Chapter 253: Surgery Is Not a Panacea (Subscription Requested)
Ruan Bin listened to Tang Liang's words and was slightly silent. Although pulmonary hypertension is at its most severe, a lung transplant is the best way to go.
But just because the surgery is successful doesn't mean you're completely healthy!
As it happens, in the face of many diseases, sometimes surgery is often not a panacea!
For example, after a successful lung transplant, there is also a need to face whether the lung and the autologous will be rejected, whether it will be infected and other complications.
In the past, there were cases of death due to severe infection and rejection after lung transplantation.
Solid organ transplant patients need to take anti-rejection drugs for a long time, such as cyclosporine and mycophenolate mofetil, which will inhibit the function of T cells, resulting in a decrease in human immune function and the occurrence of infection.
The chance of multiple potential opportunistic infections is also significantly increased 1-6 months after transplantation due to the highest degree of immunosuppression. For example, Bacterium fractionalis, especially in some patients, latent tuberculosis may develop into miliary tuberculosis, and Listeria monocytogenes is infected by eating food containing the bacterium (e.g., eating milk products that have not been properly pasteurized).
Treatment is directed where etiological evidence is available, but may often be empirical. Drugs for these opportunistic infections, which are not common in the general population, are also quite expensive.
In fact, Ruan Bin wants to ask at this moment, since the doctor has told you that your wife has pulmonary hypertension and is not suitable for having children, why do you insist on giving birth?
There is no miracle medicine in this world, it does not mean that you can get better after taking medicine!
You have explained all of the above clearly, you all have to stubbornly have children, and in the end, it's not yourself who suffers?
"After the lung transplant, the immunity is greatly reduced, and even lung rejection occurs, and taking medicine and checking on time may not be completely avoidable. Ruan Bin explained.
"Doctor, my wife will be fine, right? If something happens to her, what can my son who is not yet a year old do!" Tang Liang said very panickedly at this time.
"This still needs to wait for the final test results, so I'll contact the doctors of respiratory surgery and cardiovascular surgery to come and consult with you. Ruan Bin said.
In this kind of thing, their emergency department is not very helpful, so it is better to leave it to the doctors of respiratory surgery and cardiovascular surgery.
In this case, it is not a problem that can be solved by surgery!
Even if he opens the hanging, it can't be reversed!
Lung infection, conservative treatment can only be treated with medication, or another lung transplant! But do you think that lung transplantation can be done?
But the lung source of the whole country and the world is in short supply of lungs, and this Pan Juanjuan has already used the lung source once, and the second time, to be honest, he thinks it may not be high, and it is not easy to find a match.
Another is that it may not get better after the second lung transplant, what if the second infection?
The stakes are huge!
And the medical expenses are also very huge, starting from four or five hundred thousand at every turn!
Ruan Bin quickly notified the doctors on duty from the Department of Respiratory Surgery and the Department of Cardiovascular Surgery to come for consultation.
Just as they arrived, the final test results were also in.
The respiratory surgery department came with an attending doctor named Lu Tie, and the cardiovascular surgery department came with an attending doctor named Wu Zhicheng.
When they heard that it was Pan Juanjuan, they just put down their work and came here.
This patient is certainly familiar to them!
They were fortunate to be assistants in the lung transplant operation more than half a year ago, especially the successful case of lung transplant surgery that made their two departments appear in the local news report.
"I have a limited amount of time, so I can only do these inspection reports, you can see. Ruan Bin handed the inspection report in his hand to the two of them.
"Lung fungus combined with Acinetobacter baumannii infection and pulmonary edema?" the two of them looked at each other when they saw this examination report, and their hearts were chuckled.
Although it is not possible to confirm whether the lungs are rejected, this infection and pulmonary edema are very problematic!
"It's been more than half a year, and there is still an infection after all!" Lu Tie took a breath, his face changed slightly.
"If there is rejection of the lungs again...... It is estimated that it is even more complicated!" Wu Zhicheng said solemnly. Even...... A second lung transplant is needed!
"Unless the infection can be controlled, if it can't be controlled, then ......" Lu Tie said with a solemn face. If you can't control it, you will either wait for death or a second lung transplant!
"Dr. Nguyen, take us to meet the patients and their families, we need to communicate with them in detail. ”
"Good!"
Soon came to the ward.
At this time, Pan Juanjuan was inhaling oxygen and replenishing fluid.
Tang Liang was restless in the ward.
Soon the two doctors told Tang Liang about the seriousness of the matter, which frightened Tang Liang's face like dirt.
"I just asked someone to check your regular inspection records, why haven't you come to our hospital for regular inspection in the past three months? Our front desk should have urged you to come for inspection, why didn't you come?" Wu Zhicheng asked in a deep voice.
Tang Liang, who asked this, blushed, and said: "My wife and I have been checking for more than half a year, and we have not found any problems, and it is troublesome to check, and the cost is not low, we thought that it should be fine if we insisted on taking medicine, but we didn't expect ......" Tang Liang regretted.
In fact, his family is an ordinary working family, his wife gave birth to a child, and it cost a total of 6.7 million yuan for lung transplantation, and after the lung transplant, he needs to take medicine every day and go for a check-up once every half a month.
The family is really struggling.
Later, I saw that half a year had passed, and there was no, so I thought about letting my guard down and saving some money by the way. I didn't expect this province to save problems!
"You...... Alas......"
Ruan Bin and the others shook their heads after hearing this.
"Doctor, can my wife be cured?" Tang Liang asked anxiously.
"It's hard to say, our current plan is to continue to control the infection with drugs first, try not to get worse, and second, perform pulmonary edema surgery on your wife to extract the hydrops. If the infection can be controlled, it should not be a big problem, if it is not well controlled......"
The results speak for themselves!
That night, Pan Juanjuan was transferred from the emergency department to the Department of Respiratory Surgery, and the operation to pump lung water was also done by the Department of Respiratory Surgery.
After the patient left, Ruan Bin continued to be busy.
It was busy until one o'clock in the morning.
At this time, there were almost no new patients in the emergency department, and Ruan Bin took out some supper, taking advantage of the gap before the takeaway arrived and chatted with the nurses at the front desk. I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~