Chapter 2115： Medical ethics

Early the next morning, Zheng Ren still went to the house and surgery as usual.

Just today, he has more expectations.

No matter whether it is domestic or King's Hospital, Mayo Clinic, Massachusetts General Hospital, there is no news.

The liver source is hard to find, and Zheng Ren knows this.

The patient is dead or alive, and the high probability depends on the fate.

You can do what you can, and the rest is completely incapable of doing anything.

The system store can be purchased without a fresh liver source.

Zheng Ren repeatedly checked it many times last night and confirmed this.

It is not good, there is no liver type of the same blood type, the same type, just look for a try. But try this, and the one in Zheng Ren’s heart is also very sad.

There are a lot of patients waiting for donors in China, and there are probably a few in Zheng Ren’s heart. You can't deprive others of their right to survive because they want to try it.

TIPS surgery, Professor Rudolf Wagner finished with Lin Yuan, Zheng Ren and Su Yun went straight to the ICU.

This matter is lingering in my heart and it is always difficult to let go.

The most feared thing is that when the liver source is waiting, the patient's condition has turned sharply and can't be sustained.

Came to the door of ICU, Zheng Ren saw the mother of the patient who looked like yesterday.

She is emotional, compared to yesterday, like a person.

Zheng Ren frowned and stopped far.

Listening to her, soon the two understood why she was so excited.

Liver transplantation, unlike the heart and kidney, can be partially transplanted. The liver is divided into three leaves - the left lobe, the right lobe, and the caudate lobe.

Simple transplantation, people under 60kg can transplant the left lobe to ensure liver function. And after transplantation, the liver has the ability to regenerate and there will be compensatory growth within a few years.

Zheng Ren did not choose the possibility of liver transplantation between mother and child because the patient itself weighed at least 90kg. A left lobe of the liver does not provide sufficient function at all, so it is necessary to transplant at least one right lobe of the liver.

The patient's mother, who weighs about 70kg, will have a high probability of dying from liver failure if she provides the right lobe of the liver.

Killing one person and saving one person does not exist in the doctor's mind.

In medical ethics, it is almost impossible to do this in order to save a person and put the donor in an extremely dangerous situation.

I can do it, and no one will do it.

Looking at the patient's mother hysterical squatting, Zheng Ren sighed. Just want to see the patient's mood, suddenly disappeared.

Things have begun to deteriorate, and Zheng Ren is not sure whether the patient's mother will take excessive behavior or even use suicide to threaten the hospital.

This situation has not happened without happening.

Many years ago, the nation’s largest lung transplant base had such a thing – a female patient waiting for the lungs had a slightly lighter condition and a later sort of problem.

In order to get the lungs, she took an unexpected approach - pregnancy.

If the lungs are not available, even at a later time, the development of the fetus will be affected.

This is a kind of coercion, the operator is very depressed and very depressed.

But no matter how angry, angry, violent, or swearing, it is impossible to change the fact that a female patient has a fetus in the abdomen.

Finally, she was arranged for surgery as soon as possible.

The level of the surgeon is very high, and even the more difficult pregnant women have successfully completed the lung transplantation.

But after the operation was successful, he did not have a trace of joy, but was very angry and gave birth to a serious illness. (Note 1)

Regarding the thinking of life, Zheng Ren almost does not want to touch.

because,

It is too heavy.

How to choose is not right, how to choose is also good.

Even some of them are good.

Yes and No, true and false, who can make it clear? If you encounter a bar, you can say three days and three nights by lifting the bar.

In the eyes of a dying patient, the doctor who can save lives is God. But doctors are just ordinary people with flesh and blood, who can really be God.

God can be indifferent, but seeing everything as a dog, but people can't.

"Boss, what?" Su Yun patted Zheng Ren's shoulder and sighed.

"No." Zheng Ren bowed his head and tried not to think about what kind of excessive behavior would occur after the patient's mother was refused surgery to take the liver.

Once she couldn’t see it, she looked for short-sighted words...

Zheng Ren had a cold ice.

The matching is not matched, and it is not necessary to transplant between mother and child. If you can't, if you die, you will die. Even if it is barely transplanted, it is unlikely that patients will survive.

"What about the patient's father?" Zheng Ren suddenly asked.

"It is said that from a young age, his father divorced his mother and went to the South to do business. Now it is basically alive and not seeing a dead person." Su Yundao, "If it is fine, then his father will step on the seven colors of clouds. Followed by a Bentley, Porsche, Bugatti Veyron."

"Don't talk nonsense." Zheng Ren sighed, and it seemed that there was one more missing.

Standing for ten minutes, the face was quiet.

Linge's white clothes are all embarrassing, and the wolverines come out.

When he saw Zheng Ren, he quickly walked up and said: "Zheng Bo, Dr. Su, when did you come from?"

"It took about ten minutes." Zheng Rendao, "How to deal with it?"

"I said to collect blood first, look at the blood type, and then look at the matching, if it is appropriate, then say."

Zheng Ren noticed that Ringer’s eyes were somewhat flickering and flickering. It is estimated that the goods in mind are suitable, and they can be dragged one day a day. Anyway, the test will not come out As long as it is not reminded, go normal. The process, which results are coming out so quickly.

however!

This is a huge burden of thought and psychology.

Saving the patient's mother will lead to the death of a young Chen Li. Although there is no necessary connection, but the patient's mother's excessive behavior, the moral burden is pressed to Ringer.

It seems that Ringer also feels that this is difficult.

"Director Lin, what are you going to do?"

"What to do? I am a deputy, I can't take my mind." Linger smiled. "I have a leaf chief, I have a deputy director Yuan, and a strict dean. At that time, I must definitely take the leadership of the superior." ”

This pot is so skilled.

Zheng Ren smiled and smiled.

It's not easy, no one wants a young life to disappear. But what is the matter here?

Left, right, yes, hard.

"How is the patient?" Zheng Ren decided not to think about the problem he could not solve.

"The state is bad." Ringer shook his head. "The patient's fever has increased and the temperature has reached 40 degrees Celsius."

"..." Zheng Ren sighed.

"Blood routine + C-reactive protein returns: white blood cell count? 24.83x10^9/L, neutrophils 85%, C-reactive protein? lt; 1.3 mg/L; procalcitonin 0.55 ng/ml. Consider infection, I did a hospital consultation in the morning."

"A CT was made, pleural effusion was seen in both chests, and atelectasis. Now I have begun to suspect heart failure and respiratory failure."

"So fast?" Zheng Ren sighed and said.

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