Chapter 2009 【2009】The Boss Is Not Negligent

"I have heard people talk about these things. After I got home, I roughly flipped through the medical textbooks my wife kept at home." Mr. Liu is also a senior intellectual, and he can understand part of what the doctor said.

Seeing that the family members can communicate, Cao Yong talked about the deeper knowledge: "The most important feature of the retinal artery network is that its blood vessels are very thin in diameter. At present, there is no catheter that can enter this place. If there is an embolus in this place, it will be very serious. trouble. Physicians have limited strategies to deal with it.”

"Yes, but I seem to have heard people say that clogged blood vessels can be treated with thrombolysis and thrombus removal." Mr. Liu asked around and told all the information he had found for his wife, not wanting to give up any chance of treating his wife.

For thrombolysis and thrombolysis, what Mr. Liu said should refer to ophthalmic artery interventional surgery. As mentioned before, the pathogenesis of this disease is similar to that of myocardial infarction, and similar interventional methods, such as drug thrombolysis and interventional surgery, can be used to deal with it. It’s just that it’s said that ophthalmology department can’t do such interventional surgery, why is that.

"Whether it is thrombolysis or catheter-based thrombectomy, timeliness must be considered." Cao Yong did not completely deny the news that his family members had inquired about, but to be honest, the information that the family members heard was not professional enough for laymen. The information will be wrong, "Generally speaking, the treatment effect is the best within a few hours after the onset. Your wife, Dr. Hu is a doctor himself, and he knows that this is an emergency. See an ophthalmologist immediately. It is right to take emergency measures. It is also because your wife’s self-rescue behavior was timely, the result of sudden blindness did not happen, and now the emboli is left behind and cannot move. I see that the medical records written by the ophthalmology department are generally like this. The previous treatment steps of the ophthalmology department did not give When she performed angiography, she would not consider performing interventional thrombectomy and thrombolysis for the patient at that time."

"Why didn't the ophthalmology department operate on my wife?" Dr. Liu followed up and asked, wondering if the ophthalmologist's treatment was negligent and not active enough.

The ophthalmologist boss knows that the patients he treats are colleagues, so how dare he be negligent, colleagues can't be fooled.

Cao Yong smiled at this point, not to defend his peers, but to explain clearly to his family members: "The effect of thrombolytic therapy through the ophthalmic artery is far less effective than interventional surgery for myocardial infarction. The retinal artery is the terminal blood vessel. This is what I just said , the diameter of its blood vessels is too thin, and there is no such equipment that can break through the physical limit to enter this place. Doctors cannot send the catheter to the precise position for thrombolysis and stent placement like in cardiovascular interventional surgery. question mark."

Specifically, in cardiovascular interventional surgery, catheters and stents can be sent to the coronary artery of the main artery that supplies myocardial cells, and the treatment is as precise as a shell hitting the disease site, and the effect of thrombolysis and thrombolysis can naturally be immediate. The central retinal artery is too thin to do this, and its interventional surgery cannot be regarded as a real interventional surgery.

For this reason, it can be seen that there are not many such interventional operations carried out in ophthalmology departments, and there are relatively few. But it cannot be said that there is no such thing at all. It depends on whether the patient's condition meets the indications for surgery. Doctors choose to perform ophthalmic artery interventional surgery for some patients, mainly based on the consideration that the embolus may not be on the retinal artery but in the proximal end of the internal carotid artery or ophthalmic artery.