Dr. Liang soon arrived at the hospital.
Zheng Ren, Su Yun, and Department Chief Kong got out of the car. Instead of going to the interventional department, they rushed to the ophthalmology department.
In any case, Zheng Ren had nothing to fear with the Master-rank skill book.
However, even if he used it, he would only be an ordinary Master-level one. It would be impossible for him to gain a foothold in the Imperial Capital, where there were many famous doctors. After all, he was a general surgeon.
Solve this rare case? It was fine if he thought about it, but he probably couldn't do it.
When they arrived at the ophthalmology department, Department Chief Kong first went to see Lin Jiaojiao.
Lin Jiaojiao looked less than thirty years old and looked very young. Zheng Ren estimated her real age to be in her forties. No wonder she was the owner of the largest beauty center in the country.
An eighteen or nineteen-year-old girl stood by her side, her eyes misty with tears. She seemed to be Lin Jiaojiao's daughter.
As soon as she entered the ward, Lin Jiaojiao forced her other good eye open and said with a sad face, "Chief …"
"Don't worry, what's the matter?" Director Kong immediately asked about the condition.
"Director, it's like this. I needed an injection today, so I took advantage of the fact that there were no guests at night to get a shot of hyaluronic acid. Less than an hour after using it, my vision began to deteriorate. An hour and a half later, his right eye began to lose its sight. I'll get my daughter to drive to the hospital right away to see Chief Ma, "Lin Jiaojiao said concisely. It seemed like she hadn't neglected her years of medical skills.
"Hyaluronic acid?" Department Chief Kong muttered.
Hyaluronic acid is also known as uronic acid, hyaluronic acid.
Hyaluronic acid is an acidic mucopolysaccharide. In 1934, Meyer, an ophthalmologist at Columbia University in the United States, was the first to isolate this substance from the vitreous of a cow's eye. Hyaluronic acid, with its unique molecular structure and physical and chemical properties, displayed a variety of important physiological functions in the body, such as lubricating joints, regulating the permeability of blood vessels, regulating proteins, the diffusion and circulation of water and electrolytes, promoting wound healing, and so on.
In medical aesthetics, hyaluronic acid is mainly used for moisturizing, removing wrinkles, and anti-aging.
Among them, the most important and recognized by the medical world was moisturizing. Hyaluronic acid is known as the best moisturizing substance in nature, also known as the ideal natural moisturizing factor.
Was blindness related to the injection of hyaluronic acid?
Department Chief Kong rested his chin on his hand and frowned in thought.
"Old Kong is here." A female doctor in her fifties walked in and greeted Department Chief Kong familiarly. "I used an ophthalmoscope to take a look. The retinal blood vessels are ischemic. I suspect that the ophthalmic artery is acute obstruction."
It was Chief Ma from the Ophthalmology Department. After she finished speaking, she smelled the alcohol on Chief Kong and frowned. "You drank?"
"Yes, I just had a meal with Director Chu."
"Then what's the use of calling you here? You can't perform the surgery anyway," Chief Ma said. "I'll call Old Pan from Union Medical College Hospital and ask him to come and save the surgery."
"No, Chief Physician Pan is not home. I can't go up. Isn't Little Zheng here? "Department Chief Kong said quickly.
Chief Physician Pan was a member of the Central Health Care Group. Under normal circumstances, he would not leave Imperial Capital. However, he had not been in the capital recently. He had gone to participate in the work of assisting Tibet.
Chief Ma did not know the inside story, but Chief Kong knew, so he stopped her.
"Little Zheng?" Chief Ma was puzzled. "Is he your new doctoral student?"
"Let me introduce you. This is Boss Zheng from Sea City, L Province. He's quite good at interventional surgery. He's here to participate in scientific research," Department Chief Kong said as he pointed at Zheng Ren.
Chief Ma was taken aback. He did not extend his hand, maintaining the reserved manner of a top Class Three Grade A hospital chief.
"I've contacted Chief Meng from the same department. He had the same thought as me and suggested an interventional radiography to take a look," Chief Ma said. "Who knew you'd be such a disappointment?"
Chief Ma's displeasure was evident from the casual conversation between them.
