Chapter 899: Lucky with spare organs
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The Surgeon’s Studio
- Black Ursa Prime
- 1630 characters
- 2021-04-11 11:32:17
() On the stage, during the operation, to show the classroom consultation, Zheng Ren is also the first experience.
However, the patient's situation is not optimistic. It can even be said to be very complicated and hopeless. If there is no constructive opinion on the hospital consultation, it will only be able to step down and die.
The two weigh the pros and cons, and can only make such a choice.
Even at 912, this is rarely the case. The directors were all serious, sitting in their seats and watching Yuan’s deputy dean sitting on the stage, each with their own thoughts.
The main entanglement is also in the operation of kidney transplants.
If it is done, the patients on the stage will not be able to survive, and will also bring irreversible damage to patients with severe burns, how to explain to the family members of the patients.
The patient's case has been printed dozens of copies and one person. Because there is only an emergency rescue process, so three eyes and two eyes, everyone will finish reading.
The brothers are very sick, and a kidney can't keep it. The other one, a large area burn, has tracheotomy, respiratory burns, aspiration pneumonia, people can not keep ... ... is also a high probability can not be saved.
It is estimated that this patient will die very badly after suffering a certain period of pain. Everyone in the room knows about the serious burns.
But what about it? Injury to a certain extent, the role of the medicine stone is limited, no matter how good the doctor, then a powerful comprehensive hospital can do nothing.
If a kidney transplant was performed, the two brothers died in the end, and another unscrupulous media turned things around and poured oil on them, fearing that it would be difficult for 912 to cope with such things.
"Cough." Seeing people coming together, Vice-President Yuan coughed twice and said: "Close the door, everyone talks about opinions, speak freely, but the speed is fast."
Zheng Ren looked down at the medical record and was another boy.
The skill points of my own burn department are really low. Zheng Ren did not go to the system space to see that he is the level of the attending doctor.
However, this level is enough.
Vice President Yuan did not mention the things behind the rescue. Why did he personally come to the operating room and direct the rescue after receiving the news. Zheng Ren is also not gossip, putting the mind on the patient's condition.
The condition is very heavy and particularly heavy.
This pair of brothers, the condition is very heavy, the probability of being able to survive, add up to less than 1%.
It was a tricky one, and Zheng Ren frowned and sighed slightly.
Seeing Zheng Ren’s virtue, Su Yun felt a little desperate. He is the most fascinating of his boss. In Haicheng, Su Yun even had an illusion that as long as people can live to the hospital, the boss can save him. (Note 1)
But now, even he is helpless?
It seems that this is not right, just the boss said that you can do a kidney transplant.
Just the kidney transplant in this extreme case, how will the family choose? What do people in the society think about eating melons?
But these and Su Yun have nothing to do, he is the same as the mirror, do not do this surgery, he and Zheng Ren said not to count. Even the director of the urology department said that it is not counted, it depends on the meaning inside the hospital.
Time is tight, the face is still pressing to stop bleeding, the kidney is missing, there is a problem with metabolism, and the process of discussion in this surgery is certainly not very cumbersome.
All the pressure is on the body of Vice President Yuan.
When he saw no one talking, he directly named it and asked Miao to explain the situation of the patients on the operating table.
In fact, there is nothing to say, simply saying that three words are not working.
The director of the burn department just went to the emergency room eicu to see the patient, but also a look of sadness.
He thinks that the patient is not optimistic.
Because of the huge area of burns, the patient's fluid loss is now severe. In the venous access, only a vein near the left ankle can establish a venous access.
The accumulation of liquid can not enter, the patient has entered a state of sudden death.
This is not counting, even if the liquid can go in, the patient's tracheotomy, very serious pulmonary edema, respiratory burns, it is extremely difficult to rescue.
Coupled with large area burns, there is no place for autologous skin transplants. This makes the later recovery process extremely complicated and unpredictable...not unpredictable. He believes that this burn patient cannot be skin grafted, and in the end there will be countless complications leading to multiple organ failure and death.
