Dr. Liang drove and quickly arrived at the hospital.
Zheng Ren, Su Yun, and Director Kong got off the car and hurried to the ophthalmology department instead of going to the interventional department.
Anyway, with a master-level skill book, Zheng Ren is confident.
But it is estimated that even if it is used, it will only be an ordinary master level, and there is no way to gain a foothold in the imperial capital where there are many famous doctors. After all, Zheng Ren is a general surgeon.
Are you talking about solving this rare case? It's okay to think about it, but I guess it can't be done.
When he came to the ophthalmology department, Director Kong first took a look at Lin Jiaojiao.
Lin Jiaojiao looks to be less than thirty years old and looks very young. Zheng Ren estimates that her real age is in her forties. She is worthy of being the owner of the largest medical beauty center in the country.
A little girl of eighteen or nineteen years old stood beside her with tears in her eyes. It seemed that she should be Lin Jiaojiao's daughter.
As soon as she entered the ward, Lin Jiaojiao reluctantly opened her other good eye and said with a sad face, "Director..."
"Don't worry, what's going on?" Director Kong immediately asked about his condition.
"Director, it's like this. It's time for me to take an injection today, and I happened to take an injection of hyaluronic acid at night when there were no customers. After using it, within an hour, I developed symptoms of vision loss. An hour and a half later, my right eye My eyes started to go blind. I immediately asked my daughter to drive to the hospital and see Director Ma." Lin Jiaojiao said concisely, and it seemed that she had not left behind all her years of medical skills.
"Hyaluronic acid?" Director Kong pondered.
Hyaluronic acid is also called uronic acid and hyaluronic acid.
Hyaluronic acid is an acidic mucopolysaccharide. In 1934, Meyer, a professor of ophthalmology at Columbia University, and others first isolated this substance from the vitreous body of bovine eyes. Hyaluronic acid, with its unique molecular structure and physical and chemical properties, displays a variety of important physiological functions in the body, such as lubricating joints, regulating the permeability of blood vessel walls, regulating the diffusion and movement of proteins, water and electrolytes, and promoting wound healing.
In medical beauty, hyaluronic acid is mainly used for moisturizing, wrinkle removal, and anti-aging.
The most important one, and one recognized by the medical community, is moisturizing. Hyaluronic acid is known as the best moisturizing substance in nature, and is also known as the ideal natural moisturizing factor.
Is there any relationship between blindness and hyaluronic acid injection
Director Kong held his chin with his hand, frowning in thought.
"Lao Kong is here." A female doctor in her fifties came in and greeted Director Kong familiarly, "I looked at it with an ophthalmoscope and found that the retinal blood vessels are ischemic, and I suspect acute obstruction of the ophthalmic artery."
Director Ma from the ophthalmology department came in. After she finished speaking, she smelled the smell of alcohol on Director Kong and frowned, "Have you been drinking?"
"Well, I just had a meal with Director Chu."
"Then what's the use of calling you here? You won't be able to undergo the operation." Director Ma said: "I called Lao Pan from Xiehe and asked him to come to the rescue."
"No, Director Pan is not at home. I can't get up because Xiao Zheng is there." Director Kong said quickly.
Director Pan, who is involved in Xiehe, is a member of the Central Health Care Team and will not leave the imperial capital under normal circumstances. But he has not been in the imperial capital recently, and has gone to participate in the work of aiding Tibet.
Director Ma didn't know the inside story, but Director Kong knew, so he stopped her.
"Xiao Zheng?" Director Ma was confused, "Is he your new doctoral student?"
"Let me introduce, this is Boss Zheng from Haicheng, Province L. He has done quite well in interventional surgeries. This time he is here to participate in scientific research." Director Kong pointed at Zheng Ren and said.
Director Ma was stunned for a moment and did not reach out, maintaining the reserve of a director of a top tertiary hospital.
"I contacted Director Meng from my colleagues. He had the same idea as me and suggested doing an interventional angiography to take a look." Director Ma said, "Who knew you, an old guy, would be so unsatisfactory."
The directors spoke very casually to each other. Director Ma was very unhappy and could not express his displeasure.
"Okay, let's go on stage now. I can't get up, and the same goes for Boss Zheng." Director Kong immediately picked up the phone and called the chief resident on duty.
