After 100 Days Of Signing In, The First Operation Shocked The Medical Community!

Chapter 178 CDC Kidney Transplant

“Everything is normal for the battery threshold test.”

Hearing the news from the nurse, Liu Xin and everyone were relieved. When the synchronization is successful, the heart failure problem can be solved smoothly, but the subjective problem is still the next hurdle.

“Dr. Liu, what should I do if there is an emergency during the operation?”

The second assistant next to him asked, obviously he hadn’t encountered such a strange situation.

Liu Xin glanced at the electrocardiogram and it became calm. The electronic power pump has started to operate, but the strange “little heart” is still beating. It is just judged by the naked eye that the frequency of the “little heart” is almost uniform, and nothing calms down. the trend of.

“Try it first.”

Liu Xin picked up the scalpel, and after hesitating for a while, he accidentally discovered that the “small heart” had repeated atrial fibrillation.

“Atrial fibrillation…”

“Doctor Liu, what did you just say?”

Despite the sounds of various machines in the operating room, the second assistant on the side heard them clearly.

“Atrial fibrillation, just for a moment, this little heart had atrial fibrillation, but there was no change in the electrocardiogram. What is this?”

“Could it be a hemangioma?” Ersuke had never seen it either, so he could only speculate.

“If it is a hemangioma, it is also an extravascular tumor. This kind of irregular changes will not easily occur. In addition, after the blood circulation is normal under the condition of resynchronization of the heart, it will not appear like this.”

Liu Xin had also guessed whether it was a condition of a hemangioma growing on the inner wall of the blood vessel, but the patient had undergone many tests before the operation, and there was no evidence that the cancer had spread.

The scene fell into a deadlock for a while.

“Dididi!”

The door of the operating room was pushed open, and a heavily armed nurse came in carrying an incubator.

“Dr. Liu, someone sent this kidney through the Internet just now. The result after the matching test is the same as the patient. The person who sent the kidney made it clear that it needs to be handed over to Dr. Liu Xin.”

Liu Xin immediately stepped forward after hearing the sound: “I didn’t expect it to be so fast, have you matched it?”

“It has been matched, there is no problem, but the exclusion is still being tested.”

At this time, Liu Xin looked back at the time. The time effect of the anesthetic is almost over. If he can’t change his heart immediately, perhaps all his efforts today will be in vain.

“How long is there?”

“The fastest one hour.”

Under entanglement, Liu Xin took the initiative to carry the incubator to the operating table.

“A kidney transplant will be performed immediately.”

“But Dr. Liu, the rejection has not been determined yet. Will it be a problem to replace the kidneys so rashly?” Ersuke reminded him hurriedly.

“I will bear all the consequences.”

At this moment, Liu Xin had to make a decision. When everyone saw it, they nodded, because only they knew that the operation had become more difficult than expected.

“Inject interest monoclonal antibody, intravenous injection of methylprednisolone 500 mg.”

The anesthesiologist took out the medicine and injected it into the vein. After waiting for a while, Liu Xin found the kidney area and made an incision with a scalpel.

“Observe the blood creatinine value at any time. Once rejection occurs, immediately stop the operation. Does the patient have hereditary disease?”

The nurse opened the test report and Liu Xin couldn’t judge whether there was a hereditary disease in the first time based on the fluctuation of several values, and these few data showed that there is a possibility of pathological disease.

“Doctor Liu, the patient has an infection in the spleen!”

Nisuke realized that the inflammation of the spleen was so severe.

“It can be matched, then remove the spleen.”

With Liu Xin’s words, the second help was dumbfounded.

“Removal? It’s just inflammation!”

“Little heart.”

Liu Xin only said a word, and then went into the spleen again along the incision, and saw that the inflammation of the spleen after infection had become so serious that it was difficult to eliminate it. Only then did Nisuke understand how swift Liu Xin’s actions were.

“Does the patient have intolerance to azathioprine?”

“There is no intolerance. Many skin tests have been done before surgery.”

“good!”

Liu Xin slowly incised the spleen with a scalpel. Judging from the value of the check, the operation went smoothly, but the small heart was always in danger. However, he thought of the small heart after he discovered that the infection was serious. The heart caused by a spleen infection is likely to be a toxin cyst that accumulates in the heart after the spleen cannot function.

Value has been injected with some hormone drugs for heart failure surgery before, and it has a more profound effect on stimulating the patient’s spleen function, and the occurrence of atrial fibrillation may be caused by humans.

“Dr. Liu! The news from the laboratory’s laboratory has arrived. That kidney is a dead person’s kidney.”

Everyone was shocked. Generally, for this kind of special kidney transplantation, a live kidney is needed for the rapid recovery of body functions, but no one thought that the kidney that was sent this time would actually be a dead human kidney.

“It doesn’t matter. If the results of the lymphatic mating type match, you can try it. It makes no difference if his kidney is dead now.”

Liu Xin continued his work, removing part of the kidney and performing a rapid transplant in the simplest way.

But the work at hand was only halfway through, and the nurse who was in charge of observing blood creatinine immediately said: “Dr. Liu, the patient’s blood creatinine has changed.”

“Transfer here.”

The monitored value appeared on the screen, and Liu Xin frowned as he watched the fluctuating value.

“What should we do now?”

Nisuke no longer knows how many times he asked this question.

“Change.”

Liu Xin incised the side of the external venous valve and used continuous sutures to suture the outer ends of the two segments of arteries.

When he was preparing to perform an arterial incision for anastomosis, everyone suddenly discovered that Liu Xin had removed half of the kidney supply.

“Doctor Liu, are you going to change half of your heart?”

Second help looked puzzled.

“The value changes, but tends to stabilize. A large part of the anastomosis needs to be matched. Therefore, it is best to do kidney docking. In this way, even if there is an accident, only other kidneys need to be replaced without dialysis.”

After that, Liu Xin heated the kidney with gauze with hot salt water, and began to check the blood oozing condition. After all, the kidney was taken out of the corpse, and not much blood leaked out. After the value is not removed, it needs to be heated for at least ten minutes. In order to make the severed arterioles expand.

“Bleeding.”

Second help reminder.

“The blood is ligated and replaced immediately.”

Immediately, Liu Xin sutured the incision and crossed the supplementary needles to re-block the blood flow while avoiding acute renal failure caused by rewarming ischemia.

“Take it apart.”

Contact ligation, visible to the naked eye, the ureter starts to move, and urine flows out of the ureter along with blood.

“It’s done!”