18 hours of life and death rescue, they just grabbed the child from the hands of death

"Doctor, please rescue my daughter!" Late at night on August 6, Lu Guoyue, the party secretary of the Jida First Hospital, director of the organ transplantation center, and chief expert of the Jilin University Liver Transplantation Center, just completed a DCD (organ donation after the heart stopping beating) Liver transplantation surgery received an emergency call from Shenyang.

Lu Guoyue immediately asked the child's condition and the current vital signs. After asking, the child was a 4 -year -old girl. After eating mushrooms recovered on the mountain 3 days ago, nausea and vomiting gradually appeared. Early emergency clinics income local hospitals. After active treatment such as preservation of liver protection, improving coagulation, lowering blood ammonia, and blood purification, the condition continues to progress, and it has now fallen into a deep coma. At present, tracheal intubation has been performed. Local hospitals diagnose Phase IV of acute liver failure and hepatic encephalopathy. In the test results, the liver function indicators have risen sharply, the coagulation index collapses, and the life of the child is dying. As the only hope of survival, the liver transplant surgery is urgent.

The types of liver transplanting surgery suitable for children are divided into DCD for liver and liver transplantation and relatives, liver liver transplantation. Because the child's condition cannot tolerate the time of waiting for the liver source, the surgical method can only choose relatives to live liver liver transplantation. After Lu Guoyue communicated with the family members of the child, the child voluntarily donated liver to liver transplantation. After careful communication with their families and explaining the remaining precautions, children and their families rushed from Shenyang to Jida First Hospital from Shenyang City.

Relatives of liver liver liver transplantation are a substitute surgical method adopted for the shortage of liver source. This method of surgery is to ensure the safety of the liver, obtain some healthy liver, and "graft" on the patient to achieve the effect of saving the life of the patient. However, the type surgery involves two surgery of the liver supply and receptor. Pre -surgery, the pre -surgery of the physical assessment, ethical approval, the deployment of surgery, and surgery are more tedious and complicated than traditional liver transplant surgery.

On August 7, the child arrived at the organ transplantation center of the Jida Hospital and began pre -operation and preparation. Under the circumstances of non -working days, the hospital's urgent convening department personnel, as well as many department experts such as radiation department, anesthesiology, and pediatric ICU department conducted preoperative discussions and assessment work, and strived to be lost during the operation.

At the same time, the liver transplant team and the pediatric ICU department started the liver transplantation procedure for the first time, and handled ethical approval procedures non -stop to score time for children to surgery as soon as possible.

At 3 am on August 8, the child entered the operating room, and only 18 hours have passed at this time. After 11 hours of fighting for the liver transplantation team, the surgery of the suffering was successfully completed, and it returned to the ward after surgery. The pediatric ICU medical care team reluctantly monitors dynamic changes such as life signs, liquid management, coagulation function, liver indicators, liver blood flow and other dynamic changes in real -time monitoring. On the first day after surgery, the child's liver merit indicators declined in full; on the fourth day after the operation, the child was processed and completely awake; on the 7th day after the operation, the child's physical function was better, and the doctor also showed the first smile to the doctor. Essence This sweet smile is not only a proof that the state of consciousness has gradually recovered, but also brings hope of continuing life to this family. This contest with "death" has won a lot of victories.

This battle with the role of death is not uncommon for the liver transplantation team of Ji Dayi Hospital. Since the establishment of the Liver Transplantation Center in 2012, it has successfully completed more than 700 DCD liver transplant surgery and liver transplantation surgery. It has successfully saved the lives of about 700 patients and filled many gaps in Jilin's medical care.

Author: Jilin Daily All Media Reporter Bi Xue

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