0224 There is not much time left for us (1/3)
Dr. Liang drove and arrived at the hospital soon.
Zheng Ren, Su Yun, and Director Kong got off the car and did not go to the interventional department, but hurried to the ophthalmology department.
Anyway, there are master-level skill books, so Zheng Ren is not afraid of it.
But I guess even if it is used, it is only an ordinary master level and there is no way to gain a foothold in the imperial capital where famous doctors are everywhere. After all, Zheng Ren is a general surgeon.
To say that you can solve this rare case? It’s okay to think about it, but I guess it won’t be able to do it.
When we arrived at the ophthalmology department, Director Kong went to take a look at Lin Jiaojiao first.
Lin Jiaojiao looks less than thirty years old and she is very young. Zheng Ren estimates that her real age should be in her forties, and 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 was by her side, with tears in her eyes. She seemed to be Lin Jiaojiao's daughter.
As soon as he entered the ward, Lin Jiaojiao forced open her other good eyes, cried and said depressedly: "Director..."
"Don't worry, what's going on?" Director Kong immediately asked about the condition.
"Director, that's it. It's time for me to get an injection today. I happened to get a shot of hyaluronic acid when there were no guests at night. After using it, less than an hour, I developed symptoms of vision loss. An hour and a half later, my right eye began to blindness. I immediately asked my daughter to drive, come to the hospital, and look for Director Ma." Lin Jiaojiao said concisely, and it seemed that she had not left her medical skills for so many years.
"Halaluronic acid?" Director Kong pondered.
Hyaluronic acid is also known as uronic acid and hyaluronic acid.
Hyaluronic acid is an acidic mucopolysaccharide. In 1934, Meyer, a professor of ophthalmology at Columbia University in the United States, first isolated the substance from the vitreous body of the bovine eye. Hyaluronic acid shows many important physiological functions in the body with its unique molecular structure and physical and chemical properties - such as lubrication of joints, regulating the permeability of blood vessel walls, regulating the diffusion and operation of proteins, water electrolytes, and promoting wound healing.
In medical beauty, hyaluronic acid is mainly used to moisturize, remove wrinkles and anti-aging.
The most important thing, and the role recognized by the medical community, is moisturizing. Hyaluronic acid is called the best moisturizing substance in nature and is also called the ideal natural moisturizing factor.
Is blindness related to hyaluronic acid injection?
Director Kong leaned on his cheek with his hands, frowned and thoughtful.
"Old Kong is here." A female doctor in her fifties walked in and greeted Director Kong with a familiar look. "I looked at it with a fundus lens. Retinal vascular ischemia, and I suspected acute obstruction of the ocular artery."
The person who came in was Director Ma of the ophthalmology department. After she finished speaking, she smelled the smell of alcohol on Director Kong and frowned and said, "Have you drunk?"
"Well, I just had a bite of rice with Director Chu."
"What's the use of asking you to come? You can't have surgery either." Director Ma said: "I will call Old Pan of Union and ask him to come to save Taiwan."
"Don't, Director Pan is not at home. I can't go up. Isn't there Xiao Zheng?" Director Kong said quickly.
Director Pan, who intervened in Union Health, is a member of the central health care group and generally does not leave the imperial capital. However, he has not been in the imperial capital recently and has gone to participate in the work of aid to Tibet.
Director Ma didn't know the inside story, Director Kong knew it, so he stopped her.
"Xiao Zheng?" Director Ma was puzzled, "Is it your new doctoral student?"
"Let me introduce it. This is Boss Zheng from Haicheng, L Province. He did a good job in the interventional surgery. 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 top tertiary hospital director.
"I contacted Director Meng of my colleague. He was just like me and suggested taking an interventional angiography to take a look." Director Ma said, "Who knew that you, the old guy, was so unscrupulous."
The directors spoke casually, and Director Ma was very unhappy and was beyond words.
