95 Unlucky (II)

Wang Quan, who was making trouble, was stunned for a moment, and when he saw Wu Mian pointing at himself with a stool in his hand, his whole body trembled suddenly.

"Go back and lie down, if you don't die honestly!" Wu Mian said in a deep voice.

"Wow~" Wang Quan's hand was easy to use, his spirit completely collapsed, and he cried, "Brother Mian, my dad beat me, I ...... I'm wronged. ”

"Get out! hold back your tears!" Wu Mian didn't dare to make too much noise, after all, this was the stroke center, he lowered his voice and shouted angrily.

Wang Quan didn't dare to cry as if he had been drained of his soul, he choked and turned around, limped and walked back to his hospital bed.

Everyone was dumbfounded, and Director Ma was amazed in his heart, what did Mr. Wu do when he was a child, come up and scold a few words, Wang Quan honestly "go" back and lie down?

Wang Chengfa's face was extremely exciting, one was relieved, his unconscious son was finally willing to see a doctor honestly. But there is also an uncomfortable emotion that takes root in my heart. Why did Wu Mian dare to scold his son!

"Hurry up and get ready for the procedure. Wu Mian said softly.

"Teacher Wu, what's going on?"

"I've told you he's a coward. If you give him a smile, he will kick his nose in the face, and he will be honest after scolding. Wu Mian said with a smile.

“......”

Wang Chengfa had a gloomy face, and followed Wang Quan to see a doctor, and when he passed by Wu Mian, Wang Quan subconsciously smiled. A cheap smile appeared on the half-paralyzed face, looking rather strange.

"Brother, what happened to him when you were a child?" Chu Zhixi asked curiously.

"I copied the bricks and knocked him in the face. Wu Mian said with a smile, "Later, I chased him across the entire Bajingzi, this good fate, I happened to meet my father coming back from a meeting and grabbed me in the car." ”

"Hey, hey. Chu Zhixi recalled Wu Mian's heroic young appearance, holding a brick, quite curious.

"Director Ma, Director Liu, let's prepare for surgery. Wu Mian said, "According to the time, it is not yet 6 hours old." ”

"Mr. Wu, ...... you consider," Director Liu asked.

"It may be a carotid artery dissection, resulting in a cerebral infarction. Hurry up and remove the thrombectomy...... You'll do it. ”

"Yes...... bar. Director Liu was also stunned.

I can do it myself, but I said in front of Mr. Wu that I can do it...... Who dares to say this.

"That's fine. Wu Mian smiled and said, "I'll take a look, can you see it?"

"Teacher Wu, why don't you follow the stage and I will be your assistant?" asked Director Liu.

"It's not enough to go on stage, minor surgery, it's not necessary. Wu Mian said, "I'm just curious, take a look." ”

"I operated on ...... I can still take it down. Director Liu felt that Wu Mian was not at ease with his own operation, and said with some embarrassment.

"No, Director Liu, you misunderstood. Wu Mian said, "I'm just curious, will Wang Quan be so declining." ”

"Decay?"

"Yes, it's unlucky, it is said that young people rarely have cerebral infarction. Wu Mian said, "Forget it, I'll watch it when I do the imaging." A closer look at the carotid artery suggests there will be a problem. ”

"Good. Director Liu replied very simply, "Mr. Wu, then I'll go to the operating room to prepare things first." ”

"Teacher Wu, I really didn't expect you to stop him at the sound of your voice. Director Ma also rarely saw such strange things, and shook his head helplessly and said.

"Take a look at the operating room. Wu Mian said, "I am the chief of the medical department of Bajingzi Traditional Chinese Medicine Hospital, and I have come to ask you for something." ”

"Teacher Wu, don't say that. ”

The two of them talked as they went to the operating room. Wu Mian held Chu Zhixi's hand, Chu Zhixi didn't know what he was thinking, and he was smiling.

Soon, the results of the examination were uploaded to the computer system, and Wang Quan's left middle cerebral artery was thrombosis, resulting in blockage of blood flow in the area and no visible blood vessels.

The diagnosis is clear, and emergency surgery is necessary.

The doctors and nurses were busy with various preparations before the operation, and explained to Wang Chengfa that Director Liu and the staff of the medical department did it together, and left video materials to avoid problems.

Wu Mian sat in the operating room, chatting with Director Ma without a match. Talking about the opening of the operation, Director Ma knew that Mr. Wu knew all the work of the medical department. No matter what he says, Mr. Wu can name the corresponding case.

As the director of the old medical department, Director Ma has some regrets. If this is an ordinary person, no matter how much it costs, he will poach him and train him as a successor.

But at that time, Wu Mian was the one who compiled "Diagnostics", and Director Ma could only sigh that the capable were omnipotent.

As the cradle of the interventional department of Dibei Province, the Department of Neurology and the Department of Neurosurgery of the Second Hospital of the Medical University have to treat a large number of patients with cerebral infarction every year, and their skills are quite excellent.

During the operation, Wang Quan's cerebral angiography results were consistent with the preoperative CT angiography: the patient's left cerebral blood vessels were all blocked by blood clots! What is even more shocking is that the intraoperative angiography confirmed Wu Mian's guess that the patient had carotid artery dissection!

"Teacher Wu, you really didn't say anything about your diagnostic level. After seeing the situation, Director Ma said with emotion.

If Wang Quan allowed him to make trouble like this, it would be an uncontrollable tragedy. After 6 hours of gold, the healing effect is greatly reduced. Once 24 hours have passed, it can basically be determined that he will definitely be disabled for the rest of his life.

"I have seen several similar cases, and the differential diagnosis of cortical and subcortical hemiplegia, endocystic hemiplegia, and brainstem hemiplegia, it is easy to draw conclusions. Wu Mian said.

Director Ma didn't continue to ask, and he was timid when he asked again. Various differential diagnoses are the clinician's housekeeping skills, and they can't do it themselves. Look at the excitement, talk about some gossip, and prevent medical disputes, this is your own job.

"I've seen a case where this is also the case with the patient, and Director Liu gave him the operation. The patient's family was not satisfied after the operation, saying that the cost was too high, and came to me here. Director Ma said, "I took a look at the situation and finally found out that it was a carotid artery dissection caused by gua sha. ”

"Well, neck gua sha is particularly prone to carotid artery dissection, secondary cerebral infarction. Especially in the elderly, there is plaque in the carotid artery, which falls off with external force and enters the blood vessels of the brain. Wu Mian said, "I have encountered 12 cases, and this is the 13th case. One of the most bizarre examples was in California, where a young man drove to school early in the morning. ”

Director Ma was a little emotional, looking at Mr. Wu, he casually encountered more than a dozen cases.

"There was a car accident, and I estimated that the speed of the car did not exceed 20 miles. She collided with another car, causing the airbag to pop up. ”

"It was fine, but because of the external force on the neck, there was a dissection. Doctors in California didn't take this into account and missed the golden 24 hours, which turned out to be regrettable. ”