imperial physician

It was originally planned to help the child with a bone marrow transplant at the end of the month, but because of the sudden influx of so many patients in the hospital,

People caused the bone marrow transplant to be postponed for three days. Fortunately, the child's parents understood the current situation in the hospital and also knew that it was not the most ideal time for William to perform the bone marrow transplant for his child under such circumstances. what an unpleasant thing.

Before the bone marrow transplant operation, it was originally necessary to treat the patient with chemical drugs and radiation therapy to destroy the bone marrow in the patient.

Cancer cells, but at the same time, the normal hematopoietic cells in the patient's body are also killed, the body's immunity is weakened, and it is very easy to get infected, which brings great danger to the bone marrow transplant operation, so the general bone marrow transplant operation must The transplant was performed in the bacteria ward (laminar flow room). However, Wu Tianlin adopted a new preparation method for this operation when he was in Sweden. One week before the operation, Wu Tianlin used Chinese and Western medicine. A two-pronged approach, using western medicine to cut off the oxygen supply system of the cancer cells in the child, and then using traditional Chinese medicine to slowly eliminate the cancer cells in the child. Although the whole process is a bit long, this method will not harm the normal hematopoietic cells of the human body, making the human body The immune ability of the patient is guaranteed before the operation, which plays an important role in the success rate of the operation.

Before the routine bone marrow transplantation, just return -, b, and r are the same.

Since the diversity of hb is the most obvious, Wu Tianlin arranged for the child's relatives to do the back-b typing, but none of them could match the child's back completely, so he had to use other ways to find the bone marrow that perfectly matches the child. , although the matching bone marrow was found in the end, it also means that this bone marrow transplant is an unrelated bone marrow transplant. In general unrelated bone marrow transplants, the donor and the patient's hematopoietic stem cell matching probability It is one in [-], so it is not easy to successfully achieve bone marrow transplantation. During the transplantation process, there will be different degrees of rejection, because the immune system can distinguish "alien" from foreign bodies and attack them. Excluding it, this process is called "rejection". In order to ensure the success of the operation, Wu Tianlin did not use conventional chemotherapy to eliminate the cancer cells in the child's body before the operation, so that the child's immune system was protected to a certain extent, but It also increases the chance of rejection during bone marrow transplantation. Although gvh is dangerous to patients, it has an anti-leukemic effect, can reduce the recurrence of leukemia after transplantation, and can better save patients.

At ten o'clock in the morning, Wu Tianlin, William and two nurses went into the prepared laminar flow room together after some disinfection preparations. At this time, the child who had been lying in the laminar flow room for a whole week was wide open. Looking at the light on the ceiling of the laminar flow room with his eyes, his face was not at all afraid of an adult entering the operating room, hesitation, but full of curiosity. He saw Wu Tianlin walking into the laminar flow room wearing a mask, He asked Wu Tianlin, "Uncle Wu! Can my illness be cured?"

Wu Tianlin nodded to him, and replied with a smile: "Little friend! Don't worry! You only need to sleep for a while later, and uncle promises that you can go back to school soon." After Wu Tianlin finished speaking, he turned to William and the others Nodding his head, he said, "Start!" Wu Tianlin took out the silver needles that had been sterilized in advance from the box, and stabbed them at several acupuncture points on the child's body.Not long after, the two-eyed child suddenly became very tired, slowly closed his eyes, and fell into a deep sleep. . .

After the child fell asleep, Wu Tianlin gave the child another local anesthesia acupuncture, and at this time William was ready to

Have bone marrow stored frozen in advance.It is injected into the child's body through the vein, and Wu Tianlin is ready to adjust... in advance.

When the prepared immunosuppressive drug solution was implanted into the child's body, the immunosuppressive drug solution was also carefully injected into the child's vein with a needle.

The whole process seemed simple, but only Wu Tianlin and William knew how difficult it was.The time before and after the bone marrow enters the body and the time when the immunosuppressive liquid enters the body must be calculated very accurately, otherwise the immunosuppressive liquid will not be able to achieve real effects, but will inhibit the reproduction of hematopoietic cells in the human body, so there must be no deviation in the whole process.After half an hour, the whole transplantation process is basically over, and the remaining time is to observe the rejection reaction during the transplantation process, because the donor and the child are not related, so the growing immune cells of the donor will "attack" the recipient more and more. The symptoms of GVH include: fever, skin flushing, rash, hepatosplenomegaly, abnormal liver function, pancytopenia, hepatitis, severe diarrhea, hard bone marrow Quality and infection of mulberry, severe and fatal reactions, twins, gvh rate of 1 to 5, 35% in relatives; non-blood relationship is 5o-7o.As time goes by, the child's skin is obviously flushed, so at this time the donor's immune cells are attacking the immune cells in the child's body, and the child's face is also painful, and the forehead is slowly oozing out.

sweat.Seeing this situation shows that the rejection phenomenon in the child's body is very serious, which means that the previously injected

The effect of the immunosuppressive liquid was not very great. Wu Tianlin immediately pulled out sixteen golden needles and stabbed them at several large points on the child's body. At the same time, he ordered William: "William! Inject the fusion medicine immediately."

