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Chapter 619 Liver and Kidney Exchange

 "Wen Ruzheng is also stubborn. He actually ran around the hospital in his underwear. He was kicked several times by Director Zhao, and he was dragged to the office and scolded."

"This guy was able to obtain a diagnosis based on pathological slides without any clinical history, which is actually very impressive. This kind of case is really rare. In the ten years since our Sanbo hospital was established, I am afraid we have only encountered one like this, which shows that this guy

Very diligent."

"Didn't he always say that if we are not born with gentleness and uprightness, Sanbo Pathology Department will regress in three years?"

"Director Guan didn't beat him up after hearing this?"

"Director Guan said that this guy is telling the truth. Since he joined the pathology department of Sanbo Hospital, the level of the pathology department has improved for more than three years."

"Laoguan is ready to let him take over."

Yang Ping, Song Zimo and Xu Zhiliang had just finished the operation and went to the ICU to see the old cousins ​​Li Jun and Qin Xiaowei, chatting on the way.

When I walked to the ICU, the family waiting area at the door was full of people and the noise was very noisy. Yang Ping didn't pay attention to this. This kind of thing often happens at the entrance of the ICU. Last time, an organ donation coordinator was pushed by family members.

ICU---intensive care unit is a place of life and death.

This is the place where all kinds of critically ill patients are treated. The strongest monitoring and rescue facilities in the hospital are concentrated here. It can be said to be the last line of defense for life.

Most of the patients here have important organ failure or multiple organ failure and require a variety of drugs and equipment to maintain life. The job of ICU doctors is to reverse the condition as much as possible and reverse or extend their lives.
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A heavy door separates life and death.

The patient inside the door is connected to various machines and pipes, and weak vital signs are flashing on the monitoring screen.

The family members outside the door were debating whether to sign the consent form for the next rescue measure.

There is a passage in "Human World": Choosing or giving up is a multiple-choice question that the disease poses to every relative. Making this choice is often very difficult.

Because many people believe that if you enter the ICU, there is a high probability that you will not come out, and in the end you will lose both your life and money.

In fact, there is a high probability that you can come out alive.

According to Sanbo Hospital's own statistics last year: only 3.72% of patients were declared dead by doctors in the ICU due to serious deterioration of their condition; while the vast majority of patients recovered and were successfully transferred out of the ICU, this figure is %.
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So what about the remaining 9.60% of patients?

Due to various reasons, family members chose to give up treatment in the ICU. For example, they were unable to continue treatment due to financial difficulties, were transferred to local hospitals for various reasons, were too old and were afraid of dying in a foreign country and chose to return to their roots, etc.

Intuitively, ICU is the place with the highest mortality rate in the world. That is because the 3-4% mortality rate is distributed to such a small area.

Li Jun, who was offline, looked much better than before. Yang Ping greeted him, and he recognized Yang Ping from his voice who was wearing a mask. Maybe people who work in music have more sensitive hearing abilities.

"Why am I so panicked?"

Li Jun asked Dr. An, and Dr. An exchanged glances with Yang Ping. He didn't know yet that his cousin was in trouble.

Dr. An is thinking about whether to tell him or not. He hasn't figured out how to say it yet, so he'll keep it a secret for now.

"I just got offline soon, and my heart is under heavy load, so I feel like I'm getting flustered." Dr. An explained.

"Where is my cousin? Hasn't he come recently?" Li Jun has asked many times.

Dr. An comforted him: "He has been a little busy recently. He came here a few times and left in a hurry."

Li Jun stopped talking at this time, his eyes were blurry, and then the corners of his eyes seemed to slowly become wet.

Everyone came to the doctor's office in the ICU, drank a glass of water, and sat for a while. Dr. An said: "There is absolutely no hope for Qin Xiaowei's liver now. He can only rely on artificial livers to maintain it. He hopes to have a liver transplant in the future."

"If Qin Xiaowei's kidney has been successfully matched with Li Jun, then Li Jun's liver should also be successfully matched with his liver. The two people can exchange liver and kidney transplants." Song Zimo thinks this is just right.

People have two kidneys. As long as both kidneys are healthy, taking away one will not have much impact on health.

Liver transplantation is often not a transplant of the entire liver, but a partial transplant of the liver.

Dr. An said: "Director Liu from kidney transplantation and Director Li from liver transplantation have been here, and they have also proposed this idea. We are thinking about how to communicate with Li Jun."

They are both fallen people at the end of the world, these two old cousins ​​are really destined!

ICU is a place that witnesses human nature. You will never know the beauty and ugliness of human nature until it is at its worst.

"A few days ago, a patient's wife shut down her phone and never came back. A few days later, the patient's father came over and said that his wife had left quietly."

"When you first came in, you should have seen a large family at the door. They are the children of the old man with six beds. The old man has six children, four sons and two daughters. It is a rare time to come together. It is not to discuss how to treat the old man. The old man has not yet died.

, the children actually quarreled at the door over the inheritance." Dr. An couldn't laugh or cry, and just took the reminder to ask them to pay.

The boss said that the old man was usually kind to his younger son and let him go out.

The younger son said that the older son is the eldest son, so look for him!

The second and third children said they couldn't live.

The two daughters even said that they are daughters and they should deal with their sons.

In the end, no one signed the informed consent form, and no one paid the money. Four sons and two daughters are not as useful as one child.

The director of the ICU put it more directly: It would be better to have a dog. The dog will bark a few times when its owner is in danger.

"Are Qin Xiaowei and Li Jun related?"

Xu Zhiliang asked.

Dr. An shook his head: "They never mentioned it anyway, but that company came every three days to understand the condition, help pay the medical expenses, and asked me to send a message to Qin Xiaowei, saying that the money had been transferred to his card."

"Pay your life for money!"

Song Zimo felt a little sad.

Qin Xiaowei currently relies on an artificial liver to maintain his life, but this is not the ultimate solution. Liver transplantation must be used to solve the problem.

The treatment concepts of artificial liver and hemodialysis are consistent. They are replacement treatments and blood purification treatments. The difference is that hemodialysis replaces kidney function, while artificial liver replaces liver function.

The artificial liver uses artificial high-tech materials to simulate the human liver to construct a blood filter, which replaces the patient's toxin-containing plasma with healthy plasma and removes harmful toxins from the body, thus reducing the impact of toxins on other organs of the body.

Such as damage to the heart, brain, and kidneys, maintaining the normal operation of important life organs.

Like hemodialysis, it takes the patient's blood out of the body, separates the patient's plasma from the whole blood through membrane plasma separation and discards it, and then adds an equal amount of fresh frozen plasma or human albumin and other replacement fluids, so that

It can remove various metabolic toxins and pathogenic factors from the patient's body, thereby achieving the purpose of treatment.

"Okay, it's time for us to leave. Let us know if anything happens. You'd better find a chance to have a good talk with Li Jun."

Yang Ping stood up to leave.

"I'm thinking about how to talk to him, because Director Liu said that with Li Jun's physical condition, it would be risky to steal part of the liver and then perform a kidney transplant at the same time. I don't know what Li Jun is thinking." Dr. An sent Yang Ping and Song Zimo

and Xu Zhiliang.


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