v3 Chapter 2622： 1 **** mistake

As he walked, Zheng Ren saw a middle-aged man dressed plainly, or somewhat upset, standing outside a ward with a blank face, his eyes reddish, as if crying.

His clothes were incompatible with temperament and the private hospital of Bota.

Zheng Ren saw that he was wearing a volunteer's family. He should have failed an experiment, and his relatives were facing death. It may be dead, or it may die soon, and it does not matter.

He sighed softly and listened to Su Yun asking: "Mr. Johannes Mandy, are the relatives of the patient's family volunteers?"

"Yes, Dr. Su. A patient with advanced lung cancer, we want to find a patient with advanced cancer for a new drug test, but he is too late." Johannes Mandy said.

Zheng Ren's eyes narrowed, Johannes Mandy didn't explain the progress of their project, but don't mean too much in the simple sentence just now.

Does looking for more advanced patients for testing mean that earlier patients already have a more confident treatment?

possible!

In fact, the moment Zheng Ren knew that DeepMACT appeared, he knew that things that were impossible before had already started to have a little possibility.

DeepMACT can play a crucial role in the effect of targeted drugs on tumor tissues or cells. It is almost real-time observation, the drug concentration or effect can be adjusted if the effect is not good.

Unexpectedly, breakthroughs have been made in the drug research of Botta Labs. Now they have even started to treat patients with advanced tumors.

"Mr. Johannes Mandy, is the patient in a bad condition and can't afford the side effects of the drug?" Zheng Ren asked.

"No, Dr. Zheng." Johannes Mandy said: "As far as I know, the CT scan and reconstruction of the patient's chest showed a total visceral inversion, a lump in the middle of the trachea, about 3 cm in length, a markedly narrowed lumen, and breathing Obstruction is obvious. What we need is patients with this condition, and the patients themselves have some hope for this trial. "

"On the second day of admission, the patient's dyspnea at night was further aggravated, and he could not lie flat. The mask was given 8L / min oxygen SaO2 maintained at about 80% to 85%. The poor guy seems a little too late, I have seen related an examination……"

"What happened later?" Zheng Ren didn't want to hear Johannes Mandy say anything else, and his focus was always on the patient.

"Later, the patient was changed to a semi-recumbent position, oxygen storage mask was used to inhale oxygen, and methylprednisolone was given intravenously for symptomatic treatment. The dyspnea was relieved, and Sa02 remained at about 93%."

"On the third day of admission, a bronchoscope was attempted under local anesthesia with 2% lidocaine in a semi-recumbent position. When the bronchoscope will enter the glottis, the patient cannot breathe." Johannes Mandy sighed Said: "Then there is no way, if the airway support can not go down ..."

Then, he shrugged and made a helpless look.

"At the very least, breathing must be guaranteed before the next test can be performed. Poor guy, not even the first step. Damn recruiters, I want patients with advanced cancer, not Bota. Dead people! Dead people can't use new drugs, all previous work is done in vain! Those idiots! "Johannes Mandy said angrily.

Zheng Ren recalled what Johannes Mandy had said before, and a few seconds later, Shen Sheng said, "Has the genetic test been done? How about the evaluation of the relevant drugs?"

Johannes Mandy was hesitant to hear Zheng Ren ask this question.

"The boss is only interested in the patient's condition, not taunting your technology." Su Yun said coldly, "I believe that Christian has already told you this."

When referring to Christian, Zheng Ren felt that there was some change in the breath of Johannes Mandy.

"That's right, Dr. Zheng and Dr. Su," Johannes Mandy said quickly. "Gene sequencing and the corresponding work still have 24 hours to complete. This is already the fastest speed. But patients can't afford 24. Hours, even if ... "

Zheng Ren knew that the so-called medicine would not be the one that would be good immediately after eating, but after all, it was a hope not.

As long as there is a thought, there is a faint hope, even a faint hope that can barely see the light, if there is enough, it can support the raging fire and light up the sky.

"Mr. Johannes Mandy, I want to see the relevant information of the patient." Zheng Renshen said, "Maybe I can solve the problem of patients with breathing difficulties."

"Oh no! That's impossible!" Johannes Mandy said subconsciously: "Even tracheal intubation is not possible, and the patient's condition is too serious. His appearance in Botta is a mistake. Now we want to What is done is to correct this error. "

Zheng Ren frowned, glancing at Johannes Mandy. Mandy felt that he had said a lot, and he immediately smiled, trying to ease the awkward atmosphere.

"Boss, what do you want to do?" Su Yun asked in Mandarin.

"In recent years, transbronchial stent placement has been used more and more to relieve airway stenosis. Due to its high safety, simple operation, fast onset of action, and fewer postoperative complications, it has now become a way to reduce airway stenosis One of the preferred treatments. "Zheng Ren said to Su Yun while thinking.

Su Yun knows why his boss said something that seemed meaningless first, knowing that he was organizing his thoughts.

Things that Bota Private Hospital has no way to do, it must be extremely difficult. Even if the boss has any ideas, I am afraid they are not perfect.

"But the choice of anesthesia and ventilation methods during bronchoscopic interventional treatment has limited the treatment of some patients with severe airway stenosis. For patients with severe airway obstruction, there are certain risks during the operation. UU reading may even cause The patient's heartbeat and breathing stopped. "Zheng Ren continued with a deep voice.

He didn't seem to speak at the same speed, either fast or slow.

"The mass in the middle trachea of ​​the patient is blocking the lumen, and it is impossible to solve the difficulty of breathing through tracheotomy or intubation. It seems to be possible to give up treatment. If I encounter a similar patient in 912, I would like to stop strangling even if I die."

"Boss, do you have a way?" Su Yun asked.

"Hypoxia is the most difficult point for interventional treatment of airway obstruction." Zheng Rendao, "To solve hypoxia and improve the heart's oxygen supply, what method is used?"

"?" Professor Rudolph Wagner said suddenly, "Oh, mom, boss, can this thing work ?!"

"ECMO is an extension and extension of the extracorporeal circulation technology. ECMO can provide effective respiratory circulation support for critically ill patients who need external assistance for respiratory and circulatory insufficiency." Zheng Rendao, "In front of patients, do not focus on It's easy to think of a solution to his tumor. "

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