Chapter 4452: 【541】What to do

 At this moment, a group of people were actually leaving, feeling that there was nothing interesting to see.

 When Dr. Xie said this, Director Fang was the first to be stunned.

Other colleagues in the capital city immediately stopped and looked back: What problem did King Xiejuan see with his sharp eyes that others did not?

 “What do you say?” He pulled the sleeves of Director Fang’s white coat towards the Vice President.

 Director Fang came to his senses and replied: "Yes, yes."

 Vice President Xiang could hear that his subordinate's tone was a little flustered.

Director Fang was shocked. He didn't take the other party seriously before, but he was slapped in the face by Dr. Xie.

To put it more carefully, it is like this: No one here introduces the patient's medical record. All the doctors can see when passing by is the closed chest drainage tube. The only thing that can be determined is whether the patient has a pneumothorax.

As for the term refractory pneumothorax, it is more professional. It belongs to the category discussed by the big guys in the circle. It is equivalent to an academic topic that has not yet been recognized by the relevant national institutions. The only people who can blurt out this word are professional big guys.

 Could Dr. Xie be Xiao Xiami? Director Fang wanted to clear his mind and figure out what was going on.

 “Refractory pneumothorax?” Sure enough, other specialist experts asked the specialist experts.

 Dr. Duan Sanbao, a colleague in the same department as Dr.

 Speaking of the establishment of professional standards for refractory pneumothorax, it was ten or twenty years later. It's just that today's patient happened to meet the reborn Dr. Xie who is familiar with future medicine.

“Generally speaking, patients with pneumothorax who have been treated for more than two weeks or have relapsed more than three times should be considered to have refractory pneumothorax.” Dr. Xie Wanying explained it to everyone in the simplest and most popular terms.

We have talked about pneumothorax before, and we know that the first step in treating pneumothorax is closed chest drainage.

 The important point here is that closed chest drainage only drains accumulated air and relieves atelectasis.

As we have said many times about the principle of surgical treatment of the human body, the purpose of surgical treatment is to promote the self-repair of human tissues. What really repairs the wound is the body's own tissue cells, not surgery.

 As a result, if closed chest drainage cannot relieve atelectasis, the therapeutic effect will be greatly reduced.

Therefore, clinical treatment of pneumothorax, which is difficult to be effective at one time, is more common in patients with more complex lung conditions who continue to have air leakage symptoms after closed chest drainage. Such cases are of course more common in the frail and sick elderly. Everyone saw an old man in his seventies or eighty years lying on the bed.

 The family members pricked up their ears when they saw the doctors stop talking. It was obvious that the family members were worried about their family member's disease.

 Refractory pneumothorax will prolong the course of the patient's illness and have a terrible negative impact on the physical, mental and economic aspects of the patient and their family members.

 So a more accurate definition in clinical medicine is: the most fearful thing should be a difficult-to-treat disease rather than a temporary serious illness.

The family members anxiously came up and intervened in the doctors' conversation, saying, "Director Fang, you said my dad can be extubated in about a week. It's the third week now. When can he be extubated? If he can't be extubated, my dad can't leave the hospital." what to do?"

“Didn’t I explain it to you? The elderly recover relatively slowly. If it fails again, the patient needs to be transferred to the hospital above.”

“What are you going to do when you go to the hospital above? Do you want surgery? Can my dad do the surgery?”

 It is the simplest and crudest method of surgery. The wound will never heal, so it needs to be opened and then sutured.

 It’s just that not all patients have the physical condition to withstand surgery.

Director Fang looked speechless.

 The intelligence collection work of family members is correct.

“Can single-port thoracoscopy solve this problem?” A group of colleagues from the capital remembered Dr. Xie’s new technology and started discussing in secret.

 Single-port thoracoscopy only requires local anesthesia, and the elderly should be able to bear this kind of surgery. Does the problem require the patient to be transferred to the capital for treatment? The distance is too far for ambulance transport.

 Let the patient go on a special plane? The patient's family does not seem to have such financial conditions.

"There is no need to make a decision in a hurry. We will wait until Dr. Song comes." Dr. Xie Wanying said.

 Thank you for your support, good night, dear friends~