sinovels Chapter 1009 Why Did It Fail Again?
Chapter 1009 Why Did It Fail Again?
"1% pilocarpine eye drops twice."
"20% mannitol (4ml/kg) intravenously."
operating room.
Summer, as the chief surgeon, dominates everything.
The first assistant is a little doctor on the night shift in the second clinic. He also just graduated this year. After hearing Xia Xia's command, he immediately dropped the medicine for Chen Haobei.
at the same time.
Xia Xia asked: "How is Boyi's preparation?"
procedure of surgery.
1: Remove the donor's cornea.
2: Transplanted cornea.
The little nurse replied, "Doctor Wang said it will take another 15 minutes."
"Row."
Summer nodded.
Start anesthesia for Chen Haobei.
For corneal transplantation in adults, only anesthesia is needed at the back of the eyeball and the orbicularis oculi muscle, but Chen Haobei is still young, and in the summer, he uses the method of pediatric anesthesia.
Basic anesthesia + local anesthesia.
After entering anesthesia, use the method of compressing the eyeball for 10 minutes.
Fear during surgery can be avoided.
When preparing for anesthesia.
Chen Haobei spoke up.
"Director Xia, my last two surgeries were all rejected within an hour of the cornea transplant."
"If it fails again this time, Director Xia can immediately remove the cornea and replace it with an eye that needs more people."
"in addition……"
"Director Xia, you promised me."
"If this one fails, don't have a fourth time."
"Please.
After several consecutive failures, Chen Haobei's mentality has collapsed. He can no longer afford failure. Although he is only 17 years old, his heart is very old.
The old man always said: stupid people have stupid blessings.
This is true or not.
People who are too sensitive, too smart, and too responsible are often more vulnerable.
"Do not worry."
"Away from just one pair of corneas today, there won't be a fourth."
"You have to believe me."
"Trust your luck too."
Luck is out! ! !
I can't be sorry for the lucky jelly beans.
"Little baby, if you fail, it will be your fault."
【What does it have to do with me? 】
"The cornea has no blood vessels. The failure of the transplant is the reason for bad luck. His luck value is already full. If it still fails, isn't it your problem?"
"Your lucky jelly beans are weak!"
【This……】
[I can guarantee that lucky jelly beans are useful, but as to whether they can be successful, I don't know. 】
[I don't care, failure is also the host's business. 】
"It's your business."
【no! 】
"It's you!"
[…I’m so sorry. 】
"Regret what?"
[Regret why I bound you in the first place! Trouble yourself. 】
"Marry a chicken with a chicken, marry a dog with a dog, this is your life!"
[…Boyi is here, the host is busy. 】
As soon as the system's voice fell, Wang Boyi walked in quickly carrying an incubator. The donor had been removed, and the next step was the transplant.
"Face opener!"
Using a face opener, open your eyes completely.
The upper and lower rectus muscles are immobilized.
"7-7.5mm trephine drill to drill the implant bed."
Drill through the implant bed and cut out the diseased cornea.
Fix the graft, place the graft on the graft hole, and fix it with 10-0 nylon sutures at 12, 6, 3, and 9 points. Interrupted suture, usually 16 stitches.
Continuous suture 22 to 24 stitches.
Interrupted suture is easy to adjust the suture after surgery to reduce astigmatism, continuous suture has little stimulation, and the wound is tightly closed.
Interrupted sutures are used in summer.
after all……
The future king of soldiers.
Because the astigmatism gun was missed, summer can't afford this responsibility.
After suturing, inject normal saline or sterile air from the edge of the graft to reduce the anterior iris adhesion and the opacity of the graft, so as to achieve watertightness.
After transplantation, do astigmatism examination.
Use the corneal astigmatism disc under the microscope while adjusting the suture tension.
"Boyi, see if there is astigmatism."
Xia Xia turned on the microscope, Wang Boyi came over to take a look, and shook his head: "No."
"Xiao Li also take a look."
Xiao Li from the second clinic came over and checked for a few minutes.
Ordinary doctors, when checking astigmatism, only need to look down to know the general situation, but Xiao Li watched for a full five minutes.
Gentle and authentic.
"No astigmatism."
"But there seems to be redness and swelling, and the location of the blood vessels in the patient's cornea is very red."
! ! ! !
Wouldn't it be out of line so soon?
"let me see."
Summer immediately checked the microscope.
really!
The naked eye has not seen the change, but it can be clearly seen under the microscope that the blood vessels at the corneal position are gradually enriching, and the blood color is gradually staining the entire eyes.
"Quick, inject 20,000 units of gentamicin and 2.5 mg of dexamethasone."
"Intravenous glucocorticoids."
"hurry up!"
Summer is in a hurry.
There is no need to hurry. If you reject it, the cornea will not be saved.
quick!
Injections, medicines!
Do your best to keep the pair of corneas.
15 minutes later.
The operating room was silent.
Wang Boyi said softly: "In summer, the rejection is too serious, and the cornea must be obtained. If not, it will damage the patient's eyeball."
The cornea is not in good condition, and the eyeball is injured?
hiss!
Summer took a deep breath and dropped a sentence.
"Take it off."
He turned away.
There is a small lounge outside the operating room, where he can change clothes and brush his hands. He paced back and forth in the lounge, and a fire seemed to be burning in his heart!
"why?"
"Why did it fail again?"
"Luck is already full!!!"
"How to be successful?"