Medical Immortals come from the future

Chapter 240 Keeping a Secret
Putting aside the excitement and curiosity in my heart for a while, Kanger's eye injury is the most important thing now.

Sima Qing explained Kang'er's situation to them in detail, and knowing that the situation was not particularly serious, they all felt relieved.

"Then what to do next? How to treat this injury?"

"Conservative treatment and surgical treatment can be adopted for orbital blowout fractures. Early detection and judgment of the nature of eye movement restriction are particularly important. Just now I have done a CT multi-slice orbital scan for him, and the CT showed a linear fracture combined with muscle strangulation. Surgical intervention was necessary."

Sima Qing took them to visit the "magic" CT machine and explained it to them.

The brothers of the Zheng family and Long Luochen, the laymen, were just watching the excitement, but Mei Ruotian and the others had several questions one after another.

"Then what kind of situation is conservative treatment?"

"For those who have no extraocular muscle bluntness clearly shown on CT, and few intraorbital soft tissue herniations into the maxillary sinus, close observation can be made for a few days before deciding whether to undergo surgery."

The conservative treatment method is that diplopia is the result of edema and inflammation, and a larger dose of glucocorticoid should be given to reduce the edema and inflammation caused by contusion and reduce the formation of adhesions.The application of hemostatic agents and vitamins can reduce tissue bleeding and promote the recovery of temporary motor nerve paralysis caused by contusion.Dehydrating agents may also be given to reduce interstitial edema.

Orbital reconstruction may also be an option for some patients if diplopia persists after several days of daily activities.

"Then this operation, should it be done?"

"How do you do surgery on such a small eye?"

"Endoscopic surgery."

"What is an endoscope?"

"...you will know later."

Next, they moved to the operating room and watched Sima Qing operate on Kang'er under a small instrument.

Because Kanger was still young, it was definitely unrealistic to let him lie awake on the operating table, so he was still given a small-scale anesthesia to temporarily put him in a coma.From the moment he entered the space, the brat was completely honest, and he didn't cry when he got the injection.

Why?Cough cough, because a certain doctor promised him that after the operation is completed, he will take him to catch tigers and see rhinos...

Children are silly and naive.

Through the endoscope, Sima Qing took the scalpel from Mei Ruotian, and slowly cut off the skin under the eyelashes.

After the incision, the periosteum was incised from the inferior orbital rim, and separated along the periosteum to the deep layer of the orbital floor to expose the orbital floor fracture, free the extraocular muscles and soft tissues embedded in the fracture area, and reset them.

This eye surgery is definitely the most delicate branch of surgery.

Seeing Sima Qing's movements that were more delicate than embroidery, everyone couldn't help but salivate.

This operation is actually relatively simple, and with the blessing of an endoscope, Sima Qing did it extremely easily.While doing the operation, I also talked and laughed with them, and I didn't forget to talk about popular science.

"The mechanism of orbital blowout fractures includes orbital fluid pressure theory and orbital floor buckle pressure theory. The former believes that external force acts on the soft tissue in the front of the orbit, causing a sudden increase in orbital pressure, and part of it is absorbed by the soft tissue in the orbit. According to the principle of hydraulic transmission , Orbital intraorbital pressure causes fractures at the weakest part of the orbital wall. The orbital wall is thinner than the ethmoid bone, and the back of the infraorbital sulcus is also thinner, which is a site prone to fractures. Because the fluid pressure acts on the soft tissue at the same time, the soft tissue is embedded at the fracture site or embedded within the maxillary or ethmoid sinus."

"The latter believes that when the orbital rim is impacted by a sudden object, the orbital floor bone and periosteum are displaced and deformed backward, and orbital floor linear fractures and periosteum tears occur, and soft tissues are embedded at the same time. When the external force disappears, the orbital floor bone The soft tissue quickly returns to its original position, while the soft tissue repositions relatively slowly, causing the soft tissue to become embedded in the fracture."

"Endoscope?"

"In fact, an endoscope is a common device in Western medicine. It consists of a flexible part, a light source, and a set of lenses. It enters the human body through the natural orifice of the human body, or through a small incision made by surgery. When used, the endoscope is inserted into the pre-determined The inspected organs can directly peek at the changes in the relevant parts."

Medical endoscopes are also divided into three categories: rigid tube endoscopes, fiber optic (hose) endoscopes and electronic endoscopes.

Now the space hospital only has this kind of rigid tube endoscope, which is the worst kind. In the 22nd century, the electronic endoscope has been developed to the eighth generation, and it cannot be more advanced.

To Sima Qing, this kind of hard-tube endoscope is like an antique, and she has only seen it in books.But at this time, she can't be too greedy. It is already a great gift to have such an endoscope. Although she can complete the operation without this instrument, it is not a little bit of effort.

