huidaojiazhonghou,jiangchensuiyixileyibalianbiankaishizuozaofan。
zaofanzhuyaoshiniunaijidantang,waijialianggemantou。
buguoniunaijidantanglijiangchenzhifangledanqing,bingmeiyoufangdanhuang。
huiqudelushang,jiangchenrenzhenshulizhetongtongxianzaidebingqing。
youzhebinglixuedezhishizuoweijichu,jiangchenduiyushulitongtongdebingqingyouzheyidingdebawo。
dangtahuidaobingfangshi,tongtonghaizaishushui,ertayijingchedigaoqingchuletongtongdebingzhengmailuo。
xianzai,chulerongxuexingniaoduzhengheshenshuaijiezhiwai,tongtongzuizhuyaoderongxuexingpinxuedaozhidexinlishuaijieyijigaoxuejiazhenghedianjiezhiwenluan。
xiangyaozhiliaopinxue,zuihaodefangfabianshishuxue,buguodangxuejia>6mmol/lshi,jiubixuxianbaxuejiajiangxialai,suihoucainengshuxue,fouzehuanzhehuiyoushengmingweixian。
erjiangdixuejiadefangshihejiejuedianjiezhiwenluandefangshiyiyang,neibianshixueyetouxi。
guigenjiedi,touxishibixuzuode。
jiangchenxianzaishouxianyaobimiandeshi,tongtongdexinlichedishuaijie。
dangxinlichedishuaijiehou,jiubixuyongecmolaijinxingxinzangzhichi,daoneishi,qingkuangjianggengjiaweiji。
suoyi,tadediyiyaowushichedijiejuetongtongxinlishuaijiedewenti。
erxiangyaotuiyanchuzhiliaoxinlishuaijiedefangfa,jiubixuzhangwoxiangguandeyixieyixuezhishi。
所以....
江辰仍需努力。
zaoshang,zhuzhiyishengyangdantongqitadafuhushi,yiqilaichafang。
chakanguotongtongdangxiadebingzhengzhihou,yangdanjihushixiaolijichuleduiyingdechufangdanzi。
suihou,takanxiangyipangdejiangchenxunwendao:“zenmeyang,shukandehaishunlime?”
jiangchenkeqidedianlediantousuihoudao:“ng,haibucuo,binglixueyijingkanwanle,jiexialaigaikanshenglixuehezhenduanxuele。”
tingdaojiangchenzheihua,yuanbendasuanjijiangchenshuoshengjiayoudeyangdanqueshiyileng。
daozuibiandejiayouzuizhonghaishiyanlehuiqu。
yiyeshijiankanwanbinglixue?
这无疑是在开玩笑。
yaozhidao,yixueshujibutongyuqitazhuanyedeshuji,meiyibendounengdingqitashujidesiwuben。
erqie,limianjizaidebinglizhishikeshinangkuoleerke、fuke、neike、waikedengyixiliedefangmian,keweishibaoluowanxiang。
daxueshengxueyiniandouweibinengchitou,kejiangchenjuranshuozijiyiyeshijianduwanle。
zheidaoshishidejiangchenzaiyangdanxinzhongdeyinxiangdadajianfen。
yixuekebushiyimenhunongdexueshuo,jiangchendezuofawuyishizaihuazhongquchong。
tongyangyouzheizhongxiangfade,haiyoutongxingdeqitayishenghehushi。
zaitamenkanlai,jiangchensuoweidecongshuzhongxunzhaojiuzhifangfa,buguoshijuyishixingqidewanxiao。
“neinijiayou,kanwanjidehaihuilai,sunhuaileyaopeide。”yangdandingzhu。
“嗯。”
jiangchennenggoucongyangdandebiaoqingzhongkandaomingxiandebuxiangxin,kezheibuzhongyao。
tazhixuyaozijixiangxinjiukeyile。
jiexialaidejitian,jieshihezuoriyiyang,chulezhaogutongtongzhiwai,shengyudeshijianjiangchendouhuikanshu。
youzhejingliyaoshuidejiachi,tayizhouweimian。
duanduanyizhoushijian,jiangchenyijingchedixuewanleyixueshengdaxuewuniandeyixuezhishi。
bingqie,tahaijiangzheixiezhishilaolaodejizailexinli。
xianzai,jiangchendeyixuesuyangyijingkeyikanbiyiminggangbiyedezhuyuanyile。
hongzhetongtongchiguowufanzhihou,jiangchenjiangxinsichenrulexitongzhizhong。
jingguoyizhoudexuexizhihou,tazhongyudasuanzheshoutuiyanle。
“xitong,tuiyanxinlishuaijiezhiliaofangan。”
【xitongyishoudaosuqiu,zhengzaituiyanjieguoqingshaohou。】
【muqiansuzhuzaixinlishuaijiefangmiandezhishibijiaoqianbo,tuisuanjieguozhiliaofengxiangaoda90%,shifoutiqu?】
tingdaozheihua,jiangchenfangqiletiqu。
kanlaihaishizijixiangdetaitianzhenleyixie。
yiweizijixuewandaxuelideyixuezhishi,jiunenggoutuiyanchuzhiliaoxinlishuaijiedezhiliaofanganle。
没想到....
