Big Doctor Live Room

Chapter 1074 Posterior Cerebral Artery Thrombosis

Half an hour later, the girl's radionuclide imaging immediately appeared on the big screen in the operating room.Su Wanting, as a family member of the patient, also continued to participate in watching their diagnosis.Even though the lines are like mountains, Su Wanting still knows one thing.A small breast augmentation operation turned into a hidden disease in the end, and radiological imaging with certain risks was required.

Any doctor who dares to make such a diagnosis in another hospital must be crazy.But to Chen Qun, this was justified and there was nothing wrong with it.Even by extension, the same method can be used in company operations to find some hidden defects and loopholes.

The beautiful CEO feels that she doesn’t understand medicine, but she understands the logic behind it. The looming abnormalities somewhere are often the beginning of greater disasters.The foundation for all this is to know the entire system so well that you don't even need to look at the information to feel that there is something wrong in your head.

Stones from other mountains can attack jade. Su Wanting felt that by mixing Chen Qun's diagnosis here, she could not only learn a lot, but also enjoy watching Chen Qun perform a wonderful diagnosis. If he messed up, he would still be You can get greater pleasure, just add insult to injury and make fun of it.

Looking at it horizontally and vertically, there are all benefits but no harm. Of course, she must find an excuse to be lazy.Besides, from the mouths of these professional doctors, she also knew that the reason why radioactive nuclides were used for MRI scans was actually the enhanced mode of MRI to make the images clearer.

The reason why she agrees with this inspection is firstly for safety, and it is a favor to discover the hidden diseases of her niece; They don't know how to make irresponsible remarks; the last point is that it's all her family's money anyway, so it's not for nothing.

At first, Su Wanting thought there would be a continuous debate, but as soon as the picture came out, Qi Hong took the red highlighter in her hand, pointed to a place in the picture, and directly admitted her mistake.

"It seems that we don't need to conduct other examinations. My inference just now is wrong. The little sister does not have a metabolic problem or a heart problem, but a brain problem. Look at this place, where the blood supply to her brain that controls consciousness The carotid artery was not supplying enough blood, and there was a small thrombus in the underlying artery. Zooming in on this location, we can see the specific thrombus.”

Following Qi Hong's instructions, Tie Jun, who was operating the image, immediately framed the mouse, and continued to magnify the image by six or seven times, presenting it in front of everyone.

A thrombus the size of a fist appeared at the bottom of a carotid artery, blocking most of the artery.

"Can you confirm when this thrombus formed?"

Su Wanting asked a layman's question again. When several young doctors were racking their brains to think about the verification method, Chen Qun suddenly pointed to the fist-sized thrombus on the screen and answered Su Wanting's question.

"Did you see that, the color of the thrombus is very dark on the outside, but the color on the inside is much lighter, which means that the inside is solid, and the radioactive element reagent has not penetrated into it. If this result was caused by the injection of the radioactive reagent just now, then It must be darker inside, because the radioactive elements are highly concentrated. Therefore, this thrombus should have been there for some time, it may be a few weeks, it may be a few years, and it may even have existed since childhood."

Chen Qun paused for a moment, and then said the solution.

"But to verify how long the thrombus has formed, we only need to take it out, and then we can get an approximate time."

While speaking, Chen Qun saw that the three-dimensional image on the corner of his eye was also changing at a high speed, transforming the picture on the big image into a three-dimensional picture, which made him start to be in a daze for a while.

Qi Hong saw that Su Wanting's brows were also frowned, thinking of Chen Qun's fear of Su Wanting, she was funny and angry, but now they are all diagnosticians, and they can't blame Chen Qun alone, so they He explained the situation to Su Wanting very loyally.

"This is a rare disease, but no matter what surgery is done, blood clots will bring risks, especially blood clots in the brain and heart, which may even be fatal. And the location of this blood clot is deep in the brain, which is impossible Take it out with a craniotomy. If we did a root canal there, it would definitely destroy the PCA."

"Wait, what is PCA?"

"I said I was used to it, and I forgot that Mr. Su was not very exposed to these professional abbreviations. This abbreviation means posterior cerebral artery. If this artery is damaged, the person will die. Of course, we can also inject into the thrombus Dissolving agent, but there is a 50.00% probability that the thrombus will not dissolve, which may permanently cause the patient to have permanent weakness and cognitive impairment, which means there is a high probability of becoming dementia or psychosis! Therefore, the location of this thrombus is almost unsolvable .”

As soon as Qi Hong finished his explanation, Chen Qun woke up from his daze and spoke directly.

"Fortunately, it's just 'almost no solution', we think outside the box, in fact, we can still use a stent retriever to remove the thrombus!"

Qi Hong frowned, and questioned directly.

"If we puncture the posterior cerebral artery, she will die directly on the operating table!"

Chen Qun immediately expressed his disapproval.

"Perhaps, it is also possible to recover directly. The purpose of her going into the hospital is to solve the illness on her body, and then go out alive and well after being cured. This is our job. Moreover, we have missed one location, which is here."

Chen Qun walked to Ouyang Yang's computer console, stretched out his finger and slid it twice on the screen. Another longitudinal MRI image appeared on the big screen, and Chen Qun's thick black fingers also turned into A black dot appeared on the screen.

"Seeing that there is no blood vessel in this position, there is only one blood vessel supporting her thalamus. That's why the thrombus appears in that position. This is the lack of blood vessels caused by her personal abnormality. To let a blood vessel support the thalamus, the blood vessel must be very, very hardworking Only by supplying blood from the ground can the needs of the organs be met, and over time, various impurities in the blood will coagulate and block, which eventually leads to narrowing of the blood vessels and abnormal brain waves."

After Su Wanting heard Chen Qun's explanation, she was no longer interested in asking for his professional analysis and asked directly.

"Can it be treated?"

"Of course, but the blood vessels, especially the blood vessels inside the brain, are intricate. I need Xiaoxin to build a complete three-dimensional model and compare it with the real-time image to ensure that the operation is foolproof."

"What if no surgery is performed? Will there be any impact on the patient? That is, if no surgery is performed? Can the patient live peacefully for the rest of his life?"

"It's very difficult. Whether it's a childbirth in the future or some accidents in real life, blood clots will cause blockage. The reason why she has no symptoms now is because her blood vessels have been growing and kept at a relatively stable level with the increase in blood clots. A balanced ratio. But if the blood vessels stop growing and the blood clots still become larger and thicker, there is a high probability that a cerebral hemorrhage will occur, and there will be no way to save it once it occurs."

(End of this chapter)