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¡¾2009¡¿The boss is not negligent

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    ¡°I¡¯ve heard people talk about this, and when I got home, I looked through the medical textbooks my wife kept at home.¡± Mr. Liu is also a high-level intellectual and can understand part of what the doctor says.

    Seeing that the family members were able to communicate, Cao Yong went into deeper knowledge: "The most important feature of the retinal artery network is that its blood vessel diameter is very thin. At this stage, no catheter can enter this place. If there is an emboli in this place, it will be very serious."  trouble. Doctors have limited strategies to deal with it.¡±

    "Yes, but I seem to have heard someone say that clogged blood vessels can be treated with thrombolysis and thrombectomy." Mr. Liu asked around and told all the information he had learned for his wife, not wanting to give up any chance to treat his wife.

    Thrombectomy and thrombolysis, Mr. Liu should refer to ophthalmic artery interventional surgery.  As mentioned before, the pathogenesis of this disease is similar to that of myocardial infarction, and it can be treated with similar interventional methods, such as drug thrombolysis and interventional surgery.  .  It¡¯s just been said that ophthalmology cannot perform such interventional surgery. Why is this?

    "Whether it is thrombolysis or catheter-based interventional thrombectomy, everything must be timely." Cao Yong did not completely deny the information the family members inquired about, but he was realistic. The family members were laymen and the information they heard was certainly not professional enough. It is estimated that some  The information may be wrong, "Generally speaking, treatment within a few hours of the onset of the disease is most effective. Your wife, Dr. Hu is a doctor himself. He knows that this is an emergency. It is right to see an ophthalmologist immediately and take first aid measures."  Also because your wife's self-rescue behavior was very timely, the result that would have caused blindness did not occur. Now the embolus is partially left and cannot be moved. I read the medical records written by the ophthalmology department, which is roughly the situation. The previous treatment steps of the ophthalmology department were not given.  When she performed angiography, she would not consider performing interventional thrombectomy and thrombolysis surgery on the patient at that time."

    "Why didn't the ophthalmology department perform surgery on my wife?" Dr. Liu asked, wondering if the ophthalmologist's treatment was negligent and not aggressive enough.

    "Ophthalmology experts know that the patients they treat are fellow patients, so how dare they be careless? They cannot be deceived by their peers.

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

    Specifically, cardiovascular interventional surgery can deliver catheters and stents to the main arteries and coronary arteries that supply myocardial cells. Treatment can be as precise as a cannon hitting the diseased location. The surgical effect of thrombus removal and thrombolysis can naturally be immediate.  The central retinal artery is too thin to do this, and its interventional surgery cannot be considered a true interventional surgery.

    For this reason, it can be seen that there are not many such interventional surgeries in ophthalmology, rather less.  But it cannot be said that it is not possible at all. It depends on whether the patient's condition meets the indications for surgery.  Doctors choose to perform ophthalmic artery interventional surgery on some patients, mainly because they consider that the embolus may not be on the retinal artery but on the internal carotid artery or the proximal end of the ophthalmic artery.  (Remember the website address: www.hlnovel.com
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