Chapter 655 Artificial Kidney + Artificial Liver(1/2)
Chen Qi wanted to laugh when he saw everyone looking downcast:
"Yes, it is hemodialysis, but artificial kidney technology such as hemodialysis alone is not enough. Artificial liver technology also needs to be added. The focus of treatment is not only to remove arsenic toxins from the patient's body and blood, but also to make the patient
Liver cells can regrow until they can resume their functions."
Artificial liver, artificial kidney?
To doctors in the 1980s, this may have sounded like fantasy.
Hemodialysis is understood to be an artificial kidney, so what is a worker's liver? What is the principle of operation? How to replace it? You have never heard of it, not to mention you have seen it.
But what may be a huge problem for others, is actually a very simple matter for Chen Qi.
Because whether it is a continuous renal replacement therapy dialysis machine (CRRT) or an artificial liver support system (ALSS), both of these machines are available in his space hospital.
This kind of thing that looked like black technology in the 1980s is a routine device in major hospitals in 2022. It is also very simple to operate and has a very high degree of automation.
But how to take out these machines and use them is a headache for Chen Qi.
After all, these machines are beyond the times. They don’t exist in China or even abroad. It’s impossible to hide such a big machine even if you want to. How can you explain that this thing suddenly appeared?
If someone were to expose him, it would be another dispute, especially if certain teams want to control everything, and no accidents are allowed by them.
It wasn't until he got off work in the afternoon that Chen Qi came up with a way to get the best of both worlds.
"Who is originally scheduled to be on duty tonight?"
Wu Guoliang, a junior surgeon, and Yang Caisheng, a junior doctor in the internal medicine department, weakly raised their hands: "Dean, we are on duty tonight."
Chen Qi chuckled and waved his hand:
"Let's go, let's count your luck. You won't be on duty tonight. Dr. Lan and I will be on night shift. Also, let me tell you that Dr. Lan and I will be on night shift for the next week. In addition,
In the nursing class, Chen Li and Yang Xiuxiu will work hard and stay with us on the night shift for a week."
Wu Guoliang and Yang Caisheng couldn't believe their ears, because only junior doctors had ever done the night shift for their leaders, but they had never heard of the chief of the department working for junior doctors.
Is this a test by the dean if the guarantee is not complete? I have to appreciate it.
"Dean, we, we are on duty, no problem."
But Chen Qi said sincerely: "It's okay. You usually have a hard time at work. This time, Dr. Lan and I will do the work for a week first, and then you will come on."
The two young doctors wanted to say something, but they were suddenly pulled gently by Head Nurse Liu, indicating that they should listen to the director.
As for Chen Li and Yang Xiuxiu, of course they have no objection. The dean named them to work the night shift. This is not to punish them, but to represent the dean's trust in them.
Because often when the African team comes on stage, Dean Chen has some technology or equipment that he doesn’t want others to know about.
This kind of trust can only be enjoyed by the closest confidants.
Lan Lijuan is such a smart woman. As soon as she heard her husband's arrangement, she knew that he must be causing trouble again in the middle of the night, so she nodded:
"Then I'll go back first and settle the two little ones before I come to work."
Chen Qi looked at his watch: "Don't worry, you can come over after 9pm, I'll take care of you first."
The dean made the arrangements, and the other doctors, whether they were curious or indifferent, all obediently got off work. The dean's secrets are not something that outsiders can know casually.
When everyone left, they could still see Dean Chen looking thoughtfully at several monitors.
At 8 o'clock in the evening, Lan Lijuan came over early with several thermos buckets:
"Chen Qi, come here, this is the pork rib soup that eldest sister made for you. Eat something first. Are we going to have to struggle all night without sleeping tonight?"
As soon as Chen Qi picked up the spoon, he dropped it on the table, with a look of horror on his face:
"Honey, don't scare me. We are all running for the third time. I, an old man like me, can't stand it if we fight for a whole night."
"Bah, what are you thinking about?" Lan Lijuan's face turned red.
Chen Qi chuckled, picked up the spoon and continued to drink the soup, while Lan Lijuan read the day's medical records and examination reports again.
Waiting until midnight, when the handover of the night shift and the night shift in the hospital was completed and the whole hospital was quiet, Chen Qi stood up and sneaked out of the ward.
After a while, Lan Lijuan, Yang Xiuxiu, and Chen Li, who were inexplicable, saw Chen Qi pushing a machine over, which was wrapped tightly with cloth.
"Stop just looking at it, push this machine in. Chen Li, you go and guard the door. No other people are allowed in or out tonight."
As soon as Lan Lijuan and Yang Xiuxiu took over the mysterious machine, Chen Qi went back outside. After a while, he pushed another machine tightly wrapped in cloth.
When the two machines were pushed into Fu Zhenzhen's ward, Chen Qi used a piece of newspaper to seal the glass on the door tightly.
Chen Li was guarding the door of the inpatient department, and Yang Xiuxiu was guarding the door of the ward. It was double insurance. There were only two people left in the ward, Chen Qi and Lan Lijuan, and Fu Zhenzhen, who was in a coma.
Lan Lijuan was confused: "Chen Qi, who are these two machines?"
