Doctor: I picked up attributes in the hospital

Chapter 160 Another Sleepless Night
After eating supper in Liu Ziang's office, Zhao Heng returned to the anesthesiology department. Looking at the time, it was already four o'clock in the morning.

Nights like this were normal for Zhao Heng.

Choosing the profession of a doctor is equivalent to choosing such a life of upside down day and night.

Statistics show that the probability of sudden death of surgeons, especially anesthesiologists, ranks among the top three among all occupations.

Standing in front of the window of the office, Zhao Heng looked out the window. It was four o'clock in the morning in Beishi, which still seemed very lively.

It was already four o'clock in the morning, and he couldn't sleep at this time. Zhao Heng went from the window and sat down in front of the computer. It was time to finish writing the paper on the effects of anesthetics on organs.

After writing this thesis, plus the previous one on the recovery of brain function and consciousness, Zhao Heng can be considered to have initially gained a foothold in the academic world.

After Mr. Huang returned to China, the matter of applying for a combined master's and doctoral degree must also be raised in the schedule.

As for the profession, Zhao Heng has not cleaned up the wool from the doctors of the Eastern Hospital. From time to time, Zhao Heng can still pick up relevant skills and experience from other surgeons.

For now, Zhao Heng can be said to be a rare doctor who is proficient in general practice.

Proficient in so many medical fields at the same time, this made Zhao Heng's views on medicine, diagnosis and treatment, completely different from other doctors.

Anesthesia is just the beginning.

For Zhao Heng, the future will be promising.

Turning on the computer, Zhao Heng put on the bluetooth headset, took out his mobile phone, opened Wang Yiyun Music, and opened a song "Singer" by the female anchor singer Xiuxiuman.

"I saw my love

I fly to her side

I held out a gift for her
It's a small piece of frozen time"

Inside the earphones, a melodious and full female voice came.

This is a song sung by a female anchor that Zhao Heng likes to listen to recently. This song is the theme song of the final season of the "Three-Body Problem" radio drama.

The time spent concentrating on writing the thesis passed quickly, and finally, Zhao Heng finished writing the last word of the twelve-page thesis.

Zhao Heng raised his head and saw that it was already bright outside the window. He checked the time, and it was already 07:30 in the morning.

Zhao Heng stood up, stretched, and came to the brain surgery ICU again.

Coincidentally, when Zhao Heng entered, Liu Ziang was also there.

It seems that he is still very concerned about the patient's condition.

"Senior, how is the patient's condition?"

Zhao Heng asked Liu Zi'ang, who was standing by the hospital bed with a not relaxed expression.

"It's very bad, because a large area of ​​the skin on the body surface is carbonized by electric current burns, now the patient has a very serious infection, and there is a tendency to develop DIC."

Liu Ziang shook his head slightly and said.

For the patient in front of him who could be said to have been snatched from the hands of the god of death, Liu Ziang certainly hoped that he would get better.

But the reality is unsatisfactory. Being able to make it to the operating table and get off the operating table alive is already a very hard life!

The DIC mentioned by Liu Ziang is disseminated intravascular coagulation. Due to the disseminated activation of the coagulation mechanism in the blood, it triggers extensive fibrin deposition in small blood vessels, resulting in tissue and organ damage; on the other hand, the consumption of coagulation factors causes systemic bleeding tendency.

The two contradictory manifestations coexist in the development of DIC and constitute a unique clinical manifestation.

In DIC patients multiple organ dysfunction syndrome will be the leading cause of death.

Most importantly, the fatality rate of DIC is as high as 31% to 80%.

"Patients now have to receive a large number of blood transfusions, but if there is too much blood transfusion, the possibility of allergies, fever, and transfusion-related circulatory volume overload is very high."

After a pause, Liu Ziang said again worriedly.

It is rare to see Liu Ziang so worried, it seems that the patient's situation is really very difficult and not optimistic.

The blood transfusion here is actually the transfusion of large "allogeneic red blood cells". The supernatant of allogeneic red blood cells may contain cytokines, chemokines and cell-derived particles that cause a pro-inflammatory response in the recipient's immune system.

"In this case, would it be better if the allogeneic red blood cells were washed first before the blood transfusion?"

Zhao Xu thought for a while and said.

He got his inspiration from dialysis.

"Since allogeneic blood transfusion has some side effects, allogeneic red blood cells can be washed at the bedside as needed, so that some soluble factors can be removed and the concentration of soluble factors related to adverse reactions of blood transfusion can be reduced."

"Furthermore, allogeneic red blood cell washing can remove cytokines, chemokines and microvesicles associated with transfusion-induced respiratory complications, and by effectively removing most of the proteins, it can also reduce antibody-mediated transfusion-related acute pulmonary possibility of injury."

After a pause, Zhao Heng said again.

"Well, your idea sounds feasible."

Liu Zi'ang listened to Zhao Heng's suggestion, and after thinking about it for a while, his solemn face relaxed a lot, and he looked at Zhao Heng even more appreciatively.

In his opinion, Zhao Heng not only has a solid professional quality, but more importantly, his ability to solve problems is also very strong.

When many other doctors are at a loss, Zhao Heng can always propose an effective treatment plan from a special angle that no one else has thought of.

This ability is very rare.

Professional quality can be practiced, how to practice this idea?
"Go and take a break. With the idea you put forward, the patient's survival rate has been greatly improved."

Liu Ziang said to Zhao Heng again.

In fact, Zhao Heng was more tired from tonight's surgery than both him and Jiang Rui.

After all, he and Jiang Rui are only in charge of part of the operation, and they can take a break during the operation, but Zhao Heng follows the whole operation, monitors the patient's vital signs at any time, and adjusts the medication during the operation. This is a mental stress for a person. is very large.

Liu Ziang saw all these.

"Okay, just call me if you need anything."

Zhao Heng nodded.

"It's okay, allogeneic red blood cell washing, I will contact the nephrology doctor to do it."

Liu Ziang said.

This allogeneic red blood cell washing process is actually similar to dialysis.

Zhao Heng nodded, he was indeed tired.

Returning from brain surgery again, Zhao Heng looked at the time, and it was already ten past eight. At this point, those who came early had already come to work.

Zhao Heng sat in the office and went back to rest after preparing to hand over the shift.

At this moment, Xu Manni came in from outside the office, and seeing Zhao Heng's haggard face with two big dark circles under his eyes, she couldn't help saying distressedly, "Why did you stay up all night again?"

"There is a patient outside the brain, and I must cooperate with anesthesia."

Zhao Heng said with a smile.

"Huh? It's Liu Ziang again? Why does he always drag you into this kind of major surgery that lasts all night? I have to go and talk to him."

When Xu Manni heard this, she realized that the operation was done with Liu Ziang again.

With Liu Ziang in touch, there is no operation that is less difficult, and it is the kind of major operation that can last all night.

"It's okay, I'll be fine when I go back to bed after the shift."

Zhao Heng said with a smile.

(End of this chapter)