Excellent hand and heart doctor

Chapter 571 Back to the starting point of the problem (for subscription)
On Thursday morning, Lin Jie's office at the University Affiliated Hospital.

After reading Lu Donghai's latest test data one by one, Lin Jie felt a little overwhelmed.

The latest cranial CT shows that only two blood clots in Lu Donghai's brain are barely discernible, and the size is significantly smaller than before. The other blood clots have either completely dissipated or are too small to be displayed. .

This is a very good sign.

However, the conclusion of the brain surgery on Lu Donghai was that the brain's memory control center and logical thinking center were damaged.

Lin Jie also didn't find any signs of brain tumors, which allowed him to rule out another possibility.

Among Lu Donghai's other testing data, the most abnormal data is the blood lipid concentration and plasma total cholesterol concentration, which exceeds 6.5, which is an excessively high level.

He was also tested for high blood pressure, mild liver damage, kidney damage, and moderate fatty liver.

Considering Lu Donghai's obese body shape, the blood lipid concentration, high blood pressure, and fatty liver are all understandable. In addition to his previous boxing experience, it is not surprising that he has liver and kidney damage.

However, the damage to the memory control center and logical thinking center made it difficult for Lin Jie to explain.

If Lu Donghai quickly became stupid after being injured, Lin Jie could easily understand that the blood clots produced by the injury or craniocerebral injuries caused by external force shocks.

But from the description of the patient's family, this Lu Donghai's forgetfulness and stupidity gradually got worse.

Now more than a year has passed, and the symptoms are still getting worse.

According to Lin Jie's analysis of the patient's examination data, Lu Donghai's craniocerebral injury should be gradually recovering, and should not show gradual aggravation.

what is the root cause?

Lin Jie came to the viewing light to watch Lu Donghai's brain arteriovenous angiography picture.

The tortuous blood vessels of different thicknesses are displayed on the film in the form of gray bars.

He found no signs of clogged blood vessels.

Lin Jie folded his arms and rested his chin, quickly filtering the various inspection data of Lu Donghai in his mind, thinking about the cause...

Time passed by every minute and every second, Lin Jie still got nothing, and his brain ached from thinking about it.

"Sister Lan Ruo, do you have any insights?"

As a last resort, Lin Jie asked an expert for advice.

Shen Lanruo whispered in Lin Jie's mind: "Lin Jie, in terms of craniocerebral injury, what I know now is not as good as you. Don't forget that you have absorbed the knowledge of Dr. Siserda."

"This piece of knowledge, you know more comprehensively and clearly than I do."

"However, I can give you a way to think about it."

Lin Jie asked with great interest: "Sister Lan Ruo, what way of thinking?"

"When you are faced with too much information to make effective decisions, then go back to the source and go back to the beginning of the problem."

Shen Lanruo said slowly: "This big fat man's craniocerebral injury started from that boxing injury. You should study the source carefully."

Feeling that what Shen Lanruo said was very reasonable, Lin Jie removed all the CT and angiograms from the middle of several inspections on the viewing light, leaving only the first ones, as well as the latest CT and angiograms. Angiogram.

On the initial CT image, there are more than a dozen blood clots dotted around...

Looking at the seemingly disordered blood clots, Lin Jie's heart skipped a beat.

He took down a CT image and carefully overlaid it on the angiogram to check the specific distribution of more than a dozen blood clots.

There were a few blood clots that caught Lin Jie's attention.

Cranial arteriovenous angiography, limited by technology, cannot show too small blood vessels.

These few blood clots are distributed in the ends of several small blood vessels that appear to be absent.

And the location here is precisely the memory control center of the brain, as well as the logical thinking center.

Thinking of Lu Donghai's seriously high blood lipid concentration, a smile gradually overflowed on Lin Jie's face, and he said with a smile: "Sister Lan Ruo, I think, I have found the cause."

"Oh, you found it so quickly? Let me hear it, and let me judge whether it makes sense."

Shen Lanruo's tone was a little suspicious.