"Alright, I'll go up now. I can't go up, but Boss Zheng can't either. "Department Chief Kong immediately picked up the phone and called the chief resident on duty.
Zheng Ren did not speak during the entire process. He stared at the System panel in the upper right corner of his vision in a daze.
Lin Jiaojiao's diagnosis was clear. It was indeed an ectopic biomacromolecule embolization, causing the fundus blood vessels to be blocked, resulting in a lack of blood supply and pseudo-blindness.
There were not many collateral branches in the fundus arterial network. After the main trunk was embolized, the fundus artery could not guarantee a sufficient blood supply.
It needed to be unblocked within four hours to preserve the function of the retina. If it exceeded four hours, the retina would undergo ischemia and necrosis, resulting in true blindness in Lin Jiaojiao's right eye.
This kind of surgery … The fundus artery was very thin. Zheng Ren was not confident that he could unblock the biomacromolecule embolization.
Embolization and blockage were Zheng Ren's forte. If it was unblocked, Zheng Ren was not confident.
However, he still had to try. No matter how difficult it was, the surgery had to be done.
"What are you thinking about?" Su Yun asked when he saw Zheng Ren in a daze.
"Biomacromolecules blocked the fundus artery, resulting in pseudo-blindness," Zheng Ren said softly. "Chief Ma's diagnosis is correct. Let's do an angiogram first. I'm hesitant about the next step and whether the thrombolysis will be successful. "
"Thrombolysis? According to what you said, biomacromolecules blocked the fundus capillaries or arterioles. It's not a thrombosis. What's there to dissolve? "Su Yun retorted.
"The blockage has been going on for two hours. I think there should be a local thrombosis. The procedure should be thrombolysis first, followed by aspiration. As for whether it works or not … it depends on fate. "Zheng Ren revealed the surgical method he had been thinking about for a long time.
Su Yun shook his head. He was not optimistic about completing the surgery and restoring Lin Jiaojiao's vision.
"Biomacromolecules?" Chief Ma heard Zheng Ren's words and asked.
"Yes. I think there's a deviation in the injection site. Some special reason caused the hyaluronic acid to enter the capillary network or the fundus artery, causing the blockage," Zheng Ren said.
Lin Jiaojiao was a nurse. Her expression changed when she heard Zheng Ren's words.
She had expected a thrombosis, which was relatively easy to clear in a short period of time. However, Zheng Ren's judgment turned out to be biomacromolecules … How was she supposed to clear it?
Was she really going to lose her vision?
Lin Jiaojiao felt her other eye go black. It was as if she was going to be completely blind.
"Little Zheng? Is your judgment accurate? "Department Chief Kong asked.
"Almost. We'll need an intraoperative angiogram to see," Zheng Ren said. "Is there urokinase in the operating theater?"
"Yes," Department Chief Kong said with certainty.
"Go now. The blockage has been going on for more than two hours. We don't have much time left." Zheng Ren's tone was firm.
Chief Ma was surprised that a young doctor from Sea City dared to speak so confidently.
However, she did not say anything. She let the junior doctor do the preoperative briefing while she, Department Chief Kong, Zheng Ren, and Su Yun rushed to the interventional radiology suite with Lin Jiaojiao.
The resident on duty tonight was a doctoral student with the surname Deng. After asking about the patient's condition, Dr. Deng began to lay out the sheets and prepare for the surgery.
Zheng Ren was not in a hurry to go to the System for similar surgical training. He planned to look at the angiogram first.
Ten minutes later, the surgery began.
…
This was a real-life case from the professor's PowerPoint presentation during the academic conference in Sanjiang a few days ago. Of course, it was not to say that hyaluronic acid would cause blindness. The probability was extremely small. That patient was successfully rescued. Naturally, this one would not fail either. Chief Zheng had to move from one success to another. This was inevitable.
The fifth watch was finally over. He was mentally and physically exhausted. I'll take a day off and sort out the outline for the future. There are some small problems with the rhythm. I'm afraid everyone will be unhappy. Starting from January 1st, the minimum guarantee and debt repayment.
Thank you again for your support. Well, it's the last day. If you have monthly votes, please support me.
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