The whole night was relatively peaceful. A few times the nurse said that the pupils were suspected of being dilated. Yang Ping got up personally to see Principal Ding's pupils, which were completely normal.
Pupils are measured every fifteen minutes, and under the illumination of a flashlight, it is easy for people to have subtle illusions. If this illusion is coupled with the nurse's excessive nervousness, normal pupils can easily be regarded as a high-risk sign by the nurse.
.
The biggest fear within 24 hours after surgery is incomplete hemostasis. Now it seems that the hemostasis of the surgery is perfect. Even a small amount of bleeding can be fatal. The next challenge is the edema of the brain tissue. Generally speaking, surgery
The gentler the operation, the more careful the protection of brain tissue, and the smaller the possibility of postoperative edema.
Many delicate surgeries must be detail-obsessed, and each step must be meticulously detailed to achieve good results. Failure in any link will destroy the effect of the entire surgery.
The next morning, Yang Ping had to go back for something else, so he took Xu Zhiliang back to Sanbo Hospital and left Song Zimo in Annex 1 to continue to be responsible for Principal Ding's postoperative diagnosis and treatment until the high-risk period for brain edema passed.
Xu Zhiliang had almost no communication skills and would be very unreliable if he stayed here, so he could only keep Song Zimo.
A week later, Principal Ding had no cerebral edema and woke up from a coma. At this time, the operation could be declared successful, but now he encountered a big problem. His kidney function had failed and he was in the end stage of renal dysfunction--
- Uremia, and the hemofiltration effect is not good, so the only option is kidney transplantation.
For kidney transplant matching in this relatively emergency situation, the matching can only be done from relatives. After the relatives are successfully matched, an ethical review will be conducted. Only after the ethical review is passed, the kidney transplant surgery can be performed.
For this reason, Yang Ping had to make another trip to Nandu Affiliated One. At this time, Principal Ding had woken up, but his mental state was very poor. He was still lying in the ICU. Director Yao of the Organ Transplantation Center Affiliated to Nandu and Director Wen of ICU
, Director Lu of the Department of Neurosurgery gathered together to discuss Principal Ding’s condition.
"The bedside hemofiltration machine for uremic patients has always been ineffective. We don't know why. We have encountered this kind of patient before. The unexplained hemodialysis effect was not good, so we can only place our hope on kidney transplantation." Department of Nephrology
Director Wang is the protagonist of this consultation.
"If you really plan to have a kidney transplant, it is best to carry out matching in advance, and it is best to have a successful match from family volunteers." Director Yao of the Organ Transplantation Center said worriedly.
Because of the special characteristics of this kind of patient, they cannot undergo dialysis while waiting for a kidney source like ordinary uremic patients. Once dialysis is completely useless for this kind of patient, where can the kidney source come from in a hurry? Where can the kidney source come from?
Very nervous.
Guan Ruyan, Ding Xinyu and Lu Xiaolu attended President Ding's consultation meeting as family members. Professor Su turned to ask Ding Xinyu: "What do you think? If the family members can have suitable volunteers, the kidney source matter will be easier to handle. If
The waiting time for a donor may be very long."
"I agree to family donation. I can participate in the matching. I am his daughter, so I should be able to successfully match." Ding Xinyu was worried about her father's condition and agreed without hesitation.
Director Yao said: "This is not necessarily true. Theoretically speaking, family matching has the highest probability of success, but it is not necessarily true."
"I will also sign up. Although I am not a family member, I am willing to donate a kidney to Principal Ding." Lu Xiaolu raised his hand.
Director Yao said: "You are not a relative, so the ethical review will be stricter."
"Xiaolu, if you are not related by blood, the success rate of matching is not high, and it will increase the difficulty of the matter. I can understand your feelings. I also want to donate a kidney to Teacher Ding, but there is no blood relationship. The ethical review is very troublesome and it is easy to make mistakes.
, we must be rational, and when it comes to being anxious, I am more anxious than anyone else, but I can’t be in a hurry because of this.” Guan Ruyan persuaded Lu Xiaolu to retreat, but it was actually for his own sake. If Lu Xiaolu was involved in matching, how could he, as a son-in-law, step into the battle?
Withdraw.
But Guan Ruyan really doesn't want to participate in the matching. What if the matching is successful? He is definitely not willing to donate this kidney. Not to mention Principal Ding, even his own parents are not willing. Why should he donate a kidney?
Give it to him, but you can't talk like that on the surface.
"Yes, Professor Lu, you are not related by blood to Principal Ding. You should be cautious about this matter. We advocate that blood-related relatives voluntarily donate, but it is also voluntary, without any moral compulsion. It must be completely voluntary and without any moral pressure.
"Director Yao reminded Lu Xiaolu.
Lu Xiaolu couldn't care less at this time: "I did it voluntarily, no one forced me, there was no reluctance, and there was no moral pressure."
"In this case, I think we should be cautious about this matter. Let's think of other ways. Kidney transplantation is such a major operation, and there are still rejection reactions after the operation. With Teacher Ding's physical condition, he just woke up from the operation and he can't bear it at all.
Such a big blow, this is not a problem of the kidney source. With the help of Professor Yang, Principal Ding finally succeeded in the operation after narrow escape. We must cherish this result. I think there are other ways to think about it. We should not go for such a big thing as a kidney transplant for the time being.
Surgery." Guan Ruyan spoke with reason.
Director Wang of the Department of Nephrology said: "That's right. We try to use other methods to solve the problem. We will definitely not get a kidney transplant until the last step. I just think we should be prepared for a rainy day. If this day really comes, where can I find it in a hurry?
Kidney source, we have learned this lesson before."
"If this is the case, I will also participate in the matching. With one more person, the probability of successful matching will be higher. I am the son-in-law. Although I am not related by blood, I am still a relative. It is ethically reasonable."
Now that Director Wang has made it clear, it is inappropriate to push back and forth. Guan Ruyan feels that it is just a matter of matching now. If the matching is unsuccessful, nothing will happen. If the matching is successful, it will not be too late to find a solution then. This kidney
In the end, it is not your own business whether you donate or not. It is not anyone else’s business.
"As long as I participate in the matching, you don't need to." Ding Xinyu held Guan Ruyan's hand, feeling very moved.
Guan Ruyan said: "It's okay. A healthy person only needs one kidney to maintain life. In my father's current situation, if I really need a kidney source, where can I find it in a hurry? My father usually treats me like a son. At this time,
Don't stop me."
Guan Ruyan spoke in a very low voice, but some people still heard him. Everyone was moved when they heard Guan Ruyan's words. Principal Ding's hard work was not in vain. This son-in-law really values love and justice.
