Since Zheng Baosheng was admitted to the hospital, Yang Ping has not had a private conversation with Zheng Baosheng’s family.
He called Zheng Baosheng's parents into the consultation room. Such high-risk patients need to talk repeatedly before surgery, both with the patient and with their family members.
Zheng Baosheng's parents are fifty years old, with gray hair and dark eye circles. They used to open a restaurant in Qingdao, Shandong Province. The restaurant was not big. They were a husband and wife team. They also accumulated some savings and had good economic conditions. They took their children everywhere in these years.
Seeking medical attention, I walked around a lot in the southeast, northwest and northwest.
I went to several major hospitals, and the doctors were almost the same. This kind of scoliosis is very serious and daunting, and the organs and blood vessels in the chest and abdominal cavity may have had some unexplained exudative inflammatory lesions in the past.
, produces extensive adhesions and contracture of adhesion bands, leading to displacement and deformity of organs and blood vessels, and there are many anatomical variations of blood vessels. No one dares to do this kind of surgery.
In the past year, Zheng Baosheng's belly began to swell, and his breathing became a little laborious. He felt a little unable to do anything when he moved a little. If his posture was wrong while sleeping, he would suffer from dizziness, chest tightness, nausea, vomiting, cold sweats, etc.
The couple was anxious and took their son to the Affiliated Hospital of Qingdao University for medical treatment. The doctor said that it was very troublesome. Inferior vena cava syndrome had already appeared. The doctor said that they did not dare to remove the fluid in the abdominal cavity for fear of causing pressure imbalance, which would cause the internal organs to shift due to pressure imbalance.
position will cause more serious consequences, it is recommended to go to the Imperial Capital.
They had no choice but to close the restaurant, take stock of their savings, and prepare to take their son on the road to seek medical treatment again.
Zheng Baosheng's father said that he did not expect that Professor Liang from Union Hospital would call him at this time. Over the years, some professors had kept his phone number, and he had never dared to change his phone number, for fear that someone would say that surgery could be performed and he would not be able to be reached by phone.
Him.
Professor Liang called him and told him that there was a glimmer of hope and asked him to find Dr. Yang Ping from Sanbo Hospital. Among Dr. Yang's successful spinal correction cases, some were more serious than Zheng Baosheng's, but he was not sure about the combined chest and chest cases.
How to deal with abdominal organ problems.
After receiving the news, Father Zheng immediately took his wife and children, bought train tickets, and rushed to Sanbo Hospital in Nandu Province.
But Yang Ping did not go out to the outpatient clinic, so he called Professor Zhang Zongshun. After learning about the situation, Professor Zhang said that it was very difficult, but there was hope, and he was admitted to the hospital.
Lao Zheng and his wife took the hospitalization certificate and were so excited that they didn't sleep all night.
"Professor Liang recommended it, haven't I heard you say it?" This was the first time Yang Ping heard Father Zheng say this.
Father Zheng blushed: "These days in the hospital, every time Dr. Yang comes to check the ward, there are many people. I'm afraid that telling this will affect Professor Liang's reputation. Professor Liang is a great professor, and he helps me like this.
I have to worry about other people’s reputations.”
It is rare for patients to have such thoughts. Professor Liang's medical ethics is really admirable. He is in a high position, always thinking about his patients, and even calls them personally to guide them to seek medical treatment.
Thinking of the old professor's coming and going, Yang Ping was very moved.
"Doctor, I know that the success rate of his operation is very low. If he doesn't do it, he won't live long if he continues like this. The child himself knows that he is waiting to die now. Waiting to die like this is too cruel. If there is a glimmer of hope, even for a moment
Diandian, we are all willing to take risks, even if we fail, we will still try our best." Father Zheng said excitedly, he did not want to give up this last glimmer of hope.
Zheng Baosheng's mother nodded aside, this is what she wanted to say.
Try your best and there will be no regrets. That’s what parents think.
Poor parents in the world, all their efforts are for this child.
