No. 135 Girl, please be kind to yourself

Li Liang left, ready to go back to work hard and read books, and strive to take the establishment of the city hospital again. Li Liang's luck is not good, and it is estimated that there is not much hope, because the graduate students who have expanded their enrollment are about to graduate!

The work of the obstetrics and gynecology department is repeated day by day. Vaginal delivery and caesarean section are a little better during the day, because most pregnant women who give birth naturally have done pregnancy tests in advance, and the fetal position and fetal size are appropriate, and there are many midwives.

The doctor's main job is caesarean section, and Zhang Fan, who has been trained in the system, although he has not yet opened the gynecology department, has this bowl of wine outside the general public, and there is nothing to be afraid of cesarean section.

Generally, Xiao Hong is the main knife, and Zhang Fan assists. The surgeries are all the same, and Zhang Fan assists Xiao Hong very easily. After a few days of surgery, Zhang Fan had no expectations for obstetric surgery.

Although gynecology has not undergone systematic experience, now Zhang Fan has his own certain experience in surgery, and it is really a matter of accumulation. In the past, under the systematic experience, although I was familiar and proficient in surgery, I had almost no things to understand.

After two years, Zhang Fan finally had his own surgical perception in the Department of Obstetrics and Gynecology, which can be regarded as a breakthrough! Looking at the gynecological surgery, a three-dimensional internal section diagram could clearly appear in his mind.

This is the improvement of surgery after reaching a certain magnitude. The average surgeon doesn't have about twenty years to construct this kind of image in his or her mind. Although gynecology is a separate department, more than ten years ago, many doctors in general surgery were part-time obstetrics and gynecology. Obstetrics and gynecology can also be regarded as a division from the general department.

Xiao Hong is a female doctor, and she is very quick to operate. After Zhang Fan followed the stage a few times, he felt that he could take down this caesarean section.

He thinks that the possibility of the main knife is not high, the responsibility is too great, and the risk is also high, and an accident may happen to adults and children if they don't pay attention. So as long as you don't decide on obstetrics and gynecology, you want to take charge of obstetric surgery, wash and sleep, don't think too much.

Lu Shuyan is in the Department of Gynecology, because she is a graduate degree, except for the director, the doctors in the department are embarrassed to take her, in fact, there is nothing to bring, the three-year graduate student mainly studies gynecological tumors, although she has done less obstetric surgery in the provincial hospital, but her foundation is good.

That is, because when I first entered the hospital, we didn't know each other, although I entered the department, I had to have a process of understanding each other, and the director also wanted to take Lu Shuyan for half a year, and then let her be on duty independently.

The operating rooms of the gynaecology and obstetrics departments are connected. Lu Shuyan sometimes comes to see Zhang Fan, Zhang Fan should not be so prominent in the field of gynecology, so as long as she has time, she will come to the obstetric operating room to take a walk. Every time, I find out that Zhang Fan is an assistant!

Thursday morning, in the obstetric operating room. Zhang Fan had no platform to go on, Xiao Hong went back from the night shift, Zhang Fan was pulled to the operating room to help, but he didn't need it anymore, since he came to the operating room to change his hand clothes, Zhang Fan planned to mix an operation and then leave, otherwise it would be too much of a loss!

Lu Shuyan was also wandering around, "Why is Teacher Lu so idle today, didn't he have surgery?" Zhang Fan asked jokingly.

"you, today the boss goes to give the leader's daughter-in-law a baby, and I'll herd the sheep!

"There is no surgery to go on, there are people in each group, and there is no shortage of hooks!" Zhang Fan said.

The two of them observed the caesarean section operation, and they heard the phone ring in the operating room, and the itinerant nurse answered the phone: "Okay, I'll ask." ”

"There is an ectopic pregnancy hemorrhage, who is on it?"

"Call Xiao Hong quickly! We are all on the operating table, and there is no one to spare!" said Deputy Director Rouziguli. She directly ignored Zhang Fan and Lu Shuyan. After all, both of them have just entered the department, and this kind of operation is going to kill people, so they don't dare to let them go.

"It's too late, people are already in shock. ”

"Director, I'll go on, I have had an operation on ectopic pregnancy hemorrhage at the provincial doctor. Lu Shuyan said.

"Are you sure?"

"I'm sure!"

"Who's going to be your assistant?"

"I'll come!" Zhang Fan said.

There are many gynecology people, and the deputy director usually doesn't know Zhang Fan, but now everyone is on the operating table, and there is no way. "You do it first, and I'll come to your platform after I take the child out." ”

There is no way to do it! You can't throw a pregnant woman on the operating table for a massive bleeding operation!

The patient with ectopic pregnancy is a little girl, sixteen years old, early love, and a classmate who ate the forbidden fruit, because she was too young to understand anything, and as a result, she had an ectopic pregnancy. Over time, heavy bleeding was caused.

The little girl was already in a state of shock. When I entered the operating room, I couldn't even feel my pulse. Everyone in the operating room looked at Lu Shuyan, waiting for her to give a doctor's order. When Lu Shuyan was in the provincial doctor, she did have an ectopic pregnancy, but at that time, there was a teacher on the platform, and now she is doing surgery independently, and the patient's situation is so critical, everyone is waiting for her, too nervous, so she is a little overwhelmed.

The situation was so urgent, Lu Shuyan was a little confused. The nurse was an old nurse, and as soon as she saw this, she shouted loudly, "Go and call the director of the gynecology department!"

