Healer of Children 了不起的儿科医生 Episode 43

In Japan, Deng Ziang and others observed Dr. Kiyoshi Inoue’s reverse visceral liver transplantation operation. They found that the donor was an adult liver. Inoue rotated the transplanted liver by 90 degrees and sutured the aorta, which not only saved the need to repair the liver. Time also solved the problem of liver growth in the future. The operation took a long time, but the patient had very little bleeding. The operating room and the observation room were applauded at the same time.

The child of the reverse visceral liver transplant operation is called Sato. Deng Ziang visited the patient in the ward after the liver transplantation. He was worried that Sato might have hepatic vein or hepatic artery thrombosis after the liver transplantation. Inoue also admitted that this problem is not easy to be found after the operation. A second liver transplantation will be performed when it is discovered later.

The Japanese dean asked Inoue whether he was satisfied with the Chinese doctor. Inoue was worried about Deng Ziang. When he shook hands with Ziang, he confirmed that his hand was injured. Although it will not affect daily life, it is risky to perform ischemic liver transplantation. of.

Xu Bingze thought of a plan to treat pulmonary hypertension every day. He told Yongqiang that he could take denafil orally for treatment. Denafil will produce carbon monoxide when it enters the human body. As long as it is used moderately, it will achieve the effect of carbon monoxide. It is just this therapy. It is not fully recognized in children's pulmonary blood pressure, because if the dose is not used properly, it will accelerate the death of children. He has now obtained the treatment data of denafil used in other hospitals, and Xiaopan has also collected daily data. The two types of data can be combined to build an in vitro data model and conduct simulation experiments, but it must be implemented in a short time to find this Tong Xin has to cooperate with Baokang Hospital.

In the office, Dean Gu thanked Dean Weng of Baokang Hospital for his willingness to borrow a laboratory to support their treatment of patients. Dean Weng does not charge laboratory rental fees, but applies to participate in the joint public surgical observation between Tong Xin and Japan. The two parties are mutually beneficial. Baokang only wants to get the first authorship of the paper, in order to facilitate the financing of the hospital in the later stage, and President Gu fully agreed.

Inoue discovered that the unfortunate loss was met by Deng Ziang. As expected, the child Sato suffered from obstruction of hepatic venous return after the operation. This situation not only caused the transplanted liver to swell and necrosis, but also damage the heart. The hospital arranged for Inoue to perform a second time immediately. surgery. In the observation room, everyone saw that Inoue was almost in desperation. Seeing that the child’s life was hanging by a thread, the hospital did not understand that the last operation was successful. How could this happen? Deng Ziang used the walkie-talkie to tell Inoue that the cause of the hepatic vein obstruction was not his. The technical problem was that the adult liver they implanted was too heavy, which suppressed the patient's inferior vena cava and caused a thrombus. Inoue was in tears. Deng Ziang proposed to cut off the inferior vena cava, but Inoue did not agree. He was worried that the lower body would not be able to return after the vein was cut off. Inoue applied for Deng Ziang to go to the operating room. He asked Deng Ziang how sure he could be. Deng Ziang said that if he didn't do it, the child would have no hope at all. If they cooperate well, there is still a chance of survival. With the joint efforts of the two, Sato’s liver was saved, and then Deng Ziang performed blood vessel collection and emergency bypass. The operation was very successful! Cheers in the observation room! Inoue is also very happy to have a partner like Deng Ziang who can keep pace with himself in terms of ability. In the evening, Deng Ziang took everyone to the restaurant to celebrate, reminding them not to be proud. The real challenge is the public surgery four days later.

The next day, in the conference room, Inoue showed the patient’s sword-chief information to Deng Ziang and others. The patient’s pancreas had a tumor, which was infiltrated with the pancreatic duct, which made it impossible to remove it. Infiltration, but this situation is easy to be misdiagnosed and missed. The difficulty of the operation lies in the pancreatic duct, because there is very corrosive pancreatic juice on the pancreatic duct. If there is no slight infiltration next to it after incision, removing the tumor without authorization will damage the pancreatic duct. But if it is not removed, part of the tumor will be preserved in order to preserve the integrity of the pancreatic duct. Everyone understands that no matter what method is used, this operation will fail. Wang Hang suggested that molecular target therapy can be used to decompose the tumor, but if the tumor does not become smaller, it still does not work. Gu Jiaren said that according to the conventional treatment, half of the pancreas should be cut off to fit the jejunum, but Jiao Jiaren believes that the child is so small and cut off. There must be postoperative complications. While everyone was discussing the treatment plan, the director of the hospital's Xiaolin Affairs Manager said that the child will be discharged from the hospital tomorrow, and the family decided to treat it conservatively. Gu Jiaren suggested that Xiaolin communicate with his family.

The patient of the open liver transplant operation was called Qi Tai. Inoue introduced Deng Ziang’s team to Qi Tai’s parents. Deng Ziang told them that the liver transplantation was done by heat transplantation, that is, after the donor liver was taken out, it was not kept in cold storage as usual. It is to supply it with blood and keep the liver active, so as to avoid the risk of donor refrigeration. This operation was performed by Chinese expert Deng Ziang and himself. Gu Jiaren on the other side specially went to the ward to encourage Qitai to work hard with them, and she would definitely recover.

The next day, with the insistence of the family members, Jianchi was discharged from the hospital. After learning the news, Gu Jiaren immediately ran to find Xiaolin. Deng Ziang and Inoue were calm. They understood that if the family insisted on leaving the hospital, Xiaolin would have no choice, because Xiaolin As a hospital manager, you must balance the relationship between patients and the hospital. Sure enough, Gu Jiaren returned without success.

On the public surgery day, the Japanese hospital announced that the Chinese-Japanese joint operation-non-ischemic liver transplantation/heat transplantation will be carried out immediately. The patient is Keita. The Chinese and Japanese hospital staff are in the observation room to observe this high-standard operation. Man and Lei Hao respectively sent text messages to Wang Hang and Gu Jiaren to cheer for them.

In the second operating room, Inoue and Gu Jiaren performed liver removal operations on the donors. In the first operating room, Deng Ziang and Jiao Jiaren performed liver removal operations on Qitai first.