Chapter 224： There is not much time left for us (1/3)

Dr. Liang drove and soon arrived at the hospital.

Zheng Ren, Su Yun, and Kong got off the bus. They didn't go to the department, but rushed to the ophthalmology department.

Anyway, there is a master-level skill book, and Zheng Ren has no fear.

However, it is estimated that even if it is used, it is just an ordinary master class, and there is absolutely no way to stand firm in the emperor of famous doctors. After all, Zheng Ren is a general surgeon.

Said to solve this rare case? If you think about it, it is estimated that you can't do it.

When I came to the ophthalmology department, Director Kong first went to see Lin Jiaojiao.

Lin Jiaojiao is still less than 30 years old, and she is very young. Zheng Ren estimates that her real age should be more than forty years old. She is the boss of the country's largest medical beauty center.

A 18-year-old girl stayed by her, tears in her eyes, and she should look like Lin Jiaojiao’s daughter.

As soon as he entered the ward, Lin Jiaojiao barely opened another good eye, crying and sulking, frustrated: "Director..."

"Don't worry, what's the matter?" Director Kong immediately asked about the condition.

"Director, this is the case. I should have an injection today, just taking a shot of hyaluronic acid when I have no guests at night. After using it, in less than an hour, I have symptoms of vision loss. After an hour and a half, right The eyes began to blind. I immediately let my daughter drive, come to the hospital, look for the director Ma." Lin Jiaojiao said that the concise and meticulous, it seems that the medical skills for so many years have not been thrown.

"Hyaluronic acid?" Kong director Shen Yan.

Hyaluronic acid is also known as uronic acid and hyaluronic acid.

Hyaluronic acid is an acid mucopolysaccharide. In 1934, Meyer, a professor of ophthalmology at Columbia University in the United States, first isolated the substance from the vitreous of the bovine eye. Hyaluronic acid displays various important physiological functions in the body with its unique molecular structure and physicochemical properties - such as lubricating joints, regulating the permeability of blood vessel walls, regulating protein, water and electrolyte diffusion and operation, promoting wound healing, etc. .

In terms of medical beauty, hyaluronic acid is mainly used for moisturizing, wrinkle-reducing and anti-aging.

One of the most important, but also 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.

Blindness, and injection of hyaluronic acid, is it related?

Director Kong squatted with his hand and frowned.

"The old hole is coming." A female doctor in her fifties walked in. She was very familiar with the director of the hole. "I looked down with the ophthalmoscope, retinal vascular ischemia, and suspected acute obstruction of the eye artery."

When she came in, she was the director of the ophthalmology department. After she finished speaking, she smelled the taste of the director, and frowned. "Have you drunk?"

"Well, I just had a meal with Director Zhang."

"That's what it is for you to use, you can't get surgery." Ma said: "I called Concord's old Pan and asked him to save the station."

"Don't, Director Pan is not at home. I can't go up. Isn't this Xiao Zheng?" Director Kong said quickly.

Director Pan, who is involved in Concord, is a member of the Central Health Care Group and will not leave the Imperial Capital in general. However, he has not been in the Imperial Capital recently, and went to participate in the work of aiding Tibet.

Director Ma did not know the inside story, and Director Kong knew that she stopped her.

“Xiao Zheng?” Director Ma was puzzled. “Is your new doctoral student?”

"Introduction, this is the boss of Zhenghai in Haicheng of L Province. It is quite good to be involved in the operation. This time it is to participate in scientific research." Director Kong’s finger pointed to Zheng Ren, said.

Director Ma stunned and did not reach out and kept the support of a top director of the top three hospitals.

"I contacted the director of the same person, Meng, he and I considered the same, I suggest taking a look at the interventional angiography." Ma said, "Who knows that you old guy is so disappointing."

The directors talked very casually, and Director Ma was very unhappy and overflowing with words.

"Well, this is on the stage. I can't go up, there is the same with Zheng boss." Director Kong immediately picked up the phone and called the hospitalized person on duty.

