897 Hospital-wide consultations on the stage
No urine,
The left kidney was removed,
The right kidney looks slightly intact, but it is also seriously injured. If it had been another operation, the right kidney would have been cut off earlier, and it would have been repaired as desperately as now.
"Director Miao, shall I go to the other side to help?" Zheng Ren felt that the position of the second assistant was awkward, and asked in a low voice.
"Go ahead. Director Miao was not disgusted by Zheng Ren's initiative, and let him go directly.
Professor Yang's side has been repaired with liver and spleen, and the bleeding of the injured person has basically stopped.
Now there is only one question - how to save the right kidney.
The surgeries that should have been done have been done, and the operating table seems to be much empty.
Professor Yang first took off his lead coat, and then came behind Zheng Ren to watch the operation intently.
As soon as he looked at it, he immediately judged that the patient was dead.
The kidneys are already brittle, and if you do a kidney segment resection, you can bleed after a month. Like this sewing ...... Postoperative ...... Not to mention after the operation, the patient is now no longer urine.
Director Miao's operation is getting slower and slower, and it seems that he is struggling.
It's time to give up, that's what everyone in the audience thinks. But who can tell?
This child, maybe he is a college student, maybe he has just entered society, and the best years of his life are about to wither before he blooms?
Although he knew that he couldn't do it, Director Miao was still working hard.
Even if there is only 1 hope, there is 01 hope, he doesn't want to give up.
There was a series of footsteps in the hallway, and Zheng Ren heard it, but ignored it. The patient in front of him looked hopeless, and although his blood pressure was stable, he did not urinate.
Even if the patient is sent to IU after surgery and has a dialysis machine, the patient still dies while waiting.
However, the big pig's trotters did not give the task that could not be completed, and the patient's big pig's trotters were judged to be S-level surgery.
There are S-class surgeries in urology? Kidney cancer and renal segment resection are already the limit.
Wait, it seems that there is also a kidney transplant.
But in such a short period of time, where to find a kidney source?
The earliest case of a kidney transplant immediately came to Zheng Ren's mind.
In 196, Soviet doctor Voronoy successfully transplanted the kidney of a man who died of encephalitis to a 26-year-old patient with acute renal failure who was poisoned with mercury. (Note 1)
This is the world's first successful human-to-human kidney transplant, but the patient did not survive more than 1 week after the operation.
Because of the rejection of the body.
"How is the patient's condition, can he be saved?" Vice President Yuan walked in and asked in a deep voice.
With his eyes converging, Director Miao felt that the pressure suddenly increased.
He didn't speak, just shook his head.
"Can't save your kidney?" asked Vice President Yuan. It seems that he had already done a certain understanding of the patient's situation before he came.
"Well, my left kidney was shattered and had my blood pressure removed. The right kidney ......" Director Miao simply stopped and asked Vice Dean Yuan to take a closer look.
The tattered right kidney appeared in front of Vice President Yuan's eyes.
It's all clinical, I've never eaten pork, and I've seen pigs run.
What the kidneys are like and how difficult it is to suture, Vice President Yuan knows in his heart. When he saw the messy, broken kidneys, he fell silent.
"Director Miao, do your best. Vice President Yuan then said, but in the end, he still sighed softly.
I can only do my best.
This sentence is like ordinary people's understanding of surgery, the doctor comes out, as long as he says that we tried our best, it means that the operation has failed, and the patient will definitely not be able to do it.
In the operating room, there was a gloom.
Life and death have seen a lot, and no one cares. But the boy was still very young, and if he could save it, everyone wanted to try it.
But......
A long sigh.
"If you need anything, just tell the hospital, and I will try to fight for you. Vice President Yuan said a word, frowned and turned around.
Seeing this situation, he already knew it in his heart.
Next, you have a good idea of what to do.
"The hospital is qualified for organ transplantation. ”
Vice Dean Yuan was about to leave, when suddenly a voice sounded in the operating room.
Well?
Organ transplantation?
Vice President Yuan was stunned for a moment and said, "Of course there is." ”
"The patient's left kidney is completely broken, and the right kidney should not be saved, so I recommend a kidney transplant. Zheng Ren calmly looked at Vice Dean Yuan's back and said.
He didn't know who Vice President Yuan was, and he didn't know that when he was transferred to 912 Hospital, it was Vice President Yuan and President Yan who nodded.
But looking at the momentum, this should be the vice president in charge of clinical practice. Just didn't know what was going on, he personally came to the operating room to see the patient's condition.
Zheng Ren has been thinking about why the system should give itself an S-level task standard. Shouldn't this kind of injured person be unsalvageable?
It wasn't until Director Miao put down the instruments just now, and everyone thought that the operation must have failed and the patient was bound to die, that Zheng Ren found that the words identical twins were clearly marked in the task.
What a stupid thing! The kidney source is there, why haven't you noticed it all the time?
Zheng Ren had a flash of inspiration, and immediately thought of the need for state-recognized qualifications for organ transplantation.
So he blurted out directly.
Which big guy is on the other side.
When Jung In is in the emergency room, he forgets everything. Everything is patient-centered, and the rest of the hypocrisy and politeness should be left for later.
"What about the kidney source?" Director Miao was stunned for a moment and asked.
"I heard the emergency department inpatient who sent the film before always say that they are twin brothers. Zheng Ren said: "You can use his kidney." ”
In the "......" operating room, there was silence.
Director Kong did not stop Zheng Ren's words, this Boss Zheng's unbridled thinking has gone beyond the concept of ordinary interventional doctors.
It's just that what he said this time is really difficult.
However, Director Kong immediately remembered that he had spent one night in the emergency department of Haicheng First Hospital, and he couldn't remember how many surgeries Zheng Ren and his team had performed. Anyway, Zheng Ren has been on the operating table, either interventional or general surgery, until dawn.
It's really a reckless talent.
"Are you sure?" Vice President Yuan did not question Zheng Ren, after all, he was a patient who was going to die, and no matter how whimsical he was, it was also a way to solve the problem.
Otherwise, you can only watch the patient die.
Joseph E. Murray died in Boston in 2012. In 1954, he successfully performed the world's first kidney transplant. Well, it's a success, and the patient is a pair of identical twin brothers. Zheng Ren looked at Vice Dean Yuan and said.
"This is very similar to the problem we are facing. ”
Vice President Yuan looked at the monitor, because the bleeding arteries stopped bleeding, and the patient's blood pressure was rising.
He pondered for a moment and said, "Organize the hospital consultation, it's here!"
Director Xu of the Department of Anesthesiology immediately found someone to go to the teaching classroom, and then asked Vice Dean Yuan who he wanted to notify, and began to call one by one.
Surgery, paused.
……
……
Note 1: One says 19 years. In all kinds of materials, the time is really different. Even the first kidney transplant that won the Nobel Prize, I found one of the times marked in the specific literature.