Chapter 121 Postpartum Hemorrhage
Yang Lei ran straight to the ward. Zheng Ren saw the son of the middle-aged woman who had had an appendectomy come out angrily, as if the whole world was sorry for him.
It is estimated that it will not be a big deal. On the other side, the nurse shouted: "Mr. Zheng, emergency obstetric consultation!"
"Yang Lei, are you okay?" Zheng Ren asked.
"It's okay, I'll take care of it, you're busy." Yang Lei had already walked to the door of the ward, took a look at the situation, knew it, and asked Zheng Ren to go to the emergency consultation.
In obstetrics and gynecology, this is the taste of the marrow. When they didn't know it before or had little contact, they could only bite the bullet on some problems.
Once I came into contact with intervention, I found that this treatment method is simple and easy to implement and can achieve the effect that cannot be achieved by surgery.
Quickly came to the obstetrics department, the hospital manager on duty was about to cry, "Mr. Zheng, take a look."
"Don't panic, what's wrong?" Zheng Ren asked.
"Twenty minutes ago, a patient with severe bleeding after a caesarean section was sent from Laohugang. I issued an admission ticket and went for a physical examination. All the family members disappeared." The obstetric hospital chief said with a look of fear.
This is common in emergency departments and rarely seen in obstetrics.
Before the second child was released, which family did not give birth to a child like a treasure? Throwing endangered mothers to the hospital and leaving, this kind of thing does not exist in the general awareness of obstetrics hospitalization.
But after being a doctor for so many years, she can more or less judge that she has unknowingly walked on a steel wire, and if it is handled improperly, she will be shattered.
Zheng Ren asked, "Where's the patient?"
The obstetric hospital manager immediately brought Zheng Ren to the disposal room.
Just approaching the disposal room, a bloody smell came to my face.
Zheng Ren's heart skipped a beat, the smell of blood was so strong, what was the patient like?
He involuntarily accelerated his pace, entered the disposal room, and a flat car appeared in front of Zheng Ren. There was blood on the flat car, and a pale body lay on the flat car.
"The patient was sent to the obstetrics ward of our hospital 20 minutes ago, and was diagnosed with postpartum hemorrhage. At that time, the blood pressure was 50/30MMHg, and the heart rate was 132 beats/min. During the physical examination, the patient's lower body was taken out and packed with hemostatic gauze, and it was found that the birth canal..." Frightened, she reported her medical history mechanically, as if Zheng Ren was her superior doctor.
Zheng Ren estimated that there must be countless negative cases echoing in her mind at this time.
"Your judgment." Zheng Ren asked.
"It's the second child. Considering that the uterine artery was not ligated, it resulted in massive postpartum hemorrhage." The maternity inpatient chief replied neatly.
She is already stunned and has no family. What should I do with the signature? This kind of thing, not every clinician knows.
In the emergency department or surgery, there are more cases of anonymous people, so let's talk about it. Change to obstetrics... I guess this is the first anonymous person she has encountered.
"Prepare for surgery." Zheng Ren knew that the time could not be delayed, so he acted decisively, "There are a few things, you should hurry up. First, send the blood sample to the blood transfusion department, and then urge them to speed up the blood matching, which requires 10u red blood cells and 1000ml plasma, The same number of red blood cells and plasma are also needed.”
The obstetric hospital always nodded again and again.
In a state of confusion, all she can do is obey.
"Second, call the medical department and say that you have received an anonymous patient, sign before the operation, I will come to the stage, you will get it, and the medical department will be present, remember?!"
"Remember." The obstetric hospital manager continued to nod.
"Third, find a superior obstetrics doctor to direct on the spot." Zheng Ren finally instructed.
As long as someone is in charge, everything starts to work smoothly. Push the patient to the emergency operating room, call the operating room on the way, and prepare the relevant equipment.
Because it is a new project that has just been launched, the nurses on the night shift tonight are not familiar with it and can only do some basic work.
Zheng Ren didn't complain too much, the experience was accumulated little by little, and it was useless to complain now.
Pushing the flat cart to the emergency interventional catheterization room, the little doctor and operating room nurse who came from the obstetrics department began to carry the patient.
It is almost like carrying people in a pool of blood, and the scene is bloody.
Zheng Ren didn't have time to look at it, so he opened the storage room, quickly found the consumables he needed, handed it over to the nurse, and began to wear lead clothes, brush his hands, and lay out lists.
It's still so easy to work, Zheng Ren sighed.
If Su Yun was here at this time, it might be better.
From frugality to extravagance is easy, from extravagance to frugality is difficult. After Zheng Ren felt the benefits of being a shopkeeper, he was busy with himself and began to feel a little uncomfortable.
Everything was ready, and the sound of Ding Dong~~~ reached Zheng Ren's ears.
The big pig's hoof in the system appeared at the right time and issued the task.
[Urgent task: The distortion of human nature or the loss of morality.
Task content: rescue a patient with postpartum hemorrhage.
Quest Reward: Passive Ability, Luck +2.
Task time: 2 hours. 】
Zheng Ren expressed surprise while preparing for the operation.
This big pig's hoof of the system gave a personal passive attribute for the first time, but this time it turned out to be a lucky value.
Although he has never played online games, Zheng Ren has read a lot of novels about online games. In the novel, luck is a magical skill, and there is no such thing.
But...why does the system reward yourself with Luck Points? strangeness.
After the sterile sheet was laid, Zheng Ren picked up the arterial sheath and puncture needle and started the operation.
At the same time, the live broadcast room of Xinglinyuan, which had been silent for two questions, also began to broadcast live.
[Wow, the Great God has not appeared for a long time. 】
[It’s rescue again, does Canada also have so many emergency surgeries? Who said the evil capitalism is dark, do you see that people do surgery sooner or later? 】
[I think there is something strange. I just came back from studying abroad, and the situation on that side seems to be different. The specific situation cannot be explained in a sentence or two. 】
At the beginning of the operation, according to the practice of seeing the operation first, everyone said a few words.
Zheng Ren's surgical skills are master-level, and he clearly feels that his technique is more proficient. He considered that when he was performing surgery on Zheng Yunxia, he overselected six or seven major arteries in a short period of time, and his skills were sublimated under pressure. for the sake of.
In a few words, Zheng Ren had already sent the guide wire to the position, turned on the imaging system, and started delivering the microcatheter.
[Postpartum hemorrhage, I now have a headache when I see this diagnosis. 】
[The next door is the wall, let's hit it, hit it, it's healthier. 】
[It's not difficult, if you feel that it is difficult to deal with, it proves that your hospital does not have an interventional department, and you can only remove the uterus. Once destructive surgery is performed, communicating with family members requires extremely high skills. Thanks to the colleagues in the intervention department, salute. 】
[Ninety percent of hospitals do not have an interventional department, okay? You are so showy, you are not afraid of the European emperor becoming an African chief? 】
Four or five barrages flew past, and Zheng Ren's side had already been sent to the position by the microcatheter, and angiography was started.
The patient had a malformation of the uterine artery, with one in the middle running across the uterus, that is, it caused the patient to have massive postoperative bleeding.
It is estimated that the doctors in the township hospital in Laohugang did not notice this mutated small blood vessel.
Thank you Lonely and how to reward.