> After a year of pain and long wait, the "pie" hit Yang Qun. She said goodbye to the dialysis three times a week after the kidney transplant. If it goes well, it will take more than ten days.

reporter /Zheng Lin

edit/Song Jianhua

△Li Yang's father pressed his fingerprint on the donation volunteer

After a year of pain and long wait, the "pie" hit Yang Qun. She said goodbye to the dialysis three times a week. If it goes well, she can go home with her husband's company for more than ten days.

On the same day, 43-year-old hepatitis B patient Gu Wenyun waited for his liver. Ten years ago, he underwent a kidney transplant due to kidney failure, saving his life. Ten years later, his lesions were successfully transplanted and he once again got out of the danger of his life.

In another operating room, Jiang Hai, who caused renal failure and uremia due to diabetes, successfully completed a combined pancreatic and kidney surgery.

Their luck comes from the misfortune of a 16-year-old boy. A sudden car accident made the Yi boy bid farewell to this world forever.

htmlOn March 4, the organ acquisition operation of Li Yang, a teenager in Yunnan brain-dead , was successfully completed in the operating room of Kunming First People's Hospital. A total of 1 heart, 1 liver, 1 lung, 1 pancreas, 2 kidneys, part of the small intestine, and 2 corneas were obtained, setting a total of 9 organs and tissues, setting a record for the largest number of single-person donated organs in Yunnan Province.

On the same day, 7 organs of Li Yang entered a new body, and five severe patients received their second life. Life can be continued in another way.

△ Before the organ is obtained, the doctor bowed and expressed respect for the donors

6-year-old teenager brain dead

Li Yang was lying on the bed in the ICU intensive care unit, as if he was asleep. His bed number is A7+

Li Yang's diagnosis shows: car accident injury, severe craniocerebral injury, clinical brain death.

The doctor in the emergency department immediately arranged for consultation from multiple disciplines. The evaluation report showed that the patient's vital signs were very unstable, his breathing was very weak, and hemotivated and shock symptoms were required. Hemorrhage removal and bone removal flap decompression surgery was needed, otherwise the patient's breathing and heartbeat might disappear at any time.

The bad news of the arrival of late night woke up Li Yang's parents - Li Guifu and Wang Fengxia, who were sleeping at the time. They didn't know why their son rode out on a motorcycle late at night and was hit by a small truck again.

Looking at the bloody child, the couple had no time to think about it and signed and agreed to the operation. The only thing they could do when they were helpless was to beg the doctor, "No matter what the result is, do their best to save it." As soon as the door of the operating room opened, Wang Fengxia and the others rushed to the doctor to ask. The doctor said that the operation has been completed and it is still very smooth. During the operation, the vital signs anesthesiologist maintained it very stably.

This may be the best comfort Li Yang's parents received during the period from the car accident to the brain death. In the family conversation room, the doctor reminded: six possibilities for patients to have after surgery - death, brain death, vegetative, severe disability, mild disability, and recovery.

Li Yang was in a coma after the operation, with gauze wrapped around his head and obviously swelling. He lay on the bed in the ICU intensive care unit, as if he was asleep. The hospital opened a green channel for Li Yang and added a bed to the full intensive care unit. His bed number is A7+.

From 4:20 pm to 4:50 pm, it is a fixed visit time for the family. Wang Fengxia always enters the room with tears in her eyes. In front of the hospital bed, she would lean over and touch Li Yang's arms and legs to observe whether he had any reaction. Sometimes I told the nurse on duty that my son's temperature was a little cold.

In tears, Wang Fengxia and her husband repeatedly called their son's nickname, or chatting with him, looking forward to some responses to their "sleeping" son.

There is always a separation of life and death in the intensive care unit. The nurses are already familiar with the emotions of their families. Although it will affect other patients, it is not easy to interfere with the family's call for life.

The parents' call did not wake Li Yang up.Various life indicators show that the situation is developing in a bad direction. After

, Li Yang's vital signs were unstable, he had no spontaneous breathing, and his blood pressure was maintained by pressure boosters. During this period, Li Yang's intracranial pressure continued to increase, reaching more than 70 at the highest point, and basically the blood supply cannot enter the brain.

