The "veteran" surgical doctors witnessed real human anatomy cases handled in the operating room, which cannot be compared with the medical students who learn to read dead objects in textbooks and anatomy rooms.
The patient's own blood had abnormal fluctuations, causing the emboli to move back and forth on its own. Dr. Hu's vision was sometimes brighter and sometimes darker. As the junior sister said, Cao Yong, who is considered an "old" surgical doctor, only had to think about it for a moment. Is this a sign that the patient may have an aneurysm?
Textbooks of clinical symptoms of aneurysms state that there are no symptoms of abnormal blood fluctuations. But surgeons are different. Being able to observe such a subtle landscape during surgery is the experience advantage of "old" doctors.
An intracranial aneurysm is an abnormal local bulge of an intracranial artery, which can be imagined as a blood reservoir. The diameter of a normal blood vessel can hold limited blood, and the blood fluctuations are within fixed limits. After adding a blood reservoir, a There is a slight disturbance, and the water in the reservoir is released into the blood vessels or the blood in the blood vessels rushes back into the reservoir. Do you think this blood fluctuation can not become larger? If the blood fluctuation is larger, it will directly break the wall and cause massive bleeding.
During the operation, if the doctor touches these aneurysms with his own hands, he will be able to feel the pulsation, which is a typical manifestation of blood fluctuations. The principle is that the aneurysm is connected with the arterial blood vessels and takes over the pressure of the arterial blood vessels. The arterial blood vessels have pressure pulsations, and the aneurysm There must be, and the effect will be even stronger because it is a reservoir.
The anatomical direction of the internal carotid artery was mentioned last time, and it is closely related to the circle of Willis. Anyone who is an "old" neurosurgery doctor knows that the chance of aneurysms in the circle of Willis is quite high, and it is a common site for aneurysms. .If the aneurysm is relatively small and has not ruptured, the patient's clinical symptoms will not be obvious, but the absence of the aneurysm cannot be completely ruled out.
At this point, Cao Yong, an "older" doctor, can quickly recall actual cases for reference and then make a more realistic diagnosis. It is reasonable for young doctors not to be able to do this.
Dr. Gu XiTo put it bluntly, this is an industry that becomes more and more popular the older it gets.
The ophthalmologist did not diagnose Dr. Hu's situation in time. It cannot be said that the ophthalmology department was at fault.
Dr. Hu's eye disease is not caused by a simple aneurysm, but is the result of multiple factors, which is in line with the clinical rule that the cause of many diseases cannot be caused by one factor. The aneurysm may be a factor that contributes to the aggravation of Dr. Hu's eye disease. The main reason. But if the aneurysm really contributes to Dr. Hu's disease, then it is entirely possible for doctors to seize this as an opportunity to solve Dr. Hu's eye disease.
In any case, the ophthalmology department has successfully helped patients resolve emergencies in the early stages of the disease. The causes of other patients have not been ascertained by the ophthalmology department. When the patient's condition reaches a point where a single department cannot solve the problem, it usually requires the brainstorming of various medical departments. Patients extensively seek the opinions of doctors from other departments and seek medical advice. Visiting neurosurgery is a normal course of medical diagnosis and treatment for clinically difficult diseases.
This is often the case in clinical practice. A patient with difficult and complicated diseases mostly relies on luck when seeking good doctors. If you are lucky, you will be lucky if you meet a doctor like Cao Yong who has an idea and thinks of an opportunity. If you are not lucky, please During the medical treatment process, the best time window for treatment of the disease is lost at the same time, and even if it is detected later, it will not help.
