1074: C1074 Posterior Cerebral Artery Thrombosis

C1074 Posterior Cerebral Artery Thrombosis

Half an hour later, the girl's radionuclide image appeared on the large screen of the operation room. Su Wantine, as the patient's family member, also continued to participate to see their diagnosis. Even though they were separated by a mountain, Su Wantine still knew one thing. Doing a little breast augmentation surgery turned out to be a hidden disease, with a risk of radiation imaging.

In any other hospital, any doctor who dared to make such a diagnosis would be insane. However, to Chen Qun, this was a matter of course. There was nothing wrong with it. Even by extension, the same method can be used in the management of a company to find hidden flaws and loopholes.

Beauty President felt that she didn't know much about medicine, but she did know the logical way that was hidden behind the scenes. A place that was faintly discernible was often the beginning of an even greater disaster. The foundation of all of this was to know the entire system like the back of one's hand. Even without looking at the information, one would feel that there was something wrong with it.

Su Wantine felt that by mixing with Chen Qun's diagnosis, she could learn a lot of things, and she could also happily watch Chen Qun perform a brilliant diagnosis. If he screwed up, she could obtain even more pleasure and directly add insult to injury.

No matter how she looked at it, there were hundreds of benefits without any harm, so she naturally had to find an excuse to secretly be lazy. Besides, from what these doctors had told her, she also knew that the reason for using radionuclides to perform nuclear magnetic resonance scans was because the MRI was enhanced to make the images clearer.

The reason why she agreed to this examination was, first, to ensure her safety, so that she could find out that her niece was suffering from a hidden illness. Second, to give her sister face, to find a good doctor to treat her relatives, no one would say anything about it.

Su Wantine had originally thought that the debate would continue in the future, but as soon as the picture appeared, Chi Hong pointed the red highlighter in her hand towards a part of the screen and admitted her mistake.

"It looks like we don't need to do any other tests. My deduction was wrong. My little sister doesn't have a metabolic problem or a heart problem, but a brain problem. Look at this place, where the carotid artery where she controlled her conscious brain supplied blood was deficient, and where there was a small thrombus in the arteries at the base of the brain. Zoom in here and we'll see where the thrombus is. "

At Chi Hong's command, Tie Jun, who was controlling the video, immediately clicked his mouse and zoomed in on the screen six or seven times larger than before.

A fist-sized thrombus appeared at the bottom of one of the carotid arteries, blocking more than half of the artery.

"Can you confirm when the thrombus was formed?"

Su Wantine asked another amateur question. While the young doctors were racking their brains to figure out the verification method, Chen Qun suddenly pointed to the fist-sized thrombus on the screen and answered Su Wantine's question.

"Did you see that? The color outside of the thrombus is very dark, but the color inside is a lot lighter. This shows that the inside is solid and the radioactive element reagent hasn't seeped in yet." If it was the result of the injection of the radioactive reagent, it would have to be a little darker, because the radioactive elements were highly concentrated. So, it should have been there for a while, maybe weeks, maybe years, maybe even when he was a kid. "

Chen Qun paused for a moment before giving a solution.

"But to test how long this thrombus will take to form, we only need to take it out and we can judge the approximate time."

While he was talking, Chen Qun saw the 3D image on the corner of his eye also changing at a high speed. The image on the big picture turned into a 3D image, making him start daydreaming again.

She thought of how Chen Qun was scared of Su Wantine's appearance and felt both amused and angry. However, they were both diagnostic doctors and couldn't give all the blame to Chen Qun alone. Thus, she explained the situation to Su Wantine in a very loyal manner.

"It's a rare disease, but no matter what you do, it carries risks, especially in the brain and heart, and can even be fatal. Moreover, the location of the thrombus was in the depths of the brain, so it was impossible to use craniotomy to remove it. If we do root canal therapy there, it will definitely damage the PCA. "

"Wait, what's a PCA?"

"I said I was used to it and forgot that Director Su didn't have much contact with these professional abbreviations, which are the meaning of the posterior cerebral artery. If this artery is damaged, people die. Of course, we can also inject the dissolving agent into the thrombus, but the thrombus has a 50 percent chance of not dissolving, which could cause permanent weakness and cognitive impairment, which means there's a high chance of becoming dementia or a psychosis! Therefore, the location of this thrombus is almost unsolvable. "

The moment Chi Hong finished her explanation, Chen Qun woke up from his daze and directly responded.

"Fortunately, it's just 'almost unsolvable'. We jumped out of the conventional way of thinking. Actually, we can still use the stent to remove the thrombus!"

Chi Hong's brows twitched as she directly voiced her doubts.

"If we puncture the cerebral artery, she'll die on the operating table!"

Chen Qun immediately disagreed.

"Perhaps, it is also possible for him to recover directly. Her purpose in coming into the hospital was to cure herself of her illness and then walk out alive. That's our job. Moreover, we missed a location, which is here. "

Chen Qun walked to Ouyang Yang's computer console, stretched out his finger and swiped it twice on the screen. Another longitudinal section of the nuclear magnetic resonance image appeared on the screen. Chen Qun's thick black finger also turned into a black dot on the screen.

That's why the thrombus appeared there. This is a blood vessel loss caused by her own physiological abnormality, let a blood vessel support the thalamus, blood vessels have to be very, very diligently supplied with blood to meet the needs of the organ. Over time, there will be a clogging of various impurities in the blood, which eventually causes the blood vessels to become thin, and there will be a change in brain waves.

After hearing Chen Qun's explanation, Su Wantine no longer had any interest in asking about his professional analysis.

"Then can you treat it or not?"

"Of course, but the blood vessels inside the brain are very complicated. I need Xin to create a complete three-dimensional model and compare it with real time images to ensure that the operation is performed perfectly."0

"What if we don't have surgery? Does it affect the patient, that is, doesn't perform any surgery? "Can you let the patient live a peaceful life for the rest of his life?"

"It's very difficult. Whether it's a child in the future or an accident in the real world, it will lead to a clogging of the thrombus. The reason why no symptoms have occurred until now is also because her blood vessels have been growing, maintaining a relatively balanced ratio with the increase of the thrombus. But if the blood vessels stop growing, and the thrombus continues to grow thicker, there is a high chance that there will be cerebral hemorrhage, and once there is an attack there is no way to save it. "

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