I can see the status bar

Chapter 584 A Helping Hand Through Time and Space (Updated 6, June 28)
If it is a liver transplant in China, it usually takes a lot of time to prepare for the operation in a non-emergency state.For example, imaging of blood vessels in the liver, CT or even MRI scanning of the liver, such as a large amount of blood preparation, such as the use of an autologous blood reinfusion device, such as 3D reconstruction to perform vascular anastomosis simulation on the liver of the donor and the recipient.In short, before the actual operation, the doctors will use all means and methods to simulate the possible situations in the operation as much as possible under virtual conditions.

But this method of seeking stability cannot be realized in Politanvia.

As the least developed country in the world, Politanvia has an unbelievable lack of medical resources.There is not even a single CT machine in the whole country, let alone the ability to perform imaging of liver vessels and complete 3D reconstruction at the same time.

Originally, under such circumstances, it was almost impossible to carry out liver transplantation.But after all, the Chinese medical team has stations in several nearby countries, so this patient with schistosomiasis cirrhosis was first sent to Tanzania, which has the most abundant and abundant relevant inspection equipment.

Although liver transplantation is available in Tanzania, according to the local policy of Tanzania, this 16-year-old girl with schistosome cirrhosis needs to pay for the operation at her own expense.Moreover, in the Chinese medical team stationed in Tanzania this year, there is no hepatobiliary surgeon who can independently perform liver transplantation.Therefore, the little girl and her mother could only arrive in Tanzania by waterway, and then undergo a CT scan locally at their own expense.In the end, the two returned to Politanvia with the CT scan results prepared by the local hospital, and waited for the opportunity for surgery.

The consequence of such tossing is that the timeliness of CT scanning is almost unusable.Even in Tanzania, their medical equipment is basically obtained from external aid.The scan results from the old and poorly accurate machines, coupled with the four and a half months of time, brought huge challenges and uncertainties to the first liver transplant in Politanvia.

Huge challenges and uncertainties were placed on Chen Tianyang, and the result was a series of swearing and shaking his head.

Before the operation, Chen Tianyang had foreseen that the operation would be very troublesome, so he decided to do everything possible to prepare for it.Foreseeing that the bleeding during the operation might be heavy, the medical team specially organized several blood donations through the Red Cross Society of Politanvia, the United Nations peacekeeping force, and local Chinese and overseas Chinese associations for this operation.Finally, 10000cc of whole blood was prepared for this little girl with AB blood type, which is rare in Africa.

But for other issues, Chen Tianyang is really a clever woman who can't cook without rice.For example, the problem of hyperplasia of blood vessels that made him yell at him now, and even felt that he might not be able to step down.

The donor liver is being resected simultaneously. In theory, Chen Tianyang's resection should be faster than the donor's.But according to the report from the operating room next door, Chen Tianyang is now about 10 minutes behind.

The little girl's schistosomal cirrhosis has reached the decompensated stage, and severe edema, fatigue, and jaundice are only the most basic symptoms.Her liver had massive angiogenesis.And these blood vessels were either not scanned by Tanzania's old CT machine through blood vessel enhancement, or they were new hyperplasia in the last four months.In short, Chen Tianyang is currently cursing at the street, while quickly sealing off the bleeding point on the little girl's liver—because the proliferating blood vessels are too thin, he can only keep blocking and loosening the superior mesenteric artery to pass through the newly developed blood vessels. To determine the nature of the blood beads on the liver section.

All in all, Chen Tianyang is in a hurry now.

"Director Chen, let's help." Just when Chen Tianyang's pressure was about to reach its peak, Dr. Wei walked in with his head-mounted magnifying glass, "I'll help you ligate the hyperplastic blood vessels, and you continue to cut down."

Doctors from non-organ transplant departments come to do liver transplants. If this kind of crossover is placed in a domestic hospital, even if there are no disastrous consequences, it may be regarded as a serious violation.But this is a forced choice to ensure the smooth progress of the operation, and no one can pick compliance issues from it. In terms of compliance, the liver donor for this operation has not even received a complete psychological evaluation... …

Chen Tianyang moved down a bit, and continued to operate to remove the remaining liver.This time he moved very carefully - not only to leave enough room for the operation of piggyback liver transplantation in the right hemi-liver, but also to expose the junction of the left and middle liver veins as much as possible to prepare for the subsequent vena cavaplasty Leave enough veins to facilitate suturing.

The challenge is still huge, but at least Chen Tianyang has a chance to make a move.

Qian Yihong from the Department of Obstetrics and Gynecology is adjusting the blood transfusion strategy. She stopped the next whole blood transfusion and asked for an intravenous injection of normal saline to replenish blood volume.At the same time, she also asked Hu Jia to take out two low-molecular-weight heparins, ready to deal with possible DIC at any time—the patient has undergone surgery for more than one hour and fifty minutes, and the bleeding volume exceeds 1200cc. Sclerosis, the possibility of DIC during the operation is very high.

And Sun Li'en... He stood in the corner of the operating room, staring at the patient lying on the operating bed, using his own eyes as a life monitor.

"Fina Mbaan Lebadoun, female, 16 years old. Schistosoma infection (70165.35.18), liver cirrhosis (26294.24.18), liver resection (02.18.31)"

In addition to the three clear status columns, Sun Lien found three shallow shadows after liver resection. He could probably see that the first two were "vena cava thrombosis" and "biliary tract infection", but the third line The words were so shallow that he was a little unsure of what he was seeing.

Judging from the current situation, it is true that DIC is the most likely.

Liu Tangchun has been standing in the distance, watching the operation process with his hands crossed.Comrade Liu played a very important role in making this operation possible.It was because of Liu Tangchun's face that the mother and daughter could be arranged to receive enhanced CT blood vessel scan in Tanzania.It is Liu Tangchun's face that can make up enough 10000cc whole blood in a short time.Liu Tangchun was even able to make the mother and daughter decide to undergo surgery in the Bolivian medical team instead of continuing to seek help from churches, wizards or even gods—but this time it was not because of his face. Can't be sold on a Politanvian peasant woman.He relied on his sincerity and earnestness.

Liu Tangchun had many sincere exchanges with the patient's parents. He carefully prepared a lot of liver transplant cases and PPTs, but it was Liu Tangchun's heartfelt words that finally moved the parents.

"We came from China, from Asia tens of thousands of kilometers away, to heal diseases on your land, not to get your worship." Liu Tangchun said sincerely, "A few decades ago, our country was also very poor. , Our people are also suffering from illnesses. So when we have the ability, we want to help more people who are still suffering. It’s like we have passed through time, to the poor and poor I reached out to help myself."

Liu Tangchun watched Chen Tianyang's men's speed become stable and smooth, and quietly let go of his white palm that was hidden under his armpit.

　If nothing else, by the time you read this chapter, Sanguan is already on his way to Inner Mongolia—this time to meet his girlfriend’s parents, and it’s the first time that both parents meet.So I'm very nervous.

　　Due to the impact of the epidemic, the original plan to go to Inner Mongolia during the Chinese New Year was cancelled.So, this time is important.

　　In order to travel safely, this trip is a full self-driving, more than 5000 kilometers back and forth.So updates... will not break (probably).

　　Sanguan has prepared a bunch of materials, which can always be written on the road, trust me!

　　Ask for a subscription, ask for a monthly pass, ask for a reward, ask for a recommendation, ask for Amway, in short, I want everything.

　　Everyone is waiting at home for more good news when Luo comes back.

　　
　
(End of this chapter)