The reflex of the nervous system gradually disappeared. Neurology experts tested Li Yang's pupil's photoprotective response, the corneal's eye-catching avoidance reflex, pain stimulation reflex, and ice saline reaction, all of which showed that brain stem failure was caused.

miracle did not appear in the end, and the EEG picture was frozen in a straight line. On the afternoon of February 27, after introducing Li Yang's various examination results in detail, the doctor announced the results of brain death.

"I go to see him every day, but in fact I know he can't do it." Over the past few days, Li Guifu, who has been in a relatively stable mood, does not quite understand the various examinations the doctor said, but he is mentally prepared for the results. Wang Fengxia, who had been sad, stopped crying when the doctor announced it, and seemed to have accepted such a result.

Donate all the useful ones

During the early rescue, Li Yang had undergone bone flap decompression surgery and took away a bone on his head. Wang Fengqin asked if he could ask the doctor to suture the skull back

This rural couple had seen organ donation advertisements on TV and bus stops before, but they never thought that one day they would make a choice for their children.

After announcing his brain death, the hospital and his family discussed the follow-up plan. There are generally four ways to deal with it: one is to accept the fact of death, respect the deceased, and stop treating natural death. One is to take it home according to customs when your heart beats. One is to continue to use drugs to maintain vital signs until the efficacy of the drug cannot be maintained.

The last one is to donate children's organs to save more people and allow life to continue in another way.

"His heart is still beating, his lungs are still breathing, and his eyes can still see the outside world."

Li Zhiwei, deputy director of the Intensive Care Unit of Kunming First People's Hospital, gave Wang Fengqin and Li Guifu the example of the famous singer Yao Beina . On January 16, 2015, Yao Beina died of cancer at Shenzhen Hospital of Peking University. In the last week of her life, she proposed donating the cornea without tumor cells. In the end, her cornea rescued two young people from Shenzhen and Chengdu.

"You go back to hold a family meeting. No matter what choice you make, the hospital will definitely respect it." When Li Zhiwei finished speaking of organ donation, Wang Fengxia and Li Guifu did not refuse or agree.

Choose to donate organs is not easy. Bai Ling, coordinator of the Organ Acquisition Organization of Kunming First People's Hospital, has been engaged in coordination for four years and has participated in hundreds of successful donations. But there are more cases of rejection, and she feels the job is "too difficult".

Bai Ling once participated in the coordination of a college student's brain death in a car accident. The college student's mother was particularly unaware and said angrily, "You ask my child to transplant the organs to others, so why don't you transplant other people's brains to save my child?"

2nd, at around 11 a.m., Wang Fengqin called Li Zhiwei and said in a short sentence, "We decided to donate and come here in the afternoon."

This is a major decision for this family. At 2 pm that day, in addition to Wang Fengqin and Li Guifu, Li Yang's aunt, cousin, and grandmother in his 70s came to the hospital. Some of the relatives could only sit on the bed near the door where the doctor on duty was resting.

Relatives once again asked about Li Yang's condition and the entire treatment process. They expressed a concern: after organ donation, will the child's body be incomplete and leaves holes?

Let the child leave as completely as possible, which is the greatest wish of the family. Wang Fengqin made a small request. During the early rescue process, Li Yang had undergone bone flap decompression surgery and took away a bone on his head. Wang Fengqin asked if he could ask the doctor to suture the skull removed by Li Yang back.

During the entire conversation, the grandmother sitting in the corner of the bed always listened quietly without saying anything. Until Li Yang's parents and other relatives expressed their opinions, the old man gave a sentence: "I can't save them, so donate according to their wishes."

An elder in a family finally gave a final opinion. Li Zhiwei felt the greatness of this 70-year-old man. "In such occasions, it is rare to see people from grandma generations. I am very surprised that she can agree."

