As soon as I took the night shift, the neurology department called: green channel, mechanical thrombectomy.
The phone doesn’t have to say anything after hearing this. After hanging up the phone, Dr. Liu rushed into the operating room.
In the blink of an eye, all preparations for general anesthesia are ready. Over there, the operating room door also creaked open.
I thought everyone would push the patient in in a hurry, but after seeing the patient on the transfer car, Dr. Liu’s anxious heart calmed down a little.
On the transfer car, a 16- or 17-year-old girl was looking curiously at the operating room.
Seeing this situation, Dr. Liu thought: This is not like an emergency. In particular, this is not like a cerebral thrombosis, so what kind of plug should I take?
As soon as the patient was lifted onto the operating table, everyone immediately began to check the patient information. From the check, we know that it is indeed a cerebral thrombosis. The cause of the cerebral thrombosis is still unknown.
After hurriedly finding the parents outside the door to sign, Dr. Liu started general anesthesia.
Because the patient did not have much abnormality in other aspects, the general anesthesia process was also smooth.
After the general anesthesia was completed, everyone put on lead clothes.
As the contrast agent was pushed in, it was discovered that a blood vessel in the brain was indeed blocked. However, this blood vessel is blocked in an unimportant position, and there is compensatory blood flow, so the symptoms are not so severe. This can also explain that the little girl just complained of dizziness, headache and vomiting.
After a while, an earthworm-like thrombus was removed.
In order to prevent reperfusion injury, Dr. Liu has adjusted blood pressure during the same period.
Seeing that the patient’s thrombus was removed, everyone’s mood was immediately relieved.
Dr. Liu asked curiously: How did such a small child get cerebral thrombosis?
The neurologist said: Is the patent foramen ovale to blame?
Dr. Liu understood instantly when he heard this word. But then, he suddenly remembered something. Followed up and asked: Have you checked your lower limbs?
The neurologist said: I checked, there is a blood clot.
Here, the truth is revealed.
The foramen ovale is a physiological channel in the embryonic period of the heart atrial septum. Under normal circumstances, the baby fuses around 2 months after birth. If it exceeds 1 If the fusion fails, the foramen ovale is closed at the end.
The reason why I suddenly think of the foramen ovale and the lower limbs is because people who often deal with thrombosis or severe patients know a complication-DVT. The so-called DVT refers to a venous return disorder caused by abnormal blood coagulation in the deep veins, which mostly occurs in the lower extremities. The formed thrombus travels with the blood under the action of moving the patient or other causes.
Under normal circumstances, the thrombus that travels with the blood will enter the right ventricle after reaching the right atrium, and then enter the pulmonary artery and cause a pulmonary embolism. However, when the patent foramen ovale is encountered, the thrombus will directly enter the left atrium along the closed hole, and then enter the left ventricle and flow to the brain or other parts of the body.
Unfortunately, the thrombus got stuck in the blood vessels of the little girl’s brain. Fortunately, the parents were very attentive and the hospital green channel rescue was timely. Eventually, the little girl was released from the hospital a few days later.
Looking back on this, the little girl sitting there doing her homework for a long time was a trigger. Immobility for a long time, blood stasis in the lower extremities, resulting in thrombosis. In addition, I would like to remind everyone one more thing: just like taking a plane or a long-distance train, you should move your lower extremities more often to avoid the formation of deep vein thrombosis in the lower extremities. Although blood clots in people with a closed foramen ovale do not travel to the brain, blood clots do travel to the pulmonary arteries. Blockage in the pulmonary artery is also very dangerous.
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~