After receiving the look of "understanding" from his uncle, Cao Yong looked forward. His uncle was a neurosurgeon with a quick mind, and one could almost see the pounding of his heart.
My nephew is almost embarrassed to be seen by him. Zhai Yunsheng smiled with warm eyes. In fact, there is no medical senior who would dislike such a serious, hard-working, cute and talented girl.
"Go on." After wiping his red face, Deputy Director Lu said to Student Xie in a more humble and lower tone.
"Teacher Lu knows Dr. Song's ability. If Dr. Song really wants to try the posterior circulation aneurysm, he can give it a try. So, the problem becomes another more troublesome area." Xie Wanying stated her complete surgical plan.
"What's the trouble?"
“Whether it is only these three aneurysms that are affected, or whether there is a special connection between these three aneurysms and the ophthalmic artery needs to be solved.”
What do you mean? The people in the cardiology department were the first to be shocked by her words. Today, it was not the neurology department that shocked them first, but classmate Xie.
It was quiet all around, everyone was waiting for her to open the lid.
"Don't forget the patient's symptoms and the purpose of our operation. The PICA aneurysm was discovered by chance and was not within the scope of our preoperative discussion. It does not seem to be related to the blood supply to the eye and can be treated together. The trouble is that judging from the current results, the locations of the two aneurysms of the anterior circulation are the same and it is difficult to say whether they have much to do with the blood supply to the eye. To determine whether the three tumors are related to the ophthalmic artery, this is not a problem that can be solved by taking them to the operating room on the third floor. We need to continue to work in the interventional operating room while looking for opportunities to solve the eye problem." Xie Wanying said.
...
...
"Wait, why do you say that the two aneurysms of the anterior circulation have little to do with the ophthalmic artery?"
"They branch off the distal middle cerebral artery."
Whether tumors that are far away can affect the fluctuations of the ophthalmic artery requires careful confirmation.
After she said this, everyone remembered Dr. Hu's eye disease symptoms. The main purpose of this operation was to remove the thrombus in the central retinal artery.
"The retinal artery can't enter, right?"
The people in the cardiology department watched and asked more questions on site, and they became familiar with neurosurgery knowledge quickly. They were all top-level top students who learned quickly. Grasping the key points, these people talked a lot and replaced the discussion of neurosurgery:
"Let alone the retinal artery, we can't even get into the ophthalmic artery farther away."
“How many branches does the ophthalmic artery have?”
"More, what is the posterior ciliary artery."
"The current situation is——"
"Just as she said, there is no embolus in the proximal segment of the ophthalmic artery. The embolus is far away. The catheter cannot go in. It seems that their neurosurgery department is based on this consideration and wants to find a diseased aneurysm affecting the ophthalmic artery."
"It will be difficult to perform the surgery this way." Lin Chenrong said the preliminary conclusion that everyone had reached. "If you treat all three aneurysms, and if they are really related to the patient's eye symptoms, will the patient become completely blind after the treatment?"
This possibility really exists.
According to the doctors' original beautiful idea before the operation, there was only one aneurysm, and the location was easy to determine whether the ophthalmic artery thrombus could be removed if it was removed.
However, surgery often results in the opposite of what the doctor expected before the surgery. Today's examination results were too far off the mark, far from what was expected before the surgery. The locations of the three tumors were inexplicable, which definitely confused the neurosurgeons.
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