2097 Acetaminophen Poisoning (Boss Zheng Happy Birthday 4)
"Boss Zheng." Director Kong walked to the door with his hands behind his back, "Just answered the call from Director Lin, and IU's consultation in the whole hospital."
Zheng Ren stood up and asked, "Director Kong, what patient?"
"It is said to be a young patient with liver failure." Director Kong said, "You go and have a look."
"Okay." Zheng Ren strode out of the office.
"Remember to have a good meal at noon." Su Yun and Chang Yue said, "Eat carbohydrates!"
After saying that, he also walked out with Zheng Ren.
There were a lot of footsteps behind him. Before Zheng Ren could see, he heard Su Yun say, "Go back and write your medical records."
"I didn't do the surgery today, so I don't need to write the surgery records. I'll just paste it when Fuguier finishes writing it." Lin Yuan followed behind, "Besides, if I can't finish the work, I will work overtime tonight, so I have to take care of you."
"You are talking back when you speak with your superior doctor?" Su Yun said contemptuously, "In the United States, are you talking to the big boss?"
"..." Lin Yuan was stunned for a moment, and his steps were slightly paused.
When she was in the United States, she was a little scared. She stopped and looked at the two who were leaving fiercely. Finally, she sighed and went back to write her medical records.
Although there is no clear superior doctor in the medical team, Yishui's status in Boss Zheng's medical team must be higher than Lin Yuan.
Lin Yuan still knows it in his heart.
"Boss, young liver failure, what's the problem?" Su Yun was also anxious to go to the hospital for consultation, ignored Lin Yuan, walked beside Zheng Ren and asked.
"Overall patients with hepatitis B or infectious liver disease are present. Who knows that in IU, the hospital needs consultation, which is probably not easy to deal with." Zheng Ren's expression was serious and he strided towards the fire prevention channel.
Zheng Ren said it very simply and his sentences were a bit uneven, but Su Yun knew what his boss meant.
Liver failure means liver failure, and there will be no tricks for consultations throughout the hospital.
You can call Director Kong directly and ask him to attend the consultation by himself. The meaning here is intriguing.
Diagnosis is not a problem. If 912 is diagnosed with liver failure incorrectly, it will not be the top large-scale tertiary hospital in the country. It is definitely a matter of surgery to ask yourself to consult the whole hospital.
Zheng Ren has preliminary ideas and has many guesses. But guesses are just guesses and cannot be counted.
Su Yun stopped talking and began to think about this young patient with liver failure.
When I entered iu, the door to the conference room was open, and several directors were already sitting inside, whispering to each other and talking in a low voice.
Zheng Ren changed his clothes and walked in, and Professor Yang, who was brave and brave, waved.
"Boss Zheng!"
"Brother Yang." Zheng Ren smiled and walked to him and sat down, "What patient?"
As he said that, he picked up the medical record on the table.
After 2 days of high fever, 6 hours of jaundice. The main complaint came into view, and Zheng Ren's eyebrows frowned.
After 2 days of fever, acute liver failure occurs. How urgent is this disease!
The rapid onset means that the condition is extremely fierce and the treatment effect will not be particularly good.
And jaundice occurs, and the degree of liver failure is probably very serious...
This person is afraid it's a big deal.
Looking down, the names and oral dosages of the three cold medicines appear in the current medical history, as well as other Chinese patent medicines.
The patient's diagnosis is clear and acetaminophen poisoning!
Acetaminophen is the name of the drug, which is the main drug ingredient of paracetamol that was seen everywhere decades ago.
The drug is absorbed by the gastrointestinal tract and metabolized by the liver. 90% of the drug is combined with glucuronic acid and sulfide in the liver and excreted from the urine.
However, 2-4% of the drugs will be metabolized by the intrahepatic cytochrome p-450 mixed functional oxidase system, becoming a toxic intermediate metabolite that binds to glutathione.
Generally speaking, acetaminophen will not cause harm to the human body, after all, the metabolic function of the liver is quite powerful.
However, if the dose of the drug is too large, the glutathione is consumed, and the toxic intermediate metabolites bind to hepatocyte proteins, which in turn leads to hepatocyte necrosis.
Zheng Ren glanced at the dosage of the drug and had already had calculation results in his mind.
Normally, taking acetaminophen drug orally can produce toxic side effects by taking 7.5g of acetaminophen at one time.
The oral dose of drug taken by young patients is enough for liver failure two or three times.
"I'm going... how much acetaminophen I took." Su Yun said in surprise, aiming at the medical record.
"Oh, the patient is in a bad condition now." Professor Yang sighed and said, "Hepatocytes are rapidly necrotic, liver failure is severe, and hepatic encephalopathy has already appeared."
“…”
Zheng Ren felt extremely regretful when he looked at the age he wrote on the medical record.
It was just a common cold, and after taking some cold medicine, I had to face such serious consequences.
I guess this little patient named Chen Li never expected it before.
If there is a next time, he will definitely not take so many cold medicines randomly. Unfortunately, there is no chance to do it again in the world.
Now the patient has hepatic encephalopathy, coupled with severe jaundice, which proves that liver failure has reached an almost irreversible stage.
"Boss Zheng, do you see if there is any other way?" Professor Yang asked softly.
After joining forces with Boss Zheng for interventional embolization + surgical resection, Boss Zheng seemed not interested in this, so Professor Yang also had a deep understanding of the benefits.
Professor Yang has his own way to publish the papers. If this is done by Boss Zheng, it would be really unreasonable.
He has a high skill level and is unwilling to compete for benefits, or he does not like this at all. Who is unwilling to make friends with such people?
Professor Yang is already very close to Zheng Ren, and his relationship has been very popular recently. So he asked casually, but he was not familiar with it.
Zheng Ren shook his head and signaled that he had no good idea.
"Liver transplantation seems to be the only way to do this." Su Yun frowned and said.
"Liver transplantation requires matching, the key is to try your luck and wait for the donor." Professor Yang sighed.
He also knew that the patient needed liver transplantation and could wait for the donor, which was short of three to five months.
There are handfuls of people who have not waited for the donor until death.
Director Li of the 912 Hepatobiliary Surgery Department is good at liver transplantation. Although there are not many, he does more than a dozen or dozens of units every year.
"I am a junior and I am in good health." Professor Yang glanced at the door and whispered: "The school attaches great importance to this matter."
I think so.
Although the school is not at fault, how can such a young child explain to his family if something happens?
It is impossible to have died, escape and injury, and everyone will have their destiny as before.
If your emotions are out of control at home...
Thinking of this, Zheng Ren's head hurts.
"The patient's family flew over from their hometown, and it will be 3 or 4 hours in a row." Professor Yang said: "When I came up, I saw Director Ye accompanying Vice President Yuan."
"The school principal is here too?"
Chapter completed!