medical road high rise

Chapter 187 Bone Marrow Transplantation ([-])

Chapter 187 Bone Marrow Transplantation ([-])

Qin Feng looked at the hematology specialist at the provincial hospital below, sweating profusely while pumping, but there was no trace of bone marrow in the needle tube.

This is not a good thing. You must know that before hematopoietic stem cell transplantation, patients usually undergo chemotherapy for a long time, and the body has already suffered irreversible damage. The patient lives on.

Why do tens of thousands of people across the country wait for bone marrow transplants every year, but only less than 10 people can actually get a transplant, or even less?

That is, the chance of a bone marrow match is only one in a hundred thousand.

This means that there will only be one person in a hundred thousand people. Even if it is between clansmen, the chance of being able to match is only one in four, and they must be immediate relatives.

"Qin Feng, what are you doing here?" The dean discovered Qin Feng's existence.

"President, what extraction method did the experts in the provincial hospital use?" Qin Feng asked directly without answering the dean's question.

The dean froze for a moment, then looked at the director of the Department of Hematology.

The director of the hematology department replied; "Peripheral blood stem cell transplantation is still used."

"Isn't it a classic bone marrow transplant?" Qin Feng frowned.

There are generally three ways to extract hematopoietic stem cells for the treatment of leukemia.

The first is simple and fast bone marrow transplantation, the second is peripheral blood stem cell transplantation, and the third is umbilical cord blood stem cell transplantation.

The advantage of peripheral blood stem cell transplantation is that hematopoietic stem cells are released from the bone marrow into peripheral blood, and blood stem cells are collected from circulating blood by a blood cell separator.

Compared with bone marrow transplantation, this method is more convenient to collect, the provider does not need anesthesia, and the recovery of hematopoietic cells is faster after transplantation.

However, peripheral blood stem cell transplantation is a new technology, which is still in an incomplete state, and many defects and dangers have not been discovered.

It was obvious that the expert from the provincial hospital was showing off his skills, and he happened to encounter a flaw and a danger.

"Dean, shall I help the experts of the provincial hospital?"

"Will you take out the hematopoietic stem cells?"

"A little bit."

The dean waved his hand and signaled Qin Feng to go over.

The director of the hematology department looked at Qin Feng in surprise, and then his face changed, thinking of something bad.

That is, Qin Feng wants to steal their hematology business?

Qin Feng finished his pre-operative preparations and went directly into the operating room.

Yin Zuowu, an expert from the Provincial Hospital, was frowning and thinking about countermeasures when he heard a question from behind him.

"Have you taken it out yet?"

This sentence is simply an insult to Yin Zuowu's profession.

In his opinion, no one in Taoshi No. [-] Hospital was qualified to question him like this, and he was a hematologist at the provincial hospital.

"Who let you in?" Yin Zuowu turned his head, dissatisfied.

After seeing Qin Feng's appearance clearly, he became even more angry.

What does it mean that Taoshi No. [-] Hospital randomly let a kid in during their own surgery?
"Get out of here before I lose my temper."

"I think you won't be able to get it out with the method of peripheral blood stem transplantation. It's better to use conventional bone marrow transplantation." Qin Feng said.

"Increase the mobilization agent and continue to pump." Yin Zuowu said to the assistant.

The assistant increased the mobilizing agent, but the hematopoietic stem cells still failed to enter the peripheral blood.

Qin Feng stepped forward, "It's useless, you can only use bone marrow transplantation."

"You know what, how do you use bone marrow transplantation now? Peripheral blood stem transplantation is because it can reduce the incidence of host reactions. At the same time, the patient is chronic myeloid leukemia. If you use bone marrow transplantation, the active cells and immunity in the transplanted tissue will be suppressed." , there will be rejection." Yin Zuowu roared.

Director Jin was lying on the operating bed. Since he was not anesthetized, he could hear the conversation between the two clearly.

"Doctor Yin, is there really no other way for bone marrow transplantation?" Director Jin asked in pain.

"Unless the problem of graft-versus-host reaction can be solved, even if it succeeds, there will be a large number of complications." Yin Zuowu explained.

In Yin Zuowu's view, the patient's immune system was basically destroyed, and he could not bear the complications of skin, liver and even digestive tract cell necrosis.

After hearing this, Director Jin closed his eyes and sighed deeply.

Qin Feng fell silent, while Yin Zuowu at the side continued to arrange the mobilization agent, with the momentum of not giving up until it was drawn out.

"Graft-versus-host reaction is because the technique of the bone marrow transplant operator is not good enough. If it can be handled well during the transplantation process, the existence of complications can be reduced." Qin Feng said suddenly.

When Yin Zuowu heard this, did he not believe in his skills?

"Let your hospital's hematologist come and see if he dares to do a bone marrow transplant." Yin Zuowu put down the instruments in his hand, threw the sterile gloves into the pollution bucket, and turned to leave.

Qin Feng looked at Yin Zuowu who was leaving, and ignored him, but took the position of chief surgeon.

"Then who, I need anything later, you remember to pass it to me." Qin Feng said to the equipment nurse and assistant.

The assistant and the equipment nurse are both from the Second Hospital, so they naturally know Qin Feng, and they nodded when they heard Qin Feng's words.

"Qin...Qin Feng, are you really sure?" Director Jin said.

"I'm [-]% sure, but you have already been injected with a large amount of mobilizing agents, and all the states of your body are prepared for peripheral blood stem cell transplantation. When you wait for the bone marrow transplantation, you will be very painful." Qin Feng reminded.

Director Jin opened his eyes, gritted his teeth and said, "Do it, you can do it, as long as it can save my daughter."

For the first time, Qin Feng changed his mind about Director Jin. He originally thought that someone like Director Jin might give up.

Unexpectedly, the father's love is still like a mountain!
After saying this, Director Jin doubted whether Qin Feng could do bone marrow transplantation, and thinking of the miracles Qin Feng created in the hospital, Director Jin quietly closed his eyes.

"Doctor Qin, you must save my daughter."

The name of Qin Feng has also changed from Qin Feng to Doctor Qin, which represents Director Jin's trust in Qin Feng.

Yin Zuowu, who returned to the operating room on the other side, saw that the people in the second hospital ignored him and looked at the operating room instead. Yin Zuowu turned his head and saw an amazing scene.

"Prepare two NS-2ml mixed heparin, two hundred 500ml disposable syringes, five 20-gauge and 16-gauge needles, and five sets of bone puncture sets."

The assistant hurriedly prepared, and Qin Feng took the opportunity to pick up the medical records of Director Jin and Director Jin's daughter. It seems that Qin Feng doesn't know much about the situation of the two of them. Blind surgery will cause endless complications, as the doctor in the provincial hospital said. .

After quickly reading the medical records, the equipment nurse's equipment is almost ready.

"An epidural first."

The anesthesiologist nodded and administered anesthesia to Director Jin.

Qin Feng turned his head to look at the operating room, and called the director of the hematology department, who rushed over.

"Director Li, you can perform bone marrow filtration and cell counting later, Xiao Wang, you do the extraction of NS + heparin, and leave the extraction of bone marrow to me." Qin Feng said.

Due to the rush of time, it is impossible for Qin Feng to do all the things by himself.

(End of this chapter)