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¡¾1601¡¿Check the root cause

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    No way, I can¡¯t see it.  The doctor in the CT room of the Provincial People's Hospital may be based on the clinician's belief that there is a thrombus in the atrium and that the patient has a pulmonary embolism. It is always correct to add suspicion.  After all, the surgeon had complained before that heart problems were not detected before surgery, leading to serious consequences.

    As for how difficult it is to detect atrial thrombus, the detection rate of CT is only a few dozen percent.

    As Mr. Zhang said, Xiao Shugang was unlucky to meet a doctor with insufficient skills.  Once again, medicine is a multi-disciplinary collaboration, and if any department fails, big problems may occur.  CT room doctor skills are also very important to patients.

    ??????????????????????????????????????????????????????????????????????????????????????????????????????????? How about other examinations with other instruments, such as ultrasound?  Sorry, transthoracic echocardiography has a lower detection rate of atrial thrombus than CT.  As for transesophageal echocardiography, the detection rate is similar to that of CT.

    If the doctors in the ultrasound room of the Provincial People's Hospital are very skilled and their abilities surpass those of the doctors in the CT room, they can fix the leak and there will be no further problems.  However, when Xiao Shu was first transferred to the Provincial People's Hospital for emergency surgery, a preoperative cardiac ultrasound was not performed and this test was not ordered.  In other words, the clinician believes based on the CT report that only the lungs have a problem and the heart is fine.  This blame belongs to insufficient caution, and clinicians will have to bear the blame.

    Once again, as Zhang Huayao and others inferred, problems arising during the treatment process are caused by many factors, and each department is responsible.

    The final problem is that the doctors¡¯ skills in the Ultrasound Department of the Provincial People¡¯s Hospital failed to perform beyond their normal capabilities. As a result, the final result report was written based on the report from the CT room. It was impossible to completely determine whether there was a thrombus in the right atrium, which may or may not have been present.  This is no different from not seeing a blood clot.

    "They can't find out." Dr. Zhao was so stressed that his head exploded instantly.

    He didn¡¯t expect that this patient¡¯s problem would be so big before Teacher Xu discussed it with him.

    "What I have been telling you." Dr. Xu took this opportunity to tell the students how important it is for a CT room doctor to practice his skills well. It can be said that now the hope of patients and clinicians lies with them.

    Because Xie Wanying realized this, she took Teacher Qin¡¯s light and entered the CT room anyway.

    "Calm down." Dr. Xu patted the students' shoulders and used his powerful aura to cool everyone's brains.

    The discussion continues.  Doctors at the Provincial People's Hospital believed that the patient had a thrombus in his right atrium because he had pulmonary embolism.  Pulmonary embolism is closely related to the right atrium.

    "The focus is still on checking the right atrium. They didn't find it. We need to find out the problem with the right atrium." Dr. Zhao believes that although the doctors at the Provincial People's Hospital made some marginal claims, their speculation makes sense.

    "What do you think?" Doctor Xu turned to ask Xie for his opinion.

    "I think the focus that may need to be paid attention to is the ventricle rather than the atrium." Xie Wanying said.

    Thrombus in the atrium does not necessarily originate from the atrium, but may originate from the ventricle.  The reason is that when the heart is injured, the right ventricle is most commonly damaged. This has been mentioned before.

    Based on the patient¡¯s clinical symptoms, clinicians believe that the patient may have a thrombus in the atrium.  CT and ultrasound at the Provincial People's Hospital cannot detect thrombus in the right atrium. Is it possible to start with the possible source of atrial thrombus to further identify the heart problem?

    "What you said makes sense. Isn't the problem more difficult to investigate?" Dr. Zhao admitted that her speculation was in the right direction, but she was embarrassed to say it.  (Remember the website address: www.hlnovel.com
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