Chapter 58 Rare Disease: Scimitar Syndrome
"Ding! You have completed an exercise!"
"Heart rupture repair proficiency +0.5%."
"Your ranking has been updated!"
"Master-level heart rupture repair: Linhai No. 1 Hospital ranks 1, Linhai City ranks 3, Baiyun Province ranks 16, Daxia Kingdom ranks 132, global ranking: 1000+"
Xu Qiu was a little surprised.
Unexpectedly, just a 0.5% improvement in proficiency increased his provincial ranking by 3, and his national ranking by more than a dozen places.
Based on this calculation, it only takes two hundred times for him to improve this surgery to a perfect level.
only……
The surgical practice seemed to take just over half an hour.
However, going through the entire process requires simulating various unexpected surgical accidents.
It consumes a lot of energy!
Even, no less than completing a real surgery!
"Let's practice something else."
Xu Qiu changed the set of instruments and began to practice simple suturing.
Soon, the time came to midnight the next day.
"Ding, you get daily task*1!"
Xu Qiu paused, his eyes shining.
You even unlocked daily tasks?
He quickly checked.
Daily tasks:
Simple: complete the diagnosis of fifty patients. (optional)
General: The cumulative stitching length on the day reaches one meter. (optional)
Difficulty: Complete a four-level surgery. (optional)
Xu Qiu analyzed it.
For simple tasks, his number of outpatient visits in half a day is at least sixty or seventy.
It's really not difficult.
General tasks are a little bit abnormal.
For example, in a caesarean section with a large incision, the wound is only about 10~15cm.
If he accepts this task, it means that he has to perform at least a dozen surgeries and perform all the sutures before he can get the total length of one meter.
certainly--
He can also choose to go to the treatment room, which specializes in various sutures.
For example, classmates fight, father and son fight, husband and wife fight, and mesangial tears occur when young lovers fight with no clothes on.
However, these are basically the jobs of residents and interns.
He is a resident doctor, but he is overkill when he goes there.
"Waiting for a level four surgery." Xu Qiu retracted her thoughts and planned to receive the task later.
"Sign in first."
Xu Qiu clicked to sign in.
"Ding!"
"Congratulations on completing your sign-in at Linhai No.1 Hospital!"
"Your impact factor is 5.9, and the rewards are moderately increased! Reward richness*5.9!"
"You get: Master-level cardiac artificial blood vessel implantation!"
Xu Qiu was pleasantly surprised.
Another level 4 cardiothoracic surgery!
The application scope of cardiac artificial blood vessel implantation is very wide.
Vascular stenosis, vascular calcification, arteriovenous malformations, abnormal shunts, etc. are all surgical indications for artificial blood vessel implantation.
A little more sharp,
It also comes in handy for heart transplants, lung transplants, etc.
…
As the master level knowledge was completely absorbed by Xu Qiu.
He gained a lot of relevant surgical experience and insights in an instant.
Muscles are also remodeling.
Mechanical memory is being built.
It has completely transformed into a shape suitable for master's artificial blood vessel implantation.
"Aortic stenosis, coronary heart disease, scimitar syndrome..." Numerous diseases suitable for artificial blood vessel replacement popped up in Xu Qiu's mind.
At this moment, a picture suddenly flashed through Xu Qiu's mind!
Xu Qiu suddenly put down the equipment, his expression a little solemn.
Just now, he thought of Miao Yue who had checked in the obstetrics and gynecology department in the evening.
Before leaving, the other party's pleading eyes lingered in Xu Qiu's mind...
"Wait, why do you suddenly think of her?"
Xu Qiu carefully recalled everything just now.
There must be something related to Miao Yue, but he ignored it.
Is it...a disease?
Xu Qiu recalled the weirdness of Miao Yue's condition.
One, is an uncontrollable lung infection.
and rapidly worsening congestive heart failure.
He seemed to be back in the ward, with the weak Miao Yue lying in front of him.
Difficulty breathing.
Cyanosis of the lips…
At this moment, Xu Qiu's eyes lit up.
Everyone has overlooked one point.
The most important point!
short and small!
A disease quickly popped up in Xu Qiu's mind: "It's... scimitar syndrome."
This is a rare congenital disease.
Scientific name: Pulmonary hypoplasia syndrome.
It is a type of malformed pulmonary vein drainage.
It is more common in women aged 20 to 30 years old.
Characteristically, the pulmonary veins are connected to the right atrium either directly or through systemic venous pathways.
Due to diversion,
Patients are often accompanied by hypoplasia of the right lung and right displacement of the heart.
The typical imaging manifestation is that from the posteroanterior chest X-ray, a curved vascular shadow can be seen on the right side of the heart, downward and inward toward the transverse septum.
This is abnormal visualization of the draining right pulmonary veins.
Shaped like a scimitar.
Hence it is called Scimitar Syndrome.
"Miao Yue's right lung has shrunk, so it may not be atelectasis!" Xu Qiu realized this immediately.
Maybe it’s Scimitar Syndrome!
and……
If it was this disease, many of Miao Yue's symptoms could be explained.
first--
Height that is ignored by everyone.
Scimitar syndrome has a relatively rare manifestation, which is growth retardation and short stature!
Secondly.
Recurrent lung infections, difficulty breathing, wheezing, fatigue, etc. can all be seen in this disease.
This also explains why her lung infection lingered.
Another point is congestive heart failure.
"It's not pregnancy that causes heart failure... it's scimitar syndrome."
"So, after terminating the pregnancy, Miao Yue's heart failure still did not alleviate, but continued to worsen!"
All explained!
The ectopically connected pulmonary veins drain the right atrium through the inferior vena cava...
Left-to-right shunt leads to increased pulmonary blood and pulmonary hypertension...
This in turn causes an increase in the burden on the right heart, a decrease in systemic blood oxygen saturation, etc...
This,
This is the real cause of heart failure!
…
It's past six o'clock, and the morning light is shining.
When the nurses in the emergency department saw Xu Qiu walking out of the operating room, they all said hello.
"Doctor Xu, are you back?"
"It's so hard. I practiced surgery all night!"
"I've seen the duty schedule. Doctor Xu should have a rest today, right? Go back and have a good sleep!"
Xu Qiu walked toward the door and said, "I'm going to the obstetrics and gynecology department."
"Hey, doesn't Dr. Xu take a rest?"
"Let's go see Director Kong!"
"I heard my colleagues from the obstetrics and gynecology department say,
Director Kong was able to move his limbs two hours after the operation. He was fully awake at about one o'clock last night, and all the values were surprisingly good..."
The nurses have seen the world.
No matter how awesome the doctor is, they have to take care of him after the operation.
but,
In so many years of post-operative care, they have never seen someone recover so quickly after just having a heart repair.
As the saying goes.
An expert knows the way.
In the eyes of professionals, doctors can judge the skill of the surgeon based on the surgical technique, the location, depth and smoothness of the incision.
But, that's just the surface after all.
The most important point may not be expected by anyone!
