I can see the status bar

Chapter 713 Genetics
Sun Li'en was a little nervous. This kind of nervous feeling hadn't appeared for a long time.

He even complained a little bit about the status bar deep in his heart-what are you doing showing a "Horner Syndrome"?Isn't this misleading myself to think about other diseases?
Horner's syndrome primarily suggests neurological disease, but blood vessel problems can also cause this spectrum of symptoms.The reason why Sun Lien was muttering in his heart was also very simple - he was worried that Wang Li had a vertebral artery dissection.

Theoretically speaking, arterial dissection may occur in all arteries in the upper and lower parts of the human body.But the most frequent and most likely to cause severe symptoms is aortic dissection.

Unlike other arteries, the aorta bears far more stress than other arteries.The high-pressure blood that has just been pumped by the heart needs to be guided by the aorta, turn 180 degrees through the aortic arch, and then enter other blood vessels, becoming the main source of power to drive all cells.

Due to the need to turn 180 degrees in the aortic arch, the pressure on the aorta in this part becomes the largest among all the arteries in the whole body.Once the human body has damage to the blood vessel wall due to various reasons, under the impact of high-pressure blood flow, the damage to the blood vessel wall will be aggravated and become a breach.If blood is continuously poured into the breach, the intima and media of the artery are continuously peeled off-the end result is that the media cannot bear the pressure and rupture.

The mortality rate of aortic dissection is extremely high. Without surgery, 90% of patients will die within 48 hours of onset.

From this point of view, Wang Li is undoubtedly the very lucky one.Her arterial dissection occurred in the less stressed vertebral arteries, not the aorta.Otherwise, with the efficiency of her delaying to see a doctor for three days, she might have died suddenly at her work station yesterday.

Sun Li'en put down the phone in his hand and rushed to the emergency room without stopping.Wang Li hasn't arrived yet, so he needs to do something first to buy time for Wang Li to come out—no one knows how serious Wang Li's vertebral artery dissection is, and as a kind of progress is very irregular, and often occurs An explosively progressive disease, arterial dissection should undoubtedly be one of the top priorities in the emergency room.

The first thing Sun Lien found was Cao Yanhua, the doctor in charge of the Chest Pain Center of the Emergency Department of the Fourth Hospital. "Brother Cao, I want to ask you something..." He dragged Dr. Cao Yanhua out of his hot meal, "I have a patient here..."

"I just had dinner..." Dr. Cao Yanhua protested feebly, "Can't you let me listen to you while eating?"

"It's urgent, you wait a moment." Sun Li'en didn't feel guilty at all for interrupting his colleague's meal, and he couldn't care less about worrying about such things now. "I picked up a patient here, it may be a vertebral artery dissection."

"Vertebral artery dissection?" Cao Yanhua immediately forgot the hot meal he had just received, "Did he massage his neck just now?"

"Uh...ah?" Sun Lien was not familiar with the cause of vertebral artery dissection, so he didn't immediately understand what Dr. Cao was talking about. "No... She suddenly had a neck pain after strenuous exercise..."

Cao Yanhua frowned and listened to Sun Lien's description, "So, the main evidence now is progressive pain aggravation and limited mobility, and CT showed right vertebral artery stenosis." He nodded after a moment of silence, "Got it , I’m going to arrange the intervention now, and when the patient arrives, stabilize the patient first—it’s best to have a B-ultrasound to confirm. Also, contact the family members as soon as possible. The intervention operation requires the signature of the family members.”

Dr. Cao Yanhua is definitely the most knowledgeable one in the emergency department.He quickly ran around the emergency room again and again, and began to arrange the participants of this operation.Vascular surgery and interventional surgery may need to meet together. They have to decide whether to use interventional therapy or vascular surgery.At the same time, it is also necessary for the stroke center to take over as soon as possible and start monitoring the patient's vital signs—vertebral artery dissection is considered the scope of treatment of the stroke center.

Before that, Sun Lien first needed to obtain a conclusive evidence that Wang Li suffered from vertebral artery dissection.

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"What interlayer?" Wang Li, who was lying on the hospital bed, was a little dazed. She looked at Sun Lien and repeated in confusion, "What is interlayer?"

Sun Lien could only briefly explain what an arterial dissection is, and said seriously, "Call your family members right now, this disease requires immediate surgery. If the dissection suddenly ruptures, no one will be able to save you."

Vertebral artery dissection is a bit more dangerous than arterial dissection in other places-of course, unlike aortic dissection, it is basically hopeless after rupture.The mortality rate for vertebral artery dissection is slightly lower.

But vertebral artery dissection has a very serious sequelae or side effects, which can lead to cerebral ischemic stroke.

Spontaneous vertebral artery dissection and carotid artery dissection are among the leading causes of ischemic stroke in young and middle-aged adults.Although the incidence rate of spontaneous vertebral artery dissection in the population is about 10/25 per year, it is the cause of ischemic stroke in [-]% to [-]% of young and middle-aged patients.

"This disease may progress again soon." Sun Lien emphasized, "You are only showing neck pain now, which is already a blessing in misfortune. If you let the dissection continue to develop, you will soon start to have cerebral palsy." Symptoms of ischemia—stroke, you know, right?"

After getting a hesitant but affirmative answer, Sun Lien continued, "Part of the stroke is caused by cerebral ischemia. There is almost no way to cure the sequelae of cerebral ischemia-you are only 28 years old this year, and I don't think you will either. Would you like to spend the rest of your life paralyzed on the bed, tilting your head...and keep drooling from your mouth, right?"

Sun Li'en is very good at trying to figure out the patient's mind now.Although the two descriptions of lying on the bed and tilting his head shocked Wang Li a lot, they still didn't play a decisive role.As soon as the words "drool out" were uttered, Wang Li panicked, "Doctor, I'm going to have an operation!"

For young women, that scene was like hell.

"After your family members arrive, we will immediately sign the notification and consent form for the operation. The operating room is ready, and the operation can start as long as the signature is signed." Sun Lien nodded. The patient himself is willing to undergo surgery. It is easier to talk to family members. "You contact the family members as soon as possible and ask them to come to the hospital - just go to the door of the emergency room, and I will talk to them."

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The communication with the family members went very smoothly. Sun Li'en explained the situation to Wang Li's father with little effort.

"Her disease...has nothing to do with genetics, right?" Wang Li's father asked after hesitating for a moment after signing, "Her mother died of a stroke a few years ago..."

Sun Li'en thought for a while and shook his head and said, "I'm not very clear about this, after the operation is finished, I will pass the news to the vascular surgery department - the most urgent thing now is to operate on her first, even if there is Genetic factors, you have to get rid of the surgery first.”

(End of this chapter)