Chapter 896: Hospital Consultation on Stage

no pee,

left nephrectomy,

The right kidney looked intact, but it was also severely injured. If it was a different operation, the right kidney would have been cut off a long time ago, so there is no need to repair it as desperately as it is now.

"Director Miao, can I help you?" Zheng Ren felt that the position of the second assistant was awkward, so he asked in a low voice.

"Go." Director Miao didn't feel disgusted by Zheng Ren's proactiveness, and let him go directly.

Professor Yang's side has undergone liver and spleen repairs, and the bleeding of the injured has basically stopped.

Now there is only one problem - how to keep the right kidney.

All the operations that should be done have been done, and the operating table looks much more empty.

Professor Yang took off the lead jacket first, and then came behind Zheng Ren, watching the operation intently.

As soon as he rolled his eyes, he immediately judged that the patient was dying.

The kidneys are inherently fragile, and after a nephrectomy, they can bleed a month later. Like this kind of stitching...after surgery...not to mention after surgery, now the patient has no urine.

Director Miao's operation is getting slower and slower, it seems that he is struggling.

It's time to give up, everyone in the viewing platform thinks so. But who can say it?

This child, maybe a college student, maybe just entered the society, the best years of life, will wither before it blooms?

Although he knew it was impossible, Director Miao was still working hard.

Even if there is only 1% hope, 0.1% hope, he doesn't want to give up.

A series of footsteps came from the corridor. Zheng Ren heard them, but ignored them. The patient in front of him seemed hopeless. Although his blood pressure was stable, he did not urinate.

Even if the patient is sent to the ICU after the operation and has a dialysis machine, what awaits the patient is still death.

However, Big Pig's Trotter never gave him a task that he couldn't complete. This patient was judged to be an S-level surgery.

Urology has S-level surgery? Nonsense. Kidney cancer and nephrectomy are already the limit.

Wait, there seems to be a kidney transplant.

But in such a short time, where can I find a kidney source?

The earliest case of kidney transplantation immediately appeared in Zheng Ren's mind.

In 1936, the Soviet doctor Vronoy successfully transplanted the kidney of a deceased encephalitis patient to a 26-year-old patient with acute renal failure caused by mercury poisoning. (Note 1)

This is the world's first successful case of human-to-human kidney transplantation, but the patient did not live for more than a week after the operation.

Because of the body's rejection reaction.

"How is the patient's condition? Can it be revived?" Vice President Yuan walked in and asked in a deep voice.

With their gazes converging, Director Miao felt the pressure suddenly increase.

He didn't speak, just shook his head.

"Can't you keep your kidneys?" Vice President Yuan asked. It seemed that before he came, he already had a certain understanding of the patient's condition.

"Well, the left kidney was broken, and it was removed to keep blood pressure. The right kidney..." Director Miao simply stopped and asked Vice President Yuan to look carefully.

The tattered right kidney appeared in front of Vice President Yuan.

They are all from clinical practice. I have never eaten pork, and I have seen pigs run away.

Vice President Yuan knows exactly what a kidney looks like and how difficult it is to suture. After seeing the messy and broken kidney, he became silent.

"Director Miao, do your best." Vice President Yuan said afterwards, but in the end, he still sighed lightly.

I can only do my best.

This sentence is like ordinary people's understanding of surgery. When a doctor comes out, as long as he says that we have tried our best, it means that the operation has failed and the patient must die.

In the operating room, there was a gloomy scene.

Life and death have been seen a lot, and no one is distracted. But this boy is still very young, if it can be saved, everyone wants to try.

but……

A long sigh.

"If you need anything, tell the courtyard, and I will try my best to get it for you." Vice President Yuan said something superficial, and turned around with a frown.

Seeing this situation, he already knew it in his heart.

Next, what to do, I know what to do.

"The hospital is qualified for organ transplantation."

Vice President Yuan was about to leave when suddenly a voice sounded in the operating room.

Um?

Organ transplant?

Vice President Yuan was taken aback for a moment, and said, "Of course."

"The patient's left kidney is completely broken, and the right kidney probably won't be saved either. I suggest a kidney transplant." Zheng Ren said calmly, looking at Vice President Yuan's back.

He didn't know who Vice President Yuan was, and he didn't know that when he was transferred to the 912 Hospital, it was Vice President Yuan and President Yan who nodded.

But judging by his momentum, this person should be the vice president in charge of clinical practice. He just didn't know what happened, so he came to the operating room to see the patient's condition in person.

Zheng Ren has been thinking about why the system should give himself an S-level task standard. Shouldn't this kind of wounded be incurable?

It wasn't until Director Miao put down the equipment just now that everyone thought the operation must have failed and the patient would die, that Zheng Ren discovered that the words "identical twins" were clearly marked in the task.

How stupid! The kidney source was right there, why didn't I notice it all the time?

Zheng Ren suddenly had a flash of inspiration, and immediately thought of the need for qualifications recognized by the state for organ transplantation.

So he asked directly.

It doesn't matter which big guy is on the opposite side.

When Zheng Ren was in the emergency room, he would forget everything. Everything is patient-centered, and other hypocrisy and politeness are left for later.

"What about the kidney source?" Director Miao asked after being taken aback.

"I heard from the hospital in the emergency department who sent the film before that they were twin brothers." Zheng Ren said, "His kidney can be used."

"..." There was no sound in the operating room.

Director Kong didn't stop Zheng Ren's words. This boss Zheng's unconstrained thinking has gone beyond the concept of ordinary interventional doctors.

It's just that what he said this time is really difficult.

But Director Kong immediately remembered his ecstasy in the emergency department of Haicheng No. 1 Hospital. He couldn't remember how many surgeries Zheng Ren and his team had performed. Anyway, Zheng Ren has been on the operating table, either intervention or general surgery, until dawn.

It's really talented out of the reckless.

"Are you sure?" Vice President Yuan didn't question Zheng Ren. After all, he was a dying patient. No matter how fantastic his ideas were, it was still a way to solve the problem.

Otherwise, you can only watch the patient die.

"Joseph E. Murray died in Boston in 2012. In 1954, he successfully performed the world's first kidney transplant. Well, it was a success. The patient was a pair of identical twin brothers." Zheng Ren looked at Yuan Vice President, said.

"This is very similar to the problem we are facing."

Vice President Yuan looked at the monitor, because the bleeding arteries had stopped bleeding, and the patient's blood pressure was constantly rising.

He pondered for a while, and said: "Organize the consultation of the whole hospital, right here!"

Director Xu of the Department of Anesthesiology immediately asked someone to go to the lecture room, then asked Vice President Yuan who he wanted to notify, and started calling one by one.

Surgery, pause.

...

...

Note 1: One said it was 1933. In various materials, the time is really different. Even the first kidney transplant operation that won the Nobel Prize, in the specific literature, I found 3 times marked.