tuisuanjieguodeshishifengxianhuineimegao。
“kanlai,bixuyaolejiegengduodexinlishuaijiefangmiandezhishicaixing。”
xinnianluoxia,jiangchenjiangzhuyilifangzailezhiwangshangmian。
zhiwangshang,youguoneiwaidingjianxuezhedexueshulunwen。
xianzaijiangchenyouzhejichuzhishi,kandongneixielunwensihaobufeili。
zhiyaobaneixielunwendoukentou,jiuyidingnenggoutuiyanchuzhiliaofangfa。
江辰坚信。
tahelezuihouyipingjingliyaoshuizhihou,biankaishixuexizhiwangshangguanyuxinlishuaijiefangmiandelunwenwenxian。
erzheiyixuexi,youshizuzuyixiawushijian。
yixiawushijianli,tazuzukenle372pianyouguanxinlishuaijiedelunwenwenxian。
qizhong,jiangshulexinlishuaijiedebingyin、linchuangbiaoxian、shiyanshijianchashujuyijixiangduibaoshoudezhiliaojianyi。
youlezheixie,jiangchenzaiyicixuanzetuiyan。
“xitong,tuiyanxinlishuaijiezhiliaofangan。”
【xinlishuaijiezhiliaofangantuiyanzhong,qingshaohou。】
【chenggongtuiyanchusangezhiliaofangan,chenggonglefenbiewei60%、70%、75%,shifoutiqu。】
“提取。”
jiangchenhuayinluoxia,sandaozhiliaofanganchuxianzailetadenaohai。
【zhiliaofanganyi:xinzangzaitongbuhuazhiliao(crt),youyudangqiankejishuipingyouxian,dianzizhulibengzhinengzaizhongduanqineiweichibingrenzangqigongneng,chenggonglv60%,dianjichakanxiangqing】
【zhiliaofanganer:βshoutijiekangjipeihexinxingecmoxitongzonghezhiliao,chenggonglv70%,dianjichakanxiangqing】
【zhiliaofangansan:xinzangyizhishoushu,chenggonglv75%。dianjichakanxiangqing。】
kanzhesangezhiliaofangan,jiangchendiankaixiangqingzixiguankan。
zuzuhualeyigexiaoshi,tafangcaijiangzheisangezhiliaofangandexiangqingxijiegaomingbai。
guigenjiedi,zheisangezhiliaofangangeyouyouquedian。
qizhongfanganyishidangqianbijiaozhuliudeyizhongxinlishuaijiezhiliaofangfa,danshiyouyukejishuipingyouxian,muqiandeyizhidedianzizhulibengwufazuodaohezhenzhengdexinzangyiyang。
zheizhongzhiliaofangfanenggouranghuanzheduohuojinian,danshiwufagenzhi。
xianranzheibushijiangchensuoyaode。
zhiyudisanzhongxinzangyizhishoushu,gengbietile。
suishuoxitongjichudexinzangshoushufangangezhongxijie,yuanyuanchaoqianyuxianzaideyixuelinian,chenggonglvgengshigaoda75%。
dantongtonghuanbingfangcaibannianduo,xianbushuotaxianzaihaimeiyoudadaoxinzangyizhidedibu。
jiusuandaoleneiyibu,yeweibinenggouzhaodaoheshidexinzangyuan。
所以....
jiangchenshijishangnengxuandefanganzhiyoudierzhong。
βshoutijiekangjipeihexinxingecmoxitongzonghezhiliao。
zheishiyizhongzuhezhiliaofangan。
qizhong,βshoutijiekangjizheizhongyaowudangxiajiuyou,bingqiefuhexitongtuiyanchudeyaowubiaozhun。
tanenggouyizhijiaoganshenjinghuoxing,congerjianhuanxinlishuaijie。
buguozheizhongyaowudezuoyongyejinjinshijianhuanxinlishuaijie,bingbunenggenchu。
zheigezhiliaofangandeguanjianjiuzaiyuxinxingecmoxitongshang。
xianzaiyiyuanlisuoshiyongdetiwaimofeiyanghezhichixitong(ecmo)naishicongwaiguojinkoude。
tademuqiandezhuyaogongnengbianshixinzanggongnengdezhichi。
xiangdangyutiwaixinzangdaititineidexinzangyunzhuan。
qizuoyong,qishijiuxiangdangqianjinding,zhihuizaijinjishikedingtiyixia。
shuobailejiushiduanqineiranghuanzhebaochixinzangdezhengchanggongneng。
可患者出院后呢?
