Chapter 2096 Acetaminophen Poisoning (Happy Birthday Boss Zheng! Plus ×4)

"Boss Zheng." Director Kong walked to the door with his hands behind his back, "I just received a call from Director Lin, and ICU consultation with the whole hospital."

Zheng Ren stood up and asked, "Director Kong, what patient?"

"It's said to be a young patient with liver failure." Director Kong said, "Go and have a look."

"Okay." Zheng Ren strode out of the office.

"Remember to eat well at noon." Su Yun and Chang Yue said, "Eat carbohydrates!"

After speaking, he followed Zheng Ren and walked out.

There were a lot of footsteps behind him, Zheng Ren heard Su Yun say before he waited to look, "Go back and write the medical records."

"I didn't have the surgery today, so I don't need to write the surgery records. I'll just paste it when Fu Guier finishes writing it." Lin Yuan followed behind, "Besides, if I can't finish my work, I will work overtime at night, so I want you to take care of it."

"Is that how you talk back to the superior doctor?" Su Yun said contemptuously, "In the United States, is that how you talk to the big boss?"

"..." Lin Yuan was stunned for a moment, and his footsteps paused slightly.

Thinking of the time in the United States, she was a little scared. He stopped and looked at the two people leaving fiercely, finally heaved a sigh and went back to write the medical records.

Although there is no clear superior doctor in the medical team, the first assistant in Boss Zheng's medical team must have a higher status than Lin Yuan.

Lin Yuan still knew what was going on in his heart.

"Boss, young liver failure, what do you think is the problem?" Su Yun also hurried to the hospital for consultation, ignored Lin Yuan, and asked as he walked beside Zheng Ren.

"It's usually patients with hepatitis B or infectious liver disease. Who knows, in the ICU, the entire hospital needs to be consulted, which is probably difficult." Zheng Ren looked serious and strode towards the fire escape.

What Zheng Ren said was very simple, and the sentences were not smooth, but Su Yun knew what his boss meant.

Liver failure is liver failure, and the consultation of the whole hospital will not come up with any tricks.

But he called Director Kong directly to attend the consultation by himself. The meaning of this is intriguing.

Diagnosis is not a problem. If 912 is wrongly diagnosed with liver failure, it will not be a top large tertiary hospital in the country. Asking myself to go to the whole hospital for consultation must be a matter of surgery.

Zheng Ren has a preliminary idea, and there are many guesses. But guesses are just guesses, not countable.

Su Yun stopped talking and began to think about this young patient with liver failure.

Entering the ICU, the door of this meeting room was open, and several directors were already sitting inside, discussing something in a low voice.

Zheng Ren changed his clothes and went in, the bold Professor Yang beckoned.

"Boss Zheng!"

"Brother Yang." Zheng Ren smiled, walked up to him and sat down, "What patient?"

As he spoke, he picked up the medical records on the table.

High fever for 2 days with jaundice for 6 hours. The chief complaint came into view, and Zheng Ren frowned.

After 2 days of fever, he developed acute liver failure. How urgent this disease is!

The rapid onset means that the condition is extremely severe and the treatment effect will not be particularly good.

Moreover, jaundice appeared, and the degree of liver failure is estimated to be very serious...

This person is afraid that it is enough.

Looking down, the drug names and oral doses of the three cold medicines appear in the history of present illness, as well as other Chinese patent medicines.

The patient's diagnosis was clear—acetaminophen poisoning!

Acetaminophen is the name of the drug, the main ingredient in paracetamol that was ubiquitous decades ago.

The drug is absorbed by the gastrointestinal tract and metabolized by the liver. 90% of the drug is combined with glucuronic acid and sulfide in the liver and excreted in the urine.

However, 2-4% of the drug will be metabolized by the cytochrome P-450 mixed-function oxidase system in the liver, and become a toxic intermediate metabolite combined with glutathione.

Under normal circumstances, acetaminophen will not cause harm to the human body. After all, the metabolic function of the liver is quite powerful.

However, if the dose of the drug is too large, the glutathione will be exhausted, and the toxic intermediate metabolites will bind to the liver cell protein, leading to liver cell necrosis.

Zheng Ren glanced at the dosage of the medicine, and already had the calculation result in his mind.

Generally speaking, taking 7.5g of acetaminophen once orally can produce toxic and side effects.

For young patients, the oral dose of the drug is enough for two or three times of liver failure.

"I'm going... This is how much acetaminophen I've taken." Su Yun glanced at the medical record and said in surprise.

"Oh, the patient's condition is not good now." Professor Yang sighed, and said: "The liver cells are necrotic rapidly, the liver failure is severe, and hepatic encephalopathy has already appeared."

"..."

Zheng Ren looked at the age written in the medical record, which was 20 years old, and felt extremely regretful.

It was just a seemingly ordinary cold, but after taking some cold medicine, he had to face such serious consequences.

It is estimated that this little patient named Chen Li was never thought of before.

If there is a next time, he will definitely not take so many cold medicines indiscriminately. It's a pity that there is no chance to do it again in this world.

Now the patient has hepatic encephalopathy, coupled with severe jaundice, it proves that liver failure has reached an almost irreversible stage.

"Boss Zheng, do you think there is any other way?" Professor Yang asked softly.

After teaming up with Boss Zheng to do interventional embolization + surgical resection, Boss Zheng seemed not interested in this aspect, and Professor Yang had a tacit understanding to eat all the benefits.

Professor Yang, who has a paper or something, has his own way to publish it. If Boss Zheng handles this side, it will really be unreasonable.

The level of technology is high, but they are unwilling to fight for the benefits, or they don't care about the benefits at all. Who wouldn't want to make friends with this kind of person?

Professor Yang was already very close to Zheng Ren, and their relationship has been on the rise recently. So he asked casually, and didn't see anyone.

Zheng Ren shook his head, indicating that he had nothing to do.

"Liver transplantation seems to be the only way to do it." Su Yun said with a frown.

"Liver transplantation requires matching. The key is to try your luck and wait for the donor." Professor Yang sighed.

He also knew that the patient needed a liver transplant, and waiting for a donor, three to five months was considered short.

There are handfuls of people who did not wait for a donor until death.

Director Li of the 912 Department of Hepatobiliary Surgery is good at performing liver transplants. Although the number of liver transplants is small, more than a dozen or dozens are done every year.

"I'm a third-year student, and I'm usually in good health." Professor Yang glanced at the door and whispered, "The school attaches great importance to this matter."

Think about it too.

Although the school is not at fault, but such a young child has an accident, so how can he explain it to his family?

It is impossible to be the same as before, where the dead, the fleeing, the wounded, and everyone lives in peace.

If you feel out of control at home...

Thinking of this, Zheng Ren's head hurts.

"The patient's family members flew over from their hometown, and they will arrive in 3 or 4 hours." Professor Yang said: "When I came up, I saw Director Ye accompanied by Vice President Yuan."

"Is the principal of the school here too?"

"Well, someone was talking to Vice President Yuan. I looked at him and felt like the principal of the school."