Chapter 2098： Prepare for a liver transplant

() Acetaminophen, which was called paracetamol a long time ago. As the name suggests, it can relieve heat and relieve pain.

The drug reduces the synthesis and release of prostaglandin pge1 by inhibiting hypothalamic body temperature regulation of central prostaglandin synthetase, leading to peripheral vasodilatation and sweating to achieve antipyretic effect, and its antipyretic effect is similar to that of aspirin.

The effect of analgesia is not strong and only works for mild to moderate pain.

The thiol donor n-acetylcysteine ​​is a specific drug for acetaminophen poisoning.

Zheng Ren saw this article in the doctor's advice, knowing that Icu had been symptomatic, and he did not talk nonsense.

The severe power of 912 is quite powerful. In addition to the weird situation in which the inexplicable discoloration of urine caused by propofol, Zheng Ren feels that he does not need to be overly arrogant.

In the face of a patient with liver failure caused by acetaminophen poisoning, collective strength is needed to treat it.

This is a well-diagnosed, experienced doctor who knows what is the disease at a glance.

However, treatment is difficult, and it is difficult to add.

"How to eat Yinqiao tablets so much." Su Yun looked at the medical record, frowning, "I really think that Yinqiao tablets are Chinese medicine?"

Professor Zheng Ren and Professor Yang both sighed and no one said anything.

The description of Yinqiao tablets is written on the wind-dissolving table, clearing away heat and detoxification. It is used for fever headache caused by wind-heat flu, cough and dry mouth, and sore throat.

The standard Chinese medicine vocabulary gives a feeling that this is a traditional Chinese medicine.

In the case of a cold, many people are willing to add a group of Yinqiao tablets for oral administration, and the effect is indeed good.

However, to carefully look at the instructions of Yinqiao tablets, its composition is not so simple.

Mountain silver flower, forsythia, schizonepeta, light soybean meal, light bamboo leaves, burdock, reed root, platycodon, etc., licorice, chlorpheniramine maleate, acetaminophen, vitamin C, peppermint oil.

Chlorpheniramine maleate, also known as chlorpheniramine, is an antihistamine.

This pharmaceutical ingredient acts anti-allergic by antagonism of the h1 receptor. Mainly used for rhinitis, skin mucous membrane allergy and relieve cold, sneezing, runny nose and other cold symptoms.

Then, a small amount of acetaminophen will reduce the symptoms and take a large amount of the drug component that causes liver failure.

Each piece of Yinqiao tablets contains more than 100 acetaminophen.

So its effect is good, and it is still back to the body of acetaminophen.

In addition, other cold medicines also contain acetaminophen. This child named Chen Li not only doubles the oral administration, but also combines several drugs.

The intake of acetaminophen... is almost lethal.

Every drug can make a difference, but it also has hidden dangers.

A lot of intake, not to mention drugs, even if you eat bananas. Don't say that it is delicious, even if you drink too much water.

The right amount is correct.

Zheng Ren looked at the medical records, and the brows were fastened together, like the straps of sterile surgical gowns.

This child named Chen Li is very difficult to save, and Zheng Ren made a judgment in his heart.

In the process of seeing the medical records, the directors and professors of the relevant departments in the hospital have come one after another.

In the hospital, Vice President Yuan presided over the hospital consultation, and the Department of Medical Affairs, Mr. Ye, and the Deputy Director of Lin attended the meeting.

As soon as we looked at the degree of attention of the hospital, everyone felt a little more.

Unlike diseases such as cancer, if you are a cancer patient, you are sick, life and death, just do your best.

In front of the eyes is a young college student, who has been studying for more than ten years, has not yet stepped into the society, and the good end will leave the world.

Just this is the point, Zheng Ren feels that the family members of the patient can not afford it.

White-haired people send black-haired people, this is the great sadness of the world. Red and sorrow is no more than this.

Icu reported that the medical history was the total number of hospitalizations. The medical history that I already knew was reported as concisely as possible. The doctors who came later had a basic concept.

More than 10 diagnoses of acetaminophen poisoning, acute liver failure, ascites, and coagulopathy are clear.

Icu has begun to supplement platelets and uses artificial liver blood purification technology to treat patients.

Artificial liver blood purification technology refers to plasma exchange and blood adsorption technology.

The inflammatory substances and poisons are removed from the blood by adsorbing the inflammatory substances or toxins dissolved in the blood to a solid substance having a rich surface area.

For this student named Chen Li, as long as it is filtered out of the liver, the remaining acetaminophen in the blood.

Artificial liver technology is specifically used for blood detoxification.

It uses the "transformation" method to remove the toxins from the patient's plasma, which is to replace the patient's toxin-containing plasma with healthy plasma, and replace about 50% of the plasma each time.

But this is a measure to make up for it, so that the residual acetaminophen in the plasma will not continue to damage the liver.

However, the liver that has been damaged, artificial liver blood purification technology can not be treated.

In 1986, Professor Li Lanjuan of the First Affiliated Hospital of Zhejiang University and her team carried out research and clinical application of this technology.

Up to now, it has become a relatively mature technology. The intensive doctor of 912 is proficient in the application, and it is no problem to apply.

Reporting the history of the disease ~ www.novelhall.com ~ followed by the speech of many directors and professors.

In fact, there is not much that can be said and said.

It is such a disease.

The situation is such a situation.

The patient has a rapid onset, although it is still timely and timely, and the condition is not optimistic.

This can be seen clearly in the face of ICU's hospitalization, second-line professor, and director.

They have a judgment on the patient's condition and hope that the patient can get better quickly after symptomatic treatment.

It’s just that from the time they take over to the treatment, they have their own judgment.

The rich clinical experience is silent, and now all the treatments are on, but the chances of getting the patient to recover are not great.

Not to mention expensive treatment costs, this patient spends at least 50,000 per day. Just say the severity of the condition...

Thinking of this, Zheng Ren has some headaches.

"I suggest that you prepare both for organ transplantation. If conservative treatment is not effective, you can have a liver transplant." Professor Yang said that he said it was very simple.

"What about Dr. Zheng?" Vice-President Yuan looked at Zheng Ren and asked seriously.

"I agree with Professor Yang that I haven't seen the patient yet, but if the drug dose in the medical record is calculated, the patient is taking too much acetaminophen. I think the possibility of improving and correcting liver failure through various first aid methods is not Big."

"I recommend preparing for a liver transplant...if you can find the source of the liver."

Zheng Ren said very firmly.

Liver transplantation, in Zheng Ren's point of view, only the liver transplant can save this child back.

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