Hearing this, William immediately took out a bottle of fusion medicine prepared by Wu Tianlin with traditional Chinese medicine in advance, and injected it into the child's vein again. As the fusion medicine entered, the dozens of golds outside the child's body immediately touched the fusion medicine, and the child's body flushed red. The phenomenon began to weaken slowly, and the expression on the child's face gradually returned to normal. Seeing this situation, although Wu Tianlin knew it in his heart, he still took a deep breath—a breath of air with the medicine in it, and sighed in vain In a calm tone, he said: "The operation is finally a success, whether this child can be Kang Xia's

It depends on his own willpower. "

Time passed by every minute and every second, and after half an hour, the rejection phenomenon completely disappeared, which meant that the unrelated bone marrow transplant operation was a real success. A smile gradually appeared on Wu Tianlin's face, and he said to William beside him: " William! You didn’t see it when I inserted the needles just now, but now you carefully read the techniques and steps of pulling out the needles.” Wu Tianlin deliberately slowed down as he spoke, and inserted the 36 gold needles and [-] silver needles that were inserted into important acupuncture points on the child’s body. All the needles were pulled out, and he smiled and told the two nurses: "Anna! Yilin! I will leave the rest to you, although the hematopoietic cells implanted in this child's body have begun to multiply and rebuild the blood and immune system. , but because the child's health is not very good, rejection may occur at any time, so you

We must pay attention to observe. "

——..."Teacher! The two of us, you and Teacher William, don't know how many times we have performed this kind of bone marrow transplant operation. We already know what will happen to the patient after the operation, so please rest assured.

!" Nurse Anna replied to Wu Tianlin with a smile while packing up her things.

William has cooperated with Wu Tianlin to perform bone marrow transplantation until now, as long as he encounters non-relative bone marrow transplantation

Wu Tianlin will always prepare a bottle of fusion potion, although the number of times this fusion potion has been used so far

Not many, but the effect is very obvious, but there is one thing that William is very puzzled, there is such an effective drug.Why didn't Wu Tianlin apply him to all bone marrow transplants? You must know that the effect of this drug will increase the success rate of bone marrow transplants to over 80.00%. Major surgery.  …

Before that, William wondered about what configuration Wu Tianlin's fusion medicine was made of, and why it wasn't directly used in bone marrow transplantation. Wu Tianlin used this fusion potion again, and William couldn't help but asked Wu Tianlin: "Teacher! The effect of this fusion potion is so obvious, why don't you directly spread it on a large area?"

Wu Tianlin knew that William wanted to ask this question a long time ago, but he didn't ask himself because he was afraid that it would involve some secret recipes in Chinese medicine. Now that William finally couldn't help asking, Wu Tianlin didn't keep it private. He smiled and replied: "This drug is only effective for severe rejection. To put it bluntly, it helps the hematopoietic cells transplanted into the human body to suppress the original cells. Using this fusion drug under normal circumstances is not conducive to the post-transplantation. The reproduction of hematopoietic cells in the human body, coupled with the fact that it is not easy to prepare this kind of medicine, and the complex characteristics of traditional Chinese medicine have not been fully recognized in the international medical community, even if we really want to spread it to non-relatives

Bone marrow transplant surgery is not easy. "

During the conversation, Wu Tianlin and William had already stepped out of the laminar suffocation. Mr. Tang, his wife, and a large group of relatives who had been waiting outside saw Wu Tianlin and William, and immediately surrounded Wu Tianlin and William. Mr. Tang Then, with anxious face and tense heartstrings, he held Wu Tianlin's hand tightly and asked anxiously, "Doctor Wu! How is my son's condition? Is the bone marrow transplant successful?"

Hearing this, Wu Tianlin looked at the expectant crowd in front of him with a smile, and replied with a smile: "Mr. Tang! Do you not have confidence in yourself or do you not believe in our Dr. William's medical skills? The operation was very successful, although there were books in the beginning. The phenomenon of rejection, but it has basically stabilized now. Now your son is under observation. As long as he does not experience rejection again in the past two days, then I guarantee that your son will be able to go to school like a normal child in the near future.

Hearing Wu Tianlin's words, Mr. Wei Tang and his wife burst into tears with excitement. The couple knelt down in front of Wu Tianlin and William almost at the same time, ready to kowtow to Wu Tianlin to thank him.

Wu Tianlin didn't expect Mr. Tang and his wife to kneel down again, and quickly reached out to support Mr. Tang, unhappy

He asked eagerly: "Mr. Tang! How many times have I told you what are you doing? Have you forgotten what I said?"