Dr. Liang drove and soon arrived at the hospital.

Zheng Ren, Su Yun, and Director Kong got out of the car and did not go to the interventional department, but hurried to the ophthalmology department.

Anyway, there is a master-level skill book, and Zheng Ren has nothing to fear.

But it is estimated that even if it is used, it is only an ordinary master, and there is no way to gain a firm foothold in the imperial capital where there are many famous doctors. After all, Zheng Ren is a general surgeon.

Saying that it is good to think about solving this rare case, it is estimated that it cannot be done.

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

Lin Jiaojiao looks less than thirty years old, she looks 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.

An eighteen or nineteen-year-old girl stayed by her side, with teary eyes, and it seemed that she should be Lin Jiaojiao's daughter.

As soon as she entered the ward, Lin Jiaojiao barely opened her other good eye, cried with a sad face, and said frustratedly: "Director......"

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

"Director, that's right. It's time for me to get an injection today, just in time for a filler shot in the evening when there are no guests. After using it, within an hour, I was experiencing symptoms of vision loss. An hour and a half later, he began to lose sight in his right eye. I immediately asked my daughter to drive to the hospital and see Director Ma. Lin Jiaojiao said concisely and to the point, it seems that so many years of medical skills have not been thrown away.

"Hyaluronic acid?" Director Kong groaned.

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

Hyaluronic acid is an acidic mucopolysaccharide, which was first isolated from the vitreous humor of bull's eye by Meyer et al., a professor of ophthalmology at Columbia University in the United States in 1934. 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, diffusion and operation of water and electrolytes, and promoting wound healing.

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

One of the main and recognized by the medical community is moisturizing. Hyaluronic acid is known as nature's best moisturizing substance and is also known as the ideal natural moisturizing factor.

Is there any relationship between blindness and filler injections?

Director Kong put his hand on his cheek, frowning and pondering.

"Lao Kong is here. A female doctor in her fifties walked in and greeted Director Kong familiarly, "I looked at it with an ophthalmoscope, retinal vascular ischemia, and suspected acute obstruction of the ophthalmic artery. ”

It was Director Ma from the ophthalmology department who came in, and after she finished speaking, she smelled the smell of wine on Director Kong's body, and frowned, "Have you drunk?"

"Well, I just had a bite of dinner with Director Chu. ”

"What's the use of calling you here, you can't go to surgery. Director Ma said: "I called Lao Pan of Xiehe and asked him to come to Taiwan." ”

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

Director Pan, who was involved in Xiehe, was a member of the central health care team and would not leave the imperial capital under normal circumstances. But he has not been in the imperial capital recently, and has gone to participate in the work of aiding Tibet.

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

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

"Let me introduce, this is Boss Zheng from Haicheng, L Province, who has done quite well in interventional surgery, and 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, did not stretch out his hand, and maintained the reserve of a top tertiary hospital.

"I contacted Director Meng from my colleague, and he thought the same as me and suggested that interventional imaging be done. Director Ma said, "Who knew that you old guy would be so uncompetitive." ”

The directors spoke very casually, and Director Ma was very unhappy and overflowing.

"Okay, let's take 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 general inpatient on duty.

Zheng Ren didn't speak the whole time, just looked at the system panel in the upper right corner of the field of vision in a daze.

Lin Jiaojiao's diagnosis is very clear, it is indeed a biological macromolecule ectopic embolism, which causes the fundus blood vessels to be tethered, resulting in lack of blood supply and pseudoblindness.

There are not many collateral branches of the fundus artery network, and the fundus artery cannot guarantee adequate blood supply after the main trunk is embolized.

It needs to be opened within four hours to preserve the function of the retina. If it is more than four hours, the retina will be ischemic and necrotic, resulting in the true blindness of Lin Jiaojiao's right eye.

This surgery ...... The fundus artery is very thin, and Zheng Ren is not sure that he can open the blood vessel that Lin Jiaojiao was embolized by biological macromolecules.

Embolizing and blocking blood vessels, Zheng Ren is good at it. If it is opened, Zheng Ren is not sure.

But I still have to go on stage to try, no matter how difficult it is, I have to have surgery.

"What do you want?" Su Yun saw that Zheng Ren was stunned, and asked closely.

"Biological macromolecules clog the fundus arteries, causing pseudoblindness. Zheng Ren whispered: "Director Ma's diagnosis is not problematic, let's take a look at it first." I hesitated about the next steps and whether the thrombolysis would be successful. ”

"Thrombolysis? According to you, it is biological macromolecules that clog the capillaries or arterioles of the fundus. It's not a thromboembolus, what is dissolved?" Su Yun retorted.

"The blockage has been going on for two hours, and I think there should be a thrombosis locally. The procedure should be thrombolysis followed by aspiration. As for whether it will work...... Then it's a matter of fate. Zheng Ren said the surgical method that he had been thinking about for a long time.

Su Yun shook his head, he was not optimistic that he would be able to complete this operation and restore Lin Jiaojiao's sight.

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

"Well, I think it's because the position of the hyaluronic acid injection is biased, and some special reason causes the biomolecules of hyaluronic acid to enter the capillary network or the fundus arterioles, causing blockage. Zheng Rendao.

Lin Jiaojiao is a nurse, and as soon as she heard Zheng Ren's words, her face immediately changed.

I was expecting a blood clot to be blocked, and the blood clot was relatively easy to open in a short period of time. But when I heard Zheng Ren's judgment, it turned out to be a biological macromolecule...... How do you get through?

Do you really want to go blind?

Lin Jiaojiao felt that her other eye suddenly darkened, as if she was about to go completely blind.

"Xiao Zheng, is your judgment accurate?" asked Director Kong.

"Almost, it's going to be seen by intraoperative imaging. Zheng Ren said: "Is there urokinase in the operating room?"

"Yes. Director Kong affirmed.

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

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 junior doctor to explain before the operation, and she and Director Kong, Zheng Ren, and Su Yun rushed directly to the interventional catheterization laboratory with Lin Jiaojiao.

The inpatient on duty tonight is always a doctoral student, surnamed Deng. After asking about his condition, Dr. Deng began to make a list and make preoperative preparations.

Zheng Ren was not in a hurry to go to the system space to do similar surgical training, he was going to take pictures first.

Ten minutes later, the operation began.

…………

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

The fifth watch broke out, and finally passed, exhausted. Today's three watches are guaranteed, I will take a day off and sort out the outline of the follow-up. There are some small problems with the rhythm, I'm afraid that everyone will be unhappy to watch. Starting from January 1, the minimum guarantee plus debt repayment.

Thank you again for your support.,That.,It's the last day.,There's a monthly pass trouble to support it.,Bow ~~~.