When facing emergency patients, although the direction of the screening in the emergency department is not much different, various examinations and screenings are based on the experience and judgment of the doctor.

In other words, the experience of receiving doctors accounts for a large proportion of emergency and first aid. If you guess what the patient may be, you should first conduct some investigation and examination in certain aspects, and then gradually screen.

Experienced doctors often make accurate judgments, so they can quickly find the cause and abnormality during the screening and screening process, while lack of experience may delay some time.

The reason why Fang Han first asked to do a full rib CT scan was based on his own judgment.

With the Grand Master Fang Han's observation and master's incision diagnosis and advanced touching methods, Fang Han definitely has advantages over all the doctors in the emergency department of Yanjing Hospital in terms of preliminary diagnosis. Even Qian Xiaolin cannot compare with Fang Han in this regard.

When I was taking the pulse, Fang Han felt that Long Yaxin's pulse was a bit abnormal, but it was not very obvious. Fang Han did not make an accurate judgment for a while, so he suggested to have a heart ultrasound. Sure enough... something went wrong.

Along the way, Director Guan and Director Wang were also watching head and brain CT and other examinations.

"There is no intracranial hemorrhage, and there is no cerebral infarction. Judging from the results, it should be a simple closed chest injury, with multiple rib fractures on the left side..."

"Um."

Director Wang nodded and asked, "Didn't you say you had a heart ultrasound? What's the result?"

Fang Han handed over the ultrasound of the heart in his hand. Director Wang was surprised and surprised when he saw it: "This situation is rare."

“What’s the situation?”

Director Guan asked.

From the standpoint of Director Guan and Director Wang, they only look at the patient Long Yaxin from the perspective of a doctor, and Director Guan and Director Wang do not know Fang Han either.

"From the ultrasound results, it should be a ruptured mitral valve chondrome..."

Director Wang pointed to the ultrasound above and said, "Look at this place, there is also here. You can do an auxiliary examination to confirm further."

As he said that, Director Wang issued several more orders to assist in the inspection.

"Xiao Fang, is this mitral valve chondrome rupture serious?" Yang Jianying walked up to him and asked Fang Han softly.

When talking about the condition, Fang Han and several doctors were on the other side of the curtain. At this time, Zhang Xiaoquan was talking with Long Yaxin by the bed. However, Yang Jianying stood by and heard the words of the two directors just now.

Before Fang Han could speak, Director Wang spoke out: "Who suggested doing this heart ultrasound? It's very important."

Generally speaking, similar to Long Yaxin's situation, heart ultrasound is not a necessary project, and doctors will basically not consider it during the preliminary investigation.

However, the rupture of the mitral valve chondrome is a big problem. This problem may not be dangerous in a short period of time, but once the condition worsens, it will be more passive to deal with it.

Correspondingly, in clinical practice, trauma causes valve chondrochlear damage, coronary artery injury, and pericardial tamponade are relatively rare. Long Yaxin's situation this time is a heart valve rupture caused by external impact.

"It was the heart ultrasound recommended by Dr. Fang." Wang Haobo said hurriedly.

Director Wang then looked at Fang Han, such a young doctor.

When he entered the emergency room just now, Director Wang didn't pay much attention to Fang Han. Fang Han's facial expression is indeed easy to be ignored in places like the hospital. He is too young. At Fang Han's age, any hospital where he puts it gives people the impression that he is a new doctor.

Director Wang and Director Guan just regarded Fang Han as a young doctor and didn't care. They always thought that the person responsible for the rescue was Wang Haobo, the hospitalized chief of the emergency department.

When Fang Haobo talked about our Dr. Fang, Director Wang knew that this young doctor was definitely not an ordinary doctor, otherwise there would be no need to say that if the emergency department was hospitalized.

Wang Haobo has been hospitalized for more than half a year, and Director Wang and Director Guan still know each other.

"Dr. Fang came to our hospital for further study at Jiang Intermediate People's Hospital, and the liver resection level is very high." Wang Haobo hurriedly introduced.

After Wang Haobo said this, Director Guan and Director Wang knew who they were. Although they had never seen Fang Han, they had heard of it in the past few days that a young doctor with a very good liver resection came to the emergency department.

"No wonder, it turned out to be Xiao Fang."

Director Wang smiled and said, "Often people will not consider doing this heart ultrasound at this time. Xiao Fang's suggestion is very good. This heart ultrasound is done very promptly."

Fang Han had no expression on his face, but asked: "Director Wang, how should this mitral valve chondrochlear be treated, what are the treatment methods? Are there any sequelae and complications after treatment?"

Fang Han naturally knew what it meant when ruptured mitral valve tendon chondrome, but he was not clear about the current Western medicine treatment.

Perhaps for Director Wang, the heart ultrasound was done in a timely manner and very critical manner. The patient's condition was discovered in a timely manner, but Fang Han said that he was not very grateful to find this problem, but instead heavier.

