Chapter 2077 [2077] Find an Opportunity

The "old" surgeons who witnessed the real human anatomy cases in the operating room were incomparable to the medical students who learned to read dead bodies in textbooks and dissection rooms.

The patient's own blood fluctuated abnormally, which caused the embolus to move back and forth by itself. Dr. Hu's vision was sometimes brighter and sometimes darker. As my junior sister said, Cao Yong, who is regarded as an "old" surgeon, only needs to think a little bit. Isn't this a sign that the patient may have an aneurysm?

According to the textbook of aneurysm clinical symptoms, there is no such abnormal fluctuation of blood. But surgeons are different. It is the experience advantage of "old" doctors to be able to observe such a subtle landscape during surgery.

An intracranial aneurysm is an abnormal swelling of a local intracranial artery, which can be imagined as a blood reservoir. Normal vessel diameters hold a limited amount of blood, and blood fluctuations are within fixed limits. After adding a blood reservoir, if there is a slight disturbance, the water in the reservoir will be released into the blood vessels or the blood from the blood vessels will rush back into the reservoir. Do you think this blood fluctuation will not increase? If the blood fluctuations are bigger, the wall will be broken and hemorrhage directly.

During the operation, if the doctor touches these aneurysms with his own hands, he can feel the pulse, which is a typical manifestation of blood fluctuations. The principle is that the aneurysm communicates with the arteries and bears the pressure of the arteries. If the arteries have pressure pulses, there must be an aneurysm, and the effect of the reservoir will be more intense.

The anatomical direction of the internal carotid artery was mentioned last time, and it has a lot to do with the circle of Willis. As long as you are an "old" doctor in neurosurgery, you know that the probability of aneurysms in the circle of Willis is quite high, and it is a predisposed site for aneurysms. If the aneurysm is relatively small and has not ruptured, the patient's clinical symptoms are not obvious, but the absence of an aneurysm cannot be completely ruled out.

So far, Cao Yong, an "older" doctor, can quickly think of actual cases as a reference and then make a more practical diagnosis. It is reasonable that the young doctor cannot do this to him.

To put it bluntly, doctors are an industry that gets more and more popular as it gets older.

The fact that the ophthalmologist did not judge Dr. Hu in time cannot be said to be at fault.

Dr. Hu's eye disease is not caused by a simple aneurysm, but the result of multiple factors, which conforms to the law that the cause of many diseases cannot be caused by one factor in clinical practice. It is possible that the aneurysm was a contributing factor to the exacerbation of Dr. Hu's eye disease rather than the main cause. But if it is true that the aneurysm has added to Dr. Hu's disease, then the doctor's grasp of this point may become an opportunity to solve Dr. Hu's eye disease.

In any case, the Department of Ophthalmology successfully helped patients resolve emergencies in the early stages of the disease. The etiology of the rest of the patients has not been ascertained by the ophthalmology department. When a patient's condition reaches a problem that cannot be solved by a single department, it usually requires the brainstorming of various medical departments. Patients extensively search for opinions from doctors in other departments, and seek medical advice from neurosurgery, which is a normal course of medical treatment for clinically difficult diseases.

This is often the case in clinical practice. It is mostly luck for a patient with an intractable disease to seek a good doctor everywhere. Luckily, it was a stroke of luck to bump into a doctor like Cao Yong who had an idea and thought of an opportunity. If you are unlucky, you will lose the best time window for the treatment of the disease during the process of seeking medical treatment, even if it is found out later, it will not help.