However, when the doctor, who does not want to save the patient?
The consequences are unpredictable, and they can be regarded as a kind of official language, only representing good ideas.
These opinions, the director of the burn department, all raised it. Without saying the conclusion, they will silence.
They are old doctors who have been through the battlefield and are well-known professors in the country. In this case, let's not say the conclusion, everyone knows what the final conclusion is.
Vice-President Yuan’s eyes were like eagle owls. He looked around the classroom and several directors gave a brief speech. His eyes finally fell on Zheng Ren’s body.
"Whoever said that you can do a kidney transplant, stand up and say."
Zheng Ren looked at the medical records in his hand and the whole person entered the gods. It was not until Su Yun hit the elbow joint a few times that it slowed down.
He saw Vice-President Yuan look at himself, and he took it all over and stood up.
"I will talk about my opinion." Zheng Ren did not report to his home. He said directly: "The patient with burns, the venous access problem, can be solved by the interventional department or the vascular department. As the operation of the calf vein, the indwelling channel, It should not be difficult. The problem of fluid input can be solved under the tube to the inferior vena cava. Respiratory burns and pulmonary edema, I believe that the burn department has similar treatment experience with icu. Now, we are facing a patient with kidney needs. Excision, another patient has no for skin grafting."
"Two patients, twins, may have the same egg. In this special case, I suggest that you should have a kidney transplant after the patient's family has been approved. The burn patient is a severe burn of more than three degrees and cannot heal itself. After the kidney transplant patient recovers, the skin source can be provided and multiple skin grafts can be used to solve the problem."
Zheng Ren said that it is very simple. On the way, he has already had a preliminary idea in combination with system diagnosis and task description.
Because the big pig's hoof is rarely seen this time, it gives tips to identical twins. If this is the case, everything is possible.
Kidney transplantation, for Miao director or 912, is not a problem at all. Even Zheng Ren, as long as he is willing to open the master's skill book, and then training for gold, it is not a problem.
Burn skin grafting, the focus is on 95% of the skin burns of the injured person, as well as postoperative care, the operation is basically no difficulty.
Zheng Ren believes that his proposal is the most suitable for the current situation.
The two brothers, providing and kidneys to each other, as long as there is no rejection, the original s-grade surgery, perioperative treatment, directly reduced to a grade.
But even doing so is a dead end. On both sides of the abyss, if you accidentally fall down, you will die without a place of burial~EbookFREE.me~ Many times, doctors have to face the disease, but the hearts of the people.
"How do you know that they are twins?" asked Vice President Yuan.
"The emergency doctor who sent the film said, I remember." Zheng Rendao.
"As a director, is that the case?"
The head of the emergency department nodded and said: "The patient's father said that the two patients are twins."
Zheng Ren sat down, and other people did not have any good opinions. Things are forced to this step, do not have surgery, depends on the hospital's responsibility and the patient's family is recognized.
Vice President Yuan did not say anything, just quietly thinking.
The rest, it is necessary to look at this dean.
There are only two roads, needless to say. Is Zheng Ren’s consideration really appropriate?
Identical twins, the lucky ones who claim to have spare organs. Not all twins are identical, non-identical, and the rejection of transplantation is still very large.
Seeing Vice President Yuan was immersed in meditation, and the directors were silent. Many people do not agree with Zheng Ren’s whimsy.
Risk is something that everyone considers.
But this pot, let the dean come back.
Who will pay attention to the hospital?
"First loose meeting, Miao director, you stop bleeding, give me ten to fifteen minutes." After that, he waved his hand and gestured for the meeting.
This kind of intraoperative discussion would not have been a long time. There is only one way, which is what Zheng Ren said.
Vice-President Yuan looked at the back of Zheng Ren, sighing in his heart, young and so good, not afraid of risk, a heart is really sturdy! Rich Chinese
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