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Chapter 437 Opening of Ophthalmic Surgery Training

Chapter 439 Opening of Ophthalmic Surgery Training

Angiography can solve Qin Feng's doubts very well. When he saw the result of angiography, Qin Feng's expression changed suddenly.

"Have you ever noticed that your child's blood vessels are very fragile?" Qin Feng asked.

The patient's parents looked confused and didn't know what Qin Feng was talking about.

"If the blood vessels are fragile, the human body is easy to bleed and get injured and fractured, and it is extremely prone to vascular accidents." Qin Feng explained.

"When I practiced with him before, he was indeed easily injured and often bleeds." The patient's father recalled.

"The patient is now in a coma, because the blood vessels in his body burst suddenly and caused massive bleeding, which caused shock." Qin Feng made a diagnosis of the cause.

"My son seems to have chest and back pain for a while after exercising, and once passed out because of the pain. We sent him to the hospital, but the hospital didn't find out anything." The patient's mother said suddenly.

Easy to relapse, Qin Feng went through all the symptoms of the patient in his mind, and suddenly found that the patient was very similar to a disease.

Marfan syndrome, also known as spiderman syndrome, is a congenital mesoderm dysplasia, mainly manifested as skeletal abnormalities, internal eye diseases and cardiovascular abnormalities, and is a genetic disease with connective tissue as the basic defect .

The chance of heart failure and sudden death is much higher than that of ordinary people, and at the same time, it is easy to be injured. Due to the dysplasia of the chest and abdomen, chest pain and other situations may occur after stimulation.

It's just that this patient did not have visual impairment or bone dysplasia, but the electrocardiogram showed that the patient had aortic valve insufficiency and other cardiovascular malformations.

This means that non-stop diseases are specific to different people, and not all symptoms may be present, but most of the conditions are met, so the patient has a high probability of this disease.

"The patient should be Marfan syndrome." Qin Feng said.

"What kind of disease is this?" the patient's mother asked worriedly.

"This disease is serious and requires surgery. The cost and difficulty of surgery are very high." Qin Feng said.

"It's okay, doctor, we will treat him no matter how much, as long as my son can recover." The patient's mother said anxiously.

Currently, there is no effective treatment for Marfan syndrome. Most of the treatment methods are the application of male hormones, vitamins, and surgery to repair the patients' cardiovascular lesions.

The patient's condition is mainly aortic dissection and cardiovascular malformation. As long as these two problems are dealt with, the patient will be the same as a normal person.

However, Qin Feng is more worried about the possibility of aortic dissection. The aneurysm is very fragile and there is a danger of rupture at any time. In addition, the operation is extremely easy to accidentally injure. Once ruptured, it will lead to excessive blood loss during the operation. Frequent occurrence of heart failure.

Qin Feng first prescribed some propranolol to the patient. This drug is used to treat arrhythmia caused by various reasons. It is given to the patient to reduce his ventricular discharge and pressure, and reduce the impact on the aortic wall.

After making a call to Director Zhao, Qin Feng organized a brief surgical plan meeting to finalize the surgical plan.

There are two main difficulties in the operation, one is aortic dissection, and the other is heart valve disease.

Therefore, the operation required the replacement of artificial blood vessels and heart valves. After being admitted to the hospital, Qin Feng received a call from the emergency department in the middle of the night.

All the symptoms of the patient's Marfan syndrome broke out. Since the patient woke up, the patient's vision has been continuously declining, and even pseudo-blindness has appeared. It is still possible to find an ophthalmologist to stabilize the situation.

At the same time, the patient's bones began to be dislocated, and the original surgical plan was no longer feasible. Qin Feng could only call for an emergency consultation and brought all the ophthalmology and orthopedic doctors over.

If Qin Feng had to rely on him alone, the operation would take too long. Qin Feng was afraid that the patient would not be able to bear it, so multi-department consultation was the best option.

Because it was Qin Feng who made the call, the ophthalmology and orthopedic doctors were called up in the middle of the night, and they came to the emergency department for a meeting to discuss the operation.

"The patient's lens has detached. What I need to do is correct the lens dislocation." The ophthalmologist said.

Under normal circumstances, the lens is suspended from the ciliary body by the suspensory ligament of the lens. The anterior and posterior axis of the lens is almost the same as the visual axis. Bit, this is also the case of pseudo-blindness.

After re-planning the operation plan, Qin Feng arranged for the operation to officially start in the afternoon of the next day.

The sequence of operations was that the ophthalmologist first came, then the orthopedic department, and Qin Feng finally performed heart valve replacement and artificial blood vessel replacement.

Because eye surgery involves the smallest wound, it is performed first and has less impact on subsequent surgeries.

For orthopedics, although the wound is large, the difficulty is relatively low, and it has little impact on subsequent operations.

When multi-department consultation decides on the surgical plan, the sequence of operations is also very important. It does not mean who is the most powerful who will be the finale, but according to the patient's condition.

If the patient suddenly bleeds heavily now, the order of the surgery will have to be changed. It must be Qin Feng who performed it first, and everything depends on the patient's life.

At two o'clock in the afternoon the next day, the patient was directly pushed into the operating room.

The ophthalmologist is already in place, and Qin Feng is standing next to the ophthalmologist.

The ophthalmologists in Ruijin Hospital are definitely among the best in the country. During the operation, Qin Feng felt that he had learned a lot.

It just happened to unlock the training of ophthalmic surgery, which made Qin Feng very happy. At least in the future, Qin Feng seems to be able to do ophthalmic surgery.

Qin Feng watched from the sidelines, and the ophthalmologist first evaluated the patient's lens.

"The patient is dislocated in the anterior vitreous, and the lens is still located in the lower anterior vitreous. I suggest making an incision from the corner of the sclera, and then use a ring spoon to fish out the lens."

"Well, let's start." Qin Feng, the chief surgeon, announced the start of the operation, and then watched the ophthalmologist's operation.

It took half an hour for the ophthalmologist to complete the eye surgery.

The operation process is also very violent. Even if the lens is directly removed, there is nothing you can do. If the ligaments of the thigh or arm are damaged, you can also slowly exercise through rehabilitation training the day after tomorrow.

But how to exercise the ligaments in the eyes?blink?That's even more impossible.

Therefore, if the ligament is damaged and the pulling force is not enough, the lens can only be removed.

Qin Feng also learned a lot from the side, and felt that he should read more about other people's operations, so that when he went to train, he might be able to develop better surgical techniques.

Just by groping, Qin Feng felt that his speed was still a little slow.

Only by observing other people's operations, and then checking for omissions and making up for vacancies, the benefits of training will be greater.

In the past, Qin Feng trained according to his own wishes, so many techniques seemed strange to others, without any rules at all, but he was able to complete the operation.

This is all because of Qin Feng's trial and error, and it took a long time.

(End of this chapter)