Vol 3 Chapter 2353: How great is a doctor who can do TIPS?
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Live Surgical Broadcast
- 真熊初墨
- 1161 characters
- 2021-03-01 09:05:23
"A study in the journal Cell showed that the carnivorous streptococcus pyogenes that cause necrotizing fasciitis" abducted "neurons, using the normal communication mechanism between neurons and the immune system to survive after human injury or infection.
One of Liu Xu's faces was bewildered. He was a radiologist in a small border town, where did he know what neurons and immune system.
"When the body is injured, the nervous system sends two signals, one tells the brain and produces pain, and the other suppresses the immune system, thereby avoiding collateral damage to healthy tissues caused by an excessive immune response."
"The mouse model found that carnivores take advantage of this mechanism to increase host pain and release immune silence by releasing the bacterial toxin streptococcus hemolysin."
"The human body is very wonderful. Bacteria are our natural enemies, as it is said in this study. They are very intelligent and must not be careless."
"Brother Yun, can you simply say it?" Liu Xuzhi scratched his head and said a little embarrassedly.
"That is to say, you will feel very painful. The physical response will naturally reduce immune rejection, causing the immune system to be silent and not responding to carnivorous bacteria." Su Yundao, "When there is a reaction, it will be late at the end."
After listening to him, Liu Xuzhi felt the bloating sensation from his right index finger, and felt a little pain.
"Injecting and feeding" calcitonin gene-related peptide "blockers to infected mice, so that immune cells do not listen to the instructions of neurons, carnivorous infections are suppressed." Su Yun continued: "You don't need to know what is Calcitonin gene-related peptide, just go to the hospital for symptomatic treatment. "
Liu Xuzhi nodded again and again.
"Lao Liu, it's not just talking to you." Su Yun aggravated his tone. "In the words of our people, I was eaten. Many patients have been eaten with muscles and large areas. Cut open, Debridement, at least half of the patients in the end still can't be saved. "
Liu Xuzhi was frightened by Su Yun's "terrifying alarm", and his heart throbbed, even forgetting to watch the operation of Boss Zheng.
The air-tight lead door slowly opened, and Zheng Ren came out of it.
It was only then that Liu Xuzhi noticed that he had just listened to Yun Brother's story, and Boss Zheng had already completed an operation.
The speed of this operation ...
Inside, a clinical doctor was pressing to stop bleeding, Zheng Ren asked, "Did you finish?"
"No, I haven't found any relevant cases for Lao Liu." Su Yundao, "In the past two years, I have seen them occasionally send related cases in the group, but to find out in detail, I don't want to eat seafood for a lifetime, and I see seafood all over my body. Uncomfortable ones, take some time. "
Zheng Ren expressed his regret. When will Su Yun be serious about this product?
"It shouldn't be a problem, just to prevent it in case." Zheng Ren said very seriously: "24-48 hours is a dangerous period. Take a closer look. If the local swelling is too fast, go to the hospital immediately."
"Uh-huh." Liu Xu nodded in a hurry.
"That's how Lucien Bouchard, a senior official in Quebec, Canada, died," Su Yun said with a smile, and Liu Xuzhi said, "The Nobel Prize winner in physics also died of carnivorous infection."
"..."
The more he talked about the more evil, Liu Xuzhi's heart was swollen.
"Well." Zheng Ren nodded, instead of correcting Su Yun's alarmist talk, he said, "Besides streptococcus, common in seawater are Vibrio vulnificus and Vibrio parahaemolyticus."
"There is a saying now that with the greenhouse effect, the area where carnivorous mushrooms are spreading is rapidly expanding." Su Yun continued to add a sentence, letting Liu Xuzhi give up the fantasy of fluke.
The capital of Liu Xu is about to cry. I can't go to the doctor. Don't scare me, OK?
"It's okay, old Liu." Su Yun patted Liu Xuzhi's shoulder and said, "You know what the boss did during the surgery."
Liu Xuzhi nodded.
"Even if it is debridement, the boss can have a greater certainty than others to keep you from dying." Su Yun said with a smile: "However, the operation may not be possible."
Is this comfort? Liu Xuzhi didn't know. After listening to the words of Boss Zheng and Yuner, his mood became even more tense.
Even Boss Zheng just has more assurance that he can't die ... isn't it still possible to die?
It's so terrifying.
What did you do? It's just a prawn, is it?
Liu Xuzhi's nose and eyes were twisted together, his face was a little gloomy.
"Just know the fear, don't have surgery in these two days." Zheng Rendao, "The following operation, you follow me."
After hearing Boss Zheng's words, Liu Xuzhi was a little confused.
"You stand behind me and look at some of the problems I will tell you face to face." Zheng Rendao, "After going back to think about it. Surgery, not only to continue to practice hands, but also to think about it."
Then, Zheng Ren pointed his finger at his head.
Liu Xuzhi nodded, indicating that he knew.
"The kind that was milled out by surgery is a carpenter who can only be skilled and sell oil. Use your brain to figure it out ~ EbookFREE.me ~ forget it, anyway, I don't think you have any talent in it, learn and learn No. "Su Yunshun said.
Su Yun's words, Liu Xu had a very strong immunity.
When I was in Pengxi Township, I didn't know how many similar things I heard when Yun Geer said. Not only himself, even Professor Mu of Pengcheng was sprayed with Yun Geer's last word.
Liu Xuzhi grinned and stood up, seeing the next patient brought up, he helped to position him, Zheng Ren brushed his hands, dressed, and immediately started the operation.
Su Yun slumped on the seat with Erlang's legs lazily, and Lin Jiaojiao said, "Sister Lin, old Liu Pi should resist the construction."
Lin Jiaojiao laughed and said, "Yeah."
"I know you wonder why the boss and I didn't come. Although I didn't say it, I was still a little bit awkward."
Lin Jiaojiao froze for a moment. Is this the rhythm of Yun Geer's showdown?
"That's why you don't know how good a person would be for TIPS." Su Yundao.
Lin Jiaojiao carefully tasted Su Yun's words.
Once in 912, Director Kong was the first to perform TIPS. She also remembered clearly that Director Kong had done the first operation for at least 5 hours.
When he finally came down, he already had symptoms of hypoglycemia. He opened a bottle of 10% glucose by himself and drank it to Director Kong.
High anxiety, unsuccessful repeated puncture, and unsuccessful anxiety, and wearing dozens of pounds of lead clothes for surgery, these are the main causes of hypoglycemia.
How can I not know the difficulty of TIPS surgery, not to mention more than ten years ago, even the surgeons who can successfully perform a single puncture are rare.
Just thinking about it, Lin Jiaojiao suddenly hesitated, she understood Su Yun's meaning.
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