I can see the status bar

Chapter 668 Plasma Exchange (September 9th, 4th update)
In the office of the Comprehensive Diagnostic Center, Sun Lien looked at the documents with some anxiety.

He can't quite understand why Song Wen must save his limbs, but at least he has successfully convinced his dean - this matter is out of my control.

Physicians feel very powerless at this time.Unlike those colleagues who play with knives, it is impossible for a physician to restore a certain function to a smashed leg by injecting or taking some drugs.This kind of thing is physically impossible.

Although physicians usually look down on the crude and direct treatment methods of surgeons-whatever is wrong.But any physician must admit that in such cases only surgery can help.And they... At most, they can only try to help clean up the battlefield after the surgical treatment is over.Medicines are prescribed to prevent infection and speed up the patient's recovery a little.

But some battlefields are beyond the scope of surgery.

Wang Ge was sentenced to death by the surgeon.It's not that his operation cannot be performed, but that he will die as soon as he performs the operation.So in this case, there are and only physicians can help him.

Under the "careful adjustment" of Dr. Pascal, Wang Ge is receiving multiple drugs at the same time.Including belimumab and chlorpheniramine maleate injection, recombinant human interleukin-2, thymopentin for injection and prednisone.

The drug caused obvious side effects on Wang Ge. Under the influence of hormones and other factors, his triglycerides soared all the way. At the latest inspection, Wang Ge's triglycerides had almost reached 50mmol/L.

This is a very dangerous number. When Sun Lien found out this data for the first time, he even suspected that there was something wrong with the equipment in the inspection department of the comprehensive diagnostic center.But soon, he saw the blood sample drawn from Wang Ge's body - it was a tube of pink blood.

Normal human blood is basically two colors - bright red arterial blood and dark red venous blood.And pink is clearly not one of those two colors.This is the "unique" color of dark red venous blood mixed with white fat.

"This thing looks like a description in a novel I've read before." Xu Yourong made the above comment when he saw the tube of blood, "It was quite a famous online novel before. Said the heroine's blood was pink."

Sun Lien asked while giving the doctor's order, "Did the heroine die from acute pancreatitis?"

"Dead is not dead." Xu Yourong replied seriously, "Later, her blood turned into a rainbow color. I'm still researching with Rachel, how many illnesses did she have to have to turn her blood into seven colors—roughly counting, she I have to die five or six times..."

粉红色血液，意味着患者体内的血脂已经高到了无法被接受的地步。正常人类的血脂含量一般在0.45~1.69mmol/L的水平上。1.7~2.25mmol/L就算边缘升高，而大于2.26mmol/L就是高血脂症。

It is nearly 25 times higher than that of patients with hyperlipidemia. This is Wang Ge's current state.The state of hyperlipidemia means that his blood will be extremely viscous, which can easily lead to further coronary artery blockage or cerebral vascular blockage.

However, hormone shock therapy cannot be stopped, and other immunosuppressants cannot be adjusted.In this case, Sun Lien decisively chose the most direct method.

Plasma exchange.

"Give him plasma exchange, and ask a specialist for advice on the dosage. My idea is to at least double the volume." Sun Lien and Xu Yourong continued to discuss the treatment plan, "His current weight is 68 kg, and his total blood volume is about 4760 ml The red blood cell ratio is 0.45, and the total plasma volume is about 2600 milliliters." Sun Lien quickly gave his own plan while pressing the number on the mobile phone, "Swapping double volume of plasma can remove 63.2% of the original plasma... His blood lipids Should be able to drop to around 18..."

Xu Yourong frowned and said, "That's still too high... Let's ask a specialist, I think this kind of patient needs at least twice the volume, and after clearing it to 86.5%, it can at least lower his blood lipids to single digits." number."

It was the first time that the specialist doctor who was invited for consultation encountered such a severe hyperlipidemia patient.He looked at the plan given by Sun Li'en and Xu Yourong, and asked with some concern, "From the perspective of pulp replacement alone, we generally recommend that double the capacity is enough. The clearance rate of this plan is already high enough, and there are no complications. It’s also a little less. But the blood lipid level of 18.4mmol/L... This doesn’t completely remove the risk of his cardiovascular and cerebrovascular accidents..."

Under normal circumstances, patients with such high blood lipids will have very unhealthy living habits.After receiving such patients, doctors usually directly intervene in the living habits of the other party, supplemented by drug treatment or even plasma exchange.Take a variety of measures to remove the fat in the patient's blood.

But now Wang Ge's situation is different from those of those patients. His high blood fat does not come from unhealthy living habits, but from the large amount of hormones used by doctors to save his life.In this case, the method of living habits cannot be effective, and other solutions based on hindering fat absorption cannot be applied to Wang Ge.

To what extent can his blood lipid be reduced by plasma exchange only—to what extent can he prevent possible cardiovascular and cerebrovascular accidents? Regarding this issue, specialist doctors have no experience, and Sun Lien and the others have no experience either.

"There are not many ways we can think of now. The safest solution is to watch while governing." After a few minutes of consideration, Sun Lien decided to tell the truth.He asked the specialist doctor, "Is it okay to adjust the plasma exchange plan while monitoring the patient's vital signs?"

"Plasma exchange is a continuous process, and it is difficult to fully judge the patient's condition based on vital signs alone." The specialist doctor sighed, "Not to mention, side effects such as hypokalemia will not be directly reflected in the patient. Delayed hypokalemia has also been reported in terms of vital signs. Other side effects are even more difficult to say.”

This problem... In fact, Sun Lien has a solution.As long as he keeps staring at Wang Ge - the response speed of the status bar is much faster than other vital sign monitoring devices.And the response is faster.

But Sun Lien could not tell the specialist directly, "You can go ahead and use it boldly, I am better than the lifeline monitor."If he dared to say such a thing, Xu Yourong at the side would have directly sent him to a mental hospital.

"You guys just wait and see..." Sun Lien thought about it, and could only choose this way, "Even if there are delayed side effects, we can find them in time by strengthening monitoring. Coming back, the collateral damage is still too great."

(End of this chapter)