Chapter 1661: 【1661】Eye comes with calculator
Well, Xie\'s answer seems to be unexpected and expected by everyone. Even Dr. Yang took her for granted that she would say any more explosive academic points. Who let this person be amazing.
"What is it?" Shin Woo-hwan asked.
"Brother, go back and re-check the data. It may be concluded that the deviation of the values measured twice is a bit large."
"The big deviation is because Mr. Shen put it in the wrong place for the first time?" Dr. Yang couldn\'t understand the question.
A doctor and teacher said, "Don\'t always ask her, think for yourself."
Dr. Yang wanted to cry in his heart. He finally caught a scholar to help him with his homework. As a result, the teacher stopped asking the scholar.
Xie Wanying remembered the first time she went to the emergency room and was caught by Teacher Lin and gave her a "cheat sheet" to classmate Zhao.
Clinical teachers are not allowed to ask questions, they can be discussed in meetings, but not when they should not be asked. Ask everything. When seeing patients in the future, the doctor will practice alone. Who can give you the opportunity to ask.
For the good of Dr. Yang, Xie Wanying stopped answering. Looking at the operating room, Senior Brother Shen quickly realized that she meant to withdraw the catheter probe. It\'s not that the location that Dr. Yang said is wrong. It is impossible for a veteran like Senior Brother Shen to misplace the probe.
If the numerical deviation is too large and exceeds the normal value, it can only represent one thing, and the condition of the blood vessel wall here is extremely unstable. There may be active small plugs forming or shedding, indicating that the regionalized heart is in a deteriorating state. Under such circumstances, it is difficult to accurately assess the development speed of the patient\'s condition by simply doing coronary angiography.
The first coronary angiography was performed. The degree of diffuse stenosis in the blood vessel was only 40 to 60%, which was not up to the standard for stent placement, not to mention the need for a bypass. However, when doing IVUS, the first measurement was 4, which was close to the limit for placing stents. The second time, the value of 3.4 was even more terrible, showing that stents could be placed. Due to the patient\'s young age, it would be unreasonable to say that he was stenosis caused by arteriosclerotic plaque. It can only be caused by injury. The blood vessel damage now appears to be much more serious than the doctor imagined based on the examination report alone.
With the support of IVUS data, coronary angiography was performed again. It took several comparisons to show that there was indeed a severe stenosis. Without IVUS, the diagnosis may be missed.
Considering that the patient’s illness is caused by trauma, it is meaningless to place only the stent. The heart area corresponding to the blood vessel must be damaged, which is consistent with the point made by Xie before. The abnormal areas detected need to be re-examined to confirm the diagnosis. Physicians cannot do this with endovascular interventional techniques, and can only rely on surgeons to check with their own eyes.
Surgeons give internal medicine insider tips. This remark once again showed its extraordinary significance.
"Little Junior Sister, your eyes are terrifying." The more the operation went on, Shen Youhuan had to say in admiration, "I can\'t see it, you can see it, I know, this is a variable, you can\'t just rely on it. Yingying, Could it be that your eyes come with a calculator?"
Xie has a computer in his eyes. Well, all the onlookers at the venue agreed.
Senior Brother Shin is in a relaxed mood. The purpose of medical surgery is basically achieved, and problems can be detected to send outposts to surgery.
(end of this chapter)