Lin Jie pointed to several overlapping CT images and angiography images, and analyzed: "Sister Lan Ruo, look, the existence of these blood clots should be the compression of these small arteries."

"The arteries are compressed, and the blood flow rate will definitely be seriously affected. Moreover, after Lu Donghai was injured, his weight increased sharply, and his blood lipid concentration also increased sharply."

"High blood lipids, coupled with a sudden drop in blood flow, will obviously bring about the risk of blood vessel congestion..."

Lin Jie continued to analyze: "As time goes by, the blood clots in these places gradually decrease or even disappear."

"However, the blood vessels in these places should have been congested. Even without the pressure of the blood clot, the blood flow rate in these places is still maintained at a low level."

"Blood fat is high, blood flow is slow, and congestion is getting worse, which creates a vicious circle."

"The memory control center and logical thinking center here have to gradually reduce their activity because the oxygen and nutrient supply they receive is gradually decreasing, which causes Lu Donghai's external symptoms to become more and more serious The more stupid you are."

Lin Jie laughed and said, "It's just because the blood vessels in these places are too thin to be displayed on the angiogram. Even if they are congested, we can't find them."

"Sister Lan Ruo, what do you think of my theory?"

After a pause, Shen Lanruo's voice sounded, and she praised: "It is a very possible inference. I think you have really found the cause."

"Verification is relatively simple, just inject a contrast agent and observe the difference in blood flow rate between the blood flowing through the memory and logical thinking center of the brain and other places."

Lin Jie exhaled lightly, looked at the time, and suddenly realized that it was almost twelve noon.

Thinking that there was still class at one o'clock in the afternoon, Lin Jie hurriedly packed up and left the office...

After getting out of the elevator, Lin Jie thought for a while, took out his cell phone, and called Lu Kaicheng.

After the call was connected, Lin Jie inquired and learned that Lu Kaicheng told him about Lu Donghai's condition and his own speculation after he did not have an operation scheduled for the afternoon.

He then urged: "Doctor Lu, please have a test. If my speculation is true, he will be given interventional surgery and fixed-point injection of thrombolytic agent to relieve blood vessel congestion."

Lu Kaicheng seriously promised: "Okay, Lin Jie, you can go to class at ease, I will take care of this patient."

The reason why Lin Jie was so anxious to ask Lu to help him openly, instead of letting the patient wait until after class was over, to deal with it himself.

One reason is that the sooner he is treated, the less dangerous Lu Donghai will be.

Judging from Lu Donghai's current stupid symptoms, the blockage of his blood vessels is already quite serious. It can be said that this guy may be completely blocked at any time, leading to the danger of cerebral infarction.

It is often said that a certain person speaks evil, and whatever he says comes from it.

Lin Jie didn't want Lu Donghai to have a cerebral infarction while he was lecturing, causing irreparable consequences.

The second is because, if it is true, as Lin Jie speculates, it is the cause of the disease, and the treatment is relatively simple.

It only needs to be treated by cerebrovascular interventional surgery, injecting thrombolytic agent at the appropriate place, ablation of fat deposits and other substances attached to the blood vessel wall, and clearing the congestion.

Of course, this operation also requires a certain amount of technical content, but with Lu Kaicheng's current ability, it can be handled.

After hanging up the phone, Lin Jie got into the car, drove out of the hospital, and drove quickly towards the medical school.

Lin Jie bought some food on the way, drove while eating, and arrived at the class place, the small auditorium of the medical school, at about one o'clock.

After half a month, Lin Jie was in class again. Nearly 500 people came to the small auditorium that can accommodate 200 people.

Lin Jie put on the portable microphone and said, "Alright, let's start class."

"This lesson, let's continue..."

"Expert Lin, please interrupt, may I ask a question?"

A sudden voice interrupted Lin Jie's words very unceremoniously.

　Thanks to the book friend "Ditian Wuhen Tianji" for the reward of 100, thank you for your support! !Ask for rewards, subscriptions, monthly tickets and recommended support! !
　　
　
(End of this chapter)