"I'm just talking to you about the surgery. There is no model for this surgery because his anatomy has completely changed. The positions of many blood vessels are uncertain. Damage will occur during the separation of large blood vessels. The entire internal organs need to be re-arranged. I
I have never done this kind of surgery, no one else in the world has done it, and there is no case to refer to, but I carefully analyzed Xiao Zheng’s case information. I think the surgery is feasible, but the risks are high, but there is hope. How much hope is there?
I really can't make any guarantees. If you are willing to take risks with me, I am willing to go all out!" Yang Ping said every word. For any surgery, except for rescue surgery, pre-operative communication must be in place, whether it is legal or legal.
Ethically, this should be the case.
It’s best to stay away from doctors who pat their chests and guarantee 100% success in surgery.
"I know, a doctor once said that this operation is like rebuilding in a pile of ruins." Dad Zheng said.
The mother sat next to her and remained silent. Apparently she listened to her husband on this matter.
"I am talking to you today just to tell you that you must be mentally prepared. He may stop cardiac and respiratory arrest on the operating table." Yang Ping finally came to the point.
After a short silence, the mother sobbed, and the father buried his head, wiped away his tears, and raised his head: "Understood, we are mentally prepared."
"Okay, then we will fight side by side, take risks together, and give Xiao Zheng a hope. We will now conduct further examinations on him, especially on his organs and blood vessels in the chest and abdomen to obtain more comprehensive information.
, we also need to prepare blood for him before the operation. In addition to allogeneic blood, we also need to draw his own blood and store it for use during the operation. His situation is a bit special. His blood type is RH negative. This blood type is very rare.
In our country, people with Rh-negative blood type account for about 0.34%. Specifically, the proportion of people with AB-type Rh-negative blood is only 0.034%. We need to contact the blood bank to ask volunteers to donate blood in advance to increase reserves. Once this operation causes severe bleeding, it is necessary to
A lot of blood, everything is ready, and when the time is right, we will arrange the operation."
For surgeries, Yang Ping always tries his best to make sure everything is watertight.
A lucky mentality is an invisible killer!
"I know there will definitely be a lot of blood. He has donated a lot of blood before and saved many people. Now that he knows he is going to have an operation, many people are asking when the operation will be. If they need blood, they can come over at any time." Father Zheng's eyes
The light flickered, as if with blood, his son's operation would be successful.
If this is the case, blood matters will be much easier to handle.
"How many people with AB type RH negative blood can be called to donate blood?" Yang Ping must be sure.
"Dozens should be fine!"
If there are dozens of people, if one donates 400 ml, more than 10,000 ml of blood can be collected.
"These people, can you notify them to come now?"
"Yes, someone has already arrived and is staying near the hospital. He said he would wait until the operation is completed before leaving."
I am for everyone and everyone is for me.
Yang Ping was quite moved: "How many people came?"
"There are fourteen, and there are more than twenty. If the blood drawing time is confirmed, they will come immediately."
"With the support of these people, the certainty of the operation will be much improved. You ask them to come over as soon as possible and draw blood reserves in advance. We need a lot of blood." Yang Ping felt more likely to win.
No one can guarantee that there will be any accidents during the operation. Any preparation is to cope with the accident. It may not be necessary, but it is absolutely necessary to prepare.
"You go back, I will tell you the preparation progress at any time." Yang Ping began to prepare for the operation.
When Lao Zheng and his wife heard Yang Ping say there was hope, they were so excited that they kept bowing.
Disease is an eternal threat to mankind. From ancient times to the present, with the advancement of science, diseases have been continuously overcome, but new diseases will appear again.
Therefore, humans will always be on the road to conquering diseases.
Once this kind of threat falls on a specific individual, it can sometimes be a disaster.
Just after seeing off Lao Zheng and his wife, Yang Ping received a call from Huang Jiacai. Gan Fengyi's mother was sick and in critical condition! The case information had been sent to Yang Ping's mailbox, and Yang Ping was asked to help take a look.
Yang Ping quickly opened the mailbox on his mobile phone. There was a document in it with many attachments. The screen was too small to read the film on the mobile phone. Yang Ping transferred the document to the computer in the office, and then connected it to the special electronic screen for reading the film.
Read the film.
