224 There Is Not Much Time Left for Us (1/3)

Chapter 224 There is not much time left for us (13)

Dr. Liang drove and quickly arrived at the hospital.

Zheng Ren, Su Yun, and Director Kong got out of the car. Instead of going to the interventional department, they hurried to the ophthalmology department.

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

But it is estimated that even if it is used, it is only an ordinary master level, and it is completely impossible to gain a firm foothold in the imperial capital where famous doctors are lined up. After all, Zheng Ren is a general surgeon.

Said to solve such a rare case? If you think about it, it's okay, it's probably not possible.

When he came to the ophthalmology department, Director Kong first took a look at Lin Jiaojiao.

Lin Jiaojiao seemed to be less than 30 years old, and she looked very young. Zheng Ren estimated that her real age should be in her 40s. She deserves to be the owner of the largest medical beauty center in the country.

A little girl of 18 or 19 years old was standing beside her, with tears in her eyes, she seemed to be Lin Jiaojiao's daughter.

As soon as she entered the ward, Lin Jiaojiao reluctantly opened her other good eye. She cried and said in frustration, "Director..."

"Don't worry, what's going on?" Director Kong immediately asked about his condition.

"Director, that's right. It's time for me to get an injection today, and I just took a shot of hyaluronic acid at night when there are no guests. After using it, within an hour, I developed symptoms of vision loss. An hour and a half later, the right My eyes are starting to become blind. I will immediately let my daughter drive, come to the hospital, and see Director Ma." Lin Jiaojiao said succinctly.

"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, first isolated the substance from the vitreous body of the bovine eye. With its unique molecular structure and physicochemical properties, hyaluronic acid shows a variety of important physiological functions in the body - such as lubricating joints, regulating the permeability of blood vessel walls, regulating proteins, water and electrolyte diffusion and operation, and promoting wound healing, etc. .

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

One of the most important, and also recognized by the medical community, is moisturizing. Hyaluronic acid is known as the best moisturizing substance in nature, also known as the ideal natural moisturizing factor.

Is blindness related to injection of hyaluronic acid?

Director Kong put his hand on his cheek and frowned in thought.

"Old Kong is here." A female doctor in her fifties walked in and greeted Director Kong familiarly, "I checked it with an ophthalmoscope. The retinal blood vessels are ischemia, and I suspect acute ophthalmic artery obstruction."

The person who came in was Director Ma of the ophthalmology department. After she finished speaking, she smelled the alcohol on Director Kong's body and frowned, "Have you been drinking?"

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

"What's the use of calling you here, you can't have surgery." Director Ma said, "I'll call Old Pan from Xiehe and ask him to come to rescue Taiwan."

"No, Director Pan is not at home. I can't go up, isn't there Xiao Zheng?" Director Kong said quickly.

Director Pan of Xiehe Intervention is a member of the central health care team, and generally does not leave the imperial capital. But he was not in the imperial capital recently, and went to participate in the work of aid to Tibet.

Director Ma didn't know the inside story, Director Kong knew, so he stopped her.

"Xiao Zheng?" Director Ma wondered, "Is it your new doctoral student?"

"Introduction, this is Boss Zheng from Haicheng, L Province. He has done a good job in 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, but did not extend his hand, maintaining the restraint of a chief director of a top tertiary hospital.

"I contacted Director Meng of my colleague. He thought the same as me, and suggested an interventional angiography to take a look." Director Ma said, "Who would have known that you old fellow would be so unsatisfactory."

Director Ma was very unhappy when talking between directors, and it was beyond words.

"Okay, let's go to the stage. I can't go up, and it's the same with Boss Zheng." Director Kong immediately picked up the phone and called the inpatient chief on duty.

Zheng Ren didn't speak the whole time, just stared 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 up, resulting in a lack of blood supply and pseudo-blindness.

There are not many collateral branches in the fundus arterial network. After the main trunk is embolized, the fundus artery cannot ensure sufficient blood supply.

It needs to be turned on within four hours to preserve retinal function. If it exceeds four hours, the retina will be ischemic and necrotic, resulting in true blindness in 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 vessel 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.

However, I still have to go on stage to try it out. No matter how difficult it is, surgery is required.

"What are you thinking?" Su Yun asked Zheng Ren in a daze when he saw Zheng Ren.

"Biomacromolecules block the fundus artery, leading to pseudo-blindness." Zheng Ren said in a low voice, "Director Ma's diagnosis is fine, so let's look at the angiography first. What I'm hesitant about is the next step, whether the thrombolysis can be successful."

"Thrombolysis? According to what you said, biological macromolecules block the capillaries or arterioles of the fundus. It's not a thromboembolism, so what kind of dissolution?" Su Yun retorted.

"It's been two hours since the blockage. I think there should be thrombosis in the local area. The procedure of surgery should be thrombolysis first, followed by suction. As for whether it can be done... it depends on the fate." Zheng Ren made up his mind. A long time surgical way to speak out.

Su Yun shook his head, he was not optimistic that the operation could be completed and Lin Jiaojiao regained her eyesight.

"Biomacromolecules?" Director Ma asked sideways when he heard Zheng Ren's words.

"Well, I think there is a deviation in the injection position of hyaluronic acid. For some special reason, hyaluronic acid biomacromolecules enter the capillary network or fundus arterioles, causing blockage." Zheng Rendao.

Lin Jiaojiao was a nurse, and her expression changed immediately when she heard Zheng Ren's words.

The expectation is that the thrombus 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 macromolecule... Then how to open it?

Are you really going to be blind?

Lin Jiaojiao felt her other eye suddenly turn black, as if she was going to be completely blind.

"Xiao Zheng? Is the judgment accurate?" Director Kong asked.

"Almost, we need an intraoperative angiography." Zheng Ren said, "Is there urokinase in the operating room?"

"Yes." Director Kong affirmed.

"Go now, it's been blocked for more than two hours now, and we don't have much time left." Zheng Ren's tone was firm.

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 lower-level doctor to explain before the operation. She, Director Kong, Zheng Ren, and Su Yun took Lin Jiaojiao directly to the interventional catheterization room.

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

Zheng Ren was not in a hurry to go to the system space for similar surgical training, he was going to have an imaging first.

Ten minutes later, the operation began.

…………

This is a real case from the professor's PPT during the academic meeting during the Sanjiang period a few days ago. Of course, it does not mean that taking hyaluronic acid will cause blindness, there is a very small probability, very small, very small. The patient was successfully rescued, and this, naturally, will not fail. It is inevitable that Boss Zheng will go from one success to another.

The fifth watch broke out, and it finally passed, exhausted. Today's three-shift guarantee, I will take a day off to sort out the follow-up outline. There are some small problems with the rhythm, I am afraid that everyone will be unhappy. Beginning on January 1, the guarantee will be added to repay the debt.

Thank you again for your support. Well, it's the last day. If you have a monthly ticket, please support me, bow~~~