No urine,
The left kidney was removed.
The right kidney looked slightly intact, but it was also severely injured. If it had been another surgery, the right kidney would have been cut off a long time ago, and there would be no need to repair it as hard as now.
"Director Miao, can I help you from the other side?" Zheng Ren felt that the second assistant's position was awkward and asked in a low voice.
"Go." Director Miao didn't resent Zheng Ren's initiative and asked him to go directly.
Professor Yang's side had undergone liver repair and spleen repair, and the injured person's bleeding had basically stopped.
The only question now is how to save one right kidney.
All the surgeries that needed to be done were done, and the operating table seemed much empty.
Professor Yang took off his lead clothes first, then came behind Zheng Ren and watched the operation intently.
As soon as he took a look, he immediately judged that the patient was dying.
The kidneys are inherently fragile, and a segmental nephrectomy would cause bleeding a month later. Such as this kind of repair... After surgery... Not to mention after surgery, the patient has no urine now.
Director Miao's operation was getting slower and slower, and it seemed that he was struggling.
It's time to give up, everyone in the audience thought so. But who can say it
This child may be a college student, or he may have just entered the society. The best years of his life are about to wither before he blooms
Although he knew it wouldn't work, Director Miao still tried hard.
Even if there is only 1% hope, 0.1% hope, he does not want to give up.
A series of footsteps came from the corridor. Zheng Ren heard it but ignored it. The patient in front of me looked hopeless. Although his blood pressure was stable, he was not urinating.
Even if the patient is sent to the ICU after surgery and has a dialysis machine, death is still waiting for the patient.
However, Da Zhu Ho Zi has never given him an impossible task. Da Zhu Ho Zi determined that this patient was undergoing an S-level surgery.
Is there S-level surgery in urology department? That's nonsense. Kidney cancer and segmental nephrectomy are already the limit.
Wait, there seems to be a kidney transplant.
But where can we find kidney sources in such a short time
The earliest kidney transplant case immediately came to Zheng Ren's mind.
In 1936, Soviet doctor Voronoy successfully transplanted the kidney of a deceased patient with encephalitis into a 26-year-old patient with acute renal failure suffering from mercury poisoning. (Note 1)
This was the world's first successful case of human-to-human kidney transplantation, but the patient did not survive more than a week after the operation.
Because of the body's rejection reaction.
"How is the patient's condition? Can he be saved?" Vice President Yuan walked in and asked in a deep voice.
When their eyes converged, Director Miao felt that the pressure suddenly increased.
He didn't speak, just shook his head.
"Can the kidney be saved?" Vice President Yuan asked. It seemed that he had a certain understanding of the patient's condition before he came.
"Well, the left kidney was broken and was removed to preserve blood pressure. The right kidney..." Director Miao simply stopped and asked Vice President Yuan to take a closer look.
The tattered right kidney appeared in front of Vice President Yuan's eyes.
They all come from clinical practice. They have never eaten pork and have seen pigs running away.
Vice President Yuan knew what the kidney looked like and how difficult it was to sew. After he saw the messy and broken kidneys, he became silent.
"Director Miao, do your best." Vice President Yuan said then, but in the end, he sighed softly.
I can only do my best.
This sentence is just like ordinary people's understanding of surgery. As long as the doctor comes out and says we tried our best, it means that the operation failed and the patient will definitely die.
There was a gloomy atmosphere in the operating room.
We have seen life and death so much that no one cares. But the boy is still very young. If he can be saved, everyone wants to try.
but…
A long sigh.
"If you need anything, just tell the hospital and we will try our best to help you." Vice President Yuan said superficially, frowned and turned around.
Seeing this situation, he already knew it.
I already know what to do next.
"The hospital must be qualified for organ transplantation."
Vice President Yuan was about to leave when suddenly a voice sounded in the surgery room.
Um
Organ transplant
Vice President Yuan was startled for a moment and said, "Of course."
"The patient's left kidney is completely broken, and the right kidney cannot be saved. I suggest a kidney transplant." Zheng Ren said calmly, looking at Vice President Yuan's back.
He didn't know who Vice President Yuan was, nor did he know that when he was transferred to the 912 hospital, it was Vice President Yuan and Director Yan who nodded.
But judging from the momentum, this should be the vice president in charge of clinical practice. He just didn't know what happened, so he came to the operating room to see the patient's condition.
Zheng Ren has been thinking about why the system gave him an S-level mission standard. Shouldn't this kind of injured person be unable to be saved
It wasn't until Director Miao put down the equipment just now, and everyone thought that the operation must have failed and the patient would definitely die, that Zheng Ren discovered that the words "identical twins" were clearly marked in the mission.
How stupid! The kidney source was right there, why hadn't I noticed it
When Zheng Ren suddenly had an idea, what immediately came to his mind was the need for state-certified qualifications for organ transplantation.
So he asked directly.
It doesn’t matter which boss is opposite.
Zheng Ren will forget everything when he is in emergency rescue. Everything is patient-centered, leaving other hypocrisy and politeness for later.
"What should I do about the kidney source?" Director Miao was stunned and asked.
"I heard from the resident in the emergency department who sent the films before that they were twin brothers." Zheng Ren said, "We can use his kidney."
"..." There was silence in the operating room.
Director Kong did not stop Zheng Ren. This boss Zheng's unconstrained thinking has gone beyond the concept of ordinary interventional doctors.
It's just that what he said this time was really difficult.
However, Director Kong immediately remembered his ecstatic night in the emergency department of Haicheng City No. 1 Hospital. He lost count of how many operations Zheng Ren and his team had performed. Anyway, Zheng Ren has been on the operating table, either interventional or general surgery, until dawn.
It's true that talent emerges from the wilderness.
"Are you sure?" Vice President Yuan did not question Zheng Ren. After all, he was a dying patient. No matter how fantastic his ideas were, it was still a way to solve the problem.
Otherwise, you can only watch the patient die.
"Joseph E. Murray died in Boston in 2012. In 1954, he successfully completed the world's first kidney transplant. Well, it was a success. The patients were a pair of identical twin brothers." Zheng Ren looked at Vice President Yuan Long, speaking of.
"This is very similar to the problem we face."
Vice President Yuan looked at the monitor. Because the bleeding arteries had stopped bleeding, the patient's blood pressure continued to rise.
He pondered for a moment and said: "Organize a hospital-wide consultation, right here!"
Director Xu of the Anesthesiology Department immediately asked someone to go to the teaching classroom, then asked Vice President Yuan who he wanted to notify, and started calling them one by one.
Surgery, suspended.
…
…
Note 1: One said it was 1933. In various materials, time is really different. Even for the first kidney transplant operation that won the Nobel Prize, I found three times marked in the specific literature.