tineidexinzangshuaijieyijiumeiyougenzhi,huanzheyijiuhuisiqu。
erxitongtuiyanchulaidexinxingecmoxitongzebuyiyang。
tabujinnenggouzhichixinzanggongneng,tongshihainenggouduanlianxinzang,huifuqizhengchanggongneng。
rangyuanbenneixiebukenidexinzangshuaijiedadaohuifu,congerchedigenzhixinshuaijie。
并且...
xiangyaozhizaochuxindeecmoxitong,xianzaidekejishuipingyijingdadao。
guanjianzaiyuyiliaoliniandezhuanbianheruanjianxitongdechuangxin。
congxitongdefenxilaikan,waiguodezheiecmoxitong,suoyouyingjianshebeiyijingwanquandadaolexitongdeyaoqiu。
weiyimeiyoudadaoyaoqiude,bianshiqizhongderuanjianchengxuheyunxinglinian。
zhiyaojiangxitongtigongdeneixiefanfudechengxujizhu,bingqiezaixianyoudeecmoxitongshangmianjinxinggenggai,biankeyanzhichuyitaixinxingdeecmoxitong。
neiyang,jiubuyongdanxintongtongxinshuaijiele。
buguozheizhongyiqigaodajibaishangqianwandejiage,jiusuanshiningshideshijiyiyuanyejinjinzhiyouliangtai。
gaizenmenongdaozheizhongyiqini?
这又是一个难题。
xianzai,jiangchenshouzhongdedecunkuanzhiyoubudaosanshiwanle。
zheixiehaishitazhiqianzaijiazuoduanshipinzhuanlaide。
genbenbukegougoumaiyitaixinde。
zhangqiuyunyougoumainengli,danshijiangchenbuhuixiangtakaikou。
再者
jiusuanmaihuilai,haiyouanzhuangdengyixiliedeyaoqiu。
并且....
zheizhongjingmiyiqiduiyuhuanjingdeyaoqiuxiangdangyange。
jiusuanmaihuilaifangdaojiali,jiangchenjiadehuanjingtiaojianyedabudaoyiyuandeshuizhun。
所以...
jiangchenzhinengcongyiyuanzheibianxiangbanfa。
xianzai,tongtongzhudebingfanglimeiyouzheizhongyiqi,xiangyaojiechudaoecmo,jiubixuquicu。
“kanlai,dexiangbanfarangtongtongzhudaoiculi。”
xinnianluoxia,jiangchenkaishisisuoduice。
erzheishi,hushixiaoliguolai,shuoshiyaodaixiaotongqianquxuetouzhongxinzuotouxi。
jiangchentuilailunyi,qingqingdejiangnverbaodaolelunyishang,gaihaobeizi,ranhoujiugensuinverquzuotouxi。
jiangnversongjinxuetouzhongxinzhihou,jiangchengenhushixiaolijiaodaileyifan,bianxiangzhezhuzhiyishengyangdandebangongshixingqu。
touxixuyaoyizhengtiandeshijian,xuetouzhongxinyebuyunxuhuanzhejiashujinru,youzhezhuanzhihushixiaolikanzhe,jiangchenkeyizanshilikaiyiduanshijian。
laidaoyishengyangdandebangongshimenqian,jiangchenqingqingdezaimenshangqiaoleqiao。
“进来。”
yangdantaiqitou,kanxiangmenkou。
jiandaojinlaideshijiangchen,tadagaicaicedaolejiangchendelaiyi。
zuoweiyimingzhuanzhinaiba,rujingangganglihun,haiyaodanfugaoedeyiliaofei,tanenggouxiangxiangdaojiangchenjianshangdedanzidaodiyouduozhong。
“想好了?”
tingdaoyangdandewenhua,jiangchenxianshiyileng,suihoudanranyixiaodao:“yangdafukongpawuhuile,wozheicilaibushiweiletongtongchuyuandeshiqing。”
“那是?”
yangdanqiaolianzhishangfuxianyimoyihuo。
jiangchenzeshidao:“woshixianggenyangdafushangliangyixia,rangtongtongzhujinicu。”
tabukenenggenyangdanshuozijizhaodaolezhiliaotongtongxinshuaijiedebanfa。
yinweineiyangbierenrongyibatadangchengfengzi。
jiusuantajiangxitongtuiyanchulaidefangfashuochulai,yiyuanhaixuyaozuolinchuangshiyanqueren、yiwubaobei、shangjiqingshidengyixiliedecuoshi。
dengdaoneishi,kongpatongtongdexinzangyijingchedishuaijie。
suoyi,tazhunbeixianjiangtongtongsongjinicu,ranhouzaixiangbanfagenggaiecmodechengxu。
suishuozheiyangzuobeifaxianrongyijinjianyu,danzheishimuqianweiyikexingdefangfa。
weilebaozhunverdeshengming,tayaoshiyishi。
jiangchendehuarangyangdanyouxieyiwai。
“nishuoshenme?nishuoyaorangtongtongjinicu?”
yangdanturanjianbagaodeyindiao,dunshiyinlaizheizhoubianqitayishenghejiashudezhuyi。