medical road high rise

Chapter 239
Chapter 239 Making a Game
"An EEG can't explain anything, and a cerebral angiography is still needed." Qin Feng said in a deep voice.

Because of this, if the perpetrator escapes legal responsibility, Qin Feng will definitely feel guilty for the rest of his life.

"The film is below."

Qin Feng continued to look through, his face gradually darkened.

The siphon segment of the carotid artery was stenotic in the patient, and the stenosis extended to the second segment of the neck. The bilateral cerebral angiography findings were basically the same, but the stenosis was only present on the right side and not on the left side.

At the same time, angiography also showed that there was an expanded network of capillaries at the basal ganglia, forming a collateral circulation centered on the internal and external striatal arteries.

"This is not a simple cerebral hemorrhage." Qin Feng affirmed, "Does the patient have a CT scan?"

Director Dong handed the image to Qin Feng, and Qin Feng saw that there was no multiple cerebral infarction or secondary cerebral atrophy on the patient's CT image.

Generally speaking, the more severe the stenosis of the internal carotid artery and the poorer the blood supply, the more obvious the brain atrophy, but the brain atrophy is not visible on CT in people with good collateral circulation.

Therefore, collateral circulation is still a double-edged sword in medicine. When the main blood vessel cannot transport blood normally due to thrombus, stenosis, etc., collateral circulation can ensure blood supply through other blood vessels.

However, because of the compensatory effect of collateral circulation, it is difficult for ordinary people to find out that there is a problem with their blood vessels, and naturally they will not know that they have a serious disease.

"Is this patient subarachnoid hemorrhage?" Qin Feng was a little uncertain.

"We discussed the same result last night. I wanted to call you, but I also know that you were too tired yesterday, so I let you have a good rest." Director Dong said.

"Then I suspect that the patient may be the moyamoya disease that has appeared in recent years." Qin Feng said.

More than half of the patients with moyamoya disease will experience ventriculomegaly, and the enlarged ventricles are just on the same side as the lesion, and 80.00% of patients with moyamoya disease will have intracranial hemorrhage, especially subarachnoid hemorrhage.

Ventriculomegaly, intracranial subarachnoid hemorrhage, the combination of the two is a typical symptom of moyamoya disease.

Moyamoya disease is a disease of unknown cause. The cause of the disease is mainly funded. The main feature is chronic progressive stenosis or even occlusion at the beginning of the bilateral internal carotid arteries. If it is not curbed in the early stage, it will develop into the base of the skull. Vascular abnormalities, a type of cerebrovascular disease.

The reason why it is called moyamoya disease in the world is because it can only appear like a cloud of smoke with the abnormal vascular network at the skull base on cerebral angiography, making cerebral angiography look confusing.

There are four main clinical manifestations of the disease.

The first type is transient cerebral ischemia, which accounts for about 70.00% of patients with moyamoya disease. It is characterized by prone to hemiplegia, that is, complete paralysis of some limbs.

It’s just that transient cerebral ischemia is benign and can be alleviated by medication.

There is also infarction, which is commonly known as stroke, and its symptoms are similar to stroke.

The other two are epilepsy and intracranial hemorrhage.

Qin Feng estimated that the moyamoya disease of the perpetrator should be between the first and fourth types, that is, transient cerebral ischemia or intracranial hemorrhage.

Moyamoya disease is a very rare cerebrovascular disease, and there is no definite and effective drug against moyamoya disease in the world, but for some patients with moyamoya disease in the chronic phase, the use of dilated blood vessel narrowing, anti-platelet aggregation and anticoagulant drugs will all be effective.

"Perhaps using intracranial and extracranial vascular reconstruction will be effective." Qin Feng thought of this surgery.

Because ischemic stroke can only be prevented but not completely cured, the timing of surgery is also difficult to grasp.

Qin Feng felt that vascular reconstruction was better, but Director Dong's words brought Qin Feng back to reality.

"Are you sure you want to classify him as moyamoya?"

Moyamoya disease itself is a cerebrovascular disease with a very high mortality rate. People with moyamoya disease generally live no longer than ten years.

This is a test for Qin Feng. If Qin Feng is determined, then facing Qin Feng will be endless accusations.

You must know that the perpetrator of this accident caused five serious injuries and countless minor injuries.

The most terrible thing is that four of these five serious injuries are children.

From the fact that the perpetrator's cart was stopped before, it can be seen how much the family hates him, and it would be best if he died on the spot.

However, the determination of moyamoya disease may cause the perpetrator to evade the charge of traffic accident crime, or reduce the trigger.

There is still a precedent for this incident. In a small city in our country, a serious traffic accident once occurred, killing three people and injuring many others.

But in the end, after a hospital inspection, it was determined that the perpetrator had a seizure while driving and was finally found not guilty.

Is this fair to the lives that die?
That must be unfair. The few doctors who were judged in the end were directly forced to resign by public opinion.

The situation of the perpetrator is the same now, Director Dong asked again cautiously.

"You don't know this person, do you?"

"do not know."

"That's good."

Qin Feng continued: "Actually, this person doesn't have much life left, I won't operate on him."

Director Dong understood Qin Feng's meaning, public is public, private is private.

Qin Feng opened the door, only to find a woman standing at the door with a bag in her hand.

"You are?" Director Dong asked.

"I'm Li Wei's wife." The woman said.

"Who is Li Wei?" Qin Feng asked confused.

"The driver who caused the accident." Director Dong said softly.

Qin Feng understood, and his face was a little ugly.

"Your husband's operation was successful. Why are you here if you don't go to the ward?" Director Dong noticed the things in the bag in the hands of the perpetrator's wife.

The white package, Director Dong recognized the national wine at a glance, and there was a red envelope next to it, so he knew what it was without thinking.

"Didn't my husband cause a traffic accident? I wonder if you can give him epilepsy, cerebral hemorrhage or something like that." The wife of the perpetrator laughed.

Obviously, the wife of the perpetrator had done her homework before coming here.

The woman came over and explained one thing, that is, the perpetrator was not short of money.

"Doctor, this is my heart." The perpetrator's wife put the bag on the table.

Qin Feng could also clearly see what was inside, and Qin Feng's face became extremely ugly.

"Take it away, I don't need your heart." Director Dong scolded.

Qin Feng rolled his eyes and found a bright light. Someone was hiding outside the door to take pictures.

When Qin Feng wanted to speak, that person had disappeared.

Director Dong drove the perpetrator's wife out, and at the same time returned the things to the perpetrator's wife.

"Director, we seem to have been photographed." Qin Feng said.

"What?" Director Dong was shocked.

This is obviously a set!
A trick against Director Dong and Qin Feng, no matter whether they accept it or not, under the publicity of outsiders, they both accepted the gift.

After all, there is no camera in the office, and these things did happen. Except for Qin Feng, Director Dong and the wife of the perpetrator, no one knew that Director Dong and Qin Feng refused.

This is simply setting up Qin Feng and Director Dong, and there is no room for choice at all.

"I'll take care of this matter, so don't meddle in it." Director Dong said seriously, "This is a muddy water, I'll take it all on myself and kick you out, don't do anything stupid .”

"You have to know that your future is limitless, and your future cannot be affected by such trivial things."

(End of this chapter)