Parents "forgot" the doctor's advice. The 15 -year -old boy in Jiangxi changed his liver in Han

Author:Wuhan Evening News Time:2022.07.12

Wuhan Evening News July 12 (correspondent Zou Yaqin) was found to have congenital biliary locks 2 months when he was born, and he underwent biliary intestines. However, the cunning sick demon has been quietly lurking and continued to do evil. After 15 years, it has deteriorated into liver failure and life is dying. Recently, after hepatobilized surgery at the People's Hospital of Wuhan University (Hubei Provincial People's Hospital), 15 -year -old Jiangxi guy Kobayashi is expected to return to normal life.

One day in February this year, Xiaolin suddenly vomited a lot of blood after dinner. He went to the local hospital for examination and was diagnosed with hepatitis cirrhosis and the high pressure of the door vein, which caused the esophageal stomach veins to rupture and bleed.

Why did young teenagers suddenly suffer such serious illness? After the doctor repeatedly asked, the parents remembered that the child was still jaundice after 2 months of birth. The waxy yellow statue was a "little yellow man", and the stool was clay. After undergoing biliary intestines in the local hospital, the doctor ordered his parents that the operation could only delay the progress of liver hardening and not completely cure. In the later stage, timely review was required, and liver transplantation may be performed if necessary.

However, the gallbladder coincide in Kobayashi, growing and development as normal as other children. Seeing that the child grew up slowly, the uneasy parents gradually relaxed their vigilance. At the same time, they "forgot" the doctor's instructions because of the fluke, and did not review the child for many years. Now, looking at the pale and dying child on the bed, they regret it.

The anxious parents inquired everywhere, rushed from Jiangxi to Wuhan, Hubei, and found Professor Ding Youming, director of the hepatobiliary surgery of the People's Hospital of Wuhan University for help, hoping to perform liver transplantation for children.

Professor Ding Youming introduced that the congenital biliary lock is abnormal biliary development, which makes the bile duct from the hollow "tube" to a solid "column", which makes the bile cannot be discharged smoothly and flows into the liver, which causes bile stasis liver cirrhosis And gradually developed into irreversible biliary cirrhosis, which eventually led to liver failure, liver coma, and even death.

For newborns with congenital biliary tunnels, liver intestines or biliary intestines are used for surgical treatment. However, such surgery is only a transitional surgery. Only a few children can achieve lifelong cure through this surgery, and most children still need to receive liver transplantation. Under normal circumstances, healthy adults only need to donate about 20%of the liver to meet children's growth and development needs. Therefore, pro -liver transplantation is the best technique of congenital biliary atresia.

But at this time, Kobayashi was 15 years old, and at the advanced liver cirrhosis and liver failure, the pro -liver transplantation could not meet his life needs. On February 25, after the hospitalization of the hospital was completed, Kobayashi was successfully registered in the distribution and shared computer system in Chinese human organs, becoming a liver transplantation waiting.

On June 28, information from the terminal distribution and shared computer system of Chinese human organs came from: a liver and Kobayashi match donated by a patient with brain death. Starting at 12 noon on June 29th, under the escort of Professor Shaoqing's team of Anesthesiology, Professor Ding Youming, hepatobiliary surgery led Chen Chen, Zhao Kailiang and others to form a liver transplant surgery team, and carefully cut a " "Human" glyphs, after removing severe hardened and deformal liver, it is safely implanted with new liver and rebuilt blood vessels and bile duct transplants transplanted with the liver. In less than 7 hours, the operation was successfully completed.

Turn to Kobayashi in the general ward.

With the help of accurate management and accelerated rehabilitation surgery (ERAS) concept during organ transplantation surgery, on the first day of surgery, Kobayashi removed the tracheal intubation and transferred from the intensive care unit to the isolation ward. You can get out of bed. On the 4th day after the operation, he could already eat normally and eat steamed fish made by his mother; on the 7th day after the operation, various indicators such as transaminase and bilirubin turned to normal, and the successful ward was successfully transferred to the isolation ward to the general ward. Essence

On July 11th is the 12th day after the operation, Kobayashi was discharged from the rehabilitation. The family bowed to Professor Ding Youming and the medical team. After experiencing the test of life and death, Kobayashi said that after recovery, he must learn to be a great love for people who are useful to society and reward unknown organ donors.

[Edit: Yu Lina]

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