Yun Tian rushed to Kanonai and found Director Shi in the director's office.

But Director Shi was the only one in the office reading a book.

"Teacher Shi, what about people?" Yun Tian asked strangely without seeing the patient.

"Isn't your Teacher Shi sitting in front of you?" Director Shi replied with a smile and put down the book in his hand.

Yuntian saw that Director Shi was reading a book of neurological interventional surgery.

"I didn't see the patient, so I ......" I didn't expect Director Shi to joke with himself tomorrow, scratching his head, and replied with a little embarrassment.

"You, one day you only have patients in your head, and no one can get into your eyes. Director Shi said as he stood up.

"Let's go to the doctor's office first and look at the patient's film. Because only the doctor's office is equipped with a reading light, Director Shi is going to take Yuntian to the doctor's office to check the patient's film.

"The patient was admitted to the hospital for two months because of walking deviation, dizziness for a month, and a brain mass lesion was found for a week. ”

"The patient was diagnosed with a cerebral infarction at the local hospital a month ago, and there was no improvement after treatment. ”

"A week ago, I went to the Imperial Capital Donghe Hospital and was diagnosed with an intracranial mass lesion, which was considered to be a glioma, because there was no way to do surgery. ”

"So yesterday I was transferred back to our hospital with the intention of going for radiotherapy. ”

"But I compared the films before and after, and I always felt that it was not so much like a glioma, but more like a venous cerebral infarction. ”

"During this time, I have read a lot of books on hand therapy, and if I can do a whole brain angiography, I should be able to make a clear diagnosis. While the two were walking, Director Shi introduced the patient's condition to Yuntian.

The two diagnoses of venous cerebral infarction and glioma are very different.

But it is a common problem in neuroscience.

Cardiac surgery can be exploratory, general surgery can perform laparotomy, but neurosurgery cannot perform craniotomy.

Venous cerebral infarction, hence the name, refers to a disease of ischemia, hypoxia and necrosis of brain tissue caused by venous reasons.

Generally, the onset is insidious, and the infarct site is finally manifested by hematoma.

This is what doctors often refer to as intracranial mass lesions.

However, it is often difficult to distinguish between CT and other imaging examinations because of its density and proximity to glioma.

However, the treatment and recovery of the two are also very different.

Glioma is a malignant tumor, and if it cannot be operated, it must be treated with radiotherapy, which is a treatment method that kills a thousand enemies and causes eight hundred self-damage.

If the patient only has a venous cerebral infarction but undergoes radiotherapy, it may be able to kill a good person alive!

Therefore, it is extremely important for patients to make a clear diagnosis.

"Xiao Fan, you take the before and after films of 37 patients. Entering the doctor's office, Director Shi said to Fan Yi, the general resident of the Department of Neurology.

"Okay, Doctor Xiaoyun came over to watch the film?" Fan Yi was writing the course of his illness, when he heard Director Shi's voice answer, he raised his head and saw Yun Tian, showed a smiling face, and greeted Yun Tian.

Yun Tian was a little surprised.

The last time Zhao Lei's father rescued him

, Director Shi put himself in charge of Zhao Lei's father's treatment plan.

Therefore, Yun Tian had been running to the gods for two hours at that time, and in the middle of the trouble, Dr. Fan had revised his medical orders many times.

Although Dr. Fan didn't show any impatience, his attitude towards himself has always been cold, why is there so much suddenly?

How did Yun Tian know that with his pulmonary angiography for Zhao Lei's father and today's completion of carotid artery stenosis stent dilation surgery, he had already caused an uproar in the entire neurology department.

Interventional surgery is a new discipline, and before the appearance of Yuntian, only Director Tang in the heart of the entire Xihua Hospital could perform interventional surgery.

But Yun Tian is a little doctor, just so suddenly born, although he does ordinary first- and second-level interventional surgeries, but Yun Tiancai is an intern!

When I was in practice, I was able to do a first-level and second-level interventional surgery, and then I could pay it back?

Moreover, recently, Director Shi has been holding the interventional surgery of the Department of Neurology every day, and everyone in the department is looking at it.

Looking at the meaning of the boss, I am afraid that he wants to carry out neurology-related interventional surgery.

Therefore, at the moment, Yuntian has naturally become a fragrant dumpling.

If you can follow this young master to learn a one-and-a-half-trick interventional surgery, are you afraid that it will not be easy to mix in the future?

Naturally, Dr. Fan is also good, although not to the point of kneeling), but it is absolutely appropriate to establish a good relationship first.

Dr. Fan didn't understand these twists and turns.

After being slightly surprised, he was indifferent.

When Dr. Fan inserted the patient's film into the reader, Yun Tian couldn't take his eyes off.

The patient underwent a total of three tests.

The first CT scan was taken a month ago at the patient's local hospital, and there was no obvious abnormality in the film except for two lacunar cerebral infarctions. There are also no traces of mass lesions at all.

The second time was taken at the Imperial Capital Donghe Hospital. Shows intracranial mass lesions. CT and MRI films are available.

The third film was also made in the imperial capital, but it was filmed in the imperial capital Nanqiao Hospital. There are two days between the film and Donghe Hospital.

The patient should be uncertain about the diagnosis of Donghe Hospital and go to Nanqiao Hospital for re-examination.

After all, not every patient can accept the fact that they have a malignant tumor.

The last two films are basically the same, showing intracranial mass disease, and gliomas may be large.

The film shows a low-density opacity, which is indeed very similar to the image of a glioma.

"Look at these two. Director Shi pointed to the two places of the two films for Yuntian to see.

"These two places are compatible with the vascular access, and it is indeed very similar to a venous cerebral infarction. "Yun Tian has the Perfect Extreme Imaging Diagnostic Technique in hand, and he can see at a glance the abnormalities of the two parts pointed out by Director Shi.

Dr. Fan was dumbfounded!

Isn't the patient highly suspicious of glioma? The imaging report is clearly written, but when it comes to this doctor and director Xiaoyun, how can it become a venous cerebral infarction!!

And the place instructed by Director Shi, Dr. Fan looked at half of it

I didn't find anything special in the day.

Isn't it just a small low-density shadow?

Could it be that such a small low-density shadow can see the flowers?

"There are also signs of this place that resemble vascular flow and vanishing. Yun Tian pointed to a certain place on the film and showed it to Director Shi.

"Yes, I really didn't notice it here, it does look like a sign of vanishing vascular flow. Director Shi looked at the part where Yun Tian was pointing and agreed.

What the hell is the disappearance of vascular flow?

Are these two sure they speak Chinese?

Why can't I understand it at all?

Dr. Fan is the kind of person who only looks at CT and MRI examinations and basically does not look at the films.

You may be a little familiar with the images that see common infarctions and ischemia.

But what is the quality of the low-density shadow in the film?

Doctor Fan watched Director Shi and Yun Tian discuss Lie from the side.

A feeling of powerlessness rose in my heart!

Is this just an intern?