What does the younger sister mean? Huang Zhilei went back and forth in his mind, and found that his brain might be turned into a hemp ball by his junior sister in a short time. After a while, sweat dripped from his forehead, and asked, "Yingying, did you let that patient Why do you need an MRI?"
This is what she said earlier.
Brother Huang should have realized it by now, why would he continue to ask.
For example, Dr. Song, who probably had an insight into it a long time ago, asked her if the decision was 7.2. Brother Cao readily agreed to use the ventriculoscope, knowing that he had prepared so early.
Could it be that Brother Huang didn't notice it before
It was only when Huang Zhilei asked the question that he realized that he was the last one in the group to notice.
It is true that she mentioned MRI as a disclaimer to the patient's family. The problem is based on her ability, it is impossible to deliberately mention the disclaimer of this kind of examination for no reason, it can only be that she has predicted that the patient's condition really needs further MRI judgment.
First of all, it must be affirmed that the existing examination has clearly identified the patient's non-occupying obstruction, and Dr. Jin's diagnosis of communicating hydrocephalus is well-founded and basically there is no mistake.
It is not wrong to suggest that patients should be transferred to surgery for shunt after medical treatment and the effect of medical treatment is not good. After all, communicating hydrocephalus usually has the best effect of medical treatment and shunt. There are surprises in everything. In some cases of special communicating hydrocephalus, other surgical methods can be used to avoid the follow-up risks and pain caused by long-term placement of shunt tubes.
This operation method is the endoscopic third ventriculostomy ETV mentioned earlier.
Unfortunately, after explaining this to Dr. Jin, Dr. Jin then communicated with the patient's family. Because the cost of the two MRI examinations was too expensive, the family members of the patient refused to let the patient do it, and the only money they had was spent on treatment expenses. A doctor can only try to find a way for patients.
Can ventriculoscopy be used to check out the problems of the patient's ventricle
Can you help patients not do shunt surgery to do ETV
She had never used a ventriculoscope before, and Xie Wanying definitely did not have the confidence before the operation, so she could only plan to try it based on the principles of ventriculoscopy she had obtained in academic journals.
Now that the ventriculoscopy is actually performed, it is expected to be feasible according to the plan she simulated before the operation, so she shared it.
After figuring out her initial thoughts, Huang Zhilei sweated again.
The main thing she said is that the magnetic resonance phase contrast film imaging of magnetic resonance examination can accurately measure the flow velocity of cerebrospinal fluid in a designated area, and based on this, the flow curve (flow velocity-time curve) can be established.
One of the key points of the inspection and scanning is that at this stage, she uses the ventriculoscope to scan back and forth where she suspects a problem: the aqueduct area of the midbrain.
The flow rate of cerebrospinal fluid in this place can indeed provide evidence to distinguish communicating hydrocephalus from obstructive hydrocephalus, or it can be said to be the focus of whether doctors can perform ETV on patients.
If there is a problem with the flow rate of the aqueduct of the midbrain, it is likely to be a trumpet-shaped aqueduct of the midbrain. This shape of the midbrain aqueduct is similar to obstructive hydrocephalus, and ETV can be tried.
The problem is, the little junior sister who is the chief surgeon is actually "whimsical", thinking that the abnormal flow rate of the cerebrospinal fluid here can be visually detected by the ventriculoscope, which happens to be within the range of the trumpet-shaped midbrain aqueduct.
He, Huang Zhilei, really couldn't see it or figure it out, even if he had experience, so he could only sweat it out.
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Thank you for your support! ! ! good night dears~