Heart failure!

Four big characters, on the front page of the case.

Heart failure is known as 'heart cancer', and the mortality rate is as high as 50% within 5 years after the disease, which is much higher than that of malignant tumors.

Once heart failure has reached the end stage, there is no other option but a heart transplant.

Patient gender: female.

Age: 21 years old.

History of heart failure: 4 years.

4 years...it's the end of it.

Taking a glance at the case, Xia Xia asked Wang Boyi.

"What's the situation in this case?"

Wang Boyi said blankly: "The night before yesterday, I received it from the night shift. The patient had symptoms 4 years ago, with dark lips and weakness, and was diagnosed with dilated cardiomyopathy. During the period, he was maintained on traditional Chinese medicine."

"At first, traditional Chinese medicine had a certain effect, but recently the effect is getting worse and worse."

"The night before yesterday, the patient was brought to the hospital by his parents because he couldn't breathe."

"At present, the patient has been unable to eat and drink, has difficulty breathing, and is on a ventilator. The dilated cardiomyopathy has developed into end-stage heart failure, and the ejection fraction is only 26%."

Ejection fraction is the percentage of stroke volume in ventricular end-diastolic volume, and the normal value is 50%-70%.

"This is her echocardiogram."

Wang Boyi put a film in front of Xia Xia.

In the electrocardiogram, a huge heart seemed to burst into a small chest cavity, and the heart was full of blood.

Heart failure!

As the name suggests, heart failure, no strength, after blood enters the heart, it is distributed by the heart and flows to other parts of the body, like a water pump, and now the pump is broken... The blood cannot be ejected.

The heart of a normal person is about the size of your own fist when you clench your hand.

Weight is about 0.5% of body weight.

There are about 300 or so.

But the patient's heart was apparently twice as big as normal.

The bigger the expansion, the less the blood can be ejected...

"This case..."

Xia Xia looked up at Wang Boyi and sighed, "You handed me this case, what can I do?"

no cure...

The heart is the core of the human body. Now that the core is broken, what can doctors do?

"There is only one treatment plan for this disease."

"Change your heart!"

"However, you know how difficult it is to match hearts."

The liver can regenerate, cut off a part, and grow back, but the heart...there is only one.

A life is a life!

In general, for brain-dead, surgically-dead, and heart-undamaged patients, only a donor with a matched blood type can be matched. Moreover, it must be a donor. After all... not everyone is willing to donate their organs to others after death.

so……

Heart matching is very difficult.

Wang Boyi pushed his glasses and said calmly.

"I have already registered the patient in the matching database. According to the patient's condition, it can be maintained for about three months. If you are lucky enough to have a donor within three months, you will be the chief surgeon."

"You are the best doctor I can think of."

"Only you can save her."

Heart Surgery!

This kind of surgery can no longer be classified by grades.

Not everyone can perform a heart transplant, even if it is an expert doctor.

Xia Xia checked the panel. His technique in the heart transplant operation was 0 points. He was completely a noob, but he had 8 points and a full score of 10 points. There are still three months, and the three months should be full. .

After it is full, send the value.

Click directly to 10 points.

World-class technology for heart replacement surgery.

Summer is indeed the most suitable chief surgeon.

He looked at Wang Boyi and smiled: "I am the most powerful doctor you can think of? Are you serious?"

"You believe me that much?"

Wang Boyi put his face aside, his handsome face was full of 'disgust'.

"I believe in your technology, not in you."

Xia Tian Tanshou: "Isn't my technology just me?"

Wang Boyi: "No, technology is technology, you are you!"

summer:"?????"

never mind……

He is not in the mood to argue today.

After taking the ratio.

A woman walked in with a seven- or eight-year-old girl. The girl wore two braids and a small yellow skirt. The look of pink and jade was very flattering.

The girl's mother looked young and dressed like a little sister.

When she came in, she was on the phone and seemed to be arguing with someone, and yelled: "Get out!!!"

"do not bother me."

Pushing the girl towards Xia Xia, she quickly dropped a sentence to Xia Xia.

"Doctor, my daughter is not feeling well."

"You show her."

"I'll make a call first."

Mom dropped a word, took the phone and went out.

A black line in summer!

This kind of mother...

Is the child more important, or the phone?

"Kid, what's your name?"

The girl lowered her head, her big eyes rolled in fear, and replied in a low voice, "Xia Tiantian."

Xia Tian smiled: "How old are you?"

"7-year old."

Xia Xia asked, "Are you uncomfortable?"

Xia Tiantian pointed to the position below and whispered, "Peeing there...it's itchy."

itch?

Pediatric eczema, drug allergies, etc...

Xia Tian said, "Come here and take off your pants."

Xia closed the curtain to form a closed space, Xia Tiantian lifted her skirt and took off her panties.

I see.

In a certain position, there is a cauliflower-like vegetation, which is small and reddish to papules, and gradually increases and increases in clusters.

There are some scratches around.

Seeing this, Summer's complexion sank.

"Boyi?"

"Come here."

Wang Boyi walked in, Xia Xia pointed to a certain location, frowning at Wang Boyi.

"Look at it."

Wang Boyi checked it, and in an instant, his face was pale, his complexion changed greatly, and anger flashed in Danfeng's eyes.

The two looked at each other.

Xia Xia said, "Tell Xiao Li to take the acetic acid."

Wang Boyi nodded.

A minute later, Wang Boyi brought in a portion of acetic acid, Xia Xia took 3%-5% acetic acid solution and applied it to the affected area, comforting Xia Tiantian.

"Sweet don't catch."

"Just wait a while, do you eat chocolate?"

There was a look of longing in her big watery eyes, but Xia Tiantian still shook her head: "No, mom said you can't just ask others to eat."

"Mom is right."

"Then let me pour you a glass of water."

Xia Xia poured a glass of water and chatted with Xia Tiantian: "Tiantian, do you usually live with your parents?"

Tian Tian shook her head and said with a lonely expression.

"Mom and dad are divorced. I live at my grandmother's house for a week and my grandma's house for a week."

Xia Xia and Wang Boyi looked at each other.

Xia Xia continued to ask: "Then who usually hugs you to sleep?"

This question made Xia Tiantian hesitate for a moment, and whispered, "I sleep by myself."

At this time.

Wang Boyi frowned and said, "Xiamen, look."

The place where the acetic acid solution was applied began to faintly whiten.

This scene made the two people angry, Xia Tian said to Xia Tiantian: "Tiantian, put on your pants and check."

Xia Tiantian's mother also came in, and she finished the phone call.

Asked the two of summer: "How is it?"

"Have you checked?"

"Is it eczema?"

"I checked online and it was eczema."

While talking, he reached out to grab Xia Tiantian, Xia Xia stepped forward and stopped in front of the woman, staring at her with cold eyes.

"From now on, Tiantian needs to stay in the hospital, and you can't touch Tiantian."

The woman was stunned and said angrily: "Why? Tiantian is my daughter!"

Xia Xia said in a cold voice, "I have already called the police."

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