I can see the status bar

Chapter 302 Half and half (special addition)

Of course Xia Hongyuan's illness was serious, and if it wasn't serious, he wouldn't be issued a serious illness notice.But because he was worried that the parents, who were not too young, could fully understand, Sun Lien could only speak clearly—although he had no such experience himself, it is said that sometimes, family members would complain because the illness described by the doctor was "not serious enough." ", resulting in the idea that "this disease does not seem to be very serious".

There is a difference between the family members' ideas and the actual situation. The worst result is that the patient is seriously ill and the family members collapse emotionally as if struck by lightning.It may even attack the doctor directly, or complain to the end.Therefore, it is not only to protect the right to know of patients and their families, but also to protect the doctors themselves.

"The most troublesome thing about 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, feeling very unbearable.The way the two were crying gave Sun Lien the 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 where the thrombus occurs, and most of the thrombus occurs in tiny blood vessels that are difficult for us to reach mechanically. That is to say, if thrombus occurs in other parts, There's basically nothing we can do other than use drugs to try to dissolve the clots."

Xia Hongyuan's father wiped his tears, forcibly stabilized his emotions, and listened to Sun Li'en's speech.Intuition told him that this passage may be the most important part, and it may even determine whether his son survives or not.

"But now there is still a difficulty, which is his small intestine necrosis." 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 A small segment of the small intestine was avascular necrosis - presumably due to capillary thrombosis."

"But, haven't you already taken the medicine?" Xia Hongyuan's mother couldn't bear it anymore, and she asked loudly, "After taking the medicine, won't you be fine after the thrombus dissolves?"

"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 lot of waste, even toxic substances. 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 clots. This means that his body is currently in a state where the blood cannot flow smoothly. Clotted state - which prevents us from operating on his necrotic bowel."

Xia Hongyuan's mother covered her mouth.

"However, for his condition, we still believe that surgery is a more realistic and appropriate treatment." Yuan Pingan interjected, "However, the risk of performing laparotomy in his current condition is too high. The risk of hemorrhage, which will directly endanger his life. So we decided to use a relatively safe method, first use plasma exchange to replace the plasma in his body. This can reduce the value of heparin in his blood, and at the same time control the amount of heparin in his blood Mixed with abnormal antibodies—these antibodies are the main cause of Xia Hongyuan's abnormal blood clotting."

"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 a little more stable, and 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 diseases. At the same time, through the use of hormones and immunosuppressants, theoretically, we should be able to suppress the abnormal immune antibodies in his body to a very low level, so as to prevent L."

In Dr. Pascale's words, there were two words that family members least liked to hear, "theoretically" and "should".The appearance of these two words means uncertainty.And when this kind of uncertainty happens to one's relatives, it means life-threatening.No one can readily accept that their 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, "You are doctors, don't you know the incurable diseases?"

There was an awkward silence in the small conference room.After being silent for a while, Sun Lien replied, "That's why we have to issue a serious illness notice - this disease is very dangerous, and... there is still no perfect treatment plan in medicine. What we can't be sure is not whether it will be cured or not. It's good, but whether Xia Hongyuan has a good enough response to this treatment."

Xia Hongyuan's mother seemed to want to say something, but her husband who had calmed down stopped her.

"I know that you doctors don't dare to talk too much." Xia Hongyuan's father asked with red eyes, "but, at least, can you tell us first, he... how many chances does he have to survive?"

Sun Li'en grimaced, desperately trying to figure out if there was a milder way to explain it.But Xu Yourong, who had been silent all this time, suddenly spoke.

"According to the current statistics, the mortality rate is about 50%." Xu Yourong said calmly, "With active treatment, he has about half the chance of surviving."

"Is this the statistical data of your hospital?" Xia Hongyuan's father asked the question almost to the point of being rude, "Is it better to go to other hospitals?"

"This is the statistical data of the entire medical field. Of course, there may be some lag in the data." Xu Yourong's answer was still calm and ruthless, "After all, the previous statistical data may not have the effect of plasma exchange. But we are not good at estimating this How big the impact can be, so it is still calculated according to half and half."

Sun Li'en sighed, and if Xu Yourong continued to talk like this, he might fight later, "As for other hospitals—there must be hospitals that are better at treating autoimmune diseases than us. But the problem is, can they be better than us? The most powerful hospitals are all outside the province. They are mainly concentrated in the capital and Shanghai. To transfer to these two places, even if you use a helicopter, it will take at least six hours. Whether there will be other variables in these six hours is hard to say— — The anticoagulant drug we used for Xia Hongyuan is low molecular weight heparin sodium, which will decay by half in about three and a half hours in the human body. After six hours, the drug concentration will drop to at least a quarter of the current level. If blood clots occur during the descent, it can be fatal."

"We are doctors, and we are probably the people in the world who want patients to recover the most besides family members." Yuan Ping'an was used to seeing family members of patients who wanted to be transferred to hospital for treatment when they were in the association. "As long as there is an opportunity to obtain better treatment results through transfer, we will not hesitate to raise it. However, the risk of transferring treatment to Xia Hongyuan is greater now. And in the treatment of this disease, there is indeed nothing better in other hospitals. Good means."

The words have been said very clearly, Xia Hongyuan's parents looked at the serious illness notice in front of them, and fell silent.

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(End of this chapter)