【2009】Big brother is not negligent
"I have heard of these things. After I got home, I roughly read the medical textbooks that my wife placed at home." Mr. Liu is also a senior intellectual, and he can understand some of the things he says.
Seeing that the family members could communicate, Cao Yong went to a deeper knowledge: "The most important feature of the retinal artery network is that its blood vessels are very thin. At this stage, there is no catheter to enter this place. If an emboli appears in this place, it will be very troublesome. The doctor's response strategy for this is limited."
"Yes, but I seem to have heard that it is said that if the blood vessel is blocked, it can be thrombolysis and thrombolysis." Mr. Liu asked around and told all the news he had found for his wife, not wanting to give up any opportunity to treat his wife.
When taking thrombolysis, Mr. Liu's words should refer to ophthalmic interventional surgery. I have said before that the pathogenesis of this disease is similar to myocardial infarction, and similar interventional methods can be used, such as drug thrombolysis and interventional surgery. It is just that ophthalmology cannot perform such interventional surgery, why?
"Whether thrombolysis or catheter interventional thrombolysis is done, it is all about time-consuming." Cao Yong did not completely deny the information his family was inquired about, but it is realistic. The information that the family members are outsiders must have heard is not professional enough, and some information is probably wrong. "Generally speaking, the treatment effect is the best within a few hours after the onset of the disease. Your wife, Dr. Hu, is a doctor, knowing that this is an acute illness, so she immediately went to the ophthalmologist to take first aid measures. Also, because your wife's self-rescue behavior was very timely, the result of bruising blindness did not occur, and now the part of the embolic remains cannot be moved. I see that the medical records written by the ophthalmology department are roughly like this. The previous treatment steps of the ophthalmology department did not perform an angiography on her, so she would not consider performing interventional thrombolysis on the patient at that time."
"Why doesn't the ophthalmologist perform surgery on my wife?" Dr. Liu asked afterwards, wondering if the ophthalmologist's treatment was negligent enough.
The ophthalmologist knows that the patients he is treating are colleagues, so he dares not be careless, and his colleagues cannot deceive them.
Cao Yong smiled this point, not to defend his peers, but to make it clear to his family: "The effect of thrombolysis treatment through the ophthalmic artery is far less effective than interventional surgery for myocardial infarction. The retinal artery is the terminal blood vessel, which I just said. The diameter of its blood vessels is too thin, and there is no such equipment to break through the physical limit and enter this place. Doctors cannot send the catheter to a precise position for thrombolysis and place the stent like cardiovascular interventional surgery. The surgical effect is a question mark."
Specifically, cardiovascular interventional surgery can send catheters and stents to the main artery coronary artery that supplies cardiomyocytes. It is treated accurately like a shell hitting the disease site. The surgical effect of thrombolysis can naturally be immediate. The central retinal artery blood vessels cannot do this, and its interventional surgery cannot be considered a true interventional surgery.
Chapter completed!