Half an hour later, the girl's radionuclide imaging immediately appeared on the big screen in the operating room. As a family member of the patients, Su wanting also continued to participate in the diagnosis. Although every other line is like a mountain, Su wanting knows one thing. Do a small breast augmentation surgery, and finally become a hidden disease, but also do with a certain risk of radioactive imaging.
If you change to other hospitals, which doctor dares to make such a diagnosis, it must be crazy. But for Chen Qun, this is natural, there is no improper place. Even by extension, when it is applied to company operation, the same method can be used to find some hidden defects and loopholes.
The beauty CEO thinks that she doesn't understand medicine, but she understands the logic behind it. The strange appearance of a certain place is often the beginning of a greater disaster. The foundation of all this is to know the whole system like the palm of one's hand. You don't even need to look at the data. You will feel that there is something wrong in your head.
Su wanting thinks that with Chen Qun's diagnosis, she can not only learn a lot, but also enjoy watching Chen Qun perform a wonderful diagnosis. If he messes up, she can get more pleasure and make fun of him.
She had to find an excuse to be lazy. Moreover, from the mouth of these professional doctors, she also knows that the reason for using radionuclides for MRI scanning is actually the enhancement mode of MRI, which makes the image clearer.
The first reason why she agreed with the examination was for the sake of safety. It was also a human kindness to discover her niece's hidden illness; The second is to make my younger sister and her face, and find a good doctor to see relatives, no one will gossip; The last point is that it's all her family's money.
Originally, Su wanting thought there would be a continuous debate next, but as soon as the picture came out, Qi Hong pointed to a place in the picture with the red fluorescent pen in her hand and directly admitted her mistake.
"It seems that we don't need to do the examination in other places. My inference just now is wrong. My little sister doesn't have metabolic problems and heart problems, but brain problems. Look at this place. The carotid artery that controls the blood supply to her brain is insufficient. There is a small thrombus in the artery at the base. Zoom in and we can see where the thrombus is
With the instruction of Qi Hong, the Iron Army who operated the image immediately put the mouse box up, enlarged the image six or seven times, and presented it to the public.
A fist sized clot appeared at the bottom of a carotid artery, blocking most of the arteries.
"Can you confirm when this thrombus formed?"
Su wanting once again asked a layman's question. While several young doctors were racking their brains to think about the verification method, Chen Qun suddenly pointed to the big fist thrombus on the screen and answered Su wanting's question.
"See, the color on the outside of the thrombus is very dark, 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 it is the result of the injection of radioactive reagent just now, it must be that the color inside is a little darker, because the radioactive elements are highly concentrated. Therefore, this thrombus should have existed for a period of time, which may be weeks, years or even childhood. "
After a pause, Chen Qun came up with a solution.
"But to verify how long the thrombus actually formed, we just need to take it out, and then we can judge the approximate time."
As he spoke, Chen Qun saw that the three-dimensional images on the corners of his eyes were also changing at a high speed. He transformed the images on the large images into three-dimensional images, which made him dazzled again.
Qi Hong saw Su wanting's eyebrows wrinkled together, and remembered that Chen Qun was afraid of Su wanting. She was funny and angry, but now they are all diagnostic doctors, and they can't give all the black pot to Chen Qun alone, so she explained the situation to Su wanting with great loyalty.
"It's a rare disease, but no matter what kind of operation, thrombosis will bring risks, especially in the brain and heart, and it can even be fatal. Moreover, the location of the thrombus is deep in the brain, which cannot be removed by craniotomy. If we do root canal therapy there, it will definitely destroy the PCA. "
"Wait, what's PCA?"
"I'm used to it. I forget that Mr. Su doesn't have much contact with these professional abbreviations, which means posterior cerebral artery. If this artery is destroyed, people will die. Of course, we can also inject thrombolytic agents into the thrombus, but there is a 50% probability that the thrombus will not dissolve, which may lead to permanent weakness and cognitive impairment, that is to say, there is a high probability that the patient will become dementia or psychosis! So, the location of the thrombus is almost unsolvableAs soon as Qi Hong's explanation was finished, Chen Qun woke up from his stupor and said it directly.
"Fortunately, it's just that there's almost no solution," he said. "We're out of the ordinary way of thinking. In fact, we can still use the stent thrombectomy to remove the thrombus."
Qi Hong eyebrows a jump, direct give query.
"If we puncture the posterior cerebral artery, she will die on the operating table!"
Chen Qun immediately disagreed.
"Maybe, it's also possible to recover directly. The purpose of her entering the hospital is to solve her illness, and then go out after being cured. This is our job. What's more, we've missed out on one location, which is here. "
Chen Qun goes to Ouyang Yang's computer console, reaches out his finger and swipes twice on the screen. Another MRI image of longitudinal section appears on the large screen, and Chen Qun's thick black finger turns into a black spot on the screen.
"If you see this position, there is only one blood vessel supporting her thalamus, which is why the thrombus appears in that position. This is the lack of blood vessels caused by her personal physiological abnormalities. If you want a blood vessel to support the thalamus, the blood vessels must be very, very diligent to supply blood to meet the needs of the organs, As a result, the coagulation and blockage of various impurities in the blood are produced, which eventually leads to the thinning of blood vessels and the appearance of abnormal brain waves. "
When Su wanting heard Chen Qun's explanation, she was no longer interested in inquiring about his professional analysis and asked directly.
"Can it be cured?"
"Of course, but the blood vessels, especially the blood vessels inside the brain, are complicated. I need Xiaoxin to build a complete three-dimensional model, and then compare it with the real-time image to ensure that the operation is safe."
"What if we don't have surgery? Does it have an impact on the patient, that is, not to do any operation? Can we make the patient live a safe life all his life? "
"It's very difficult. Whether it's giving birth in the future or some accidents in reality, it will lead to thrombosis and blockage. The reason why there has been no symptoms now is that her blood vessels have been growing and keeping a relatively balanced proportion with the increase of thrombosis. But if the blood vessels stop growing, and the thrombus will still increase and thicken, the probability of cerebral hemorrhage will occur, and there is no way to save the attack. "