Chapter 1997 [1997] Personal opinion

   "Thank you, thank you, doctor!" After receiving this good news, the child's father wiped his eyes again and was about to cry. So far, the result should be the best.

   When returning to the NICU, Luo Jingming looked at Dr. Hu, then walked back and closed the door.

  After the child's condition stabilized, Nie Jiamin and Xie stood together to ask about the details of what happened tonight.

   Teacher Nie probably wanted to know about Teacher Hu's eyes. Xie Wanying thought that she couldn't hide it from the boss anyway, and said, "Mr. Hu's eyes are sick. It's RAO."

   Again, Mr. Nie came from abroad, maybe he can bring some latest news about the treatment of RAO abroad, which is beneficial to Mr. Hu.

   "RAO." Nie Jiamin sighed slightly, "This disease is difficult to cure."

   It seems that there is also no good treatment plan for this disease abroad.

   "What do you think?" Nie Jiamin suddenly turned around and asked her personal opinion.

According to the teacher's reaction that there is no special medicine for this disease abroad, Xie Wanying can only use her own brain to calculate, saying: "Mr. Hu is old, so there is arteriosclerosis. If there is no special medicine, you can only start from the general situation. Let's think about how to help her relieve this symptom. The central retinal artery is the terminal artery of the ophthalmic artery and is very sensitive to blood circulation. If the ophthalmic artery originates normally, it connects with the internal carotid artery. Once there is any abnormality in the internal carotid artery, it will directly affect the retina central artery."

   "So—" Obviously, listening to her analysis was with gusto, Nie Jiamin's lips curved slightly, and she looked at her with both eyes and waited for her to speak.

   Maybe the bosses have already thought of her major, but teachers always like a smart student to tell his thoughts in front of him.

  Xie Wanying continued to discuss with the teacher: "The connection between the ophthalmic artery and the internal carotid artery belongs to the normal blood supply system. If an abnormality occurs, the human body will try to adjust itself to establish collateral circulation."

   After the occlusion of human blood vessels, it will self-establish collateral circulation, and strive to continue to supply blood to human cells and tissues to maintain life functions. This situation can occur in every part of the body. The simplest example is the demonstration operation performed by Xie Wanying outside the liver and gallbladder. The various collateral circulations mentioned in it form a terrible collateral circulation network. I don’t know if you still remember it.

   There are good and bad collateral circulation. After understanding this principle, doctors can make full use of it to solve human diseases.

"If the internal carotid artery is blocked here, the ophthalmic artery can find other blood supply branches, and the abnormal origin of the middle meningeal artery can be seen clinically. If the collateral circulation is opened to compensate, the anterior communicating artery ACoA of the circle of Willis can pass through the cerebral artery. , it can pass through the posterior communicating artery PcoA and pia mater, and then through the collateral access OA of the external carotid artery. Therefore, it is more meaningful to find the neurosurgery to check the situation of these blood vessels and their direction. After all, ophthalmology alone has no way to solve this problem. That's it." After speaking, Xie Wanying quietly waited for the teacher to comment.

   Nie Jiamin, who was cautious and slow, was quite happy with her thoughts and said, "What you said is ok. Anatomy knowledge is GOOD. NOPROBLEM for now."

  Mr. Nie's Mandarin seems to have improved, and the combination of Chinese and Western is becoming more and more slippery. Xie Wanying blinked.

   "She needs to find a better neurosurgeon. Well, this suggestion is good." Nie Jiamin reaffirmed her judgment.

   (end of this chapter)