"Okay, let's go to the stage now. I can't go up, so it's the same with Boss Zheng." Director Kong immediately picked up the phone and called the hospitalization officer on duty.
Zheng Ren didn't say anything throughout the whole process, just stared at the system panel in the upper right corner of his vision.
Lin Jiaojiao's diagnosis was very clear. It was indeed a biological macromolecule ectopic embolization, which caused the blood vessels of the eye to be tied up, resulting in blood supply and pseudo-blindness.
There are not many lateral branches of the fundus artery reticulum. After the main trunk is embolized, the fundus artery cannot guarantee sufficient blood supply.
It needs to be opened within four hours to preserve the function of the retina. If it exceeds four hours, the retina will be ischemia and necrosis, causing true blindness in Lin Jiaojiao's right eye.
This surgery... the fundus artery is very thin, and Zheng Ren is not sure that it can open the blood vessels that Lin Jiaojiao was embolized by biological macromolecules.
Zheng Ren is good at embolizing and blocking blood vessels. If it is opened, Zheng Ren is not sure.
But I have to go on stage to try it. No matter how difficult it is, I still need surgery.
"What are you thinking?" Su Yun was stunned when he saw Zheng Ren and asked.
"Biomacromolecules block the fundus artery, resulting in pseudo-blindness." Zheng Ren whispered: "There is no problem with Director Ma's diagnosis, so I first check the imaging. What I hesitate about is the next steps, whether it can be smoothly thrombolysis."
"Tromolysis? According to your statement, biological macromolecules block the capillaries or arteries of the eye. It is not a thromboembol, so what is it dissolved?" Su Yun retorted.
"The blockage has been two hours, and I am considering that there should be thrombosis locally. The procedure should be to dissolve the thrombus first and then aspirate. As for whether it can be done... it depends on your life." Zheng Ren said the operation method that he had been thinking about for a long time.
Su Yun shook his head. He was not optimistic that the operation would be completed, so that Lin Jiaojiao could be restored to light.
"Biomacromolecules?" Director Ma turned his head and asked when he heard Zheng Ren's words.
"Well, I'm considering that the location of the injection of hyaluronic acid is deviated. For some special reason, hyaluronic acid biological macromolecules enter the capillary network or fundus artery, causing blockage." Zheng Ren said.
Lin Jiaojiao is a nurse. When she heard Zheng Ren's words, her face changed immediately.
What I had expected before was thrombosis, and thrombosis was relatively easy to open 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 be blind?
Lin Jiaojiao felt her other eye suddenly turn black, as if she was about to be completely blind.
"Xiao Zheng? Is the judgment accurate?" Director Kong asked.
"It's almost the same, it needs to be performed during the operational angiography." Zheng Ren said: "Is there urokinase in the operating room?"
"Yes." Director Kong said surely.
"Go now, it's been blocked for more than two hours now, so we don't have much time left." Zheng Ren's tone was very firm.
Although Director Ma was surprised that a young doctor from Haicheng dared to speak in such a certain tone.
But she didn't say anything and asked the lower-level doctor to give preoperative explanations. She and Director Kong, Zheng Ren, and Su Yun took Lin Jiaojiao directly to the interventional catheter room.
There was always a doctoral student on duty tonight. After asking about his condition, Dr. Deng began to lay out the list and prepare preoperatively.
Zheng Ren was not in a hurry to go to the system space for similar surgical training, he was going to have an angiography first.
Ten minutes later, the operation began.
…………
This is a real case in the professor's PPT during the academic conference a few days ago during Sanjiang. Of course, it does not mean that hyaluronic acid will cause blindness, which is extremely small, extremely small. If the patient's rescue is successful, this will naturally not fail. It is inevitable that Boss Zheng will go from one success to another.
The fifth update broke out, and finally passed, and I was exhausted. Today, the third update is 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 be unhappy. Starting from January 1, the guaranteed debt will be paid.
Chapter completed!