() On the stage, during the operation, Zheng Ren also experienced it for the first time.

However, the patient's situation is not optimistic, and it can even be said that it is very complicated and hopeless, and if the hospital does not have any constructive opinions in the consultation, he can only step down and wait for death.

The two weigh the pros and cons, and they can only make such a choice.

Even in 912, this is rarely the case. The directors had serious faces, sat in their seats, and looked at Vice President Yuan sitting on the stage, each with their own thoughts.

The main problem is whether to do or not to have a kidney transplant.

If it is done, the patients on the stage will not be able to be saved, and it will bring irreversible damage to the patients with severe burns, how to explain to the patient's family.

The patient's medical records have already been printed in dozens of copies, one for each person. Because there is only an emergency rescue process, everyone has seen it all after three eyes.

Both brothers were seriously ill, and one kidney could not be saved. The other one, with extensive burns on the body, has tracheotomy, respiratory burns, aspiration pneumonia, can the person be saved...... There is a high probability that it will not be saved.

It is estimated that this patient will die a miserable death after a certain period of painful suffering. All of you here know about severe burns.

But so what? To a certain extent, the effect of the medicine stone is limited, and no matter how good the doctor is, no matter how powerful the general hospital is, it will not be able to do anything.

And if there is a kidney transplant, both brothers die in the end, and then there is an unscrupulous media to turn things around and add fuel to the fire, I am afraid that even 912 will have a hard time coping with this kind of thing.

"Ahem. Seeing that everyone had arrived, Vice President Yuan coughed twice and said, "Close the door, everyone will talk about their opinions and speak freely, but quickly." ”

Zheng Ren looked down at the medical records, it was another boy's.

The skill points of his own burn department are really low, Zheng Ren didn't go to the system space to look at it, and it is estimated that he is also the level of the attending doctor.

But with this level, it is enough.

Vice President Yuan did not mention the things behind the rescue, why did he come to the operating room in person as soon as he got the news and direct the rescue. Zheng Ren also does not gossip, and focuses on the patient's condition.

The condition is very serious, very serious.

This pair of brothers is very sick, and the probability of surviving is less than 1%.

It's really tricky, Zheng Ren frowned and sighed slightly.

Seeing Zheng Ren's virtue, Su Yun felt a little desperate. He knows best how wicked his boss is. When he was in Haicheng, Su Yun even had a hallucination that as long as the person could be sent to the hospital alive, the boss would be able to revive him. (Note 1)

But now, even he is helpless?

It doesn't seem right to say this, just now the boss also said that you can do a kidney transplant.

It's just that in this extreme case, how will the family choose a kidney transplant? What will the people in society think about the melon-eating masses?

But these have nothing to do with Su Yun, he is the same as a mirror in his heart, whether he will do this operation or not, he and Zheng Ren have said that it doesn't matter. Even Director Miao of the Department of Urology said that it doesn't matter, it depends on the meaning of the hospital.

Time is pressing, the side is still compressing and stopping bleeding, the kidneys are missing, and there are metabolic problems, and the process discussed during this operation will definitely not be very cumbersome.

All the pressure is on Vice President Yuan.

Seeing that no one spoke, he directly named and asked Director Miao to explain the situation of the patients on the operating table now.

In fact, there is nothing to say, simply put, three words will not work.

The director of the burn department had just gone to the emergency EICU to see the patient, and he also had a sad face.

He doesn't think the patient is doing well either.

Because of the enormous size of the burns, the patient now has a significant loss of fluids. In the case of venous access, only one vein near the ankle of the left foot can establish intravenous access.

Mountains of fluid could not get in, and the patient was in a near-death state.

This is not counting, even if the liquid can get in, the patient has a tracheotomy, very serious pulmonary edema, respiratory burns, and it is extremely difficult to rescue it.

Coupled with extensive burns, there is no place where you can transplant your own skin. This makes the recovery process extremely complex and unpredictable...... Nor was it unpredictable, he believed that the burn patient would not be able to have a skin graft and would eventually die of numerous complications leading to multiple organ failure.