Fang Han himself could not get into the surgery at all when the mitral valve search was broken. As for how to treat it, Fang Han even looked dark, but he knew the severity of this situation.

Director Wang frowned at the moment. What's going on with this young man? Do you have any objections to him?

Wang Haobo hurriedly said: "Director Wang, Director Guan, the patient is Dr. Fang's girlfriend."

After Wang Haobo's explanation, Director Wang and Director Guan immediately understood.

From the doctor's perspective, they can discuss and even relax. This examination is done well and avoids anything. However, as a relative of the patient, they will definitely not feel relaxed.

After learning that the patient is Fang Han’s girlfriend, Director Wang also understood why Fang Han was expressionless at this moment and said directly: “For this situation of the patient, there are currently two treatment methods, one is mitral valve repair and the other is mitral valve replacement.”

"Mitral valve plasty is to repair the lesion valve and restore valve and heart function; mitral valve replacement is suitable for patients whose heart valve cannot be repaired. Currently, there are two types of artificial valves: mechanical valve and biological valve. Mechanical valve has good durability, but lifelong anticoagulation is required. Inadequate anticoagulation can lead to thromboembolism, valve failure, and excessive anticoagulation can lead to bleeding. Biological valve does not require lifelong anticoagulation, but has poor durability. Most young patients still need to change the valve again. If the mitral valve can be successfully repaired, the patient's lifespan and quality of life can be restored to normal. If the mitral valve is replaced, whether the biological valve or mechanical valve is used, the patient's lifespan and quality of life will be different from that of normal people."

"In other words, plasty is the best?" Fang Han asked.

Director Wang nodded and said, "It is naturally good if you can do plasty. Compared with artificial mechanical valve replacement, plasty does not require anticoagulation, which avoids complications caused by taking anticoagulants such as warfarin. Good plasty effect is conducive to the recovery of cardiac function. After recovery, it is basically no different from ordinary people, but whether plasty can be performed depends on the specific situation."

Fang Han naturally knew this point. Repair depends on the situation. Only when it can be repaired can it be repaired. If it cannot be repaired, it can only be replaced...

......

"Announce the time of death!"

Chen Peizhong walked down from the operating table dejectedly, and Qian Xiaolin next to him also looked not very good-looking.

The patient still failed to persevere until the end of the operation. The patient stopped his heartbeat after half of the hepatectomy and was not rescued.

"The amount of bleeding is too large. If Fang Han is there, maybe he can still rescue him..."

Chen Peizhong was very clear about Fang Han's level. Not to mention Fang Han's liver resection, he was not as good as Fang Han's hemostatic surgery.

"Xiao Fang is still taking care of his little girlfriend now. Not to mention the situation there, Xiao Fang is willing. Today I am not at ease to let Xiao Fang undergo surgery."

Qian Xiaolin shook her head. Chen Peizhong was already the highest-level doctor in Yanjing Hospital. Being able to do this would definitely be considered as trying his best. As for Fang Han.

Qian Xiaolin is really worried about Fang Han in this state today.

If Fang Han was a few years older, maybe Qian Xiaolin would be more at ease, but Fang Han was really too young. If such a thing happened, would he dare to let Fang Han have such a major operation?

"Yes, I'm not relieved." Chen Peizhong nodded.

"I'll go out and have two other patients."

As he spoke, Qian Xiaolin hurriedly left the operating room. After leaving the operating room, Qian Xiaolin did not completely leave the operating room, but directly entered another operating room through the internal passage of the operating area.

In the operating room, Zhou Guojun was rescuing another patient.

"How is the situation?" Qian Xiaolin entered the operation room and walked to the side and asked softly.

"The spleen is broken and the ribs are broken. The rescue is quite timely and the operation is smooth. There should be no trouble."

"That's good." Qian Xiaolin nodded.

"Where is the other side?" Liu Guojun asked.

"Let's go..." Qian Xiaolin whispered two words.

"Tsk!"

Liu Guojun smashed his mouth and continued to rescue him without saying anything more. The situation there was indeed more serious than here, otherwise Chen Peizhong would not have been on the stage personally.

Qian Xiaolin stood by and looked at it for a while and found that the patient's vital signs were stable and the operation was smooth, so he didn't see much, and then left the operating room and came to the rescue room.

Director Wang was watching the subsequent auxiliary examination results in the emergency room, and Qian Xiaolin came in.

"How about it, are there any new discoveries?"

Wang Haobo walked up and whispered a few times in Qian Xiaolin's ear, but Qian Xiaolin didn't say anything. It was not a good thing to have new discoveries, especially the person involved was Fang Han's girlfriend.

"From various examination results, it can be confirmed that the mitral valve chondrome is ruptured. It is very difficult for the patient to repair the tendon chondrome."

"In other words, it can be done?" Fang Han asked.

"It is possible to do it, but it is very difficult and the risk is also great at that time. The safest solution is to directly replace the valve." Director Wang said.
Chapter completed!