The Surgeon's Studio
2097 Tyrophenoxus poisoning
"Boss Zheng," Director Kong walked to the door with his hands behind his back."I just received a call from director Lin. The ICU is having a hospital-wide consultation."
Zheng Ren stood up and asked,"Department Director Kong, what patient?"
"I heard that he's a young patient with liver failure." Department Director Kong said,"you can go and take a look."
"Alright," he said. Zheng Ren strode out of the office.
"Remember to have a good lunch." Su Yun told Chang Yue,"eat your carbohydrates!"
After he finished speaking, he followed Zheng Ren out.
There were a lot of footsteps behind him. Before Zheng Ren could take a look, he heard Su Yun say,""Go back and write the medical record."
"I didn't attend the surgery today, so you don't have to write down the surgery record. I'll just paste it on the notebook after the rich man finishes writing it." Lin Yuan followed behind."Besides, if I can't finish my work, I'll work overtime tonight. It's none of your business."
"Is this how you talk back to a senior doctor?" "Is this how you talk to the big BOSS in America?" Su Yun asked in disdain.
"..." Lin Yuan was stunned for a moment, and his footsteps paused slightly.
She was a little scared when she thought of her time in the United States. He stopped in his tracks and glared at the two people who were leaving. In the end, he sighed and went back to write his medical record.
Although there was no clear senior doctor in the medical team, the status of the first assistant in boss Zheng's medical team was definitely higher than Lin Yuan 's.
Lin Yuan knew what he was doing.
"Boss, what do you think is the problem with a young man with liver failure?" Su Yun was also in a hurry to go to the hospital for a consultation. She ignored Lin Yuan and walked beside Zheng Ren as she asked.
"Generally, they are patients with hepatitis B or infectious liver disease. Who knows? in the ICU, the whole hospital needs to have a consultation, so it's probably not easy to deal with them." Zheng Ren's expression was serious as he strode toward the fire escape.
Zheng Ren's words were very simple, and his sentences were not very smooth, but Su Yun knew what his boss meant.
Liver failure was liver failure, and nothing good could come out of it even if the whole hospital consulted.
However, he called Department Director Kong directly to ask him to participate in the consultation, and the meaning behind this was thought-provoking.
Making a diagnosis was not a problem. If 912 could even make a wrong diagnosis of liver failure, then they would not be the top tertiary Grade A hospital in the country. If he asked her to go to the whole hospital for consultation, it would definitely involve surgery.
Zheng Ren had a preliminary idea, and there were many speculations. However, a guess was just a guess. It couldn't be counted.
Su Yun stopped talking and started to ponder about this young patient with liver failure.
When they entered the ICU, the door of the conference room was open. Several directors were already sitting inside, whispering to each other.
Zheng Ren changed his clothes and went in. Professor yang, who was in charge of liver and gallbladder cancer, waved at him.
"Boss Zheng!"
"Brother yang." Zheng Ren smiled and sat down beside him."What patient?"
As he spoke, he picked up the medical record on the table.
High fever for two days, accompanied by jaundice for six hours. Zheng Ren furrowed his brows when he saw the main complaint.
Acute liver failure after two days of fever? how urgent was this illness?
A rapid illness meant that the illness was extremely severe, and the treatment effect would not be particularly good.
Moreover, he's showing jaundice, which means that his liver failure is probably very serious ...'
This person was probably choking.
As he continued to read, the names of three cold medicine and their oral doses appeared in the medical history, as well as other Chinese patent medicines.
The patient's diagnosis was very clear that Huahua had tyrophenonol poisoning!
The name of the drug was paracecium. It was the main ingredient for the commonly seen paraceptical drug decades ago.
The drug is absorbed by the gastrointestinal tract and metabolized by the liver. 90% of the drug is combined with glucuroric acid and sulfide in the liver and excreted in the urine.
However, 2 to 4% of the drugs would be metabolized by the mixed-function enzyme everybody in the liver had access to, turning into a toxic intermediate metabolites that would combine with the glotathosone.
Under normal circumstances, acetylene would not cause harm to the human body. After all, the liver's metabolic function was quite strong.
However, if the dosage was too high, the amount of glothacets would be exhausted, and the toxic intermediate metabolites would combine with the protein of the liver cells, leading to necrosis of the liver cells.
Zheng Ren took a glance at the dosage and had already made a calculation in his mind.
Generally speaking, taking 7.5 grams of paracepnol in one oral dose could produce toxic side effects.
And the dosage of the medicine taken orally by a young patient was enough for him to suffer from liver failure two or three times.
"D * MN ... How much athanol did he take?" Su Yun glanced at the medical record and said in surprise.
"Sigh, the patient's condition is not good now." Professor yang sighed and said,"the liver cells are rapidly dying. The liver failure is severe and he has already developed liver encephalopatism."
“……”
Zheng Ren looked at the age written on the medical record. He was 20 years old. He felt extremely regretful.
It was just a seemingly ordinary cold, and he had to face such serious consequences after taking some cold medicine.
This young patient named Chen Li probably never thought of this.
If there was a next time, he would definitely not take so much cold medicine. Unfortunately, there was no second chance in the world.
The patient was already suffering from hepatic encephalopathy and severe jaundice proved that his liver failure had reached an almost irreversible stage.
"Boss Zheng, do you have any other way?" Professor yang asked softly.
After working together with boss Zheng to perform interventional embolism and hepatectomy, boss Zheng didn't seem to be interested in this, so professor yang tacitly took all the benefits.
Professor yang had his own way of publishing papers. If this paper was also published by boss Zheng, it would really be inexcusable.
They had high technical skills, but they were unwilling to fight for the benefits. Or rather, they didn't care about the benefits at all. Who wouldn't want to befriend such a person?
Professor yang had always been close to Zheng Ren, and their relationship had been on the rise recently. So he asked casually and didn't regard himself as an outsider.
Zheng Ren shook his head, indicating that he did not have any good ideas.
"It seems like this is the only way to carry out a liver transplant." Su Yun said with a frown.
"Liver transplantation needs a match, and the key is to try our luck and wait for the donor." Professor yang sighed.
He also knew that the patient needed a liver transplant, but three to five months was considered short for the donor.
There were plenty of people who didn't get a donor until their deaths.
Department Director li from the Department of Hepatobiliary and Pancreatic Surgery of # 912 was good at performing liver transplantation. Although he did not perform many cases, he did dozens of them every year.
"He's a third-year student. He's usually in good health. " Professor yang glanced at the door and said in a low voice,""The school is taking this matter very seriously."
It made sense.
Although the school didn't do anything wrong, how could they explain to their families that such a young child had caused such a problem?
It was impossible for things to be like in the past, where death, escape, and injuries were all up to fate.
If the family were to lose control of their emotions ...
Zheng Ren's head started to hurt at the thought of this.
"The patient's family flew over from his hometown, and it'll take them three to four hours to arrive." "When I came up, I saw director ye and Deputy Yuan," professor yang said.
"The principal of the school is here too?"
"Yes, someone is talking to Deputy Dean Yuan. He looks unfamiliar to me and I think he's the principal of the school."
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