"Thank you, thank you, doctor!" After receiving this good news, the child's father wiped his eyes again and was about to cry. So far, this result should be the best.
When returning to the NICU, Luo Jingming looked at Dr. Hu, then walked back and closed the door.
After the child's condition was stabilized, Nie Jiamin stood with classmate Xie and asked about the details of what happened tonight.
Teacher Nie probably wanted to know about the problem with Teacher Hu's eyes. Xie Wanying thought that she couldn't hide it from the boss anyway, so she said: "Teacher Hu's eyes are sick, it's RAO."
Furthermore, Teacher Nie is coming from abroad and may be able to bring some latest news on the treatment of RAO abroad, which will be beneficial to Teacher Hu.
"RAO." Nie Jiamin sighed slightly, "This disease is difficult to cure..."
It seems that there is no good treatment plan for this disease abroad.
"What do you think?" Nie Jiamin suddenly turned around and asked her for her personal opinion.
According to the teacher’s feedback, there is no specific medicine for this disease abroad, so Xie Wanying can only use her own brain calculations, saying: “Teacher Hu is old, so arteriosclerosis is there. If there is no specific medicine, we can only start from the general condition. Let’s consider how to help her relieve this symptom. The central retinal artery is the terminal artery of the ophthalmic artery and is very sensitive to blood circulation. The normal origin of the ophthalmic artery is connected to the internal carotid artery. Once there is any abnormality in the internal carotid artery, it will directly affect the retina. Central artery."
"So -" Obviously, he listened to her analysis with great interest. Nie Jiamin curled his lips slightly and looked at her, waiting for her to say.
Gu XianPerhaps the boss has already thought of her professional inference, but the teacher always likes a smart student to express his thoughts in front of him.
Xie Wanying continued to discuss with the teacher after finishing her words: "The connection between the ophthalmic artery and the internal carotid artery belongs to the normal blood supply system. If an abnormality occurs, the human body will try to adjust itself to establish collateral circulation."
After the blood vessels of the human body are blocked, they establish collateral circulation on their own, trying to continue supplying blood to human cells and tissues to maintain life functions. This situation can occur in every part of the body. The simplest example is the one done at the hepatobiliary surgery department that classmate Xie Wanying went to. I don’t know if you still remember the various collateral circulations mentioned in the demonstration surgery, forming a terrible collateral circulation network.
Collateral circulation can be good or bad. After doctors understand this principle, they can make full use of it to solve human diseases.
"If the internal carotid artery here is blocked, the ophthalmic artery can look for other blood supply branches. Clinically, the abnormal origin point can be seen the middle meningeal artery. If the collateral circulation is open to compensate, it can pass through the anterior communicating artery ACoA of the circle of Willis in the cerebral artery circle. , it can pass through the posterior communicating artery PcoA and the pia mater, and there is also the collateral pathway OA through the external carotid artery. Therefore, I think it is more meaningful to ask a neurosurgeon to check the condition and direction of these blood vessels. After all, ophthalmology alone can no longer solve this problem. That’s it.” After saying that, Xie Wanying quietly waited for the teacher to comment.
Nie Jiamin, who was cautious and slow-tempered, was happy with her idea and said: "What you said is fine. Anatomical knowledge is good. No PROBLEM for the time being."
Teacher Nie's Mandarin seems to have improved, and the combination of Chinese and Western skills is getting better and better. Xie Wanying blinked.
"She needs to find a better neurosurgeon. Well, this suggestion is good." Nie Jiamin once again confirmed her judgment.