When Yang Ping rushed to the interventional operating room, Qin Xiaowei was sitting on a bench at the door, burying his head and putting his hands in his hair.

Probably hearing footsteps, Qin Xiaowei looked up and saw Yang Ping, as if he saw hope, and immediately got up: "Professor Yang, Ah Jun is in the rescue." ”

Yang Ping pressed his shoulder: "Don't worry, I'll go in and have a look." ”

"Ah Jun had a pulmonary embolism before, but the symptoms were very mild, and the doctor said at that time that he was lucky, but if he was unlucky, he would have a fatal pulmonary embolism, and the hope of successful rescue was very small."

Qin Xiaowei was anxious and tired, his face was covered with oil and shining.

His words are right, the probability of success of life-threatening pulmonary embolism rescue is very low, from onset to death is generally an average of two hours, and the fast few minutes are gone.

The embolus of pulmonary embolism comes from the veins, generally from the veins of the lower limbs, the biggest harm of the embolus is to block the blood vessels, if the peripheral parts are blocked, quietly cause venous return disorders, once the embolus falls off, it will flow back to the heart with the venous blood, and then flow from the heart into the pulmonary artery, the artery is getting thinner and thinner, and the embolus cannot pass through somewhere, it will block the pulmonary artery or branch blood vessels.

Blood vessels are blocked, and a chain reaction occurs.

As a result, the pulmonary arteries are blocked, the pulmonary artery pressure suddenly increases, and the cardiac output drops dramatically.

A sharp decrease in cardiac output causes circulatory failure, especially acute right heart failure, leading to shock, insufficient blood supply to important organs, such as cerebrovascular and coronary arteries, which in turn causes syncope and even death.

A large number of small emboli stimulate blood vessels to cause vagus nerve excitation, stimulate platelets to release serotonin, thromboxane A2, etc., nerve reflexes cause coronary artery, pulmonary artery, bronchial artery spasm, pulmonary hypertension, right heart failure, refractory hypoxemia.

After Yang Ping comforted Qin Xiaowei, he entered the interventional operating room with Song Zimo, while Xu Zhiliang, Gao Qiao, Robert and others stayed outside.

The interventional surgeon moved quickly, and an angiography of the pulmonary artery appeared on the screen.

The chief surgeon is Director Ji, Director Ji and Director Guan are the two trump cards of the interventional department, and Director Guan is the director of the department, and he has deep attainments in cardiovascular intervention; Director Ji has comprehensive skills, almost all interventional surgeries are carried out, and he is very proficient.

"The development is very rapid, the main trunk of the pulmonary artery is embolized, I first mash it, then melt it with a thromboablator, and the rest is thrombolyzed with local drugs."

"You see, after I opened it here, it was like snow, and it was immediately thickened again, and I will pound it for a while."

"It's not good!"

Director Ji has cooperated with Yang Ping, so he is very familiar with Yang Ping.

"The diameter of the pulmonary artery is normal and there should be no spasm, indicating that the vagus nerve is not excited and there is hope."

In fact, Yang Ping has also received a lot of interventional surgery training in the system operating room, but he usually does not use it much.

"That's right, your doctors found it early, fast, and delivered it in time, otherwise there would be no chance to go to the operating table."

Director Ji was very satisfied with Li Guodong's performance.

Li Guodong stood beside him: "These are the basic requirements that Professor Yang usually asks us. ”

At this time, it was still a sycophant, but it was true that Li Guodong did a good job this time, if it was a few minutes later, it would be another ending.

Rescue is really a race against time, seize the time, you can be saved, miss the opportunity, and have no power to return to the sky.

Director Ji operated while talking, mashing the large thrombus, and then melting the rest with a thrombolytic device, and finally the remaining thrombus, he used a catheter to inject alteplase into the thrombus, and the operation effect was very good.

After the thrombus is eliminated in time, the coagulation function does not completely collapse, just like the snow stops, and the blood vessel wall does not accumulate snow again, which can naturally remain unobstructed.

Director Ji observed for a few minutes, felt that there was no problem, and asked the doctors in the audience:

"How's the blood oxygen?"

Director Ji asked the doctors in the audience.

"Eighty percent."

The anesthesiologist in the audience replied.

How can this work, this is still ventilator ventilation, and it is filled with high-flow oxygen.

High-flow oxygen ventilation should not be too long, otherwise oxygen toxicity will be caused.

"Get on ECMO, hurry up!"

Blood oxygen has not been able to rise, so ECMO (extracorporeal membrane oxygenation device) can only be used, otherwise if it is in a state of low oxygen for a long time, the brain and other important organs will be damaged by hypoxia.

ECMO is only available in the ICU, and Director Ji is more experienced, as soon as he saw Li Jun's CT picture, he knew that it was very dangerous, so he contacted the ICU in advance and sent an ECMO to be on standby in the operating room, and now it is just in time.

Without ECMO, this guy has little chance.

After connecting to ECMO, Li Jun's blood oxygen began to rise, all the way to 100%.

The extracorporeal membrane oxygenation device replaces Li Jun's lungs and performs artificial lung circulation.

