Well, Student Xie’s answer seems to be both unexpected and expected by everyone. Even Dr. Yang thinks it’s natural for her to say any explosive academic opinions. How can this person be so surprising?
"What is it?" Shen Youhuan asked.
"Brother, please go back a little and recheck the data. It may be concluded that the numerical deviation between the two measurements is somewhat large."
"Is the big deviation because Teacher Shen put it in the wrong position the first time?" Dr. Yang asked, not understanding.
A doctor and teacher beside me said, "Don't always ask her, think for yourself."
Dr. Yang felt like crying in his heart. He finally got a top student to help him with his homework, but the teacher didn't allow him to ask the top student.
Xie Wanying recalled the first time she went to the emergency room and was caught by Teacher Lin giving a "cheat sheet" to classmate Zhao.
Clinical teachers are not allowed to ask. You can discuss during meetings, but you are not allowed to ask when you shouldn't ask. You can ask about everything. When you see a patient in the future, the doctor will practice alone, so who can give you a chance to ask again.
For the sake of Dr. Yang, Xie Wanying stopped answering. Looking at the operating room, Senior Brother Shen quickly understood that she meant to withdraw the catheter probe. It was not that the position that Dr. Yang said was wrong. A veteran like Senior Brother Shen would not
The probe may have been placed in the wrong position.
If the numerical deviation is too large and exceeds the normal value, it can only mean one thing. The condition of the blood vessel wall here is extremely unstable. Perhaps there are small active emboli forming or falling off, indicating that the regional heart is deteriorating. In this case
Under such circumstances, it is difficult to accurately assess the progression rate of the patient's condition by simply performing coronary angiography.
The first time I did coronary angiography, I found that the degree of diffuse stenosis in the blood vessels was only 40 to 60%, which was not enough for stent placement, let alone the need for a bypass. However, when I did IVUS, the first measurement was 4
, close to the limit value for stent placement, the second measurement of 3.4 was even more terrifying, indicating that a stent could be placed. Since the patient was young, it was unreasonable to say that he had arterial stenosis caused by plaque. It could only be caused by injury.
It now appears that the blood vessel damage is much more serious than the doctor imagined based on the examination report alone.
With the support of IVUS data, coronary angiography needs to be compared several times to show that there is indeed a severe stenosis. If there is no IVUS, the diagnosis may be missed again.
Since the cause of the patient's illness is trauma, it is meaningless to just place a stent. The heart area corresponding to the blood vessel must be damaged, which is consistent with the point raised by Xie before. The abnormal areas detected need to be reviewed to confirm the diagnosis. This point
Physicians cannot do this with endovascular interventional techniques, so surgeons can only use their own eyes to see it.
The surgeon is the one who knows everything about internal medicine. This statement once again shows its extraordinary significance.
"Little junior sister, your eyes are terrifying." As the operation continued, Shen Youhuan had to say in admiration, "I couldn't see it, but you can see it. I know that this is a variable. Just seeing it won't work. Yingying,
Could it be that your eyes have built-in calculators?"
Student Xie’s eyes have their own computers. Well, all the onlookers present agreed with this point.
Brother Shen is now in a relaxed mood. The purpose of internal medicine and surgery has basically been achieved. Problems can be detected and sent to the surgery.