……

After half an hour, she completed more than half of the operation.

The orbital wall was repaired and the enophthalmos was corrected at the same time. The subperiosteum was filled with synthetic materials and a piece of hydroxyapatite bone chip.The implant is larger than the bone hole and placed subperiosteally.

The reason for this is that the filler can move the eyeball up and forward, improving the enophthalmos and making it normal.

"Phew, it's done."

Following the cutting of the last suture, Sima Qing let out a breath.

The whole operation took 52 minutes, Sima Qing curled her lips, the efficiency is a bit slow, you must know that the shortest time record for this kind of operation in her previous life was only 28 minutes.

It took almost half the time longer.

Others don't know what Sima Qing is thinking at this moment, but they may have to vomit blood, and this efficiency is too slow!
When following Sima Qing to the bathroom to wash her hands, Mei Ruotian couldn't help but look at her again.

There was such a trace of fatigue on her face, but with an indescribable brilliance.He has seen this kind of brilliance before, every time she sees a patient, every time she finishes the operation, there is always such a light on her face, as if she has done the most beautiful thing in the world.

She took off her gloves, flicked a little blood on her fingers, lifted them up and rinsed them under the faucet.

Her hands are a pair of white and slender hands with straight and long fingers, and her skin is as flawless as jade.She didn't have long nails like other women in the boudoir, let alone dye them with impatiens.Her nails are neatly trimmed, slightly pink, each crystal clear, with a pearl-like luster.

It is such a pair of hands that dare to snatch life from the hands of the god of death, and can delicately embroider on the incomparably complicated human body.

Looking at her hands, Mei Ruotian suddenly felt that her throat and head were getting hot, and she couldn't look any longer and looked away.

……

The operation was successfully completed, and a big stone in everyone's heart fell to the ground.

They finally knew why Sima Qing exposed this space at that time, because the environment here is completely incomparable to the outside, and it is impossible to complete such an operation in the "operating room" outside.

When Sima Qingkong came down, he had time to take them around the space himself.

From Yaoshan to Xiaoxi, from advanced kitchens to hospitals, from Chinese pharmacies to western pharmacies... She survived amidst a sea of ​​exclamations and a hundred thousand whys.

I looked at the time and felt that it was time to go out. Although there was a flow rate, the time outside was not short. Don’t wait, the family members couldn’t help curiosity and sneaked outside the house to have a look, only to find that all the people in the room disappeared out of thin air. Well, why not be scared to death?

And this time they are almost done shopping, let them digest slowly after going out.

"I've already let you know the biggest secret. I believe you all remember what you promised me before you came in, right? Keep it a secret!" Sima Qing reminded them a little worriedly.

In fact, she wasn't afraid that they would talk all over the place, but she was afraid that they would accidentally slip up or something when they were too excited.

"Junior Sister, don't you still believe us? Don't worry, we know the seriousness of this matter."

"Yeah, you trust us so much, and you are willing to let us see things that we may not be able to see in this life, how can we betray you?"

"I hope Miss Qing'er you won't regret it."

Sima Qing smiled brightly: "What are you regretting? Regret letting you guys know this secret? Well, actually, I've been burdened with this secret all by myself, and I've had a very tiring life. Many things have to be covered up, like many good things. Take it out, it’s good now, you all know it, and you can understand me in the future. Hehe, everyone must cover for me in the future!"

"Miss, are we the first people to come in?"

"That's right, you are the first batch of people. Ah, no, the first batch of people to come in are Imperial Doctor Mei and Princess Nan!"

"The princess also knows? No wonder, you two are so close."

Originally Liu Yu and Long Luochen knew that Mei Ruotian was the first person to share such an important secret about her, and they both felt a little sour in their hearts, but now they heard that there was another Nan Rumeng who also knew it, and they felt sour. Just a little bit of balance.

Mei Ruotian also saw the small thoughts of the two of them, and felt a little inexplicably proud in her heart.

That's right, he was the first person to know such an important secret of Sima Qing. Does this mean that his position in her heart is different or important?

Well, that's right, it must be like this, no matter what, at least he is the first person to share her secrets compared to Liu Yu or Long Luochen!

I have to say that Comrade Mei Ruotian is naive.

After taking some medicines that Kang'er needed after the operation, the Space God sent them out together.

Nearly half a day has passed in the space, but only about an hour has passed outside.

The room was still the same as before, with four or five oil paper lamps and six or seven candles lit.The candle has almost burned to the end, the base is covered with circles of thick wax, the candle light is much weaker, and the oil paper lamp occasionally makes a crackling sound like snapping fingers.

Suddenly transitioning from a bright and unobstructed space to this dark environment, everyone rubbed their eyes, feeling very strange in their hearts.

"Wow, our juggling tricks are back again!" Yuner said with a look of surprise.

(End of this chapter)