Chapter 4417: 【506】Not established
In any case, Vice President Xiang was stunned for a moment. He only knew that the doctors from the capital must be much better than him, and he really didn't dare to turn a deaf ear to what others said. After Dr. Lai Hui steps down, it is time to replace the cardiologist.
Dr. Shen Youhuan asked Dr. Lin Chenrong to go out together. This gesture was like saying that life and death must be built into the National Association's sewage pool, otherwise Shen Mowang would not be reconciled.
It has always been their Guozhi Demon King Group’s job to punish people. When did their Guozhi Demon King Group’s job become to be punished by others all day long? This feeling is really heartbreaking.
There were obviously many more people in the interventional surgery room.
The number of people in the capital team remained unchanged. It seems that after hearing the news, more and more people from grassroots hospitals came to the scene to observe and learn. They all wanted to turn into pieces of paper and stuff them into the operating room. They were like chasing stars and had to see them with their own eyes. Look at the Capital Boss.
I can only say that Dr. Xie Wanying’s magic words spread like wildfire in a second. Everyone knew that the big boss from the capital hospital was going to perform magic: a must-see!
Dr. Shen Youhuan, who had put on the lead surgical gown, looked at Dr. Lin Chenrong again: They said there is magic. This word comes from the National Association. You can use the magic.
Dr. Lin Chenrong is up to his old tricks again: Do you need me to call our National Association Dr. Xie Wanying for on-site guidance?
The reason why Dr. Xie Wanying was able to say that was definitely not a joke. Anyone who knows Dr. Xie knows this very well.
The colleagues in the team who were standing in the control room and watching could all imagine that the Mount Tai above Dr. Shen and Dr. Lin's head was going to collapse and kill them at any time.
Doctor Xie said how to do magic?
Every second that the clock on the wall passes by is like thanking the devil’s whip raised high.
Dr. Shen and Dr. Lin are very experienced. After taking the stage, they didn’t have to worry about anything. They quickly urged the students who had been instructed by Teacher Zhao to follow the long route of coronary angiography and re-place the guidewire catheter at the designated position in the heart.
Previous examinations have shown results: the three-vessel disease that everyone was originally worried about was not established.
Three-vessel disease refers to relatively serious lesions occurring in all three blood vessels: the right coronary artery, the left anterior descending coronary artery, and the left circumflex coronary artery.
In medicine, there are standards for diagnosis, which usually require numerical indicators. This reflects the precision of modern medicine and the industrialization of clinical practice (the replicability of treating diseases and saving lives).
In this disease, the diagnostic criteria have specific numerical values corresponding to the degree of vascular lesions.
First of all, you must know that the above three blood vessels are the main branches in the cardiovascular system, and each has its branches, such as the branching branches of a tree. Therefore, these branches need to be included in the description of the diagnostic standards.
The description is as follows:
The diameter stenosis rates of these three blood vessels and their main branches are all greater than 50%.
The above is the first necessary condition.
The conditions that can be combined with this first necessary condition as an alternative are:
The diameter stenosis rates of these three blood vessels or their main branches are all greater than 50%.
To sum up, the above becomes a primary school math problem, a condition, b condition and/or, etc. There are several situations in the end.
So medical students, even internists, must be science and engineering students.
A second necessary condition must be added to the above diagnostic criteria, which is that the diameter stenosis rate of at least one of the blood vessels is greater than or equal to 70%.
Dr. Miao was right at first. Why he said that the gold standard is angiography? It was obviously based on such strict diagnostic standards.
The reason why this case is not considered correct under the comparative diagnostic standards is that the previous "smoke" examination found that the right coronary artery and its branches were not seriously diseased and did not meet the diagnostic indicators. The patient's vascular disease mainly occurred on the left side, which was The stenosis of the two blood vessels in the side diagnostic criteria exceeds the standard.
