514 Take over, it's the doctor's responsibility
Dragging out the bare-bottomed child, Zhang Fan quickly cleaned his mouth and closed the umbilical cord connecting the mother and baby with pliers. Then it's time to stimulate the little kid and make him breathe!
When a child is in the womb, the lungs are crumpled together like a rag. He doesn't need to breathe on his own, and the oxygen he needs is transmitted from his mother's body through the umbilical cord.
Once this passage is closed, it is necessary to quickly allow the little kid to establish his own breathing circulation. Therefore, if the child is born and does not cry by himself, he or she generally needs to be spanked on the soles of his feet or spanked, which is to increase the stimulation of the body.
After Zhang Fan waited for the child to start crying, he handed over the follow-up to the nurse. Zhang Fan also has to deal with the placenta, close the uterus, and close the abdominal cavity. Speaking of this placenta, it's really amazing.
This thing contains a lot of progesterone, and many millennium old monsters like to eat this thing, which is said to be able to smooth wrinkles.
"One stitch and one thread, the uterus should be sewn a little tighter. Zhang Fan explained to the nurse.
At this time, the door of the operating cart was smashed. Originally, it was an iron gate, and with a little force, the sound was exceptionally loud. "Help, hurry up and help!" The translator looked out while translating, and hurriedly said to Zhang Fan: "The nurse in the car next door!, what should I do?"
"Open the door!" Zhang Fan had already begun to stitch up the skin, and the operation was over at this time.
"Quick, quick, go next door to help, the mother next door is bleeding heavily. "The white-skinned nurse probably fell down too quickly after running in a hurry, and she stumbled and ran, and her white coat was stained with grass and green juice.
As the nurses ran, the onlookers also knew that something was wrong, and groups of herders came around.
"What's wrong, what's wrong. They asked the nurses in Istanbul in a rambling voice.
"The mother is bleeding profusely, get out of the way. ”
"Get out of the way! Get out of the way. The young man hurried over from the crowd. When he heard the heavy hemorrhage, he hurriedly dispersed the crowd of onlookers who were eating melons.
"Ma Yichen, I'll leave it to you here, you help the nurse do the follow-up work and take care of the baby and the mother. Zhang Fan said quickly to Ma Yichen with a cold face. Maternal hemorrhage is too dangerous, and Zhang Fan can't help but be nervous.
"Okay, Zhang Yuan, I see. ”
"Leave the two nurses behind, and the others will follow me. As he spoke, Zhang Fan tore off the disposable surgical gown, reached out and grabbed the white coat, just like Brother Ma wearing a windbreaker, put on the coat and took everyone out of the car.
The doctors put on their white coats in turn as if they were holding guns.
When Zhang Fan got out of the car, Mr. Wang also came to the door of the car: "How about it, no problem." Mr. Wang looked at Zhang Fan anxiously, his fragile heart really didn't want to hear that Zhang Fan had a problem on their side.
"Mother and son are safe!"
"Okay!" Mr. Wang clenched his fists and raised, but when he looked at the nurses and the noisy crowd in Istanbul, the joy on his face was still not too exaggerated.
"My friend, please save the mother next door!" After the young man saw Zhang Fan, he also knew that Zhang Fan and they had delivered the baby safely, so they hurriedly hugged him.
"I ......" Zhang Fan didn't speak yet. Mr. Wang directly interrupted Zhang Fan, "I've heard of heavy bleeding, it's very dangerous, Zhang Yuan, are you sure, if you're not sure......" Although Mr. Wang didn't stop it clearly, he kept blinking his eyes, how could Zhang Fan not understand.
If it was another competition today, Zhang Fan might refuse, but when it comes to human life, as a doctor, a doctor in a white coat, he can't stand idly by.
Zhang Fan ignored Mr. Wang's eyes, this kind of thing is no wonder to him, he is not a person in this industry, he does not understand the mission of doctors.
"Let's get out of time. "There is a language barrier, and there are too many herders fenced in.
The young man takes the lead in opening the way, trotting out the way. Zhang Fan and the others followed behind, and Mr. Wang slammed his fist into his palm with a long sigh, and also followed Zhang Fan and them.
At a distance of more than twenty meters, Zhang Fan and the others ran in a few seconds.
"My friend, please give it a go, no matter what, you are the most honored guests of our tribe. If I can save the mother, I will give you 20W dollars to thank you. ”
Zhang Fan got into the car, and the young man shouted loudly behind Zhang Fan. couldn't take care of it, Zhang Fan took his medical team and got into the car without looking back.
The herders finally figured out what was going on, and for a while more and more people were crowding over, bleeding profusely, and they knew it all too well. Whether it's animals or people, they've been through so much.
The relatives of the mother wept and wept, anxiously anxious. The herdsmen of the tribe, who were a little older, were already kneeling on the grassland and began to pray.
From Hu Da to Changshengtian, from Changshengtian to Amitabha, it is estimated that they have already sought all the gods and Buddhas they can seek.
The tense atmosphere has boosted people's adrenaline a lot, especially the translator who has never experienced life and death, although his hands are a little shaky, but he is very excited.
"What's going on?" Zhang Fan pedaled to change his clothes, and his mouth didn't stop.
"Amniotic fluid embolism, uterine bleeding! Blood pressure is no longer visible. When the other party's doctor saw Zhang Fan, it was like seeing a savior, and his eyes lit up.
"Translator Li, now if I say a word, you can say it loudly to them. ”
"Yes!" Translator Li, who was trembling slightly, looked at the doctors around the mother who were rubbing the blood, and said loudly.
"Help, we don't have an obstetrician, oh my God!" the doctors in Istanbul really wanted to cry without tears, and the doctors they led prayed pitifully to Zhang Fan.
Amniotic fluid embolism, one of the largest complications of obstetric mortality, can often be as high as 80%, and the lower the level of hospital, the higher the mortality rate.
Amniotic fluid is actually the serum that permeates from the blood vessels of pregnant women.
However, once these serums enter the uterus, they are mixed with a large amount of estrogen and progesterone, various nutrients, as well as fetal meconium and fetal fat.
Therefore, the characteristics of these serums have changed as soon as they enter the uterus. In other words, you can only go out but not in. During childbirth, once the amniotic fluid enters the maternal blood circulation, embolism will occur directly.
Can this situation be avoided? No, so obstetrics is not easy to do here, many, many complications, there is no way to prevent them, it can only be someone who is unlucky when they encounter water.
And a woman, from pregnancy to giving birth to a child, is really wandering back and forth in the ghost gate, and if she is unlucky, maybe it is the separation of yin and yang.
"Can you handle it now?" Zhang Fan asked quickly.
"No, the patient is in shock and bleeding ......"
"Shut up! Tell them that all the people in the operation car are under my command. ”
No one objected, the doctors in Huaguo and Istanbul all stared at Zhang Fan and began to stand by.
"Head nurse, take their nurse and open the intravenous access. Prepare for burial. ”
"Yes!"
"Anesthesiologist, take over the monitor and get ready for tracheostomy. ”
"Yes!"
"Tell them to gather a crowd to draw blood and prepare for a blood transfusion, and prepare more than 2000cc. ”
"Yes!"
When Zhang Fan took over the command, the operation car, which was already a little chaotic, began to become orderly.
Wash your hands, disinfect them, and quickly put on your lab coat. When every second counts, nothing can be wasted.
Whether it can be rescued or not, Zhang Fan is not sure, he is really not sure. Amniotic fluid embolism is very dangerous, and another heavy hemorrhage, to be honest, can live or not, and it depends on God can't open his eyes.