But who doesn't want to be a doctor and bring patients back to life?

The consequences are unpredictable, and it can be regarded as an official saying, which only represents good ideas.

The director of the burn department put forward these opinions, and without saying a conclusion, he fell silent.

They are all battle-hardened old doctors and well-known professors in the country. In this case, needless to say the conclusion, everyone knows what the final conclusion is.

Vice Dean Yuan's eyes were like falcons, looking around the classroom, and after several directors spoke briefly, his gaze finally fell on Zheng Ren.

"Who said that you can do a kidney transplant just now, stand up and say it. ”

Zheng Ren looked at the medical records in his hand, and the whole person fell into a trance. It wasn't until Su Yun hit his elbow a few times that he recovered.

When he saw Vice President Yuan looking at him, he thought about it in his heart and stood up.

"Let me tell you what I think. Zheng Ren didn't report to his family, and said directly: "For burn patients, the problem of venous access can be solved by the interventional department or the vascular department." It should not be difficult to do the surgery of the calf vein, and the indwelling channel should be done. The tube is lowered into the inferior vena cava, and the problem of fluid infusion can be solved. Respiratory burns and pulmonary edema, I believe the burn department has a similar experience with the ICU. Now, we are faced with the problem of one patient having both kidneys removed and another patient having no skin flap to graft. ”

"Two patients, twins, have the possibility of being identical. In this particular case, I recommend that you get the approval of the patient's family before performing a kidney transplant. Burn patients have severe burns of more than three degrees and cannot heal on their own. After the kidney transplant patient recovers, skin source can be provided, and multiple skin grafts can be used to solve the problem. ”

Zheng Ren said very simply, on the way here, he already had a preliminary idea based on system diagnosis and mission description.

Because the big pig's trotters are rare this time to give tips to identical twins. If that were the case, everything would still be possible.

Kidney transplantation is not a matter at all for Director Miao or 912. Even Zheng Ren, as long as he is willing to click on that grandmaster-level skill book, and then kryptonite training, it is not a matter.

For burn skin grafting, the focus is on 95% of the skin burns on the injured person's body, as well as postoperative care, and the operation is basically not difficult.

Zheng Ren believes that his proposal is the most suitable for the current situation.

The two brothers provided each other with skin flaps and kidneys, and as long as there was no rejection, the original S-level surgery and perioperative treatment were directly reduced to A-level.

But even if it does, it's a dead end. There is an abyss on both sides, and if you accidentally fall, you will die without a place to be buried.

Many times, doctors have to deal not with the disease, but with the human heart.

"How do you know it's twins?" asked Vice Dean Yuan.

"The emergency doctor who brought the film said a word, I remember. Zheng Rendao.

"Director Ren, is that so?"

The director of the emergency department nodded and said, "The patient's father said that these two patients are twins. ”

Zheng Ren sat down, and the others didn't have any good opinions. Things are coming to this point, and whether or not to do surgery depends on whether the person in charge of the hospital and the patient's family approve it.

Vice Dean Yuan didn't say anything, just thought quietly.

The rest is up to you, the dean.

Roads, there are only two, needless to say. It's just Zheng Ren's consideration, is it really appropriate?

Identical twins, known as the lucky ones with spare organs. However, not all twins are identical or non-identical, and the rejection of the transfer is still very large.

Seeing that Vice Dean Yuan was deep in thought, the directors were also silent. Zheng Ren's whimsical ideas, many people do not agree.

Risk is something that everyone considers.

But let the dean carry this pot.

Who pays attention to it?

"Break the meeting first, Director Miao, stop the bleeding on your side, give me ten to fifteen minutes. With that, he waved his hand and motioned for the meeting to adjourn.

This kind of intraoperative discussion would not have been very long. There is only one way, which is what Zheng Ren said.

Vice President Yuan looked at Zheng Ren's back and sighed in his heart, it's good to be young, not afraid of risks, a heart is really strong! Fupin Chinese