"Send to ICU!"

Director Ji handed over the finishing work to his doctors, and took off his gloves and surgical gown.

"Let's go and explain it to his family."

Director Ji invited Yang Ping to communicate with the family.

The two came out of the interventional operating room, and Qin Xiaowei immediately got up and asked anxiously, "Professor Yang, how is it?" ”

Yang Ping said calmly: "Temporarily rescued, but it may be because of pulmonary infarction, refractory hypoxemia occurs, and a special machine is needed to replace the function of the lungs, so that it is possible to pass the dangerous period." ”

Qin Xiaowei heard that there was still hope, so he didn't hesitate: "Professor Yang, I agree, I sign!" ”

Before the operation, Li Jun wrote a power of attorney to Qin Xiaowei, giving him carte blanche to be responsible for signing his medical decisions during his hospitalization at Sanbo Hospital.

"This cost is very expensive, not included in the medical insurance, 50,000 yuan for start-up, at least 20,000 yuan a day after, plus other treatment fees in the ICU, the follow-up treatment fee is above 50,000 yuan per day, how long it lasts, I don't know now, whether it can be saved in the end, and I am not sure."

Yang Ping had to explain to Qin Xiaowei.

"That is to say, the cost is high, and it is likely that there will be no people and money at that time, are you willing to do this?"

Director Ji added bluntly.

Feelings are one thing for many things, but reality is another thing, and the doctor must tell the family about the current situation and choose to do it by the family themselves.

Sometimes in this case, huge financial resources are invested, and in the end the person still does not keep it, and some families have to weigh the pros and cons, whether to continue or give up.

Give up, psychologically can't get over; But continue to insist, the whole family will get in, and the second half of the life will be the day to repay the debt.

"There is very little hope!"

Director Ji's heavy tone.

"I understand, help Ah Jun get on this machine, no matter what, try my best to rescue, I will go to raise money, please!" Qin Xiaowei did not hesitate at all.

He threw himself to his knees.

"Save him, you must save him, no matter how much money it is, I have a way to raise money, Professor Yang!" Qin Xiaowei's voice was hoarse, and his face was covered with sweat.

I didn't expect Ah Jun to be so serious, the previous doctors didn't scare him, and the fatal pulmonary embolism was almost impossible to rescue.

Now Ah Jun still has a glimmer of hope, and he will definitely not give up.

"Don't do that, get up and talk." Yang Ping helped him up.

Qin Xiaowei's trembling hands opened his waist bag and took out a thick stack of money from it: "I'll pay the money now." ”

Then he took out the folded document and opened it: "Look, this is the contract, as long as I sign it, there will be an advance payment of one million, you see, you can call and ask this company, it's true." ”

Yang Ping found his hand: "Xiaowei, don't get excited, we have already put Ah Jun on the machine, and we will do our best." ”

Qin Xiaowei nodded: "Thank you, please, you must save Ah Jun." ”

Li Jun was pushed out of the operating room, and was now in a coma, Qin Xiaowei rushed up, grabbed Li Jun's hand, there were still tears on his face, and said while sobbing: "Ah Jun, don't be afraid, I'm here, don't be afraid, you must be fine---"

Li Jun seemed to understand Qin Xiaowei's words, and tears oozed from the corners of his eyes.

The cart kept pushing Li Jun to the ICU, Qin Xiaowei was blocked out, he sat on a chair in the family waiting area, very tired, but he forced himself to cheer up.

He searched in his mind for various ways to raise money, and just had a little money on hand, thinking that he could cope with a kidney replacement.

But people are not as good as the sky, and now these tens of thousands of dollars are a drop in the bucket.

Borrowing money from a friend?

But he quickly dispelled this idea, the relationship was relatively good, and he understood the economic situation, this problem that could be solved without thousands of dollars and tens of thousands, and there was definitely no way to make up hundreds of thousands.

Others, after asking, ask in vain, borrowing money, even if they are quiet, people will not borrow.

Qin Xiaowei held a contract in his hand, held it tightly in his hand, he carefully opened it, read it again, and then put it in his pocket.

At this time, the ICU doctor came out and called Li Jun's family.

In the meeting room, several informed consent forms were placed in front of him, and the doctor introduced Li Jun's current condition in detail, Qin Xiaowei had no heart to listen, he just signed.

"Is there anything else you don't understand?" The doctor asked.

Qin Xiaowei was a little dazed: "How is Ah Jun?" Can I go in and see him? ”

The doctor shook his head: "With the support of the extracorporeal membrane oxygenation device, my vital signs are stable at the moment, and I can't visit now, if I can visit, I will notify you." ”

After saying that, the doctor got up to leave.

Qin Xiaowei remembered something again: "Doctor! ”

The doctor stopped and looked back: "What's the matter?" ”

"If he can hear it, help me tell Ah Jun, I'm outside, let him not be afraid, I have a way."

Qin Xiaowei requested.

The doctor nodded: "If he wakes up, I will definitely tell him the original words, your mobile phone is kept unblocked, don't leave the hospital too far, there is a change in his condition, we will keep you informed." ”

"Don't worry! I'm right around the corner. Qin Xiaowei assured.

