1103: C1103 Occlusion of Left Vertebral Artery

C1103 Occlusion of Left Vertebral Artery

"Alright, old man, the last step is to stick out your tongue!"

The old man stuck out his tongue, twitched it at the side, and made a face at Chen Qun.

Chen Qun's expression suddenly turned serious. He swiped his finger across the air.

"Old man, can you not make a face and straighten your tongue!"

"How troublesome. My tongue is positive. What do you want me to put it on?"

Chen Qun immediately picked up the plate on the doctor's table, activated the mirror function and placed it in front of him.

"Old man, look for yourself. Your tongue is crooked, not the right one. Have you been like this since you were young? "Later, when you were afraid of being made a joke, you used the pose of making a face to express that expression. In the end, it became a habit of yours and you even forgot about that."

"How do you know?" I thought it was a bad habit of mine when I was a kid, but I got used to it and couldn't fix it. "

"Alright, old man, your results are out. Just like I said, you are in a mild stroke state. You need an intravenous injection of tissue plasminogen activator to see if there is a way to remove the thrombus in your blood vessels."

The nearby doctor couldn't help but remind him.

"Dr. Chen, don't you want to do a blood vessel imaging to confirm the location of the thrombus?"

Chen Qun said calmly.

"We just confirmed that his tongue is crooked to the left, indicating occlusion of the left vertebral artery. However, from what he has said, this thrombosis has probably been going on for decades. After I finish injecting the medicine here, you can take him for a cervical angiography. Most of the time, you'll need surgery.

Chen Qun gave his final diagnosis and immediately turned around to leave. When he arrived outside the diagnosis room, he found that the big miss was communicating with the miniature robot, as if uploading another file.

"Hey hey, fiddling with our hospital's property outside of work hours is against the rules, you'll have to deduct our salary."

"Wait, you didn't give me a single cent of my salary. If you want it, then I'll deduct it. I'm your fiancee anyway, so it's natural to deduct your purse. This is called setting an example!"

Chen Qun could only face it with a bitter face and quickly change the topic.

"Why aren't you interested in treating me today?" Don't you always like to pick on people? "

Tsk, you are just my experiment # 1. You can cure 30 people a day at most, that's the limit. If I let Little Broom diagnose, there will be countless of people a day, and as long as the success rate goes up, you will be many times stronger than him. Just be a good teacher and teach your computer how to treat illnesses! "

When Chen Qun heard the Miss' words, he immediately raised his hand in surrender.

"Why do you always make me speechless?"

"This is power!" At most, you are just a medical researcher, but I am a logical master. Isn't it clear who is in charge and who is in charge? "

"It seems that in Guda, this has caused Fukuoka to be depressed. You have committed a crime of seven times over and will be given a divorce letter!"

"Sure, now I haven't even passed and I've already gone from Tiantian to Madam Niu. I'll send you a letter of rest first!"

Eldest Miss immediately pounced on them, baring her fangs and brandishing her claws. The two of them played along the way until they arrived at Huang Haitao's medical office. As soon as he entered the door, he saw Huang Haitao staring blankly at a set of nuclear magnetic imaging photos. Chen Qun took a few glances and saw the root of the problem. He also guessed the reason Huang Shiren asked him to come over.

"Aneurysms compressing the liver. This should be a post-operative condition. How is it possible? Is this tumor genetically predisposing, or is it a sequelae after surgery? "

Huang Haitao turned around and smiled at Chen Qun.

"If it were hereditary, the patient would not be sent to me. Welcome to Xiangyun Hospital's last line of defense, the surgical correction team in the courtyard. At first, I thought that I would be swapped for someone else after I moved to another place, but it seems that I'm still too young. Once I get into this job, I won't be able to quit. Now that the big task has fallen on you, you can call it that! "

Hearing this, the Eldest Miss was amused and immediately refuted.

"This is your job, not ours. Don't even think about squeezing us!"

Huang Haitao looked at her as if he was looking at a deep idiot, and said a cruel fact with a smile.2

"Miss Xin, what kind of organization do you think this Medical Research Center is? To put it bluntly, it is a hospital for the difficult cases. All the patients in the south that can't be cured are sent to this place. "To put it nicely, if you have an operation that you can't complete or if you have symptoms of a bad treatment, you should send it here. If you have a bad story, you should clean up the mess."

Eldest Miss wouldn't argue with Huang Shiren, he had the right to choose the research center in his hands. Only if he was willing to accept patients would he be considered admitted to the hospital. If you don't want to, then stand to the side. Huang Haitao was intended to confuse this distinction in order to manipulate Chen Qun.

Chen Qun understood immediately. When he looked at the surgical traces, there was almost no point in being picky. This was actually a postoperative complication. It was normal that no one would be able to escape from this abnormal condition. The theory was very simple. With the same operation and the same procedure, there was a high chance that the patient's physique would be different, resulting in a life and death situation. If he couldn't find any mistakes, then he could only complain.

Huang Haitao pointed at the image and explained to Chen Qun.

"This is an operation performed by Professor Nan of Hepatology. After resection of an arterial tumor, the pressure on the upper part of the patient's artery increased, resulting in the lesion being moved to this side for further treatment. I was just thinking of using an abdominal stent to solve the problem. Can you do that? This is also the specific reason why I'm looking for you. "

Chen Qun thought for a moment and gave a realistic answer.

"The anatomy of this artery is too complicated. Even if we can do it, the cost is too high. We need computer simulation to give you the details. We need about a week to finish the operation."

"Alright, let's just treat this as our last resort. Do you have any better ideas?"

"It may be possible to use abdominal aortic flow to solve the problem, but it is very likely that new aneurysms are occurring just above the arteries, leading to more surgery every day and more death."

"Yes, whatever choice we make, the patient could die on the operating table. That's why I need you to come over and take a look. The patient is in Room 709. Take a look and give me a better plan while you are resting for the next two days. Otherwise, I can only try my luck. "

Looking at the two men who seemed to be deep in thought, the young miss directly expressed her thoughts.

"Perhaps, I can ask Little Broom for advice and see what his most radical plan is. Is there any successful cases that can be consulted?"

Chen Qun immediately made a request for the First Miss to continue her cloud diagnosis. Even if it didn't work, it could provide a better idea.

In the blink of an eye, Little Broom's robotic voice sounded from the screen.

"We can reconstruct the trunk of the celiac artery by removing more of the proximal aorta and extending the graft. It is recommended that the material dacron be selected to construct the new artery. "

Chen Qun saw the young lady typing rapidly, he knew that the computer was using the simple data to express the possibility. In fact, the young lady typing only served as a temporary computer translation, which made the data into a language that people could understand. Perhaps the young miss had never thought that this translation process was a technology that artificial intelligence had to deal with.

"No, the branch is too complicated."

Huang Haitao denied it directly.

"In 'The Lancet', I have just published an article about the use of polymer materials to replace blood vessels …"

"It's too expensive and there's no technology to shape it."

Chen Qun denied the young miss' whimsical thoughts and directly gave her a thought.

"Maybe we can transplant ourselves!"

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