Chapter 1542: Diabetic eye disease
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Live Surgical Broadcast
- 真熊初墨
- 1261 characters
- 2021-03-01 09:01:56
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"Looking at blindness?" Zheng Ren frowned.
"Well. There is a medical record. At the beginning, my brother also took it seriously. I thought that it was just a patient who came to see a doctor. I asked you. I didn't expect it to be the case." Song Ying felt a little tricky.
"There is a medical record." Zheng Ren smiled and asked, "Look at it, if you can see it, you can't see it. If you can recognize it, there is nothing."
Su Yun looked at Zheng Ren with a glance, and he was very disdainful.
Song Ying also praised Zheng Renping's mentality. He took the medical records from his bag and handed it to Zheng Ren.
The medical record is in English, and a sign appears in front of you - Johns Hopkins Hospital.
"Hey, what did you do at Hopkins' physical examination?" Su Yun glanced at him and asked.
Zheng Ren turned to the end and took a look at the conclusion, "Diabetes eye disease."
Retinopathy is the most common form of severe diabetic eye disease, often resulting in vision loss or blindness.
According to statistics, 50 diabetic patients with diabetes disease can develop diabetic eye disease in about 10 years. After 15 years or more, the data will climb to 80.
The heavier the diabetes, the older the age, the higher the incidence.
Diabetic eye disease is a consequence of diabetic microangiopathy. The damage of the retinal capillary wall caused by diabetes, combined with the blood in a hypercoagulable state, is prone to thrombosis and blood stasis, and even blood vessel rupture.
Diabetic retinopathy has become one of the four most common blind factors after senile retinal degeneration.
"How much blood sugar?" Su Yun asked anxiously.
Zheng Ren is not in a hurry, looking through the test list a little bit, starting from scratch.
According to the medical report, Yan Shifu is 84 years old.
Laboratory indicators, in addition to blood sugar in 98oll, is almost a healthy person's standard.
Even more healthy than people in their 30s and 40s.
Blood lipids, blood pressure, and various imaging studies have shown this.
Zheng Ren looked through a little, and there was a report on the ophthalmoscope.
Master Yan’s right eye has no light, his right eye is limited in abduction, and he has flexible activities in all directions.
The pupil diameter of the right eye is 4, and the direct response to light disappears, and the light reaction exists indirectly; the pupil diameter of the left eye is 3, and direct and indirect light reaction exists.
Left eye vision 10 number refers to. The fundus was clear and the color was slightly light. The ratio of arteries and veins was 1:2. No bleeding point was observed.
Microvessels also have corresponding changes.
It is a diabetic eye disease, which seems to be no doubt.
"What?" After reading all the reports, Su Yun said, "Isn't this a diabetic eye disease? To do a vitrectomy, we are not engaged in ophthalmology."
"The body is well maintained." Zheng Ren's point of concern is that in other respects, "it is already 84. It is normal to have a problem. Diabetic eye disease, the diagnosis should be a small problem, and there may be no problem."
"Then you are going to go?" Song Ying asked.
"Go and see the cockroaches, see the sick, and then have already promised, temporarily put people pigeons, afraid that you are difficult to do." Zheng Ren smiled.
"Thank you, Zheng boss." Song Ying had made the worst plan, but did not expect Zheng Ren to be at all.
"Boss, do you want to call the old fan?" Su Yun asked.
"Seeing a doctor, what is Lao Fan doing?" Zheng Rendao "Even if you don't understand, we are not general practitioners, not shameful."
"Boss, you simply touched me." Su Yun sprayed directly.
Zheng Ren smiled and did not pay attention to him, but asked Song Ying, "Do you know the patient history?"
"Know a little." Song Yingdao "It is said that two months ago, the eyes of the Song Master's past future, the heavens condemned, the eyes can not see things.
Going to John Hopkins, the diagnosis is diabetic eye disease, giving treatment to control blood sugar, improving microcirculation, anticoagulation, etc., the effect is not good.
Said, he paused.
"It may also be that Master Yan does not cooperate."
"What medicine to control blood sugar?" Zheng Ren asked.
"The Chinese herbal medicine he has collected has been controlled for decades and the effect is not bad."
"Is it really useful for Chinese medicine to control blood sugar?" Su Yun was surprised, and then smiled "Not less than 10, if it has been controlled for many years, the effect is really good."
Usually, many patients take oral Chinese medicine to control blood sugar, but most of the effects are not good, and finally changed to subcutaneous injection of insulin.
The ability to control blood sugar is good, combined with exercise to improve the body environment.
There is a joke that says that a person has high blood sugar and runs every day. Later, when the blood sugar dropped, he got lung cancer.
This is the smog of the Tudor Emperor, but there is some truth to it.
"Look at the patient, the ophthalmoscope shows that it is indeed a vascular lesion, but there is no picture of the ophthalmoscope. Hopkins's life, dry is not very detailed." Zheng Ren is a rare spit.
"Tell and show the picture to you, you can understand it." Su Yundao.
"Although it is not an ophthalmologist, it is relatively sensitive to blood vessels," Zheng Rendao said.
"I am a doctor in cardiothoracic surgery." Su Yun said coldly.
This product never forgets that he is a thoughtful person, Zheng Ren smiled and continued to look through the case from the beginning.
Song Ying looked at the dedicated Zheng Ren ~ EbookFREE.me ~ some feelings.
Cooperating with the famous Master Yan, there is only one patient in the eyes of Zheng Boss.
Speaking of the land division, how many people are rushing, but Zheng is not interested.
When it comes to patients, Zheng Bo has begun to get up.
This person is embarrassed, and success, especially in technical success, is absolutely no accident.
Soon, the car drove to a small manor near Xiangshan and stopped at the door.
The place is good.
Su Yun gave an evaluation.
The house here is more than just a good one. Song Ying smiled and led Zheng Ren and Su Yun into the yard.
There are a lot of furnishings in the yard, which are very pleasant and pleasant.
Although Zheng Ren does not understand, he feels very good, but elegant does not give people a simple feeling.
Chu Huainan stood in the yard and greeted Zheng Ren.
I haven't seen it for a while, Chu Huainan seems to be in a good mood, still so thin, but the color is good, the face is red.
"Zheng boss, come." Chu Huainan reached out.
The two shook hands, and Zheng Ren just smiled and said nothing.
"This time, I am careless, Zheng boss is not strange." Chu Huai Nan said frankly.
"Nothing, just look at a patient, don't be so polite." Zheng Ren smiled.
"Please inside." Chu Huainan let Zheng Ren into the house.
The living room is large, and a few chairs are placed inside, which looks slightly empty.
An old man sat in the guest seat, holding a plate of translucent teapot in his hand, and was drinking tea leisurely.
"Strict Master, Zheng Boss is here." Chu Huainan introduced.
Master Yan looked up and Zheng Ren saw that his eyes were dull, and it was really embarrassing. The system panel is slightly red, and several diagnoses appear in front of you.
After looking at the diagnosis, Zheng Ren took a moment.
Not a diabetic eye disease?
.