Big Doctor Live Room

Chapter 1111 Heparin-Induced Thrombocytopenia

After eating, Chen Qun was called by Yang Xiaoquan to the diagnostic room of the cardiovascular department, or to be precise, the small conference room of the emergency center.Anyway, the old naughty boy took advantage of the original owner's departure and directly occupied his operating room. Even the newly appointed director of the emergency center gave up the conference room on the fourth floor to the old man as a diagnosis room.

Anyway, Yang Xiaoquan plausibly said that he is a re-employed doctor in the emergency center, and has nothing to do with the cardiovascular department, but there are more students around him, and many of them are old faces Chen Qun is familiar with, so there is no need Be polite or something.It's just that Chen Qun sat next to Yang Xiaoquan, and his mood was even more embarrassing.

In just one year, he has rocketed from a resident doctor in a remote area to a leading figure in the domestic medical field who can rival Yang Xiaoquan. The No. 1 of the younger generation plays a key role in this process. Outside the system, she is the fiancee.

Without the astronomical financial guarantee provided by his fiancée, he would never have made it this far.Chen Qun has also considered this issue. If his fiancée is the daughter of a small rich man and his influence does not exceed a county town, can he get to where he is today?
The answer is obvious, yes, but it will take two to three years to get to this position step by step. Of course, he can complete the operation without those advanced equipment, but without the various opportunities brought by Dongfang Wenxin's relationship , then in terms of status, his height is far lower than today.

Of course, his luck also played a non-negligible role in it. Just like Zhang Haogu's promotion to the third level, his steady progress depends on the luck that Zhang Yifei said, and the most suitable luck appears at the most critical place. Candidates, to complete the most perfect rescue, to bring out his role to the fullest, if one step is missing, it will be several grades worse.

Therefore, seeing that Yang Xiaoquan had already kicked away the wheelchair he hated so much, sitting beside him with a red face, and introducing the patient's condition in a loud voice, Chen Qun felt both familiar and in a daze. There wasn't much discomfort around, and there was no explanation other than his Grand Master achievement.

After listening to a few sentences, Chen Qun understood why he was arrested by Yang Xiaoquan, who had already been "internally hired" to the emergency center and had not raised a penny.Because the patient in front of him can only be rescued by Yang Xiaoquan in China, and the probability is extremely low.So the old naughty boy shot with all his strength, and he became a big coffee table, with only room for listening and no right to refuse.

The patient Qiu Xiyu, female, six years old this year, suffers from congenital dilated cardiomyopathy. It is actually the result of the collective efforts of the medical team of Lucheng University that she can live to this day. It is a miracle in itself.He has struggled with pain since birth, and his body is so weak that he can no longer support any operation that takes more than two hours.

The only hope for this little friend is that the cardiomyocyte layer can be put into clinical application, and the cell patch cultured in a petri dish can be used to save her heart.But the only trouble now is that the deterioration of the children is far faster than the speed at which the cardiomyocyte layer enters clinical use.In other words, before the scientific research results of the medical team of Lucheng University came out, the children couldn't support it anymore.

"Now, the brain natriuretic peptide in the patient's body has risen to 900, and the ejection fraction is also lower than 20%. During the examination, it was found that she had HIT positive, that is, heparin-induced thrombocytopenia."

"This kind of disease means that heparin cannot be used, and the inability to use heparin means that artificial cardiopulmonary extracorporeal circulation cannot be performed. And in the condition of the patient's heart, if artificial heart and lung is not suitable, surgery is impossible at all. Inability to operate, that is, her The only way of life has been cut off. Therefore, the treatment team of Lucheng Medical University asked me for help to see what can be done."

With a serious face, Yang Xiaoquan frowned tightly, announced the current situation of the whole matter to everyone, and then said something to Chen Qun.

"This case is a national joint diagnosis. Xiao Qi and the others are also connected at the research institute. Xiao Chen, you can discuss it with them online first and see if you have any ideas. I am also working together with other doctors here. , see if we can come up with a good idea."

Qi Hong's voice appeared on the TV screen following her quiet and elegant cheeks.

"Teacher, maybe we can use argatroban!"

"No, the patient has heart failure, and hepatic congestion was found. Argatroban will increase the burden on the liver. It is obviously a method to stick to the heart muscle cell layer, but it turned out that surgery was necessary, but we didn't even have the chance to do surgery. No more, all solutions are blocked by the patient's condition!"

Yang Xiaoquan slapped the table, expressing his anger, dissatisfaction and powerlessness.

"Teacher, I compared the data you sent and found that the HIT antibody in the patient's body showed a decreasing trend. If there is no mistake in the judgment, then all the HIT antibody in the patient may disappear within a few months. At that time, we can take measures. Surgical treatment was carried out.”

"So what should we do at this stage? Will we rely on the effects of internal medicine and medicine to maintain it?"

Gu Ning's profile picture appeared on another screen, as if he saw Chen Qun in the room, showing an awkward smile, beckoning to him, and at the same time refuting the remarks of Qi Hong's little junior sister.

Seeing such a scene, Chen Qun felt a little bit ridiculous in his heart. He knew that Gu Ning was only a few steps away, but he still stayed in the Cardiovascular Department. In fact, he was deliberately establishing a clear relationship. In addition, Qi Hong also It is unreasonable not to rush over.

In a word, this is what Yang Xiaoquan, an old urchin, wanted to do to cover up, deliberately giving face to the soon-to-be dean Liu Yang. In fact, everyone knew his little thoughts and accompanied him in acting.He also knew the thoughts of these apprentices, so he manipulated them unscrupulously.

"No, this situation requires the use of a ventricular assist device, or a percutaneous cardiopulmonary assist device to assist the heart. In this case, even if the heart is saved, the hands, feet and internal organs will be necrotic due to thrombus. There is no solution! "

Yang Xiaoquan immediately rejected the idea of ​​the little apprentice, but still did not stop these young people from speaking. After all, the most important Chen Qun was still thinking there. Maybe the words of these young people could inspire him. inspiration.This is already a normal state in Chen Qun's conception, so he is full of confidence.

Chen Qun waited for Yang Xiaoquan to finish speaking, and made a decision at once.

"Perhaps, we have only one method left, which is to use heparin for the final rescue. I will perform the minimum life-saving operation in the shortest possible time."

This is actually just a cover for him. The real purpose is to perform surgery. As long as the surgery can be carried out, there are infinite possibilities. He can also replace heparin with other medicines by cheating.Although the operation cannot be performed for a long time, there is no other way.

What's more, he had a little understanding in his heart that the patient's condition was far from the simulated patient given by the system space.He has been able to save patients with systemic visceral injuries through countless drills, which is very sure of saving a heart.

If this operation fails, it will also allow him to try the first failure in his life with sufficient preparation, and he will not be hit hard.

(End of this chapter)