Of course, Xia Hongyuan's illness was serious. If it was not serious, it would not warrant a serious illness notice. But because he was worried that the parents, who were not very young, would not be able to fully understand, Sun Lien could only speak more clearly, although he had not had such an experience himself.
, but it is said that sometimes, family members will have the idea that "this disease does not seem to be serious" because the disease described by the doctor is "not serious enough".
There is a difference between the family's thoughts and the actual situation. The worst result is that the patient is seriously ill and dies, and the family members collapse emotionally as if struck by lightning. They may even attack the doctor directly or complain to the end. Therefore, the seriousness of the disease should be conveyed to the patient's family.
, not only to protect the right to know of patients and their families, but also to protect doctors themselves.
"The most troublesome part of this disease is that basically all the blood vessels in his body are at risk of sudden thrombosis." Sun Lien looked at Xia Hongyuan's parents who were crying silently, and felt that he couldn't bear it. The way they cried made Sun Lien
There is an illusion that "I turned their child from healthy to dying". But this is his job and the only way to try to save Xia Hongyuan's life. "The characteristic of catastrophic antiphospholipid syndrome is that it is difficult to predict what will happen.
Where does thrombosis occur, and most of the locations where thrombosis occurs are tiny blood vessels that are difficult for us to reach mechanically. In other words, if thrombosis occurs in other parts of the body, we basically have no other means except using drugs to try to dissolve the thrombus.
use."
Xia Hongyuan's father wiped his tears, forcibly stabilized his emotions, and listened to Sun Lien's speech. His intuition told him that this paragraph might be the most important part, and might even determine whether his son would survive.
"But there is another difficulty now, which is that his small intestine is necrotic." Sun Lien took out the CT imaging photos taken before, "The position you see now is Xia Hongyuan's necrotic small intestine. According to our calculations, it is about three centimeters.
The cause of ischemic necrosis in a small section of small intestine should be capillary thrombosis."
"But haven't you already taken the medicine?" Xia Hongyuan's mother couldn't help it. She asked loudly, "After taking the medicine, won't it be fine after the blood clots are dissolved?"
"After the thrombus dissolves, the blood can re-enter those organs. But the dead cells will not come back to life." Sun Lien shook his head, "What's even more frightening is that after re-entering the dead organ parts, the blood may carry
A large amount of waste and even toxic substances are released. This will have a more serious impact on Xia Hongyuan's body. But in order to relieve the uncontrollable pain and other symptoms, we must first dissolve the blood clot. This means that his body is currently in a state where the blood cannot flow smoothly.
The coagulated state prevented us from operating on his necrotic intestine."
Xia Hongyuan's mother covered her mouth.
"But for his situation, we still believe that surgery is a more realistic and appropriate treatment method." Yuan Pingan interjected, "However, in his current condition, laparotomy is too risky. There may be intraoperative complications.
The risk of major bleeding would directly endanger his life. So we decided to use a safer method, first using plasma exchange to replace the plasma in his body. This can reduce the value of heparin in his blood and also control the level of heparin in his blood.
The mixed abnormal antibodies are the main cause of Xia Hongyuan's abnormal blood coagulation."
"In other words, this treatment method can not only prepare his body for surgery, but also treat his current problems?" Xia Hongyuan's father's voice became slightly more stable. This treatment method seemed to be the most suitable for him.
Son's.
"Yes." This time it was Dr. Pascal's turn to speak. "Plasma replacement is a very effective way for us to deal with autoimmune system diseases. At the same time, through the use of hormones and immunosuppressants, theoretically, we should be able to treat him
The abnormal immune antibodies in the body are suppressed to a very low level to control the disease."
Dr. Pascal's words contained two words that family members least like to hear, "theoretically" and "should." The appearance of these two words means uncertainty. And when this uncertainty occurs
When one's relatives are in danger, it means they are in danger of their lives. No one can readily accept that one's relatives are in danger of their lives, and Xia Hongyuan's parents are no exception.
"Why should it be?" Xia Hongyuan's mother was anxious, "As doctors, don't you know whether a good disease can be cured or not?"
There was an awkward silence in the small conference room. After being silent for a while, Sun Lien replied, "This is why we have to issue a serious illness notice. This disease is very dangerous, and... there is still no complete treatment plan in medicine.
.What we can’t determine is not whether the treatment is good or not, but whether Xia Hongyuan responded well enough to this treatment.”
Xia Hongyuan's mother seemed to be about to say something else, but was stopped by her husband who had calmed down.
"I know you doctors generally don't dare to tell the truth." Xia Hongyuan's father asked with red eyes, "But can you at least tell us first, what chance does he... have of him surviving?"
Sun Lien grimaced, trying desperately to think of a gentler explanation. But Xu Yourong, who had been silent, suddenly spoke.
"According to current statistics, the mortality rate is about 50%." Xu Yourong said calmly, "With active treatment, he has about half a chance of surviving."
"Is this the statistics of your hospital?" Xia Hongyuan's father asked the question in a straightforward and almost rude manner, "Would it be better to go to another hospital?"
"This is the statistical data of the entire medical community. Of course, the data may have some lags." Xu Yourong's answer was still calm and ruthless, "After all, there may not be the impact of plasma exchange in the previous statistics. But we can't estimate this.
How big the impact can be, so we still calculate it as half and half."
Sun Lien sighed, and if Xu Yourong continued to talk like this, there might be a fight later, "As for other hospitals, there must be hospitals that are better at treating autoimmune diseases than us. But the problem is, there are hospitals that are better than us.
The hospitals are all outside the province, mainly concentrated in the capital and Shanghai. Transfer to these two places, even by helicopter, will take at least six hours. It is hard to say whether there will be other variables during these six hours. We will give Xia Hongyuan
The anticoagulant drug used is low molecular weight heparin sodium. This drug will decay by half in the human body in about three and a half hours. After six hours, the drug concentration will drop to at least a quarter of the current level. If this happens during the decline
If the blood clots, it could be fatal."
"We are doctors, and we are probably the people in the world who want the patients to recover the most besides their families." Yuan Pingan was used to seeing the families of patients who wanted to be transferred to another hospital when he was in Tongxie. "Whenever there is an opportunity to get better treatment through transfer,
We will not hesitate to report good treatment results. However, the risk of transferring to another hospital for treatment is greater for Xia Hongyuan now. And in the treatment of this disease, other hospitals do not have any better methods."
Having said it clearly, Xia Hongyuan's parents fell silent as they looked at the serious illness notice in front of them.