I don't know when it began, a type of news frequently appeared in the medical aesthetic circle.

"Something happened to an institution! Fat embolism again".

With the popularity of light medical aesthetics and microplastic surgery, more and more women choose to fill their faces, breasts and other parts through autologous fat grafting in order to pursue perfection.

Fat particles form fat globules that enter the brain and enter the lungs as pulmonary embolism.

When the diameter is greater than 20 microns, these lipid droplets will stay in the blood vessels, and under the action of lipase, the neutral lipid droplets are hydrolyzed into free fatty acids and glycerol.

Toxic or chemical vasculitis occurs when blocked blood vessels are stimulated by fatty acid toxicity.

Vascular endothelial cells then detach from the basal membrane.

When the integrity of vascular endothelial cells is destroyed, permeability increases, blood pressure extravasation, and foamy sputum resembling pulmonary edema occurs;

At the same time, the interstitium of the lungs is severely damaged, leading to refractory hypoxemia.

If left untreated, it can be life-threatening.

According to the physical examination, the patient had undergone breast filling surgery, and there was an obvious incision in the armpit, and the plastic surgeon removed the muscle and fat from the chest, and then inserted the implant into it, and then fixed it.

It may seem like a simple operation, but in fact it is extremely risky.

Even in regular hospitals, it is not a minor surgery and is extremely dangerous.

When performing an appendicitis operation in a regular hospital, the doctor asks the patient's family to sign an agreement, and most of the family members and patients disagree, thinking that the doctor is deliberately causing trouble, and even hinting at whether to give a red envelope.

In fact, every article in the surgical condition notice has been confirmed by precedents in the history of medical development, in other words, every explanation is exchanged for human life, and it is by no means an extra move, let alone alarmist.

However, many private plastic surgery hospitals often ignore the risks in order to allow patients to receive treatment.

Outside the emergency room, Fan Ying heard that a fat embolism was diagnosed causing a pulmonary embolism, and her face changed instantly.

As a doctor, I naturally know how terrible a pulmonary embolism can be.

She was lucky at first, perhaps an air embolism.

However, it turned out badly, pulmonary embolism!

The lethality rate is more than 50 percent!

Air embolism is not at all the same level as fat embolism.

For example, when a syringe is used to inject a tube of air into a blood vessel, or when diving in the deep sea, the air pressure changes, resulting in lung flatulence.

There is no good way for fat embolism, thrombolysis, anticoagulation, antiplatelet, and the cost is like running water, but the actual effect is almost equal to nothing.

This treatment is all about itching in the shoe, because once too much medicine is given, it is easy to cause heavy bleeding.

Fan Ying has red eyes, she has worked for so many years and has done a lot of filling, but it is the first time she has encountered this situation, she has heard reports on the Internet before, as for that peer, she ended up very miserably, not only to take responsibility, but also to be violently attacked by the Internet.

"What should I do?" Fan Ying looked at Meng Hao pleadingly.

Except for himself, no one else came to the plastic surgery hospital and hid far away.

Meng Hao rushed over as soon as possible, if he hadn't stopped him, the patient's family would most likely have to make a move on him.

Meng Hao reassured: "Don't worry, the fourth child rescued it personally, it should be fine." ”

Fan Ying can only pin her hopes on Zhao Yuan at this moment.

In the operating room, Zhao Yuan's face was solemn, and he had thought of many methods, but they were still ineffective.

In the memory of two times, there is not much that can be done about this situation.

Not only is there no way to prevent the vascular embolism caused by the fat grafting process, such as blindness, cerebral infarction, pulmonary infarction, etc., but the rescue measures are also fateful.

Huang Ming Zhao Yuan glanced at it, what should I do?

Zhao Yuan's eyes showed a determined look, "Mannitol is quiet to lower blood pressure, ready to open your chest!" ”

Interventional thrombectomy is not useful for this procedure.

It's like a fat block in a hot pot, how can you clip it out with chopsticks.

Open the ribcage, find the location of the emboli, and forcibly remove it.

Zhao Yuan knew that he had to hurry up for surgery.

Otherwise, if the lungs are necrotic, then the lungs can only be cut, the embolus will run to the brain, and even the craniotomy will be required.

Zhao Yuan found the patient's husband outside the operating room, "The situation is not optimistic. ”

The husband was about to collapse, "Dean Zhao, please, if someone dies, our family will be ruined." As long as you revive her, I will make you a cow and a horse. ”

Next to them stood the patient's mother and father, both of whom had red eyes.

The mother choked up and said, "She has been thinking about plastic surgery for a long time." Before giving birth to a child, her body was out of shape. She works in a jewelry store and may have heard ridicule from her colleagues. Before she had surgery, she was very hesitant and scared, alas, she would have stopped her if she knew I would. ”

Zhao Yuan took a deep breath, "You sign, we will try to rescue people back." ”

After her husband finished signing, Zhao Yuan walked into the operating room.

Several Uncle Hats came to the scene after receiving the alarm.

The husband pointed at Fan Ying and said, "It's me who called the police." This plastic surgery hospital cares about people's lives, and you must arrest them. ”

Uncle Hat frowned, began to understand the situation, learned that it was medical malpractice, and took Fan Ying to the police station.

On the one hand, it is to maintain order in the hospital.

On the other hand, it is to prevent Fan Ying from being beaten by the patient's family.

Meng Hao accompanied Fan Ying to the police station.

It didn't take long for Uncle Hat to walk into the interrogation room with a serious face, "My colleague can't contact the person in charge of your hospital. Can you help get in touch? ”

Fan Ying took out her mobile phone, found the boss's phone, dialed it, and no one answered.

Then she called a colleague.

The colleague's tone was helpless, "We are also looking for the boss, he is out of touch." ”

When encountering something involving human life, the boss played the disappearance technique.

How will the patient's family spare themselves?

Fan Ying couldn't control her emotions anymore, and lay on the table and cried.

Meng Hao sighed secretly, not knowing what to say, so he could only pat Fan Ying on the back.

Fan Ying's mood was particularly broken at the moment.

Although she did not enter a public hospital after graduation, she has always felt that her job is quite good, and in terms of income, in her second year of work, she has surpassed the students who graduated in the same period.

Two years ago, Fan Ying went to Bangguo for further study, and after coming back, she became the hospital's golden signboard and plastic surgery expert.

Fan Ying's income is also rising, with an annual income of one million, which is not much better than the department director of a tertiary hospital.

So at that class reunion, Fan Ying seemed very confident, and even exchanged glasses with Zhao Yuan.

In Fan Ying's view, in terms of income, he is not much worse than Zhao Yuan.

But it turns out that he and Zhao Yuan are far behind.

When the patient's family heard Zhao Yuan's name, the emotions in their eyes at that time were completely different from those looking at themselves.

Look like a murderer.

Look at Zhao Yuan like a life-saving straw!