Returning to ’90s, She Became Famous in Major Surgical Fields Chapter 2009: 【2009】The boss is not negligent

   Chapter 2009 [2009] The boss is not negligent

   "I have heard people say this, and when I got ho, I roughly flipped through the dical textbook that my wife kept at ho." Mr. Liu is also a high-level intellectual and can understand so of what the doctor said.

Seeing that the family mbers can communicate, Cao Yong went to the deeper knowledge: "The most important feature of the retinal arterial network is that its blood vessels are very thin in diater. At this stage, no catheter can enter this place. If there is an embolus in this place, it will be very difficult. Trouble. Physicians have limited coping strategies for this.”

   "Yes, but I seem to have heard people say that the blood vessel is blocked and the thrombectomy can be done." Mr. Liu asked around and told all the information he had heard for his wife, and did not want to give up any chance to treat his wife.

   Thrombolytic thrombectomy, Mr. Liu’s words should refer to ophthalmic artery interventional surgery. I ntioned before that the pathogenesis of this disease is similar to that of myocardial infarction, and similar interventional thods, such as drug thrombolysis and interventional surgery, can be used to deal with it. It's just that the ophthalmology departnt can't do such interventional surgery, why is that?

"Whether thrombolysis or catheter intervention for thrombectomy, all must be ti-sensitive." Cao Yong did not completely deny the news that the family mbers inquired, but seeking truth from facts, the family mbers who are layn must have heard the information is not professional enough, it is estimated that so The information may be wrong, "Generally speaking, the best results are obtained within a few hours after the onset of the disease. Your wife, Dr. Hu is a doctor himself, and she knows that this is an ergency. It is right to go to the ophthalmologist imdiately and take first aid asures. Also because your wife's self-rescue behavior was very tily, the result of violent blindness did not occur, and now the embolus is left in a state that cannot be moved. I saw that the dical records written by the ophthalmology departnt are roughly like this. The previous treatnt steps of the ophthalmology departnt were not given. She did an angiography, and she would not have considered interventional thrombectomy for the patient at that ti."

   "Why didn't the ophthalmologist perform surgery on my wife?" Dr. Liu asked, suspecting that the ophthalmologist's treatnt was negligent and not active enough.

  Ophthalmology bosses know that the patients they treat are colleagues, how dare they be negligent, and their colleagues cannot deceive them.

Cao Yong smiled at this point, not to defend his peers but to make it clear to his family: "The effect of thrombolytic therapy through the ophthalmic artery is far less than that of interventional surgery for myocardial infarction. The retinal artery is the terminal blood vessel, which is what I said just now. , the diater of its blood vessels is too thin, and there is no such equipnt that can break through the physical limit to enter this place. Doctors cannot send the catheter to a precise location for thrombolysis and stent placent like in cardiovascular interventional surgery. The effect of the operation is to make a question mark."

   Specifically, in cardiovascular interventional surgery, catheters and stents can be delivered to the coronary artery, the main artery supplying cardiomyocytes, for precise treatnt like a shell hitting the diseased site. The central retinal artery is too thin to do this, and its interventional surgery cannot be regarded as a real interventional surgery.

   For this reason, it can be seen that there are not many such interventional operations perford by the ophthalmology departnt. But it cannot be said that there is no such thing, it depends on whether the patient's condition ets the indications for surgery. Doctors choose to perform ophthalmic artery interventional surgery for so patients, mainly because of the possibility that the embolus is not in the retinal artery but in the internal carotid artery or proximal ophthalmic artery.