Maybe you think X-ray is different from CT and MRI?
It''s all over the machine. Isn''t it fast?
Not really!
X-ray patients basically do not need to toss, and soon the results came out.
However, CT and MRI need to be prepared for a longer time, including positioning, looking for films, etc.. It is more difficult to go back and forth. If it is an emergency patient, there is no time to complete the examination, which will lead to aggravation of the disease or new situations.
At this time, the patient is also a very dangerous arterial dissection. Because of Kawasaki disease, the blood vessels are in a state of omen of dissection.
Now, after the formation of arterial dissection, the situation may worsen anytime and anywhere, leading to the rupture of vascular wall.
So now is not the time to check!
Maybe many people don''t know much about CTA. CTA is actually arterial angiography technology, which realizes three-dimensional reconstruction of blood vessels by injecting contrast agents.
The completion of the role of this contrast agent can show the stenosis of blood vessels, whether the blood vessels are dilated, whether there are aneurysms, whether there are dissecting aneurysms, pseudoaneurysms and so on.
This is a CT enhancement method for arterial imaging.
The effect is absolutely good!
But it takes a lot of time!
How to accurately judge the exact location and development of the patient''s dissection is particularly important.
However, can Chen Cang judge the position of the interlayer through X-ray?
This obviously surprised and even surprised everyone!
Film viewing technology is not only a very important clinical technology, but also a technology with simple entry, difficult progress and even more difficult peak!
Relatively speaking, this ability is much better for physicians than surgeons.
At this time, Wei Jianhua, director of the Health Commission, was really a little absent-minded!
People who know the context also have to sigh: this patient... Is really ill fated!
From a volunteer to discovering a strange and dangerous disease, and then being asked by the leader, he suddenly began to get sick again
Who are you going to reason with?
Li Hui immediately called Yue Tao, director of radiology department.
"Director Yue, the patient... The situation is very critical now. We must make an X-ray film as soon as possible for surgical judgment."
Hearing Li Hui''s words, Yue Tao nodded quickly.
"OK, Dean, I know, but... To tell you the truth, it''s very difficult to judge the patient''s vascular condition through X-ray. I... can''t guarantee it!"
Li Hui was stunned when he heard this.
Is there a mistake?
Hearing Li Hui''s silence, Yue Tao couldn''t help explaining: "Dean Li, you may not understand. It''s very difficult to judge angiography by X-ray. Don''t talk about me. I don''t think I can find three people in Dongyang!"
After Yue Tao finished, Li Hui was speechless.
There are less than three people!
Is this Chen Cang so powerful?
The operation is terrible. I understand. People are engaged in surgery.
But
Watching movies is your old business, okay?
You''re not as good a surgeon as Chen Cang?
Thinking of this, Li Hui was noisy: "OK, just make a film. Someone can understand it!"
After hearing this, Yue Tao naturally felt a storm in his heart. Who is it?
Patient Wang''s X-ray came out soon.
Yue Tao personally took the patient and the film to the operating room.
The patient has no time to toss at this time and needs to complete the operation as soon as possible.
Director Wei is different from Li Hui. He has great respect for Chen Cang!
Wei Zhuhua realized the relationship between Chen Cangli and leader Kong when Chen Cangli held a public debate and supported leader Kong to build the headquarters of the world society of digestive surgery in ammonium Yang.
The most important thing is the news from the National Health Commission.
Wei Zhuhua came forward and Chen Cang went through the consultation procedure.
It is to invite people from the second provincial hospital for consultation and operation.
This kind of operation is an invitation system, and the consultation cost is also very cheap, but it belongs to the same cooperation and communication.
Compared with flying knife, the humanity of consultation operation is more precious.
At this time, Chen Cang stood in the operating room, staring at the contrast CT, ordinary CT and MRI photos of patient Wang.
Zhang Peiyi, Hou Liang and others behind him were also embarrassed to talk.
Of course... They don''t understand what Chen Cang is looking at.
Until a few minutes later, Chen Cang suddenly took out a marker, drew a circle on the contrast film, frowned and continued: "the patient''s interlayer should be here! And here... Here!"
Everyone was stunned!
This x film hasn''t come out yet!
You know?
You don''t even need to see a film to get a diagnosis?
People looked at several circles and couldn''t help sighing. This should be the legendary "eight guess rules in summer?"
After Chen Cang painted, he couldn''t help taking a deep breath.
It seems that I am overly optimistic about the patient''s situation.
I should have thought of it long ago.
Long term risk of hypertension, in addition to the destruction of blood vessels caused by the patient''s own Kawasaki disease, adverse reactions caused by aspirin drugs, acute liver function injury
In this way, the patient''s situation is very dangerous!
operation?
Can you finish it?
The difficulty is too high!
This is at least a lord boss!
Thinking of this, Chen Cang took a deep breath and sighed slowly.
I hope the patient is not so dangerous!
After all, this is not the capital, and the only person who can rely on is himself.
At this time, the patient was hurriedly pushed in by the nurse, followed by Yue Tao with X-ray tablets in his hand.
When Li Hui and Wei Zhuhua saw Yue Tao coming in, they immediately looked happy.
"Dr. Chen, this is the director of our imaging department, director Yue taoyue!"
"Director Yue, how is the patient?"
Chen Cang looked up and saw the film in Yue Tao''s hand: "give me the film."
After saying that, Chen Cang directly raised the film and compared it. Now he can''t care to catch up with this group of leaders or directors.
He has only patients in his mind now.
Chen Cang directly picked up the film and watched it. After reading it, he couldn''t help frowning and drew a circle again in the aortic arch!
Originally some difficult surgery, at this moment, the risk factor soared again.
The operation is no less difficult than aortic replacement in Ma fan''s patients.
There are some similarities in different degrees of vascular injury during suture, repair and replacement.
This is also the difficulty of surgery!
After reading it, Chen Cang couldn''t help saying to Hou Liang and Zhang Peiyi, "today is the three of us for surgery."
"I hope you don''t be nervous and don''t have pressure!"
"Everything has me, come on!"
Then Chen Cang turned directly and said, "prepare for the operation!"