The ependymoma at the junction of the skull base and the upper cervical spinal cord has caused quadriplegia. Because of the paralysis of the ventilator, the patient now relies on the ventilator to maintain breathing. Surgery must be performed as soon as possible to remove the tumor and relieve the compression of the nerve tissue. p>
Compared with Mr. Feng’s tumor, this is much easier.
"It's an emergency. Transfer to Sanbo Hospital as soon as possible!"
Yang Ping immediately called Huang Jiacai. For this kind of case, even if he flew there, there would be no way to operate without the corresponding team cooperation and sophisticated equipment. The patient would have to be transferred, but the risk during transfer would also be very high.
"I contacted Lao Cheng and asked him to ask Mr. Zhu to come forward and help contact a medical plane to Chengdu. The hospital ambulance will take the plane to Nandu Airport. Please send an ambulance to pick him up." Huang Jiacai contacted Yang.
Ping, one side is already arranging transfer.
If fixed-wing medical aircraft are arranged for dedicated transport, the safety factor will be much greater.
"Okay, as soon as possible! I will arrange a helicopter to pick you up at the airport and keep in touch at any time."
Yang Ping hung up the phone and immediately called Lao Cheng: "Lao Cheng, how are the flight preparations going?"
"Lao Zhu came forward and arranged a medical flight in the name of Anning Insurance. I am rushing to Nandu Airport." Lao Cheng was in a hurry and was setting off for the airport.
The relationship between Lao Cheng and Huang Jiacai is very good now, and they went to the United States with Yang Ping last time.
"Go to Sanbo Hospital first. I'll take a few people there for you." Yang Ping was going to order a few people for Lao Cheng to take on the plane.
Anning Insurance has a cooperative relationship with the Chinese Red Cross 999 professional aviation medical rescue fleet. It happened that a 999 aircraft completed the mission and was temporarily parked at Nandu Airport. The aircraft Lao Zhu helped call was this aircraft, a Gulfstream G550 modified aviation rescue aircraft.<
/p>
This professional aviation medical rescue fixed-wing aircraft has the largest range
Kilometers, the cruising speed is 980 kilometers per hour, and it only takes a few hours to go to and from Chengdu.
The aircraft cabin is divided into four cabins: service cabin, medical cabin, family cabin, and captain's rest cabin. There are 13 fixed seats and 1 multi-purpose medical stretcher bed.
The aircraft is equipped with four complete sets of ICU rescue transfer units, including infusion pumps, micropumps, ventilators, sputum suction machines, integrated monitoring and defibrillation machines, vacuum negative pressure plastic stretchers, blood gas analyzers and other equipment, and four sets of ordinary patient transfer equipment.
, can transport up to 8 patients at the same time, 4 lying patients and 4 sitting patients.
The aircraft also has medical equipment such as an ECMO extracorporeal membrane oxygenation system, an onboard blood bank, an infant incubator, a heating and cooling blanket, a medical viewing light, a laboratory operating table, a remote consultation wireless WIFI digital image transmission system.
The multi-purpose medical bed in the medical cabin can be moved laterally to the middle of the cabin during the flight to ensure that medical rescue personnel can rescue patients at any time.
At the same time, the top of the medical bed can be replaced with an onboard infant incubator or negative pressure isolation cabin to meet the needs of newborn babies and patients who need negative pressure isolation. The aircraft is equipped with 4 large oxygen bottles with a capacity of 21.5L and 4 oxygen bottles with a capacity of 8.4L.
L's portable oxygen cylinder can provide uninterrupted oxygen supply to patients on board during transportation.
There are also several professional doctors and nurses on board the plane, as well as routine rescue medicines.
This aircraft can be said to be equivalent to a small mobile ICU ward and is currently the most powerful medical transport vehicle.
Yang Ping was still worried and immediately called for Song Zimo. He also asked the ICU director to borrow a doctor and a nurse, and asked Song Zimo to take the ICU doctors and nurses and follow Lao Cheng on the plane.
After the plane picks up the person, once it returns to Nandu Airport, a helicopter from Sanbo Hospital will pick him up.
Yang Ping calculated the time and immediately called Xiao Su to ask her to prepare surgical instruments.
