What does the junior sister mean? Huang Zhilei's mind was wandering around again and again. He found that his brain was likely to be wrapped in a ball of mahjong by the junior sister in a short period of time. He would not sweat and run out of his forehead and asked, "Yingying, why did you ask that patient to do magnetic resonance before?"
This is a question she said early in the morning.
Senior Brother Huang should have been aware of this, so why would he continue to ask?
For example, Dr. Song probably had already seen it and asked her if she decided it was 7.2. Senior Brother Cao readily agreed to her to use a ventricular mirror, and had known that she would have been prepared so early.
Can it be that Senior Brother Huang didn’t notice it before?
Huang Zhilei only realized that he was the last one among these people who noticed it after asking a question.
It is true that she gave a disclaimer to the patient's family. With her ability, it is impossible to deliberately make such a disclaimer for examination without any reason. It is only because she predicted that the patient's condition really needs to be further judged.
First of all, it must be affirmed that the existing examinations clarify the patient's non-placeholder obstruction. Dr. Jin and others diagnosed it as communicative hydrocephalus with good evidence, which is basically correct.
It is also correct to recommend that patients first have poor internal treatment and internal treatment effects and then transfer to surgery for shunt surgery. After all, traffic hydrocephalus is the best in conventional treatment and shunt surgery. Everything is unexpected. Some special traffic hydrocephalus can be used in other surgical methods to avoid the subsequent risks and pain caused by long-term shunt insertion to patients.
This surgical method is an endoscopic third ventricular bottom stomatology ETV that was previously mentioned.
Unfortunately, after explaining these with Dr. Jin, Dr. Jin communicated with the patient's family again. Since the cost of the two magnetic resonance examinations was too expensive, the patient's family did not allow the patient to do it, so he had to spend the only money on the treatment costs. Those who are doctors can only try to think of solutions for the patient.
Can ventricular lenses detect problems in the patient's ventricle?
Can patients not perform diversion surgery to change to ETV?
She had never used a ventricular lens before. Xie Wanying must not have the confidence before the operation, so she could only plan and try it based on the principle of the ventricular lens she obtained in academic journals.
Now I have actually been in a ventricular scope, and it is expected to be feasible according to the plan she simulated before the operation, so I said it and shared it.
After understanding her initial idea, Huang Zhilei came out again.
The main reason is that she said that magnetic resonance examination magnetic resonance phase comparison film imaging can accurately measure the flow rate of cerebrospinal fluid in a specified area, and build a flow curve (flow rate-time curve) based on this.
One of the key points of the examination scans was that she used a ventricular lens to scan back and forth where there was suspected problems: the mesencephalic hydrotube area.
The cerebrospinal fluid flow rate in this place can indeed provide evidence to distinguish between communicative hydrocephalus and obstructive hydrocephalus, or to support whether doctors can perform ETV surgery on patients.
If there is a problem with the flow rate of the midbrain water conduit, it means that it is very likely to be a trumpet mesencephalic hydrocephalic. This shape of the midbrain water conduit is similar to obstructive hydrocephalus, and ETV can be tried.
The problem is that the junior sister of the chief surgeon was actually "unexpected" and believed that the abnormal flow rate of cerebrospinal fluid can be measured using the ventricular lens image, which is exactly within the scope of the trumpet midbrain water conduit.
Huang Zhilei really can't tell him or calculate him. He can't have experience, so he can only sweat again after sweating.
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Chapter completed!