At noon on March 1, Wang Fengqin, who has a slightly higher level of education, signed the organ donation volunteer. The information filling process went smoothly until Wang Fengqin hesitated when choosing which organs to donate. The volunteer letter marked the names of liver, kidney, lungs, and other organs. Wang Fengqin didn't know which one to choose to donate. She asked her husband Li Guifu, who was sitting next to her, and the reply was: Since you want to donate, donate everything you can.

Then, Wang Fengqin checked the organ selection and pressed her fingerprint.

△Doctors are undergoing transplant surgery

"handover" of life

 Li Yang's lung was assigned to a patient in Beijing. By 12 o'clock in the evening, all seven organs of Li Yang successfully completed the transplant and entered the recipient's 
 According to regulations, all donated organs must be distributed and shared by Chinese human organs and the computer system. After distribution, patients who meet the conditions enter the waiting sequence. 
 participated in this transplant surgery with many excellent transplant teams at home and abroad, including the Oklahoma Transplantation Center in the United States, the heart transplant team of Beijing Anzhen Hospital and the organ transplant team led by Professor Li Li , , Kunming First People's Hospital. The operation time for 
 organ acquisition was determined at 8 am on March 4th. 
 In order to see the child for the last time before the operation, Wang Fengqin, Aunt Li Yang and other relatives rushed over from their hometown the afternoon before and stayed in a hotel near the hospital. For some reason, Li Guifu, the always strong father, did not come. 
 In the intensive care unit, Wang Fengqin and his relatives looked at Li Yang for the last time, and they pushed Li Yang from the intensive care unit to the door of the operating room. The emotions of several female families were still broken. They kept shouting the child's names and crying all the time. The moment he entered the operating room, Li Yang's cousin was unwilling to let go. 
 Wang Fengxia handed the clothes to Bai Ling and entrusted her to put this outfit on Li Yang after the operation. This is Li Yang's favorite sportswear to wear during his lifetime. 
 Just before Bai Ling left, Wang Fengqin suddenly remembered something again. She took out a bag of things, which were wrapped in leaves, with a bit of a fragrance. According to local customs, after people leave, they should use the water soaked in leaves to scrub the body. 
 At 8:30 in the morning, the organ acquisition surgery officially began. Medical staff in the operating room bowed to the donor and expressed respect for the donor. 
 Because there are many organs obtained, the cooperation between doctors in the three teams of doctors is very critical. The hepatobiliary surgeon first walked onto the operating table and freed all blood vessels. Doctors from other teams intervened one after another to achieve a state of simultaneous perfusion, and the organs began to separate. 
 Li Yang's heart, lungs, liver, pancreas, small intestine, kidney and other organs and tissues were removed one after another. At 1:00 pm, all the organs were acquired. 
 In order to ensure that the organ function is not affected, medical staff must race against time. While the organ acquisition surgery in the southern part of the hospital was carried out, the transplant surgery in the Ganmei International Hospital campus of Kunming First People's Hospital was also ready. 
 When the doctor who obtained the organs notified that the donated liver was not problem and could be used, the hepatitis B patient waiting for the transplant entered the operating room. About an hour later, the liver was sent from the southern part of the hospital to the new area. At 3 pm, the liver was transplanted to the new body. 
 Other transplant surgeries also went on nervously with the arrival of the organs. At 6 pm, the heart transplant was over. 
 A lung of Li Yang was assigned to a patient in Beijing. Enter the insulated box at 11:30 noon and go to  Kunming Airport . Arrived at Beijing Capital International Airport at 5 pm. The ambulance who had been waiting at the airport sent his lungs to the Sino-Japanese Friendship Hospital.National People's Congress representative and deputy director of Wuxi People's Hospital  Chen Jingyu , performed a lung transplant on the 56-year-old male patient. 
 lasted until 12 o'clock in the evening. The last transplant operation at Ganmei International Hospital was completed. All seven organs of Li Yang successfully completed the transplant and entered the body of the recipient. 
 Real love in the world 
 Yang Qun, who felt that "it was dark all of a sudden", completed a kidney transplant surgery on March 4. She smiled and made a "yeah" gesture 
 If there is no suitable kidney source, Yang Qun had to spend his 50th birthday in dialysis. After waiting for nearly a year, on March 4, Yang Qun underwent a kidney transplant at Ganmei Hospital, and she felt that she had a second life. She is a lucky person. In the WeChat group where she is a kidney disease patient, Yang Qun received many blessings and envy from her patients. In May last year, Yang Qun was diagnosed with renal failure. On weekdays, she likes to play piano, play basketball and gather with friends, bid farewell to her comfortable life, "I suddenly felt dark." 
 dialysis three times a week, each time for about 6 hours. Yang Qun cannot do without the hospital at all. Moreover, due to physical condition, Yang Qun's repulsion reaction was particularly strong, "After dialysis, it hurts to hit the wall." When I lifted my sleeves, my arms were left with black needle holes of all sizes, and the blood vessels on my arms were also thicker due to blood drawn. 
 The most difficult time, Yang Qun once lost the belief in living. "I gave away all the cosmetics I bought abroad and felt that I couldn't use them." My husband Yang Chao said that there was really no way, and survival was important. He even considered the black market for organs at that time. He heard from others, but it was expensive and unsafe. 
 This day happened to be Yang Qun's 50th birthday. In front of the camera, she smiled and made a "yeah" gesture. 
 The couple already know where the second life comes from. Yang Chao saw news that day that a NPC representative had a lung transplant in Beijing, and reported that the lungs came from a 16-year-old boy from Yunnan. The boy donated 9 organs and tissues. "We just link this together. The kidneys may come from that 16-year-old child." 
 The continuation of a life means the end of a life. Yang Qun said: "Thank you very much to this young man and his family for giving me such an opportunity." 
 "The child is no longer here. His parents' ideological level is really high. What kind of love is what they usually say, this is the true great love in the world." 43-year-old Gu Wenyun felt more deeply. His life was reborn twice due to donating organs. In 2007, Gu Wenyun underwent a kidney transplant due to kidney failure. 
 Gu Wenyun is a patient with hepatitis B cirrhosis with a medical history of 15 years. In October last year, Gu Wenyun began to vomit blood, and a large amount of bleeding caused him to fall into shock three times. He was immediately sent to the emergency department of the hospital for emergency treatment and passed by Death. As time goes by, if you can't wait for the liver source, the vomiting of blood will become more and more fierce every time, and you may be able to rescue it if you have a heavy bleeding. 
 "Our whole family is grateful. Without this liver source, my son will be unable to explain his life." Gu Wenyun's father said excitedly. 
△Yang Qun for kidney transplant surgery 
 Brother is a great person 
 According to convention, after the organ transplant is completed, the donor's family will receive some feedback, such as what kind of person has obtained the organ and how is the recovery situation 
 