Zheng Ren didn't speak the whole time, just looking at the system panel in the upper right corner of his field of vision in a daze.
Lin Jiaojiao's diagnosis was very clear. It was indeed ectopic embolism of biological macromolecules, which caused the blood vessels in the fundus to be tied, resulting in lack of blood supply and pseudo-blindness.
There are not many side branches of the fundus artery network. After the main trunk is embolized, the fundus artery cannot guarantee sufficient blood supply.
It needs to be opened within four hours to preserve retinal function. If it exceeds four hours, the retina will become ischemic and necrotic, resulting in Lin Jiaojiao's true blindness in her right eye.
This kind of surgery... The fundus arteries are very thin, and Zheng Ren is not sure that it can open Lin Jiaojiao's blood vessels that are embolized by biological macromolecules.
Zheng Ren is good at embolism and blocking blood vessels. If it were opened, Zheng Ren was not sure.
But I still have to go on stage and give it a try. No matter how difficult it is, I still need surgery.
"What are you thinking about?" Seeing Zheng Ren stunned, Su Yun came closer and asked.
"Biological macromolecules block the fundus arteries, causing pseudo-blindness." Zheng Ren said in a low voice: "Director Ma's diagnosis is fine. Let's take an angiogram first. What I am hesitant about is the next step, whether the thrombolysis can be smooth."
"Thrombolysis? According to you, it's biological macromolecules that block the capillaries or arterioles under the eyes. It's not thromboembolism, so what should it be dissolved in?" Su Yun retorted.
"The blockage has lasted for two hours. I think there may be local thrombosis. The procedure should be to dissolve the thrombosis first and then aspirate. As for whether it can be done... it depends on fate." Zheng Ren thought about it for a long time. Tell me about the surgical method.
Su Yun shook his head. He was not optimistic that this operation could be completed and Lin Jiaojiao could regain her sight.
"Biological macromolecules?" Director Ma turned his head and asked after hearing Zheng Ren's words.
"Well, I think there is a deviation in the location of the hyaluronic acid injection. For some special reason, the hyaluronic acid biological macromolecules enter the capillary network or fundus arterioles, causing blockage." Zheng Rendao.
Lin Jiaojiao was a nurse. When she heard Zheng Ren's words, her expression immediately changed.
The previous expectation was that the blood clot would block the blood clot. It is relatively easy to open the blood clot in a short period of time. But after hearing Zheng Ren's judgment, it turned out to be a biological macromolecule... How to open it
Do you really want to go blind
Lin Jiaojiao felt that her other eye suddenly went dark, as if she was going completely blind.
"Xiao Zheng? Is your judgment accurate?" Director Kong asked.
"It's almost the same. We need intraoperative imaging." Zheng Ren said: "Is there urokinase in the operating room?"
"Yes." Director Kong affirmed.
"Go right away. It has been blocked for more than two hours now, and we don't have much time left." Zheng Ren said firmly.
Although Director Ma was surprised that a young doctor from Haicheng dared to speak in such a positive tone.
But she didn't say anything and asked the subordinate doctor to make pre-operative instructions. She, Director Kong, Zheng Ren, Su Yun and Lin Jiaojiao rushed directly to the interventional catheterization laboratory.
The resident on duty tonight is always a doctoral student named Deng. After asking about the condition, Dr. Deng began to make preparations for surgery.
Zheng Ren was not in a hurry to go to the system space for similar surgical training. He planned to do angiography first.
Ten minutes later, the operation began.
… …
This is a real case presented on the professor’s ppt during the academic meeting in Sanjiang a few days ago. Of course, this does not mean that you will go blind after taking hyaluronic acid. The probability is very small, very small, very small. The rescue of that patient was successful, and this one will naturally not fail. It is inevitable for Boss Zheng to move from one success to another.
The five-minute breakout finally passed, and I was exhausted both mentally and physically. Today is the third update, so I’ll take a day off to sort out the outline for what’s to come. There are some minor issues with the rhythm, I'm afraid that everyone will be unhappy with it. Starting from January 1st, the guarantee plus debt repayment will be provided.
Thank you again for your support. Well, it’s the last day. If you have a monthly ticket, please support me. Bow~~~
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