After the doctor left, Qin Xiaowei sat in the last row of the family waiting area, took out his mobile phone, and dialed a number.

The family waiting area in the ICU is now empty and he is the only one.

The other party's voice was gentle: "Xiaowei, how is it, how do you think about it, let me tell you, the cliff you chose is not good, the cliff that our boss picked is exciting, the current netizens have very high tastes, there is not enough excitement, it is difficult to attract attention, the "Extreme Thief" Angel Waterfall rock climbing, you are more familiar than me, our boss is looking for it according to that cliff, so it is definitely an instant hit, with your skills, as long as you are fully prepared, there will be no problem?" Wealth is in danger, there is no free lunch in the world, millions are so easy to get, right, brother! Moreover, if this cannon hits, you will be worth more than these millions in the future. ”

"I've thought about it and agreed to the terms of the agreement." Qin Xiaowei said calmly.

"Then find a time to come to the company, I tell you the truth, how can we have this ability, behind the support of large companies, it is inconvenient for large companies to come forward, we just come forward on his behalf, you come over and sign the words, the one million prepaid will arrive immediately, after the matter is completed, the remaining five million will not be less, six million, many people can't make money in their lifetime, I also want to do this job, but I can't do it, people want you by name."

"Also, brother, we will buy you tens of millions of life insurance, I'm not cursing you, this is the industry rule, so you don't have to worry about the future."

The other party was very welcoming.

"I've been busy these days---"

"It's okay, where are you, give me a position, I'll come to you to sign, okay, Brother Xiaowei, I also want to thank you, if people don't fancy you, how can we have the opportunity to cooperate with big companies, I also owe you a blessing, follow to earn a little money."

When the other party heard that Qin Xiaowei agreed, his tone became even hotter.

Li Jun's vital signs were stable with the support of the extracorporeal membrane oxygenation device, and at least his life was temporarily held, but it is not known when he will be able to wean.

When Yang Ping came out of the ICU, Qin Xiaowei was still sitting in the family waiting area, Yang Ping greeted him and told him: Li Jun's vital signs are stable now, and the ICU doctor will not look for him for the time being, let him go to eat.

In the afternoon, the game that has not been played has to be continued.

Rescue is a daily routine for doctors, and there are people in the buildings of Sanbo Hospital every day.

Even if there is a fierce game on the basketball court, it may be that which department is carrying out a tense rescue.

---

The next day, Yang Ping went to the ICU to see Li Jun, and on the chair in the family waiting area, Qin Xiaowei, who was lying down, got up.

"Heaven Descends"

"You slept here all night?" Song Zimo asked in surprise.

"Yes, I'm afraid that Ah Jun's condition will change, I sleep here, and the doctor will be able to find someone quickly."

The young man rubbed his bloodshot eyes and had a somewhat shy expression, he was really afraid that if the doctor couldn't find him, he would give up on resuscitation.

Yang Ping led everyone into the ICU, and Li Jun's vital signs were stable.

The extracorporeal membrane oxygenation device is placed next to it, making a unique sound, and the blood flows out of Li Jun's body, passes through an artificial machine, and after oxygenation, it is then injected into Li Jun's body to supply oxygen to various organs.

"It's stable for the time being! I just don't know if it can be offline! Long-term use of anticoagulants has caused its own coagulation function to be disordered, so it is easy to develop blood clots. ”

The director of the ICU accompanied Yang Ping.

"Yes, I had it once before, but fortunately, it was mild and there was no major problem."

Yang Ping talks with the director of the ICU.

Song Zimo, Xu Zhiliang, Gao Qiao, Robert, and August gathered around Li Jun's bedside, and Song Zimo changed Li Jun's dressing and checked the surgical incision.

Many ICU doctors and nurses came to watch, and they were very curious when they heard that Yang Pingke had several foreigners studying in the field.

In addition to worship, everyone still worships, and at a young age, they actually let foreigners come across the ocean to study.

And looking at the expressions of these foreigners, they look like grandsons.

"This kind of kidney should be replaced as soon as possible, otherwise even if it passes now, it will be a bomb in the future."

What the ICU director means is that if the kidney is replaced, there is no need for such frequent dialysis, and naturally there is no need to use anticoagulants frequently, and the coagulation mechanism can return to normal.

"He never found the source of the kidney."

Yang Ping said casually, as for Qin Xiaowei having successfully matched with him, Yang Ping didn't say it.

"His cousin is quite affectionate and righteous, and he paid another 300,000 this morning, and it seems that he is determined to save it, in this case, many families will give up symbolically after a few days."

The ICU director has seen a lot of life and death.

Many parents and brothers gave up in the end, and I have never seen my cousin so powerful.

Qin Xiaowei paid 300,000? Yang Ping was also a little surprised, could he really sign that contract and get one million.

Although Yang Ping didn't know what the contract was, he felt that this young man was indeed affectionate.

PS: If it's a chapter, it must be a big chapter, and this chapter has more than 4,000 words! That's two chapters!

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