BXBX NOVEL Chapter 2088: 【2088】Focus
"The first photo was angiography of the right aortic arch, which is normal." Xie Wanying communicated with Mr. Lin from the beginning, and chose to start with the cardiovascular angiography that Mr. Lin was most familiar with.
Lin Chenrong didn't think that the extraneural angiography would start from the aortic arch of the blood vessels coming out of the heart, before she heard her, she was a little stunned.
What's even more terrifying is that he, a cardiovascular specialist, didn't think of it. She, an intern, suddenly wanted to be in place, and she was not confused at all.
It is right to ask classmate Xie. Lin Chenrong thought. Younger or incompetent neurotic people may not be as fast as her brain.
Deputy Director Lu on the opposite side turned his head, as if he was eavesdropping on them. Interventional surgery is a new technology, and it is not good for old doctors who are used to traditional surgery. An old doctor like Deputy Director Lu was indeed hard to think of for a while.
"Go ahead." Lin Chenrong said to Xie, standing next to her and listening intently.
It is not surprising that neurointerventional angiography starts from the aortic arch. Because the aortic arch is the origin of the systemic arterial system, including the cerebrovascular arterial network. Specifically, the aortic arch gives off the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery, of which the brachiocephalic trunk divides into the right common carotid artery and the right subclavian artery. The left and right common carotid arteries divide into left and right internal carotid arteries, and the left and right subclavian arteries divide into left and right vertebral arteries.
The key point is that the left and right internal carotid arteries and the left and right vertebral arteries are the arterial trunks that separate the cerebral blood vessels.
Therefore, after the examination of the aortic arch, the next parts to be examined are the left and right internal carotid arteries and the left and right vertebral arteries.
Like checking the water network system, it is necessary to first check whether there is any problem at the source, and then further check whether there is any problem in each channel of the water network.
"The second step is to examine the left and right internal carotid arteries, and there is no abnormality for the time being. The right vertebral artery seems to have a little stenosis." Xie Wanying continued to talk about the image results just checked after surgery.
Already found out? Is there something wrong with the patient's blood vessels? The group of people standing behind were surprised. It shows that the surgeons operating in the operating room operate too fast and are slightly careless. Instead, their eyes and brains are unable to keep up with the rhythm.
Xie did not miss the slightest detail in this scene, and the fast-paced memory is very powerful.
"Isn't the CT report written before?" Lin Chenrong asked some questions. He hadn't read the patient's medical records and was not clear about some issues.
"The stenosis of this vessel segment of the patient is not completely occluded. After all, the patient has undergone thrombolytic therapy before." Xie Wanying said.
"Oh." Lin Chenrong turned her head sideways and waited for her to continue, "Are they going to deal with the narrowness they found now?"
"It can be dealt with. But the main purpose is to find intracranial aneurysms." Xie Wanying did not forget the surgical topic discussed at the previous neurosurgery meeting.
This little cramp is easy to handle. However, to eliminate emboli in patients in the long run, it is necessary to start from the source, so that emboli are no longer produced in the patient's blood vessels. If there is atrial fibrillation, treat atrial fibrillation, and if it is other diseases such as hyperlipidemia and hypertension, it is necessary to take long-term medication after surgery. Surgery often solves the problem of local symptom elimination rather than radical cure.
(end of this chapter)