3 at 2:30 pm on March 4, the organ acquisition operation was over. At the door of the hospital morgue, Wang Fengxia and his family took a look at Li Yang's body. In order to facilitate the handling of funerals, they chose a county funeral home near their home. Following the funeral home car, Wang Fengxia took Li Yang "home". 
 Li Yang is an Yi teenager from rural Yunnan. If he doesn't have a car accident, he will be 17 years old in two months. 
 Li Yang and his parents' hopes are placed more on his younger brother, and the whole family is dedicated to supporting his younger brother to go to school. The two brothers have a very good relationship. The younger brother has always admired his brother very much and thinks that his brother can help him in many things.
 Because he is still young, Wang Fengxia and his wife don’t want their youngest son to know about Li Yang’s donation, and are worried that it may have some bad effects on him. Wang Fengxia thought that when the younger son grows up, she would tell him about Li Yang's organ donation and let him know that his brother is a great person. "I hope his brother will always be the hero in his younger brother's mind." 
 According to convention, after the organ transplant, Bai Ling will give the donor's family some feedback information, such as introducing what kind of people have obtained the organ within the scope permitted by the regulations and how the donor's recovery is, so that the family can feel some comfort. 
 (At the request of the interviewer, except for medical staff, all the characters in the article are pseudonyms)