I don’t know since when, a type of news appeared frequently in the medical beauty circle.
"Something happened in a certain institution! It was fat embolism again."
With the popularity of light medical aesthetics and micro plastic surgery, more and more women are choosing to use autologous fat transplantation to fill their faces, breasts and other parts in order to pursue perfection.
When fat particles form fat globules and enter the brain, it is a cerebral embolism, and when they enter the lungs, it is a pulmonary embolism.
Fat is in the form of lipid droplets. When the diameter is greater than 20 microns, these lipid droplets will stay in the blood vessels. Under the action of lipase, the neutral lipid droplets are hydrolyzed into free fatty acids and glycerol.
The blocked blood vessels are stimulated by the toxic effects of fatty acids, leading to toxic or chemical vasculitis.
The vascular endothelial cells then separate from the basement membrane.
After the integrity of vascular endothelial cells is destroyed, permeability increases, blood pressure extravasates, and foamy sputum similar to pulmonary edema occurs;
At the same time, the pulmonary interstitium will also be severely damaged, leading to refractory hypoxemia.
If not treated in time, it will be life-threatening.
From the physical examination, the patient had undergone breast augmentation surgery, and there was an obvious incision in the armpit. The plastic surgeon freed the muscles and fat of the chest, inserted the prosthesis, and then fixed it.
It seems simple to operate, but in fact it is extremely risky.
Even in a regular hospital, it is not a minor surgery and is extremely dangerous.
When performing an appendicitis operation in a regular hospital, the doctor requires the patient's family to sign an agreement. Most of the family members and patients disagree, feeling that the doctor is deliberately causing trouble and even hints at giving red envelopes.
In fact, every item in the surgical condition notification book has been confirmed by precedents in the history of medical development. In other words, every explanation was paid for by human life. It is by no means unnecessary or alarmist.
However, many private plastic surgery hospitals now often ignore risks in order to allow patients to receive treatment.
Outside the emergency room, Fan Ying's face changed instantly when she heard that she had been diagnosed with pulmonary embolism caused by fat embolism.
As a doctor, I naturally know the horror of pulmonary embolism.
She was lucky at first, maybe she had an air embolism.
However, the outcome was terrible, pulmonary embolism!
The fatality rate is over 50%!
Air embolism and fat embolism are not on the same level at all.
For example, using a syringe to put a tube of air in the blood vessel, or when diving in the deep sea, the air pressure changes, causing the lungs to inflate. In such situations, sending the patient into a hyperbaric oxygen chamber will have a remarkable first aid effect!
There is no good way to treat fat embolism. Thrombolysis, anticoagulation, and antiplatelet are all expensive, but the actual effect is almost zero.
This kind of treatment is only scratching the surface, because once too much medicine is given, it can easily lead to massive bleeding.
Fan Ying's eyes were red. She had been working for so many years and had done a lot of filling, but this was the first time she encountered this situation. She had heard reports on the Internet before. As for the colleague, he had a terrible end. Not only did he have to take responsibility, but he was also bullied online. .
"What should I do?" Fan Ying looked at Meng Hao for help.
Except for himself, no one else came to the plastic surgery hospital and stayed far away.
Meng Hao rushed over immediately. If he hadn't stopped him, the patient's family members would most likely have attacked him.
Meng Hao comforted him: "Don't worry, the fourth child will rescue him personally, he should be fine."
Fan Ying could only place her hopes on Zhao Yuan at this moment.
In the operating room, Zhao Yuan looked solemn. He had tried many methods, but they still didn't work.
In the memory of the two times, there is not much that can be done about this situation.
Not only are there no preventive methods for vascular embolism caused during the fat transplantation process, which may cause blindness, cerebral infarction, pulmonary infarction and other problems, but the rescue measures are also dependent on fate.
Huang Ming glanced at Zhao Yuan, what should he do?
Zhao Yuan's eyes showed a firm look, "Mannitol is administered to reduce blood pressure and prepare to open the chest!"
Interventional thrombectomy is useless for this kind of surgery.
It's like a piece of fat in a hot pot. How can you pick it out with chopsticks?
Open the chest, find the location of the embolus, and then forcefully remove it.
Zhao Yuan knew he had to perform surgery quickly.
Otherwise, if the lungs become necrotic, the only option is to cut the lungs, and the emboli will travel to the brain, and even a craniotomy will be required.
Zhao Yuan found the patient's husband outside the operating room, "The situation is not optimistic."
The husband almost collapsed, "Dean Zhao, please, if the person dies, our family will be destroyed. As long as you revive her, I will be a cow and a horse for you."
Standing next to him were the patient's mother and father, both of whom had red eyes.
The mother choked up and said, "She has been thinking about plastic surgery for a long time. She had a baby before and her body was out of shape. She worked in a jewelry store and may have heard the ridicule from her colleagues. Before she had the surgery, she was very hesitant and afraid. Alas, it was early. I stopped her when I knew it.”
Zhao Yuan took a deep breath and said, "You sign, and we will work hard to rescue the person."
After her husband signed, Zhao Yuan walked into the operating room.
Several hat uncles received the alarm and came to the scene.
The husband pointed at Fan Ying and said, "I called the police. This plastic surgery hospital is looking down upon human life. You must arrest them."
Uncle Hat frowned and began to understand the situation. He learned that it was a medical accident and took Fan Ying to the police station.
On the one hand, it is to maintain order in the hospital.
On the other hand, it is to prevent Fan Ying from being beaten by the patient's family members.
Meng Hao accompanied Fan Ying to the police station.
Not long after, Uncle Hat walked into the interrogation room with a serious look on his face, "My colleagues can't contact the person in charge of your hospital. Can you help contact him?"
Fan Ying took out her cell phone, found her boss's number, and dialed it, but no one answered.
Then she called a colleague.
The colleague said helplessly, "We are also looking for the boss, he has lost contact."
When encountering matters involving human life, the boss resorted to the disappearing technique.
Will the patient's family spare him?
Fan Ying could no longer control her emotions and lay on the table crying.
Meng Hao sighed secretly, not knowing what to say, so he could only pat Fan Ying on the back.
Fan Ying was in a particularly broken mood at this moment.
Although she did not enter a public hospital after graduation, she always felt that her job was quite good. In terms of income, in the second year of working, she surpassed the students who graduated in the same period.
In the past two years, Fan Ying went to Bangkok for further study. After returning, she became the hospital's flagship plastic surgery expert.
Fan Ying's income has also skyrocketed, with an annual income of one million, which is comparable to that of a department director in a tertiary hospital.
So at that class reunion, Fan Ying seemed very confident and even made a toast with Zhao Yuan.
In Fan Ying's view, in terms of income, she is not much worse than Zhao Yuan.
But the facts proved that there was a huge gap between him and Zhao Yuan.
When the patient's family members heard Zhao Yuan's name, the emotions in their eyes were completely different from those looking at him.
Look like a murderer.
Look at Zhao Yuan as a life-saving straw!
