Section 78

In addition to prescribing medication, Zhang Yi also gave a doctor's order for intravenous potassium supplementation.

Take half of a 10 ml tube of 10% potassium chloride, take 5 ml, mix with 500 ml of 5% glucose, and drip it in with a micropump.

The uniform infusion time of each g of potassium chloride is more than 30 to 40 minutes.

While supplementing potassium, closely observe urine output and detect blood potassium concentration.

Intravenous potassium supplementation will be fine as long as the drip rate and amount are controlled and the patient's vital signs are observed.

Of course, Zhang Yi also told him to eat more foods containing potassium, such as kelp, mushrooms, celery, leeks, etc.

The boy's mother took the infusion sheet and went to the infusion room next door with the boy.

…

noon.

Zhang Yi went to the cafeteria to have a meal and when he came back, he saw that the boy was already full of life.

Sure enough, as soon as the blood potassium level went up, the whole person became energetic.

After a short lunch break, I continued my consultation in the afternoon.

The first patient at noon was a pregnant woman.

Zhang Yi looked at her belly and thought it was about 25 weeks old.

But her problem had nothing to do with obstetrics, but a problem with her appendix.

The pregnant woman’s husband carefully helped her onto the stool and said:

"Doctor, my wife has a stomachache. I want to check her out quickly to see if there is something wrong with the child."

Appendicitis during pregnancy is also a very difficult thing.

After Zhang Yi asked a few questions, he immediately placed an order for the pregnant woman to have an ultrasound and blood draw.

After a while, the two came back with the checklist.

B-ultrasound showed: the appendix was swollen and thickened, the wall was thickened by 2 mm, the serosa layer was rough, and the echo was enhanced.

Routine blood tests showed high levels of white blood cells and neutrophils.

These two levels indicate inflammation.

"It's appendicitis, but you should be more than six months pregnant now. If the appendix is ​​not resolved, it may lead to threatened miscarriage or premature delivery. If it is more serious, it will endanger your life.

So my suggestion here is to have the appendix surgically removed as soon as possible, otherwise the child will not be saved.

However, the operation requires anesthesia, which can be harmful to the child.

Of course, we doctors first want to ensure the safety of the mother, and then we will consider the fetus. "

Upon hearing what Zhang Yi said, the pregnant woman quickly shook her head:

"No! I finally got pregnant with a child... I can't! Doctor, please help me. I want to keep the child. No matter what, I want to keep the child. Do you think there is any way to avoid surgery? Or... Or can I do the surgery without anesthesia?”

Before Zhang Yi could say anything, behind the pregnant woman, his husband frowned and said firmly:

"Doctor, don't listen to my wife! I want to protect the adults and the children. I can think about it later, but I must ensure the safety of my wife first!"

Zhang Yi thought that there would be a bloody drama of protecting the child but not the child.

But didn’t expect to meet true love?

Zhang Yi nodded: "Don't worry, the doctor's purpose is to protect the mother's life first in critical situations."

"No! No no! I don't want it! I want a child!"

As the pregnant woman spoke, she picked up her hand and hammered the man behind her.

Zhang Yi interrupted the two of them:

“The question now is not whether to have a baby, but that you must have an appendectomy. Not having a baby can easily lead to miscarriage, and you will also be in danger.

And this operation requires general anesthesia. You said you won’t use anesthesia?

Do you know how painful this is? Severe pain will cause the uterine muscles to contract, which will worsen the miscarriage.

Anesthetics do have an impact on children, but there is currently no other way.

The only way to do surgery under general anesthesia is to remove the appendix. "

The pregnant woman’s husband comforted her:

"It's okay, wife. If it doesn't work out, the child will be gone. Let's try our best to have another one. But if you delay it any longer, you will be in danger. If you let me choose, I will definitely choose you. You are more important than anyone else!"

"Ugh... Husband... But I don't want to lose the child... It has been in my belly for so long... It kicked me a few days ago... Husband, I don't want to lose the child... What should I do?"

The pregnant woman started crying as she spoke.

"Honey, don't cry, I will always be with you!"

The two cuddled together.

Completely ignoring the two singles Zhang Yi and Chen Fang...

Chen Fang: I am not single! I have a wife~

Zhang Yi: ...I can do it!

For the mother, the child is a part of her life and a piece of her heart.

Surgery will affect the child, but not having surgery will result in the loss of the child. This is a tangled and dilemma choice.

This pregnant woman really didn’t know what to do.

Is there no way to protect the child without affecting it?

She wiped away her tears and raised her head to look at Chen Fang and Zhang Yi and asked:

"Doctor, do you really have to give up anesthesia? I don't want to lose my child, and I don't want it to be affected by anesthesia. Is there any other way? I'm willing to do whatever it takes!"

Chen Fang looked at the young couple and sighed:

"There is no other way. You'd better have the surgery as soon as possible, otherwise the child may not be saved."

"But... but anesthetics have an impact on children... What if they are born with deformities in the future..."

As the pregnant woman spoke, crystal tears flowed from her eyes.

Both results were undesirable to her.

"Doctor, I am born with a thin uterine wall. This is my first child and will probably be my last... I really love my husband and I really want to give birth to a child for him.

I beg you to help me, is there any other way that I can have the surgery and ensure that the child is not affected?

Please, think of a way... Please...

This may be the only child in my life... I beg you..."

The pregnant woman's voice became hoarse.

It revealed a deep despair.

Just then.

Zhang Yi, who was frowning, suddenly realized.

He thought of a way!

A way to save the child and minimize the impact of anesthesia on the child!

Chapter 65 Appendectomy at 25 weeks of pregnancy under local anesthesia

Appendicitis causes pregnant women to have signs of threatened miscarriage, and surgery must be performed, otherwise the child will not be saved.

But the anesthesia after the operation will also affect the child, which may cause deformities or other diseases.

In this dilemma, Zhang Yi thought of a desperate method!

"Don't get excited, I have a way! "

Zhang Yi handed a piece of paper to the pregnant woman and said.

Several people focused their attention on Zhang Yi.

The young couple looked expectant!

Chen Fang looked puzzled??

What else can be done at this time, brother?

If you don't do the surgery quickly, the child will be even more lost!

Zhang Yi said seriously:

"Local anesthesia!"

Chen Fang: "What? ! Local anesthesia? !"

Chen Fang couldn't believe his ears...

Is this possible?!

Can this kind of surgery that goes into the abdominal cavity also use local anesthesia?!