Chapter 2097

"Boss Zheng." Director Kong walked to the door with his hands on his back. "I just got a call from director Lin and the whole ICU was consulted."

Zheng Ren stood up and asked, "director Kong, what patient?"

"It is said to be a young patient with liver failure." Director Kong said, "go and have a look."

"OK." Zheng Ren strode out of the office.

"Remember to have a good meal at noon." Su Yun and Chang Yue said, "eat carbohydrates!"

Then he went out with Zheng Ren.

There was a lot of footsteps behind him. Before Zheng Ren waited to see it, he heard Su Yun say, "go back and write the medical record."

"I didn't go to the operation today. I don't need to write the operation records. I'll paste them when rich and noble children finish writing them." Lin Yuan followed, "besides, I can't finish my work. I work overtime at night. I want you to take care of it."

"When the superior doctor spoke, did you just talk back?" Su Yun said contemptuously, "in the United States, is that how you talk to the big boss?"

"..." Lin Yuan was stunned for a moment, and his steps were slightly paused.

She was a little afraid when she thought of being in the United States. He stopped and looked at the two people who left. Finally, he sighed and went back to write the medical record.

Although there is no clear superior doctor in the medical group, boss Zheng's medical group must have a higher status than Lin Yuan.

Lin Yuan, I still know.

"Boss, young liver failure, what do you think is the problem?" Su Yun also hurried to the hospital for consultation. Ignoring Lin Yuan, he walked beside Zheng Ren and asked.

"Generally, there are patients with hepatitis B or infectious liver disease. Who knows, in ICU, it is difficult to consult the whole hospital." Zheng Ren looked serious and strode towards the fire escape.

Zheng Ren's words are very simple and the sentences are not smooth, but Su Yun knows what his boss means.

Liver failure is liver failure, and the whole hospital consultation will not come up with a pattern.

But call director Kong directly and ask him to attend the consultation. The meaning is intriguing.

The diagnosis is not a problem. 912 if the diagnosis of liver failure is wrong, it will not be the top large class III hospital in China. Go to the whole hospital for consultation. It must involve surgery.

Zheng Ren has preliminary ideas, and there are many guesses. But guessing is just guessing, not counting.

Su Yun stopped talking and began to think about the young patient with liver failure.

When I entered the ICU, the door of the conference room was open, and several directors were already sitting inside, whispering something.

Zheng Ren changed his clothes and went in. Professor Yang waved.

"Boss Zheng!"

"Brother Yang." Zheng Ren smiled, walked to him and sat down, "what patient?"

Then he picked up the medical record on the table.

High fever for 2 days with jaundice for 6 hours. The chief complaint came into view, and Zheng Ren's eyebrows frowned.

Fever 2 days, acute liver failure, how urgent this disease is!

The rapid onset means that the condition is extremely fierce and the treatment effect will not be particularly good.

And jaundice, the degree of liver failure is estimated to be very serious

I'm afraid this man is choking.

Looking down, the names and oral doses of the three cold medicines appear in the current medical history, as well as other proprietary Chinese medicines.

The patient's diagnosis is clear - acetaminophen poisoning!

Acetaminophen is the name of the drug. It is the main drug component of paracetamol that can be seen everywhere decades ago.

The drug is absorbed by the gastrointestinal tract and metabolized by the liver. 90% of the drug is combined with glucuronic acid and sulfide in the liver and discharged from the urine.

However, 2-4% of the drugs will be metabolized through the cytochrome P-450 mixed function oxidase system in the liver, become toxic intermediate metabolites and bind to glutathione.

Generally, acetaminophen will not cause harm to human body. After all, the metabolic function of liver is very powerful.

However, if the drug dose is too large, glutathione will be exhausted, and the toxic intermediate metabolites will bind to hepatocyte proteins, leading to hepatocyte necrosis.

Zheng Ren glanced at the drug dosage and had the calculation results in his heart.

Normally, taking acetaminophen 7.5G orally at a time can produce toxic and side effects.

The oral dose of drugs for young patients is enough for liver failure two or three times.

"I'll go... This is how much acetaminophen I ate." Su Yun glanced at the medical record and said in surprise.

"Alas, the patient is in bad condition now." Professor Yang sighed and said, "hepatocyte necrosis is rapid, liver failure is serious, and hepatic encephalopathy has appeared."

“……”

Zheng Ren looked at the age written on the medical record, 20 years old, and felt very sorry.

It's just a common cold. Just taking some cold medicine, you have to face such serious consequences.

It is estimated that this little patient named Chen Li never thought of it before.

If there were a next time, he would not take so many cold medicine indiscriminately. Unfortunately, there is no chance to do it again.

Now the patient has hepatic encephalopathy, coupled with severe jaundice, which proves that liver failure has reached an almost irreversible stage.

"Boss Zheng, do you have any other way?" Professor Yang asked softly.

After joining hands with boss Zheng to do interventional embolization + surgical resection, boss Zheng didn't seem interested in this, and Professor Yang had a tacit understanding to eat all the benefits.

Professor Yang has his own way to publish papers. If this side is again in the hands of boss Zheng, it really doesn't make sense.

High technical level, unwilling to compete for benefits, or people don't see the benefits at all. Who doesn't want to make friends with such people?

Professor Yang has been very close to Zheng Ren. Recently, the relationship is hot. So he asked casually and didn't see it outside.

Zheng Ren shook his head, indicating that he had no good way.

"Liver transplantation seems to be the only way to do it." Su Yun frowned and said.

"Liver transplantation needs matching. The key is to take a chance and wait for donors." Professor Yang sighed.

He also knows that patients need liver transplantation, but waiting for donors for three or five months is short.

Those who didn't wait for the donor until death, one by one.

Director Li of 912 hepatobiliary surgery is good at liver transplantation. Although the number is small, he does more than ten or dozens of them every year.

"I'm a junior. I'm usually in good health." Professor Yang glanced at the door and whispered, "the school attaches great importance to this matter."

I think so.

Although there is nothing wrong with the school, how can such a young child explain it to his family?

It's impossible to be like before, what's dead, escape and hurt, and each has his destiny.

If you lose control at home

Thinking of this, Zheng Ren's head hurt for a while.

"The patient's family members fly from their hometown and will arrive in 3 or 4 hours." Professor Yang said, "when I came up, I saw director Ye coming with Vice President yuan."

"The principal of the school is here, too?"

"Well, a man spoke to Vice President yuan. I looked at the stranger and felt like the principal of the school."