Zheng Ren didn't talk all the time, just looking at the system panel in the upper right corner of the field of vision.

Lin Jiaojiao's diagnosis is very clear. It is indeed a biomolecular ectopic embolism, which causes the blood vessels in the fundus to be trapped, resulting in a lack of blood supply, leading to false blindness.

There are not many lateral branches of the fundus arterial network. After the main body is embolized, the fundus artery cannot guarantee sufficient blood supply.

It needs to be opened within four hours to maintain the function of the retina. If it is more than four hours, the retina will be avascular necrosis, leading to the true blindness of Lin Jiaojiao's right eye.

This kind of surgery... The fundus artery is very thin, and Zheng Ren is not sure that it can open the blood vessels that Lin Jiaojiao is embolized by biomacromolecules.

Embolization, blocking the blood vessels, Zheng Ren is good at. If it is opened, Zheng Ren is not sure.

However, I have to go to the stage to try it. It is harder and I have surgery.

"What do you want?" Su Yun saw Zheng Ren's god, and asked close.

"Biomacromolecules block the fundus arteries, leading to false blindness." Zheng Ren whispered: "Director Ma's diagnosis is no problem, first angiography. I hesitate to follow the next steps, can not successfully thrombolysis."

"Thrombolytic? According to your statement, it is the biological macromolecules that block the fundus capillaries or arterioles. It is not a thrombus embolus, what dissolves?" Su Yun retorted.

"The time of clogging is two hours. I think there should be thrombosis in the local area. The procedure should be to first dissolve the thrombus and then pump it. As for whether it can be done... then it depends on it." Zheng Ren calculated. A long time of surgery has been said.

Su Yun shook his head. He was not optimistic about completing the operation and let Lin Jiaojiao recover.

“Biological macromolecules?” Director Ma heard the words of Zheng Ren and asked sideways.

"Well, I think there is a deviation in the location of the injection of hyaluronic acid. For some special reason, hyaluronic acid biomolecules enter the capillary network or the fundus micro-arteries, causing blockage." Zheng Rendao.

Lin Jiaojiao was a nurse. When she heard Zheng Ren’s words, her face changed immediately.

The expectation is that the blood clot is blocked, and the thrombus in a short time is relatively easy to open. But when I heard Zheng Ren’s judgment, it turned out to be a biological macro... How did it open?

Do you really want to be blind?

Lin Jiaojiao feels that another eye suddenly becomes black I seem to be completely blind.

“Xiao Zheng? Is it accurate?” Director Kong asked.

"Almost, you have to see the angiography during surgery." Zheng Rendao: "Is there a urokinase in the operating room?"

"Yes." Director Kong must have said.

"Go right away, it has been blocked for more than two hours now, leaving us with less time." Zheng Ren's tone is very firm.

Director Ma said that he was surprised to say that a small doctor from Haicheng dared to speak with such a positive tone.

But she did not say anything, let the lower-level doctors do the pre-operative explanation, and he and Kong director, Zheng Ren, Su Yun took Lin Jiaojiao directly to the interventional catheter room.

The hospital on duty tonight is always a doctoral student, surnamed Deng. After asking about the illness, Dr. Deng began to lay out a list and prepare for surgery.

Zheng Ren did not rush to the system space to do similar surgery training, he is ready to see first.

Ten minutes later, the surgery started.

............

This is a real case of the professor PPT during the academic meeting of Sanjiang a few days ago. Of course, it is not to say that playing hyaluronic acid will be blind, very small, very small, very small. The patient is successfully rescued, and naturally, this will not fail. It is inevitable that Zheng boss will move from one success to another.

The five more broke out, and finally passed away. Today, the third is more guaranteed, I will take a day off and sort out the outline of the successor. There are some minor problems with the rhythm, and I am afraid that everyone will not be happy. Beginning on January 1st, Baodi added debts.

Thank you again for your support, that, the last day, there is a monthly ticket to support, oh~~~

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