Chapter 2097 Get Ready for Liver Transplantation (Happy Birthday, Boss Zheng! Plus X5)

Acetaminophen was long ago called paracetamol. As the name suggests, it can relieve fever and relieve pain.

The drug reduces the synthesis and release of prostaglandin PGE1 by inhibiting the central prostaglandin synthetase in the hypothalamic body temperature regulation, leading to peripheral blood vessel dilation and sweating to achieve antipyretic effect, and its antipyretic effect is similar to that of aspirin.

The analgesic effect is not strong, and it is only effective for mild to moderate pain.

The sulfhydryl donor N-acetylcysteine ​​is a specific drug for acetaminophen poisoning.

Zheng Ren saw this item in the doctor's order, and knew that the ICU had already taken the appropriate medication, so he didn't talk nonsense.

The severe power of 912 is quite powerful. Except for the strange situation that propofol caused the urine to change color inexplicably, Zheng Ren felt that he didn't need to raise his beak too much.

In the face of a patient with liver failure caused by acetaminophen poisoning, collective efforts are needed to treat him.

This is a definite diagnosis, and an experienced old doctor can know what the disease is at a glance.

But treatment is very difficult, even more difficult.

"Why did you take so much Yinqiao tablets?" Su Yun looked at the medical records and frowned, "Do you really think Yinqiao tablets are traditional Chinese medicine?"

Both Zheng Ren and Professor Yang sighed, but no one said anything.

The description of Yinqiao Tablets reads - Dispelling wind and relieving exterior, clearing heat and detoxifying. It is used for fever, headache, cough, dry mouth and sore throat caused by wind-heat and cold.

The standard Chinese medicine vocabulary gives people a feeling that this is Chinese medicine.

When they have a cold, many people are willing to take a group of Yinqiao Tablets orally, and the effect is indeed good.

But if you have to read the instructions of Yinqiao Tablets carefully, its ingredients are not that simple.

Mountain silver flower, forsythia, nepeta, light tempeh, light bamboo leaves, burdock, reed root, platycodon, etc., licorice, chlorpheniramine maleate, acetaminophen, vitamin C, peppermint oil.

Chlorpheniramine maleate, also known as chlorpheniramine, is an antihistamine.

This medicinal ingredient exerts an antiallergic effect by antagonizing the H1 receptor. It is mainly used for rhinitis, skin and mucous membrane allergies, and relief of cold symptoms such as tearing, sneezing, and runny nose.

And then, it also contains acetaminophen, a drug ingredient that can reduce symptoms when taken in a small amount, and cause liver failure when taken in large quantities.

Each Yinqiao tablet contains more than 100mg of acetaminophen.

So it works well, and it's still going back to acetaminophen.

In addition, other cold medicines also contain acetaminophen. This child named Chen Li not only doubled his oral intake, but also used several medicines in combination.

The amount of acetaminophen ingested... is almost lethal.

Every drug has hidden dangers while it works and benefits the human body.

Ingesting a large amount, not to mention drugs, even eating bananas will not work. Not to mention eating bananas, even drinking too much water will not work.

The word "appropriate amount" is right.

Zheng Ren looked at the medical records, his brows were frowned and they were about to be tied together, like the straps of a sterile surgical gown.

It was very difficult to save this child named Chen Li, Zheng Ren made a judgment in his heart.

During the process of reading the medical records, the directors and professors of relevant departments in the hospital came one after another.

On the hospital side, Vice President Yuan presided over the consultation of the whole hospital, and Director Ye and Deputy Director Lin of the Medical Affairs Department all attended.

Seeing how much the hospital attached importance to it, everyone's hearts sank a bit.

It is different from diseases like cancer. If you are a cancer patient, you are sick, and you have life and death, as long as you do your best.

But what he is facing in front of him is a young college student who has studied hard for more than ten years and has not yet entered the society. He is going to die in good health.

For this alone, Zheng Ren felt that the patient's family could not bear it.

A white-haired person gives a black-haired person, which is the great tragedy in the world. There is nothing more tragic than this in the world of mortals.

It is the hospital chief who reports the medical history in the ICU. He reports the known medical history as concisely as possible, and the doctors who came later have a basic understanding of it.

Acetaminophen poisoning, acute liver failure, peritoneal effusion, coagulation dysfunction and more than ten diagnoses are clear and clear.

The ICU has begun to replenish platelets, and the artificial liver blood purification technology is used to treat patients.

Artificial liver blood purification technology refers to plasma exchange and blood adsorption technology.

Adsorb inflammatory substances or toxins dissolved in blood onto solid substances with abundant surface area to remove inflammatory substances and toxins from blood.

For this student named Chen Li, it is mainly to filter out the paracetamol remaining in the liver and blood.

Artificial liver technology is specially used for blood detoxification.

It uses the method of "exchanging blood" to remove the toxins in the patient's plasma, that is, replacing the toxin-containing plasma of the patient with healthy plasma, and about 50% of the whole body's plasma is replaced each time.

But this is a measure to make up for the dead, so that the residual acetaminophen in the blood plasma will not continue to damage the liver.

However, the damaged liver cannot be treated by artificial liver blood purification technology.

In 1986, Professor Li Lanjuan of the First Affiliated Hospital of Zhejiang University and her team carried out the research and clinical application of this technology.

Up to now, it has been a relatively well-established technology, and the intensive care doctors of 912 have mastered it proficiently, so it is no problem to apply it.

After the medical history was reported, speeches by many directors and professors followed.

In fact, there is not much that can and should be said.

Illness, that's what it is.

Situation, that is the situation.

The patient's onset was rapid. Although he was sent to the doctor in time and responded properly, his condition was not optimistic.

This can be clearly seen on the faces of the chief resident, second-line professors, and directors of the ICU.

They have a judgment on the patient's condition and hope that the patient will recover quickly after symptomatic treatment.

It's just that during the period from taking over to treatment, they have their own judgments.

Rich clinical experience speaks silently, now that all treatment methods are available, but the chance of the patient recovering is not high.

Not to mention the expensive treatment costs, the daily cost of this patient is at least 50,000 yuan. Just talking about the severity of the condition...

Thinking of this, Zheng Ren had a headache.

"I suggest two-handed preparation, organ transplant matching, if conservative treatment fails, liver transplantation can be performed." Professor Yang spoke, he said very simply.

"Where's Dr. Zheng?" Vice President Yuan looked at Zheng Ren and asked seriously.

"I agree with Professor Yang's point of view. I haven't seen the patient yet, but according to the calculation of the drug dose in the medical record, the patient has taken too much acetaminophen. I think it is not possible to improve and correct liver failure through various first aid methods. big."

"I suggest preparing for a liver transplant...if you can find a source of liver."

Zheng Ren said firmly.

Liver transplantation, from Zheng Ren's point of view, only a liver transplantation can save this child.