Chapter 1661 【1661】Eyes with Calculators
Xie Wanying told the chief knife brother: "No."
Well, Mr. Xie's answer seems to be beyond everyone's expectations, and at the same time, it is within everyone's expectations. Even Dr. Yang took it for granted that she would say any explosive academic views. Who let this person can surprise people.
"What is it?" Shen Youhuan asked.
"Brother, go back and check the data again. It may be possible to conclude that there is a big deviation in the values measured twice."
"The big deviation is because Teacher Shen put it in the wrong position for the first time?" Dr. Yang asked, not understanding.
A doctor and teacher beside him said, "Don't always ask her, think for yourself."
Dr. Yang wanted to cry in his heart. After finally catching a bully to help him with his homework, the teacher stopped asking him.
Xie Wanying remembered the first time she went to the emergency room, and she was caught by Teacher Lin as a "cheat sheet" for classmate Zhao.
Clinical teachers are not allowed to ask questions. They can be discussed during meetings and discussions, but they are not allowed to ask questions when they should not be asked. Ask everything. When you see a patient in the future, the doctor will practice alone. Who will give you a chance to ask again.
For the good of Dr. Yang, Xie Wanying stopped answering. Looking at the operating room again, Brother Shen quickly realized what she meant to withdraw the catheter probe. It's not that the position Dr. Yang said was misplaced. It is impossible for a veteran like Brother Shen to misplace the probe head.
If the numerical deviation is too large and exceeds the normal value, it can only represent one thing. The condition of the blood vessel wall here is extremely unstable. There may be active small clots forming or breaking off, indicating a deteriorating state of the regionalized heart. Under such circumstances, it is difficult to accurately assess the development speed of the patient's disease simply by performing coronary angiography.
The first coronary angiography showed that the degree of diffuse stenosis in the blood vessel was only 40% to 60%, which was not at all the standard for placing a stent, let alone a bridge. However, when doing IVUS, the first measurement is 4, which is close to the limit value of stent placement, and the value of 3.4 in the second measurement is even more terrifying, showing that a stent can be placed. Due to the young age of the patient, it is unreasonable to say that he is stenosis caused by atherosclerotic plaque. It could only be due to injury. It now appears that the vascular injury is much more serious than the doctor imagined based on the examination report alone.
With the support of IVUS data, and then do coronary angiography, several comparisons are needed to show that there is indeed a severe stenosis. If there is no IVUS, the diagnosis may be missed again.
Considering that the cause of the patient's disease is trauma, it is meaningless to only place a stent. The heart area corresponding to the blood vessels must have been damaged, which is consistent with what Xie put forward before. The abnormal areas detected need to be re-examined to confirm the diagnosis. Physicians can't do this with endovascular interventional technology, and surgeons can only check it with their own eyes.
Surgeons are for internal medicine. This word once again reveals its extraordinary significance.
"Little sister, your eyes are terrifying." The more the operation went on, Shen Youhuan had to say in admiration, "I couldn't see it, but you can see it, I know, this is a variable, and you can't just look at it. Yingying, Do your eyes have their own calculators?"
Xie has a computer in his eyes, well, all the bystanders at the scene quite agree with this point.
Brother Shen is feeling relaxed. The purpose of medical surgery is basically achieved, and problems can be detected to serve as an outpost for surgery.