Chapter 2541 [2541] Gao Jian
The gentle ssmate Pan saw that Xie didn''t want to say anything, and took the initiative to explore the road ahead first: "I think the most critical ce is fit."
If the streamer in Cao Yong''s eyes nodded to the answer of the junior brother, it seems that many junior brothers are also talented.
Student Pan’s words, in a brief summary, refers to the inappropriate ces in the process of organ transntation. Doctors may use clever methods to make them suitable, which is called suitable.
"Yingying, what do you think?" Pan Shihua asked ssmate Xie''s opinion.
Senior Brother Cao and ssmate Wei looked over as if they wanted to hear what she had to say. Xie Wanying said: "Where is the limit of suitable technology, and where may the upper limit of organ transntation be."
This is a further academic interpretation of what Pan said.
Wei and Pan''s eyes seemed to be lit up with little stars. The corners of Cao Yong''s mouth couldn''t stop smiling.
How to understand Xie’s words?
First, let’s talk about the liver transnt surgery I’ve seen before. At that time, Xie participated in it and offered advice. The difficulty for doctors in the operation is due to the fact that the donor liver is toorge and it is not suitable.
The ratio of donor to recipient has always been a basic threshold in all organ transnts.
Liver transntation has such technical difficulties, as in heart transntation.
Can it be like liver transntation, if the heart donor is too big, it is suitable for cutting it small? Xie told reporter Li that the proportion of pediatric donor hearts can be asrge as 2.5 times that of the recipient''s original heart.
Regarding this crux, as long as you have a littlemon sense of anatomy, you know that the heart cannot be like the liver. The two organs, the liver and the heart, have different morphological, functional and structural aspects.
The overall structure of the heart is closely rted to its function. The liver is not, the function of the liver mainly depends on the liver tissue. This allows one donor liver to be cut in two for two recipients. How can the heart be. The ratio of heart to donor and recipient is really stricter than that of liver transntation. Here''s another cool point, don''t be afraid that the donor is too small for liver transntation. On the contrary, as Xie said, the proportion of pediatric donor heart should not be less than 0.9 of the recipient''s original heart. It shows that the eptance of the proportion of small donors is much lower than that of liver transntation.
Why is this?
The main functional output of the heart is to recycle blood throughout the body. Don''t be afraid of a bigger donor, because many patients who need to receive heart transntation have their own heart disease, which leads to the expansion of the myocardium and the size of the heart. Of course, it can''t be too big to be too big, which will also cause problems such as secondary hypertension after surgery.
In contrast, the problem of too small donors is more difficult to solve: low cardiac output. Many heart disease patients are trapped in this problem at the end stage. If the transnted heart fails to solve this important problem, the result may be equivalent to a white transnt.
The practical application of ?? bes: young children try to choose an older donor heart. Female patients choose male patient hearts. Male patients should be cautious when epting a heart that is too much smaller than their own body weight.
These are exactly what Xie pointed out. The technical limit of "suitability" determines the technical limit of organ transntation. All are the difficulties that need to be solved in the operation.
The threshold is higher for heart transnts than for liver transnts. Heart transntation is definitely more difficult than liver transntation, otherwise I am sorry for the two major surgical specialties.
Thank you for your support! ! ! Good night dears~