The more anxious she is, the more Lu Shuyan's mind is blank! Even if you go to call someone now, you can't call someone, maybe it will interfere with other surgeries, Zhang Fan immediately said: "Listen to me, start blood transfusion." Add dexamethasone to the pot. Open the double channel and prepare for the operation, I will be the main surgeon!" "As long as the doctor gives the doctor's order, the nurse will not be anxious, and no matter how urgent the moment is, she can follow the step-by-step schedule, after all, she has been trained countless times.

Although Zhang Fan has not undergone systematic gynecological training, he has passed it several times solidly, and he can even write an autopsy book. There's nothing to worry about.

Zhang Fan has a certificate, and he is now in the gynecology department, so the nurse has to listen to Zhang Fan. "It's okay, let's go, this thing is practice makes perfect. Today you are my assistant. Zhang Fan pulled Lu Shuyan, who had a gloomy face.

Three years of graduate students, five years of undergraduates, this kind of mistake occurred at a critical moment, Lu Shuyan herself can't forgive herself, in fact, she can't be blamed for this, eight years of student career, in fact, are brought by the teacher, everything is backed by a teacher, and suddenly became independent, like a bird flying out of a bird's nest, it is impossible not to panic.

At the beginning of the operation, Lu Shuyan held back the tears that were about to fall and helped Zhang Fan, "What is your blood pressure?"

“80/50hg!”

"Adrenaline combined with dopamine. Open dual channels to expand the colloidal capacity!"

Laparotomy, blood sucking, Zhang Fan quickly found the fallopian tube, and clamped the bleeding site with oval forceps to control the bleeding. When the bleeding was clamped, Lu Shuyan also breathed a sigh of relief, if she couldn't find the bleeding point quickly today, this little girl might have to be put on the stage.

Ectopic pregnancy hemorrhage is too dangerous. Lives are killed in minutes.

"There is no way to keep the fallopian tube on this side!Hey, at such a young age, you say~" Zhang Fan couldn't go on.

"Dr. Zhang, my blood pressure has stabilized and I can continue the operation. ”

Zhang Fan was about to continue, when the deputy director of the gynecology department came in, "How is it, has it entered the abdomen, how is the patient's condition?" She was also in a hurry, as soon as the child next door was taken out, she had surgery, and she didn't even have time to take off her gloves before she came here.

"The bleeding point has been clamped. Zhang Fan replied. The deputy director, Rouzi Guli, was a little unconvinced, and stood behind Zhang Fan with his hands raised and took a look, a little shocked. "That's good!" Then he went to disinfect and change his surgical gown, and prepared to go on stage.

Zhang Fan is very fast, Rouzi Guli didn't expect it at all, according to her estimate, the average novice should still be in the abdomen at this moment, but it turned out to be clamped at a glance!

Lu Shuyan's tears were about to fall, but this was an operation, and Zhang Fan couldn't comfort her and persuade her, she could only rely on herself for this hurdle!"I hope it won't become a knot in her heart!" Zhang Fan thought to himself.

Rouziguli didn't take the stage and didn't take the lead, just stood in the position of the second assistant, "Well! Not bad! Really good, I didn't expect you two to be able to do this! As soon as the child next door came out, I hurriedly ran over, for fear of delaying time." She was also afraid, really afraid that there would be a problem with the two newbies.

After the operation, Zhang Fan changed his clothes and wanted to comfort Lu Shuyan, but he didn't see anyone, and no one answered the phone!

Lu Shuyan hid in the corner of the locker room and cried silently. This operation can obviously be done, why is my brain blank at the critical moment! Why can't I make an oral will as quickly as Zhang Fan! Why! Why!

She was annoyed, angry, and sad! It was not because she felt that she was inferior to Zhang Fan, but because she felt that she was sorry for her eight years of hard study and for her eight years of days and nights.

The main thing is that she and Zhang Fan make a comparison, the average new graduate student still has to work with the teacher for half a year after work, this is the difference between going to school and going to work. No matter what you were like when you were a student, you had a teacher!

Rouzi Guli changed her clothes and left, but found Lu Shuyan in the corner, the fat aunt looked at Lu Shuyan with red and swollen eyes, walked over and sat next to Lu Shuyan, put her arms around her shoulders and said: "Yes, it's already good to stand up and have the courage to take responsibility." When I was studying in Bird City, many doctors didn't even know all the surgical instruments. ”

"But, I think I'm really useless today! And I almost had a big accident!"

"Hehe! Who doesn't have a first time! Go wash your face, clean up Lilisuo, and stand up and still be a strong woman! That Zhang Fan is a little neat under his hands, his foundation is 108,000 miles worse than yours, don't be discouraged! Believe me, after half a year, you will definitely be able to dump him for eight streets!"

Rouziguli patted Lu Shuyan on the shoulder and led the little girl out of the dressing room. It's all here, she understands Lu Shuyan very well!

Parents outside the operating room are angry, worried, and ashamed! What should you do in the future if this incident happened at a young age? Hua Guo, once this kind of thing happens, it can really make you realize what human words are terrifying.

"What do you think! It's like this at a young age, what will you do in the future! You know how to play mahjong and mahjong in one day, and if she doesn't learn well, you'll bring it bad!" The angry father blamed the child's mother.

"How did I bring it, you are embarrassed to say, you have been out for months as soon as you go out, what can I do? I'll take care of your parents when they're sick, where are you, your child is sick, you're there! Have you ever taken care of her? Blame me for playing mahjong. If you have the ability, don't marry me!

"What are you arguing about, you have to go out and make noise, this is the operating room! There is no quality at all!" They were cleaned up by the little nurse passing by.

The father grabbed his hair and squatted in the corner, not knowing what he was thinking, and the mother kept wiping away tears!

There are many factors for this ectopic pregnancy, among which the probability of ectopic pregnancy after an underage woman conceives is definitely high, so please girls must protect themselves!