第五十五章 决断（5月7日2/2（2 / 2）
我能看见状态栏
罗三观.CS
1082 字
2022-04-26
“B超可以在路上做。”周军在听到了孙立恩的诊断意见之后，作出了更加积极的指示，“直接把人送影像科，马上做CTA。一旦证实，立刻手术。”
“家属谈话我去做。”孙立恩现在也顾不得其他问题了，主动脉夹层是最凶险的心血管疾病。他的动作快一分，李建国活下来的几率就大一分。
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“你父亲的情况很不好，非常不好，人随时可能会死掉的。”孙立恩再次冲出抢救室的时候，李建国的儿子甚至还没能找个地方坐下来。“我们现在高度怀疑他得的病是主动脉夹层。”
“不是连检查都还没做……”李建国的儿子看上去也很懵的样子，“我这还没去交钱……”
“目前的证据很明确，不过我们还是会再做一个CTA明确一下症状。”孙立恩用最快的语速解释道，“如果确定是主动脉夹层，那就得马上做手术，用人工血管替换掉他已经破损了的主动脉。”
“一定要做手术？”李建国的儿子面露难色，“这个不能用药物治疗？”
“他的血管损伤是发展很快的物理损伤，这不是感染那种用抗生素就能治好的类型。”孙立恩努力解释道，“这就像是一根高压塑料水管被人用热钢针扎了个洞。药物治疗的作用也就是把针抽走。高压作用下，那个破洞只会越来越大，除了换管子之外，没有第二条路可走。”
孙立恩的解释很直白，李建国明显也听懂了。他小心问道，“这手术得……花多少钱？”
“不好说。”孙立恩叹了口气，“如果手术顺利，而且康复也快的话，大概得准备二十万到三十万。手术费用差不多要十五万，而后面的治疗和护理差不多也得这个数。”
对于这种大型手术来说，手术费本身就是非常昂贵的。主动脉替换术和孙立恩之前见识过的寰枢椎替换术，肝移植术一样，都是限制等级最高的四级手术。术中难度大，风险高，对医生的水平要求也极高。四院目前能进行主动脉替换术的只有心外科主任佟春来一人。
佟主任今天晚上并不值班，刚才让心外准备手术的时候，心外科的医生们已经在打电话叫人了——大半夜的不睡觉，跑来医院救场的医生可不止孙立恩一人。其他的三线医生们也经常会有这种经历。
“手术的难度很大，上了手术台之后患者因为病情恶化或者其他并发症死掉的可能性也是有的。”尽管为李建国开辟了绿色通道，但是在佟春来赶到医院进行手术前，孙立恩还是有机会和家属进行最后沟通的。“你们的经济情况可能很困难，所以我还是要提醒一下你——手术是我们在尝试为他搏一次生的机会。主动脉夹层是很凶险的疾病，人下不来台的情况是有的。甚至换好了人工血管，但是之后因为各种并发症人没掉也是有的。如果你要继续治疗，那就一定要做好可能会人财两空的准备。”
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