Chen Qi suddenly took off the two pieces of cloth, revealing two machines that Lan Lijuan had never seen before. They seemed to have very complicated structures.
"Lijuan, keep it secret. I smuggled these two machines in from abroad. They are still in the laboratory research and development stage, so they cannot be seen by outsiders. If the secrets are leaked, it will be a big trouble."
Lan Lijuan nodded. She was not surprised that Chen Qi was always mysterious and could get all kinds of machines and medicines.
"Look, this machine is an artificial liver, and its full name is artificial liver blood purification technology. As you can tell by the name, it works by temporarily replacing the damaged liver to perform various functions. This includes clearing the liver of
It can eliminate jaundice and toxins, and replenish coagulation factors and proteins that need to be synthesized by the liver itself."
This chapter is not finished yet, please click on the next page to continue reading the exciting content! At this time, Lan Lijuan's heartbeat was already beating wildly with excitement.
Because she felt that she had access to the world's top medical equipment, an instrument that could replace the liver, which was extraordinary when she thought about it.
"Chen Qi, what is the principle of operation of this machine?"
"This thing is easy to say and difficult to say. Let's describe it this way. Artificial liver blood purification technology refers to plasma exchange and blood adsorption technology, which means that inflammatory substances or toxins are dissolved in the blood and adsorbed to a surface with rich surface area.
on solid matter.
Then inflammatory substances and toxins are removed from the blood, so artificial liver technology is specially used for blood detoxification. It uses blood transfusion to remove toxins from the patient's plasma, and replaces the patient's toxin-containing plasma with healthy plasma. Every day
Approximately 50% of the body's plasma is replaced at one time.
If you look at this complete set of equipment, it actually includes principles such as plasma exchange, hemodialysis, hemofiltration, blood plasma perfusion, molecular adsorption circulation system, and continuous blood purification treatment. It is very, very complicated."
In fact, Lan Lijuan could only understand half of it, and Chen Qi also knew it.
Chen Qi also removed a dialyzer, which is a long cylindrical shape. After opening it, it was filled with small white filaments, like the whisks used by Taoist priests.
"Look, my wife, these white fibers are actually hollow inside. The principle of dialysis is here. It's the same as pickled eggs. If you think about it, we put salt around the eggs.
After a while, the eggs will become salty, right?
This shows that salt molecules can cross the egg shell and enter the egg. We use this principle to remove toxins from the blood. This is the principle of diffusion. After we draw the blood out, the blood will pass through this hollow.
Go inside the fiber.
Then the dialysate flows from the outside. The wall of the hollow fiber is like an egg shell, with holes. Then the toxins in the blood enter the dialysate outside the hollow fiber through the holes, and finally the dialysate washes away the toxins.
.”
Lan Lijuan still didn't understand it. She knew the general principle, but how to do it specifically. She knew that this was a very complicated and large project.
Chen Qi excitedly introduced himself.
"Look, wife, this is the blood pump, this is the APF continuous blood filter, this is the albumin pump, this is the bilirubin adsorbent, this is activated carbon, and here, this is where the dialysate is stored, here
It is a place where wastewater is discharged.
This series of equipment combined is equivalent to one cycle, which can remove protein binding and water-soluble toxins from the blood.
This machine is equivalent to the liver, which removes a large number of toxic substances from the body of patients with liver failure and can replace the detoxification and metabolism of the damaged liver.
At the same time, it also allows her liver to rest and then allows the liver cells to slowly repair themselves.
After Lan Lijuan got excited, she also heard another question:
"Chen Qi, according to you, artificial liver can completely replace artificial kidney, because the complete set of equipment of artificial liver includes hemodialysis."
Chen Qi thought for a moment and said:
"The basic principles are similar, but if you think about it, the main function of the liver is detoxification, while the main function of the kidneys is detoxification. There are some differences, and the artificial lung cannot be used for a long time, and there are still certain side effects."
Lan Lijuan is a physician and has a more delicate mind, so she asked:
"Now there are artificial livers and artificial kidneys, but are there artificial lungs and artificial hearts?"
"Yes," Chen Qi replied without hesitation.
"Artificial lungs can also be called Ye Kemiao. The full English name is Extracorporeal Membrane Oxygenation, or ECMO for short. This thing is amazing. It can completely replace the heart and lungs. Theoretically, as long as you have money and keep using Ye Kemran, you can
It will never die."
But it is really expensive. Once the Ye Ke film is turned on, the startup fee for this machine alone is 50,000.
After that, the minimum consumption per day is 20,000, and the general median is about 60,000. The most expensive one is 100,000 a day, which is a small amount.
Highlight the key points and take the test. This is the cost of one day.
If your grandfather has never climbed a snow-capped mountain, or your father does not have a coal mine, ordinary people cannot afford it.
There used to be a mayor in Wanwan Province who was a critical care medicine doctor. He was the famous "Ye Ke membrane expert".
Later, major hospitals in the country also introduced Ye Kemu in large quantities, but there were too few doctors who knew how to use it. It is considered to be the top high-tech equipment among medical devices.
After Lan Lijuan heard Chen Qi's words, she didn't speak for a long time, and just looked at the two machines in front of her in a daze.
To be continued...