After having a supper in Liu Ziang's office outside the brain, Zhao Heng returned to the anesthesiology department, and when he looked at the time, it was already four o'clock in the morning.

Such nights are also the norm for Zhao Heng.

Choosing the profession of a doctor is equivalent to choosing such a life of day and night.

Statistics show that surgeons, especially anesthesiologists, have the highest probability of sudden death among all professions.

Standing in front of the window of the office, Zhao Heng looked out the window, Beishi at four o'clock in the morning, it still looked very lively.

It was four o'clock in the morning, and it was already impossible to sleep, Zhao Heng came to the computer from the window and sat down, it was time to finish the paper on the effects of anesthetic drugs on organs.

After writing this paper, coupled with the previous article on brain function and consciousness recovery, Zhao Heng can be regarded as having a preliminary foothold in the academic world.

After Huang Lao returned to China, he must also improve his schedule for applying for a master's degree and a doctorate.

As for professionally, the wool on the doctors of the East Hospital has not yet been cleaned up, and from time to time, on other surgeons, Zhao Heng can still pick up relevant skills and experience.

At present, Zhao Heng can be said to be a rare doctor who is proficient in general practice.

At the same time, he is proficient in so many medical categories, which makes Zhao Heng's views on medicine, diagnosis and treatment, and other doctors completely different from each other.

Anesthesia is just a primer.

For Zhao Heng, the future will be promising.

turned on the computer, Zhao Heng put on a Bluetooth headset, took out his mobile phone, swiped the net cloud suppression music, and opened a song "Singer" from the female anchor singer Xiu Xiuman.

"I saw my love

I flew to her side

I brought out a gift for her

That's a small piece of frozen time."

Inside the headphones, a melodious and full female voice came.

This is a song sung by a female anchor that Zhao Heng likes to listen to recently, and this song is the theme song of the final season of the "Three-Body Problem" radio drama.

The time to concentrate on writing the paper passed quickly, and finally, Zhao Heng finished writing the last word of the twelve-page paper.

Zhao Heng raised his head and saw that it was already bright outside the window, and when he looked at the time, it was already half past seven in the morning.

Zhao Heng stood up, stretched his waist, and came to the brain surgery intensive care unit again.

It just so happened that when Zhao Heng went in, Liu Ziang was also there.

It seems that he is still very concerned about this patient's situation.

"Senior, how is the patient?"

Zhao Heng asked Liu Ziang, who was standing beside the hospital bed with a not relaxed face.

"It's very bad, because the skin on the surface of the body has been burned and carbonized by the electric current, and now the patient has a very serious infection, and there is a tendency to develop DIC."

Liu Ziang shook his head slightly and said.

For the patient in front of him, who can be said to have been snatched from the hands of death, Liu Ziang certainly hopes that he can get better.

But the reality is not satisfactory, being able to hold on to the operating table and get off the operating table alive is already very fateful!

The DIC mentioned by Liu Ziang is disseminated intravascular coagulation, which promotes extensive fibrinosis in small blood vessels due to the diffuse activation of the coagulation mechanism in the blood, resulting in tissue and organ damage; On the other hand, the depletion of coagulation factors causes a tendency to systemic bleeding.

The two contradictory manifestations coexist in the course of DIC disease development and constitute a specific clinical manifestation.

In patients with DIC multi-organ dysfunction syndrome will be the leading cause of death.

Most importantly, the DIC fatality rate is as high as 31%~80%.

"Nowadays, patients have to have a large amount of blood transfusion, but if there is too much blood, there is a high possibility of allergies, fever, and transfusion-related circulatory volume overload."

After a pause, Liu Ziang said worriedly.

It is rare to see Liu Ziang so worried, and it seems that the situation of this patient is really very tricky and not optimistic.

Blood transfusion here is actually a transfusion of large "allogeneic red blood cells", and the supernatant of allogeneic red blood cells may contain cytokines, chemokines, and cell-derived particles that cause a pro-inflammatory response of the recipient immune system.

"In that case, wouldn't it be better if the allogeneic red blood cells were washed before the blood transfusion?"

Zhao Xu thought for a while and said.

He was inspired by dialysis.

"Since allogeneic transfusion has some side effects, bedside washing of allogeneic red blood cells can be performed as needed, so that some soluble factors can be removed and the concentration of soluble factors associated with adverse transfusion reactions can be reduced."

"Moreover, allogeneic red blood cell washing, which can remove cytokines, chemokines, and microvesicles associated with respiratory complications caused by blood transfusion, can also reduce the likelihood of antibody-mediated transfusion-related acute lung injury by effectively removing the vast majority of proteins."

After a pause, Zhao Heng said again.

"Well, your idea, it sounds feasible."

Liu Ziang listened to Zhao Heng's suggestion, and after thinking about it for a while, his solemn face relaxed a lot, and he looked at Zhao Heng's eyes and appreciated it even more.

In his opinion, Zhao Heng not only has a very solid professional quality, but more importantly, his ability to solve problems is also very strong.

When many other doctors are helpless, Zhao Heng can always put forward an effective treatment plan from a special angle that others have not thought of.

This kind of ability is very rare.

Professional quality can be practiced, this idea, how to practice?

"Let's go and take a break, with this idea you proposed, the patient's survival probability has been greatly improved."

Liu Ziang said to Zhao Heng again.

In fact, tonight's operation, Zhao Heng was more tired than him and Jiang Rui.

After all, he and Jiang Rui were only responsible for part of the operation, and they could take a little rest during the period, but Zhao Heng followed the whole operation, and he had to monitor the patient's vital signs at any time and adjust the intraoperative medication, which was very great for a person's mental pressure.

Liu Ziang saw all this.

"Okay, call me if you have something."

Zhao Heng nodded.

"It's okay, allogeneic red blood cell washing, I'll contact the doctor in the nephrology department to do it."

Liu Ziang said.

This allogeneic red blood cell washing process is actually similar to dialysis.

Zhao Heng nodded, he was indeed tired.

When he came back from the brain surgery again, Zhao Heng looked at the time, it was already ten o'clock, at this point, the person who came early had already come to work.

Zhao Heng sat in the office, and after preparing to hand over the shift, he went back to rest.

At this time, Xu Manni came in from outside the office, and when she saw Zhao Heng's haggard face and two big dark circles under her eyes, she couldn't help but say very distressedly: "Why did you stay up all night?" ”

"There's a patient outside the brain who has to cooperate with anesthesia."

Zhao Heng smiled and said.

"Huh? Liu Ziang again? Why does he always drag you to do this kind of major surgery that you do overnight? I'll have to talk to him. ”

When Xu Manni heard it, why was it another operation with Liu Ziang.

This is related to Liu Ziang, and there is no operation that can be less difficult, and it is only the kind of major surgery that can be done overnight.

"It's okay, I'll go back to sleep when the shift is over."

Zhao Heng smiled and said.