Chapter 187
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The key is... the place where strawberries are planted happens to be where these important blood vessels are densely populated.
In the absence of combined arterial dissection, planting strawberries is likely to cause damage to the intima of the internal carotid artery, thereby leading to the formation of internal carotid artery thrombosis.
More serious thrombi will also travel to the brain along the blood vessels, and finally form a stroke, commonly known as apoplexy.
Just now, Zhou Yuan performed a Glasgow Coma Assessment on Li Mei to determine whether Li Mei's brain blood vessels have been affected by the thrombus.
Judging from the current situation, Li Mei's brain should be fine.
After a while, Li Mei came back.
In addition to the carotid Doppler ultrasound, Zhou Yuan also asked her to do a cervical CT angiography.
Ultrasound can check whether the intima-media layer of the blood vessels is thickened, whether plaques are formed, whether the blood vessels are narrowed, whether there is occlusion, etc.
CT angiography is more complicated. After intravenous injection of iodine-containing contrast agent, the image is processed by a computer to display the vascular system of the neck in three dimensions.
This detection method���It is more intuitive and can provide important diagnostic basis for occlusive vascular disease. The most important point is that the diagnosis of ischemic vascular disease can be advanced to 2 hours after onset.
Zhou Yuan carefully checked Li Mei's test results.
The neck Doppler ultrasound showed that there was a thrombus echo in Li Mei's right carotid artery, and there was a 50% to 70% stenosis of the carotid artery lumen.
The neck CT angiography showed that there was no arterial dissection in the right internal carotid artery, and multiple thrombi had formed in the proximal internal carotid artery, and the lumen was already partially embolic.
"Left upper limb weakness and dysfunction." Zhou Yuan made the diagnosis.
Li Mei became nervous again,"Doctor, what should I do? Do I need surgery?"
Zhou Yuan shook his head:"No, I'll prescribe some medicine for you to see if it can shrink the blood clot."
He plans to give the patient seven days of intravenous heparin treatment. Generally speaking, after one course of treatment, the blood clot will be significantly reduced and the patient's neurological symptoms will be relieved.
"Damn it, he kissed me a few times and almost paralyzed me……"Li Mei cursed softly.
After sending Li Mei away, Zhou Yuan sighed.
Fortunately, he was still single and did not face these risks.
"How about… a tutorial on the safety of neck anatomy for couples planting strawberries?" Zhou Yuan suddenly had a brilliant idea.
The next patient came soon, shrinking his neck and saying,"Doctor, that woman just now… did it by planting strawberries?"
Zhou Yuan ignored him.
Doctors cannot answer patients’ privacy questions.
"Your name is Shen Feiyu?"
"Yes, my name is Shen Feiyu"
"Are you feeling uncomfortable?"
"I feel uncomfortable."
Zhou Yuan:?
"The one who just left is my goddess, I am so heartbroken!" Shen Feiyu covered his mouth in pain. Zhou Yuan said helplessly:"Don't make an appointment if you don't have anything to do, others are still waiting to see the doctor."
Shen Feiyu stood up and muttered:"I have strawberry marks too, but I am single……"
Zhou Yuan laughed and said,"Jane, take a soft straw, put one end in your mouth and the other end on your neck, and suck hard. You will get it."
Hearing this, Shen Feiyu's eyes lit up and he ran out of the clinic.
"……"
Soon, it was time to get off work.
As soon as a patient left the clinic, an old doctor in a white coat came in.
"Zhou Yuan?"
Zhou Yuan looked over in confusion. It was the director of the anorectal department.
"You are……"Zhou Yuan was stunned for a moment.
Why did the director of the anorectal department come to see him?
The director of the anorectal department looked back and confirmed that there was no one outside. He said a little embarrassedly:"I have been sitting in the clinic all the time. The weather is too hot, so I have hemorrhoids.……"
Zhou Yuan was silent
"I have already cleared the operating room at the anorectal department. It is almost time to get off work. Please help me with the operation. It will only take half an hour. After the hemorrhoids are removed, it will be time for dinner! I will treat you!"
Zhou Yuan nodded silently.
It was time for Zhou Yuan to get off work. He followed the director of the anorectal department to the anorectal department.
After all, he had removed many hemorrhoids. The director of the anorectal department reported his own examination results.
"There are several small internal hemorrhoids, but the main ones are external hemorrhoids. External hemorrhoids cause pain every time you defecate. I performed an anal examination myself. The degree of prolapse when squatting is not very serious. It should be second-degree hemorrhoids. I also did a colonoscopy. There is no other lesion in the rectum. Anoscopy was also done.……"
Zhou Yuan didn't even have a chance to ask. The anorectal director had indeed completed all the examinations. Looking at his eager look, if he couldn't do the surgery himself, he would definitely not come to Zhou Yuan.
After the anesthesia was completed, the anorectal director chatted with Zhou Yuan.
"What do you want to eat later?"
Zhou Yuan was silent.
Are you sure I can tell you what I want to eat while I am having a hemorrhoid surgery?
The director of the anorectal department was happy and said,"How about fried pork intestines?"
Zhou Yuan's hands trembled,"Director, please don't say it. I am afraid that the knife will puncture your rectum."
"……"
The operating room finally quieted down.
The anorectal director's hemorrhoids were not serious, and Zhou Yuan only took 20 minutes to complete it.
Soon, the anesthesia effect of the anorectal director wore off, and he began to feel pain.
Finally, the anorectal director was wheeled to the ward, and Zhou Yuan washed his hands and prepared to go home.
However, this hemorrhoidectomy surgery gave Zhou Yuan a surprise.
The anorectal director directly triggered the praise of his superiors and sent him an intermediate treasure chest.
9/10 of the ten hemorrhoid surgeries have been completed.
Performing another hemorrhoid surgery can get a random reward.
The last random reward was an intermediate treasure chest, and this time it should not be bad.
Zhou Yuan strolled around the anorectal department, but didn't find any opportunities, so he had to return home.
As soon as he arrived at the door, he found the landlady Lin Meixin wandering in the corridor on the seventh floor.
Zhou Yuan frowned, stared at Lin Meixin for several times, and walked to his door.
Speaking of which, the landlady's figure is really good...
36d. Long legs, these two advantages can already explain everything.
Lin Meixin saw Zhou Yuan coming and���He smiled and said,"You're back?"
Zhou Yuan didn't know how to answer, so he opened the door and said,"Yeah... I'm back."
Lin Meixin touched her chin and said,"I plan to live in Room 706 in the future, but it's a bit small inside. Should we connect Room 706 with Room 705?……"
Zhou Yuan was stunned and looked at his neighbor's number.
706.
Zhou Yuan:"You are the landlord, you have the final say. Just don't break through the wall of my 707."
Lin Meixin was stunned for a moment, then suddenly smiled and said,"I understand.……"
After Zhou Yuan entered the room, Lin Meixin went into 706 and carefully checked the location. Then she made a few marks on the wall near 707 with a marker.……
——
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