Another important factor is that, as Lin Hao suspected, the child's clinical symptoms were "too mild", and there were many cases that did not match the description of the disease in the textbook.
It is written in the textbook that the clinical symptoms of such children are: dyspnea, hypoxia, cyanosis, heart failure, etc. If surgery is not performed as soon as possible, a type of severe neonatal heart disease will die soon.
Of course, it is written in the textbook that children with hypoplastic left heart are easily missed because the above symptoms may reappear within a few hours or within a day or two.
Looking back at the child's birth history, this is really the case. The record at the time of the child's birth showed that there was no major problem of dyspnea and heart failure. In view of the fact that routine neonatal examinations do not include electrocardiograms and echocardiograms. In such a short period of time when the child is asymptomatic, it is not reasonable to accuse the obstetric hospital of underdiagnosing the child.
Upon realizing that the child had some breathing problems, the maternity hospital did not act in a breach of duty, but instead checked the child as soon as it could. So the problem is not a breach of responsibility, but the limited technical capabilities of primary hospitals.
The neonatal echocardiogram displayed by the obstetrics hospital did not have a diagnosis name, but initially suspected that the child had a heart defect or a heart attack. To make an accurate diagnosis, it is necessary to find a specialist in a specialist hospital for judgment.
Once again, it is not easy to diagnose left heart dysplasia. The main reason is that this disease is very rare clinically in China, and there are many cases in foreign countries.
Clinicians do not rely on textbook guidelines to diagnose. There are too many clinically similar diseases and too many special cases that confuse each other. Clinicians need to learn real cases in clinical practice, so that they can make a diagnosis. Therefore, the primary hospital failed to make a diagnosis and send the child to him.
Two days have passed, and the child's symptoms are still so "mild" that a young doctor who has never seen such a case must have to murmur in his heart when making a diagnosis. Because of this, Dr. Cheng did not dare to say anything for a long time, and could only wait for his superiors to express their affirmation or denial.
Now it is not a missed diagnosis but is there a possibility of misdiagnosis.
Is it really such a serious disease of left heart dysplasia?
If not, it needs to be transferred to **** atresia surgery. You see, Dr. Wu, who is in charge of **** atresia surgery, came out and said either let my surgery be done first.
If it is this disease, needless to say, this heart surgery may have to be done first tonight. Non-cardiologists know that left heart dysplasia is more likely to kill the child in a short period of time than **** atresia with a fistula.
"Yingying, what do you think?" Lin Hao turned around and asked classmate Xie.
Xie is not like them, staring at the ECG monitor of the child early in the morning may already have some answers in his heart.
Like other classmates, she has not seen the echocardiogram report for the time being. Xie Wanying can only make judgments based on what she has observed, and said, "I guess this child's left ventricular cavity is relatively small and there is mitral valve atresia."
sounds like a sign of left ventricular dysplasia.
Back to the original question, what is left ventricular dysplasia.
The reason why left heart dysplasia is called a syndrome means that it is not one abnormality but a combination of multiple abnormalities.
In medicine, the heart can be divided into left ventricular system and right ventricular system. The left heart system, including the left atrium and the left ventricle, as well as atrioventricular openings such as the mitral aortic valve and connecting blood vessels such as the ascending aorta.