At this time, it was already past four o'clock in the afternoon, and there was still about an hour before the end of work.

The number of patients in the emergency department has also passed the peak and is gradually decreasing.

Just then, a call was heard outside the emergency department.

"Doctor, doctor, help me see my daughter, she's blind in both eyes!" a woman in her sixties walked into the emergency department with a woman in her thirties.

At this time, Ruan Bin happened to be arguing with Miss Zhao Yaxue at the front desk.

Suddenly, he heard shouts outside, and he secretly said in his heart, "Shouldn't he go to the ophthalmology clinic if he is blind?

However, when I think of some patients, they just need to go to the emergency department for urgency, and sometimes they go to the emergency department to register no matter what kind of illness they have. Often, the doctors in their emergency department end up having no choice but to explain to these patients and ask them to re-register.

"What's wrong?" Ruan Bin asked with a professional face.

"My daughter suddenly lost her sight an hour ago!" said the old lady to Ruan Bin.

"Suddenly blind?" Ruan Bin glanced at the female patient in her thirties in front of her, her eyes were open, and there was no injury to her eyes.

Sudden blindness?

The first thing that came to Ruan Bin's mind was that there were three possibilities!

First, it is retinal artery embolization. It is a serious eye disease that can cause blindness within minutes or even seconds. Causes are usually arteriosclerosis and heart disease.

But the mental state of the female patient in front of her is not like heart disease or arteriosclerosis, if so, it is estimated that she will not be able to walk.

The second possibility is fundus and vitreous hemorrhage.

However, he looked at the other person's eyeballs and did not see vitreous hemorrhage, so the second cause could be ruled out.

The third is: acute optic neuritis.

", Lao Tzu almost gave up his roots a little, and it won't be over if he directly opens a general diagnosis. What should you do if you don't have salted fish!" Ruan Bin secretly complained to himself in his heart.

"Diagnosis!"

Patient: Yang Xiaoxia

Age: 34 years old

Medical record: occlusion of the retinal artery in the eye.

"Retinal artery blockage in the eye?" Ruan Bin frowned after seeing it, could it be because of arteriosclerosis and heart disease, due to arteriosclerosis, the arterial wall thickened, the lumen narrowed, and the blood gradually formed thrombosis. This process is carried out unconsciously, and once the central retinal artery in the eye forms a blood clot and causes blockage, the retina loses blood supply, which can cause blindness immediately.

"But the patient doesn't have heart disease and arteriosclerosis!" Ruan Bin reacted immediately!

If it is heart disease or arteriosclerosis, why is it not diagnosed by general practice?

In other words, there is another reason for the sudden blindness of the other party's eyes!

Ruan Bin looked at the female patient carefully again, and found that the other party's nose was a little red and swollen, so he asked, "What are your discomforts now? Did you have any other symptoms before you lost your sight?"

"Doctor, my nose is swollen, hot and painful, and my eyes are also sore. Now I feel some pain all over my face. Also, I've had some pain in my nose since last night. Suddenly my vision became blurry, and it was very blurry this morning. I lost my sight an hour ago!" Yang Xiaoxia told her about her situation!

"Nose pain?" Ruan Bin glanced at the other party's nose again, and asked tentatively, "Have you had a nose makeover?"

As a pseudo-plastic surgeon, Ruan Bin could see that this woman's nose must have been redone, and it was in the last few days.

"Yes doctor, my nose was fixed yesterday, it was a rhinoplasty with hyaluronic acid. Yang Xiaoxia nodded hurriedly.

"Is the plastic surgery hospital you went to formal enough?" Ruan Bin faintly guessed in his heart at this moment that Yang Xiaoxia's blindness in both eyes should be related to hyaluronic acid rhinoplasty! Another is that hyaluronic acid rhinoplasty is not like prosthetic rhinoplasty, and it will not be as swollen as prosthetic rhinoplasty.

"This ...... I don't know, I was introduced by a friend, and it's called 'Super Beauty' Plastic Surgery Hospital. This hospital is not very big, but the price is not expensive......" Yang Xiaoxia said busily.

Isn't it expensive?

Come on!

It is estimated that ** is not far from ten is irregular. Even if it is regular, it is estimated that the scale of the hospital is not large, and the level of doctors is not good.

"Doctor, what the hell is going on with me?"

"I suspect that your blindness in both eyes is related to your rhinoplasty with hyaluronic acid, because if you inject hyaluronic acid into the blood vessels, it will cause blindness in both eyes! The blood vessels of the eyes and the face are connected, and the blood vessels in the nose are linked with the arteries in the fundus, if the hyaluronic acid is mistakenly injected into the blood vessels of the face, and then the reflux blocks the retinal artery of the eye. And this blindness is irreversible!" Ruan Bin said solemnly.

There are too many plastic quacks these days!

Fillers are injected into the blood vessels, and an overdose of anesthetic is often injected. So often plastic surgery of the dead is caused by this quack!

"Ah, did the hyaluronic acid hit my veins, this and this, this ......" Yang Xiaoxia was suddenly frightened.

"What does this, this irreversible mean?" Yang Xiaoxia asked again.

"To be irreversible is to be blind forever!" Ruan Bin said in a deep voice.

Plastic surgery needs to be cautious!

"Ahh

"Well, I'm just a clinical guess about the condition, and I'll have to check it out in the end! Let's do it first, I hope not. Ruan Bin said in his mouth, but he had already judged in his heart that it was almost caused by this reason.

Arterial blockage of retinal blood vessels causes little other than heart disease and hardening of the arteries. Unless it's a traumatic injury.

Then there is only one possibility, that is, the hyaluronic acid hits the arteries of the face, and then these hyaluronic acid diffuse to the retinal arteries, forming a blockage!

There is a "danger triangle" on the human face, what is the "danger triangle" on the face? It is the triangular area between the base of the nose and the corners of the mouth on both sides, "in simple terms, it is the triangular part caused by the two nasolabial folds on the face and the lips." ”

The reason why this part is dangerous is because the blood supply in this area is more abundant, and it is connected to the blood vessels in the brain, this lady is okay, in case the hyaluronic acid flows into the cerebral blood vessels to form a cerebral vascular embolism, see the Buddha in minutes!

After opening the items for inspection, the two mothers and daughters hurriedly went to register and pay for the inspection.

Half an hour later, the results came back.

No doubt!

Hyaluronic acid blocks the retinal arteries and causes blindness!

"Doctor, am I really blind and can't recover?" asked Yang Xiaoxia with a worried look and a glimmer of hope.

"Ahem, I can't guarantee that this can be cured, you need to be transferred to the ophthalmology department now? The eye disease is the best!" Ruan Bin couldn't bear to tell the truth.

Anyway, Yang Xiaoxia's situation has to be transferred to the ophthalmology department for treatment. At the very least, the hyaluronic acid in the blood vessels should be withdrawn and then anti-inflammatory!

：。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~