The "old" surgeon witnessed real human anatomy cases in the operating room, which cannot be compared with medical students who are learning to read dead objects in textbooks and dissection rooms.
The patient's blood fluctuates abnormally, causing the embolic to move back and forth, and Dr. Hu's vision has symptoms that are brighter and darker. What the younger sister said is that Cao Yong, who is an "old" surgeon, only needs to think about it for a moment. Isn't this a manifestation of the patient's aneurysm?
The textbook for clinical symptoms of aneurysms says that there is no abnormal blood fluctuation. However, the surgeon is different. It is the experience advantage of the "old" doctors to observe such a subtle landscape during the operation.
An intracranial aneurysm is an abnormal eccentric part of the blood vessels in the intracranial artery. It can be imagined as a blood reservoir. The blood vessel diameter contains limited blood, and the blood fluctuates within the fixed limit. After adding a blood reservoir, a little turbulence will be released, and the water in the reservoir will be released into the blood vessels or blood vessels, and the blood from the blood vessels will surge back into the reservoir. Do you think this blood fluctuation will not become larger? The blood fluctuation will be a little larger, and it will directly break the wall and bleed heavily.
During the operation, if a doctor touches these aneurysms with his own hands, he can feel the pulsation, which is a typical manifestation of blood fluctuations. The principle is that the aneurysm and the arterial blood vessels are connected to each other, and bears the pressure of the arterial blood vessels. The arterial blood vessels have pressure pulsation, and the aneurysm will definitely have it, and the effect of the reservoir will appear stronger.
The anatomy of the internal carotid artery has been mentioned above, and it has a lot to do with the willis ring. As long as you are an "old" doctor in neurosurgery, you know that the chance of aneurysm of the willis ring is quite high, and it is a good place for an aneurysm. If the aneurysm is relatively small and does not rupture, the patient's clinical symptoms are not obvious, but the aneurysm cannot be completely ruled out that the aneurysm does not exist.
At this point, Cao Yong, a "old" doctor, can quickly recall actual cases for reference and then make a more practical diagnosis. It is reasonable for young doctors to fail to do this.
Doctor Gu Xi said bluntly that it is really an industry that is more popular as the older you are.
The ophthalmologist did not make timely judgment on Dr. Hu's situation, and cannot be said that the ophthalmology is wrong.
Dr. Hu's eye disease is not caused by a simple aneurysm, but is the result of a variety of factors, which is in line with the law of the cause of many clinical diseases that cannot be formed by one factor. Aneurysm may be a factor that contributes to the aggravation of Dr. Hu's eye disease rather than the main cause. However, if an aneurysm really adds to Dr. Hu's disease, then the doctor seizes this point and it is entirely possible that the doctor will solve Dr. Hu's eye disease.
In any case, the ophthalmology department successfully helps the patient resolve emergency diseases in the early stages of the onset of the patient. The causes of the other patients have not been discovered by the ophthalmology department. When the patient's condition reaches a problem that cannot be solved by a single department, it usually requires various medical departments to brainstorm. Patients are widely looking for doctors in other departments and seek medical treatment from neurosurgery to come to the normal medical treatment course for difficult clinical diseases.
Chapter completed!