"What should I do if I don't have the signature of the patient's family?" Su Yun asked.

"Look for Director Lin." Zheng Ren said.

"Well, the work of the Medical Office is for clinical protection." Su Yun said contemptuously: "But it does not include you!"

"Emergency emergency, are there any other solutions?" Zheng Ren said, "Ask Zhao Yunlong, is it over the signing? I have been working for a long time, and I guess I should be able to sign this time."

"How do you know?"

"It takes a day to think about the head MRI, let alone IABP." Zheng Ren said: "It is not very good either. I'll give a notice of critical illness. The patient will come back if he is in trouble."

"..." Su Yun frowned, "Are you sure?"

Zheng Ren sighed and looked at the patient's system panel that was so red that he was almost bleeding, and he felt helpless.

"Maybe the support of the external membrane lungs is needed. Will you get rid of it?"

"No problem." Su Yun said with certainty.

ecmo is an extracorporeal circulation technology that goes out of the heart operating room.

The principle is to lead the venous blood in the body out of the body, and then inject it into the patient's artery or venous system through artificial heart-pulmonary bypass of special materials, which plays a part of the heart-pulmonary replacement and maintains the oxygenated blood supply of human organs and tissues.

Haicheng First Hospital does not have ecmo. Zheng Ren first saw this thing after graduation because of Dr. Mehal.

Zheng Ren smiled bitterly and shook his head, "Did you see MRI?"

"The diagnosis of smoke disease is very clear," Su Yun said: "If the external membrane of the lungs are on the body, a large amount of heparin will enter the circulatory system. Do you think it will cause smoke disease to worsen and lead to cerebral hemorrhage?"

"Well, it's very likely." Zheng Ren was quite polite. He just entered the system operating room and tried to do an external membrane lung operation.

But less than two hours after the treatment, the patient died of cerebral hemorrhage.

This is a dilemma.

The contradiction between heparin anticoagulation and bleeding, hemolysis, and poor tissue compatibility of biological materials. The road to exploration is long. There are countless dead people on this road, but countless living people are also living.

Technically speaking, there is no problem with Su Yun's outer membrane lungs.

However, Zheng Ren judged that a large amount of heparin would cause cerebral hemorrhage, so Su Yun hesitated. Using the external membrane and lungs without mentioning the cost, technically speaking, it is extremely difficult.

"Looking for neurosurgery?" Su Yun asked.

"Look for Linger first, right away!" Zheng Ren said, "The operation was done when the heart stopped beating, and the blood was heparinized, and it was probably... Why haven't Zhao Yunlong come back yet?"

"I'll call and urge you." Su Yun said.

"Look, I'll take a look." Zheng Ren finished packing up the IABP things, took a look at the patient's vital signs, opened the door, and strode into the corridor of Eicu.

Zhao Yunlong walked back quickly with a piece of a4 paper.

"Old Zhao, I have something to come to you." Zheng Ren waved.

"I'm worried about having a cardiac arrest after going back to do Iabp," Zhao Yunlong said hurriedly.

"It's done." Zheng Ren said.

"Is it done... finished?" Zhao Yunlong said in surprise, then lowered his voice and hurried to Zheng Ren, "Boss Zheng, did you just do it?"

"Well, my heart is unexpected, it's not OK to do it. Now the condition is slightly relieved, but it's not very relieved." Zheng Ren said: "I'm considering using the external membrane to support the lungs for a period of time, but there is a contraindication."

"Smoke disease? Can you confirm it?" Zhao Yunlong was in trouble.

"Yes." Zheng Ren said, "How did you explain to the patient's family before you open your chest?"

"At the beginning, I didn't have time to explain, the patient was sent to the operating room for surgery under external heart compression." Zhao Yunlong said: "I later explained to the patient's family before I started the extracorporeal circulation. I suspected that there was another smoke disease, and blood heparinization may cause cerebral hemorrhage."

"What do you say at home?" Zheng Ren is most concerned about this issue.

If the family cooperates, at least 30% to 10% of the patient will be saved.

But if the patient's family does not cooperate...

It would be easier to give up the rescue directly. In that case, there will be much fewer medical disputes and conflicts.

After getting into the external membrane lung, it is hard to say that the patient will die or live. However, for the families of the hesitant patients, the cost during the hospitalization period has increased significantly.

However, if the patient does not go to the external membrane and lungs, the patient will definitely die. The only difference is that he can live for a few more hours.

I was so tired that Zheng Ren was unwilling to face this situation.

But this is how life is. It is impossible to let yourself do whatever you want like in a system operating room.

"The patient is a second marriage, and her current husband said he would give up treatment." Zhao Yunlong said, "But her daughter just arrived and firmly demanded treatment, and signed it very happily."

Zheng Ren's heart sank, and then he rose again.

What a complex family environment, no wonder even had to wait for one day to do the MRI at the beginning.

Zhao Yunlong has taken great risks to be able to undergo surgery and survive.

"I'll go and have a look." Zheng Ren said.

"Boss Zheng, Professor Zhang is communicating with the patient's family outside." Zhao Yunlong said: "Wait a minute before going."

"What are you communicating?" Zheng Ren heard a little bad meaning in Zhao Yunlong's tone.

"To be honest, it is unlikely that the patient can survive after repeated recurrence." Zhao Yunlong said in frustration.

No one can expect patients to live more than the surgeon and the bed doctor. This expectation is very complicated and difficult to describe in one sentence.

Zheng Ren also knew that after Professor Zhang finished giving in, his family would most likely give up treatment, and the patient would be dead.

As long as the patient's family gives up the rescue, removes the IABP, and waits for the next rapid ventricular pulsation and heart failure, the patient will die.

He sighed deeply.

"Is it an economic problem?" Zheng Ren asked.

"Well, the family is not very well-off." Zhao Yunlong said: "I have never paid social security in my hometown when I am working."

"If it were me..." Zheng Ren stopped halfway through his words.

Zhao Yunlong patted Zheng Ren's shoulder helplessly, said nothing, and walked back to the ward in silence.

Live emergency rescue, upper external membrane lung?

The success rate of Xinglin Garden’s live broadcast is a very critical factor.

As for the patient's various problems, what can hepatitis in the external membrane of the lungs? Smoke disease, due to the heparinization of the blood in the body, a tiny aneurysm ruptures and bleeding, the patient will die.

This is completely unfair for mature business operations.

Zheng Ren's reputation accumulated through hard work will also be fatally damaged due to the death of the patient.

But... what Zheng Ren was thinking about was not about the upper outer membrane lung, but about the surgical treatment of smoke disease.

Block the location where the bleeding can be done first, and other things will be easier to solve.
Chapter completed!