't say he was betting. He relied on his own skills and experience to judge that the patient's pulmonary blood vessels had not undergone irreversible changes and could be tried. Who was right and who was wrong between the doctors from Guozhi and the foreign doctors? It was really a matter of time.
No conclusion can be drawn. The final judgment will be determined after the operation is completed and then based on the patient's subsequent condition.
In any case, the patient only heard that he didn't need a transplant, and even if it was a big gamble, he was willing to run back to China to find Zhang Huayao.
This incident fully illustrates that patients’ demand for doctors will never be to see domestic or foreign doctors, whoever practices them.
Du Meng'en, who was listening at the scene, raised his eyebrows and blinked: Xie's clever answer was right. He is a heart patient with secondary pulmonary hypertension. Moreover, it is an academic result supported by a big boss like Zhang. Xie
This classmate is not just academically inclined, he is a smart guy.
