Recently, I have had a lot of contact with Mr. Wu, and Xue Chunhe has a general understanding of Wu Mian's level. For example, the anesthesia, surgery, and treatment of Zhou Lao's disease, as well as the diagnosis and operation of the old leader's little grandson, are all examples.

But even Teacher Wu didn't speak at this time.

Do you think too much, or explain it clearly to the patient's family, do it if you can induce labor, and take the pregnant woman with you if you still want to have a glimmer of hope...... Alas, Xue Chunhe also knew that taking a pregnant woman to the imperial capital and the demon capital to see it again was just an excuse.

As long as the pregnant woman doesn't have an accident in the second hospital of the medical university, she can't manage it so much.

"Xue Yuan, you're here. "A female doctor wearing an isolation gown inside and a white coat outside hurriedly walked in, and she looked like she had just undergone surgery.

"Director Guo. Dean Xue nodded.

"I just stepped down. Director Guo said, "I know about this pregnant woman, and I have seen it." ”

"Can it be cured?" Xue Chunhe asked.

"Both of them are in business. When I was young, because I was earning money, I delayed having a child, and I also fell into a habitual miscarriage. Director Guo said, "The operation can't be done, the pregnancy period is too short, and even if there is no chest surgery after the caesarean section, the child will not survive." ”

Xue Chunhe nodded, everyone agreed, and they could only explain to the patient's family to death.

To tell the truth, although it is very shocking, if you want to drag it, it is just a blunt knife to cut the meat, and it is not good for the patient and the patient's family.

Giving a hope, and it won't be long before the soap bubble of that hope is punctured, which is in some ways more cruel.

"Director Guo, let me introduce you, this is Teacher Wu Mian Wu. Xue Chunhe stood up and introduced.

Wu Mian ...... Teacher Wu, the new version of diagnostics ......" Director Guo said in surprise, and then stretched out his hand, "Teacher Wu, look up for a long time." ”

Wu Mian shook hands with him, his expression was very serious.

"Mr. Wu, do you have any suggestions?" asked Director Guo.

This is out of respect for the senior doctor, in fact, Director Guo didn't want to get any answers from Wu Mian at all.

"The operation is life-threatening, but it can still be done. Wu Mian said in a deep voice.

Just about to let go of Wu Mian's hand, Director Guo subconsciously clenched again after hearing Wu Mian's words, and then she realized that she was out of shape and hurriedly let go.

"Director Guo, has our hospital carried out fetal surgery?" asked Wu Mian.

"Teacher Shen from Imperial Capital Women and Children's Hospital was invited to perform two fetal surgeries over 33 weeks old. Director Guo said, "This ...... It's only been 26 weeks, so I can't do it. ”

"It can be done, but the success rate is not high. Wu Mian said, "Director Guo, sit down and talk." ”

Director Guo looked at Wu Mian helplessly, and thought for a few seconds before sitting down with a heart full of concern.

"Teacher Wu, how is the operation done?" asked Xue Chunhe.

"According to the normal cesarean section process, general anesthesia + continuous epidural anesthesia first...... Anesthesia ......" Wu Mian sat on a chair, put his right hand on the desk, and gently tapped the tabletop.

He seemed to be talking to Xue Chunhe about the operation process, but it was more like talking to himself.

"The mother protects the fetus and does not cause contractions. Nitrate, inhalation anesthetics, beta2 agonists, etc. Then there is maternal anesthesia and surgery, and it is best not to antagonize residual muscle relaxation after surgery. ”

Bit by bit fragmented information came out of Wu Mian's mouth, and Xue Chunhe was dumbfounded.

"The fetal/maternal ratio of inhalation anesthesia and intravenous anesthetics is as high as about 70%, and most of them are relatively easy to penetrate the placenta.

Muscle relaxants do not have to be used, if needed, a single dose can be injected through the umbilical vein, whether it is vecuronium, atracurium, rocuronium bromide have been reported to be safe.

In vitro studies of cis-atracurium have been found to induce apoptosis of umbilical cord vascular endothelial cells, which may not be good. Remifentanil also easily crosses the placenta, and the fetus has a strong metabolic ability. ”

Xue Chunhe knew he was wrong.

I was so naïve just now, I had a glimmer of hope.

Listening to Mr. Wu, before talking about surgery, there are a lot of problems with anesthesia alone.

The source of all the problems is that the patient is a pregnant woman.

That's pregnant!

That's pregnant!!

That's a pregnant woman!!

Thinking of operating on a pregnant woman, Xue Chunhe had a headache.

"Let's not talk about anesthesia, the operation process is nothing, open the uterus, take the fetus out, and cut out the cystadenoma of the upper lobe of the left lung according to the process of normal thoracic surgery. ”

“......”

If it weren't for Wu Mian who was talking, Xue Chunhe would have already started scolding, scolding people who were not ashamed to speak.

A 26-week-old fetus is operated on according to the normal thoracic surgery process?

Xue Chunhe forcibly endured the irritability and restlessness in his heart. Before his mood could calm down, another thunderbolt fell on his head.

"Then the fetus is returned to the uterus, sutured, and the fetus can continue to conceive. ”

Xue Chunhe and Director Lei were all scorched by Lei.

Everyone thinks that the order of surgery is to have a caesarean section first, take the fetus out for surgery, and put it in an incubator after surgery. Before asking Mr. Shen from the Imperial Capital Women and Children's Hospital to do the operation, this is the step.

After the operation, the child was in the incubator, and although it was 33 or 34 weeks, he also died. Under the care of medical staff day and night, the fetus has a glimmer of life.

But Mr. Wu actually said that he wanted to return the fetus to the womb......

It's a fetus, it's not an intestinal tract, it's not a normal physiological tissue, and if you say it's stuffed back, it's stuffed back?

There was silence in the office.

Wu Mian's fingers tapped on the table silently, he just described the operation process, and he straightened out his thoughts by the way, but he didn't want Xue Chunhe or Director Guo to understand.

Wu Mian has never had a similar operation, but he has seen the relevant surgery video. As for the difficulty, it exists, and it is not small. But Wu Mian didn't want to do it, and the professional things were left to professional people to do, and the grasp was greater.

"Nine deaths, one life. Wu Mian finally said affirmatively, "It is still recommended to induce labor." ”

Hearing the final conclusion, Xue Chunhe let out a sigh of relief.

Just after listening to Wu Mian talk about the operation process, he remembered the cold joke of the Spring Festival Gala - put the elephant in the refrigerator and put it together in a few steps.

Teacher Wu Mian Wu's statement is like a joke, the process of caesarean section - open the uterus, take out the fetus, do thoracic surgery, cut out the congenital pulmonary cystadenoma, and then put the fetus back into the uterus.

It is also a three-step process, which can be ......

Xue Chunhe wanted to cry without tears.

This special three-step process sounds simple, but just like what Mr. Wu said just now, anesthesia is a difficult point before the operation begins.

The numbness is deep, the fetus absorbs a lot, and it is possible that the fetal heart rate has stopped before the cesarean section. But if you give less, it won't help.

Everything has to be just right, not one more or less.

But this kind of god-level difficulty is just...... It's just ...... It's just ...... A start.

Even after the anesthesia, more difficult things are still waiting.