This doctor is very stable

Chapter 546 Children with Congenital Liver Fibrosis 【For subscription, ask for monthly ticket. 】

It was too late to say it was too soon, the tweezers in Li Yulong's hand clamped it as soon as it was loosened, and then began to thread the needle and thread, all in one go.

Perhaps this is the reason why old doctors are reliable.

Two stitches are fast enough.

"Move... move again..."

Lin Ran couldn't see the surgical field of view, but could only stare at the curve on the life monitor.

Every time he moved his hand, the blood pressure on the life monitor would fluctuate.

It's still pretty.

Li Yulong breathed a sigh of relief when the rupture of the superior vena cava was repaired.

"Okay, Lin Ran, you can withdraw your hand now! But be careful."

The sutured blood vessels are definitely not as strong as before, so Li Yulong reminded them specially.

To be honest, it is very sour to maintain a movement all the time.

Lin Ran withdrew his stiff and sore right arm.

It means that most of the intrathoracic repair and hemostasis surgery has been completed.

The next job is to check whether there is any foreign body remaining in the patient's chest cavity.

Lin Ran got off the operating table with the support of the nurse.

Boss Gu took a look at Lin Ran, as if looking at an uneasy child.

Lin Ran shrugged.

It is the corner's own fault that people came to dig the wall.

Li Yulong was cleaning up the foreign objects in the patient's chest, and Lin Ran was not in a hurry to leave.

Even with Boss Gu present, Li Yulong wasn't waving a hoe.

More than ten minutes later, Li Yulong found two pieces of glass shards in the patient's chest cavity.

After almost turning over the patient's chest cavity and confirming that there were no other foreign objects, Li Yulong ordered the chest cavity to be flushed again.

Then began to deal with small bleeding spots, electrocoagulation to stop bleeding!

"The nurse counts the gauze equipment and prepares to close the chest!"

After more than an hour of busy work, Li Yulong's face became relaxed.

When the thorax repair and hemostasis operation was completed, Lin Ran said, "Dean Li, I don't have anything to do here anymore, so I'll go out first, there are other patients in the department who need to be busy!"

The next step was laparotomy and drainage. Although it was very dangerous and there was a possibility of massive bleeding, Lin Ran couldn't just stand aside for every patient with massive bleeding!
Moreover, as the director of the obstetrics and gynecology department, Yang Jingsi's skills must be extremely good, so the probability of bleeding in the hands is very small.

"Well...then go get busy!"

Li Yulong was still a little guilty when he was found digging someone himself.

He wasn't afraid of Gu Tianyi, but there was an old Chen behind Lin Ran!
Lin Ran followed Boss Gu out of the operating room.

Outside the operating room, the family members of the patients waited anxiously.

"laugh……"

The door of the operating room was opened.

The patient's husband stood up immediately. He watched the boss and Lin Ran walk out as if he saw hope.

The child is gone, although it is extremely sad, but now the most important thing is to save the lives of the adults, and they can't bear the pain of losing their loved ones anymore.

"Doctor, how is my wife?"

With Boss Gu in Lin Ran, he naturally doesn't need the family members of the patient facing him, and now the operation is still going on and talking too much, it must be because it is inappropriate, and it is a bit unhuman to say nothing, it is better to leave it to Boss Gu to deal with it. .

Boss Gu didn't back down either. Facing the family members of the patients who came up to him, "Dear family members of the patients, I understand how anxious you are now. The patient is currently out of danger, but the laparotomy operation is still in progress, so the follow-up surgery is progressing." We also learned from the news that you should wait patiently for the family members of the patients!"

The operation was not completed yet, Gu Tianyi didn't dare to do it all.

When he said this, all the family members of the patients outside the operation became even more anxious.

Boss Gu didn't mind too much, and led Lin Ran to the locker room.

As soon as he walked into the locker room, Boss Gu smiled and said, "Lin Ran...don't be fooled by that old guy Li Yulong, our liver is no worse than our heart!"

Lin Ran nodded, and muttered softly, "I'm not a second fool, okay?"

"The clouds in the sky are my love..."

Just when Boss Gu was about to say something, the phone in his pocket rang suddenly.

"You brat, wait for me to answer the phone first."

Lin Ran shrugged and began to wash his hands.

"Hi, hello, I'm Gu Tianyi from the Liver of the Third Zhongshan Hospital."

"Director Gu, I'm Liu Simei from the Department of Pediatrics. Let me make a long story short. A patient with congenital hepatic fibrosis came to the Department of Pediatrics. The current situation is very pessimistic, so I would like to invite you to come for consultation in person. It is best that Dr. Lin and the dean can also come. consultation!"

Lin Ran's performance in the surgery on a child with congenital biliary atresia last time is still vivid in my memory!So in the end she specifically mentioned Lin Ran.

"Congenital liver fibrosis?"

Boss Gu frowned. In the past, the last thing he wanted to receive was a pediatric consultation call!
Every time I receive a consultation call from the pediatrics department, it is like a severe test, but there is no way who will let him sit in this position!
"Well, okay, let's go there right away, um, let's do this first."

"Congenital liver fibrosis?"

Lin Ran had obviously heard what Boss Gu said.

Relevant knowledge about the disease congenital hepatic fibrosis instantly appeared in his mind.

Congenital hepatic fibrosis is a rare inherited congenital malformation,
It is characterized by hyperplasia of connective tissue in the portal area and hyperplasia of small bile ducts, and generally leads to portal hypertension in the later stage of the disease course, and 50% of patients die due to massive gastrointestinal hemorrhage.

Most congenital liver fibrosis without concomitant disease only needs symptomatic treatment, such as gastrointestinal bleeding, hemostasis, acid suppression, mucosal protection, etc. can be given, and endoscopic ligation and sclerosing can be performed if necessary;

Portosystemic shunt can also be considered for recurrent upper gastrointestinal bleeding. Symptoms of hypersplenism appear, all three lines are low, anemia, severe anemia, platelets, hemoglobin, and red and white blood cells are all low, and simple splenectomy or embolization can be considered.

Patients with skin incision cannot effectively prevent upper gastrointestinal bleeding, and may affect the upcoming portosystemic shunt, so there are not many references now.

Biliary tract exploration is not advocated when patients with congenital hepatic fibrosis are asymptomatic, because secondary biliary tract infection is likely to occur.

For some patients with end-stage congenital kidney disease, kidney transplantation can be considered.

Because congenital hepatic fibrosis is a genetic disease, there is currently no radical cure, only symptomatic treatment, and corresponding symptomatic treatment for gastrointestinal bleeding, portal hypertension, ascites, hypersplenism, and anemia.

Entering into the modern age, liver transplantation is also used to treat this disease, such as children with intrahepatic cholestasis, cholangitis, sepsis, kidney damage, renal failure, etc., the prognosis is relatively poor...

Urgent consultation is needed, indicating that the child is definitely not an asymptomatic child.

Then a liver transplant may be the treatment of choice!
(End of this chapter)