0071 To cut or not to cut

rushed to the first floor of the emergency building, and Director Pan was already waiting for Zheng Ren.

The two rushed all the way to the ICU, and in the locker room at the door, put on a hat and mask, put on a dark green sterile suit, changed slippers, and then walked in.

The ICU is like a secret room used to hide treasures in the movie, and in addition to changing clothes, you have to brush the access control twice.

This is to try to avoid bringing in bacteria, as most patients in the ICU have tracheostomy and are on a ventilator to help them breathe. The bacteria that the body's immunity is extremely weak and normal people have no problems may be a deadly bacterium in these seriously ill patients.

Entering the ICU, the directors of many departments have already arrived early and are doing physical examinations.

The diagnosis has been given on the system panel in the upper right of Zheng Ren's field of vision - placental abruption, hemorrhagic shock.

The patient was a young woman at 20 weeks of gestation, and because of pregnancy-induced hypertension, the placental abruption, which reached 1/2 of the placental area.

Because of the severe blood loss, the patient has developed symptoms of hemorrhagic shock such as paleness, sweating, rapid pulse, and decreased blood pressure.

The fetus has died due to lack of oxygen, and the fetal heart rate cannot be detected.

It's a tricky patient......

Because it is the first child, it means that if the uterus is removed, the patient will not be able to have children in the future. This is a cruel thing for a woman who aspires to be a mother.

However, if the uterus is not removed urgently, the blood loss will continue to bleed, and the obstetrics department has already dealt with it, but tamponade and hemostatic drugs have not had much effect.

It's a dilemma.

Several directors who came to the consultation obviously felt that the condition was very tricky, frowning and looking at the shocking numbers on the monitor, hesitating.

The condition is simple and clear, but whether to cut the uterus or not, this is the biggest problem.

Su Yun stood beside the patient's bed, his white clothes were as white as snow, holding a blue medical record clip in his hand, a stethoscope on his shoulder, and looking at many directors with an expressionless face.

"I suggest, go to the office and discuss. Time...... It should only be ten minutes. Xiao Su, make preoperative preparations. The ICU director said.

Many directors rushed out, and Su Yun noticed Zheng Ren, who was standing at the back of the crowd and didn't notice it at all.

He gave a verbal order, and the nurses were busy carrying it out.

Out of the care room, I came to the second room in the hallway, where the windows were bright and clean, and several desks were put together into a large square table, surrounded by a dozen chairs.

"Now we have nine minutes. The ICU director glanced at his watch and said.

"I don't think there's much to discuss. Director Su of the obstetrics department lifted his black-rimmed glasses and said firmly, "We have tried various methods to stop bleeding, but all of them have failed." If it drags on any longer, the patient's hemorrhagic shock symptoms worsen, and there is no way to do surgery. ”

"Alas. The head of the anesthesiology department sighed and stopped talking.

"Lao Wang, if you have anything to say, hurry up and say, don't sigh here. "The ICU director is in a period of impatience, and he can't rub half a grain of sand in his eyes.

"If only there were interventional doctors. Director Wang of the Department of Anesthesiology said the pain in everyone's hearts.

"Ask the circulation department if you can help. ”

The director of the ICU had an indifferent expression, "Today, the three departments of the circulation received eighteen patients with myocardial infarction, all of whom were on the operating table. ”

Once a myocardial infarction occurs, if surgery is not done in time, there is only one way to wait for the patient, and there is no choice at all.

Unlike pregnant women in the ICU, at least they can choose to keep the uterus or remove the uterus.

In hospitals, this kind of sharp contradiction happens almost every day, who has a nobler life? In the face of life and death, everyone is equal. What is unequal is just social differences.

Even if the circulatory doctor has the time to let them plug the uterine artery, who is responsible if something happens? Of all the departments, only the emergency department is more broad.

The crowd was silent.

Zheng Ren stood in a corner, like this kind of large-scale emergency emergency hospital-wide consultation, there is no part of his hospitalization at all.

If it weren't for Director Pan's insistence and others giving Director Pan face, Zheng Ren wouldn't even be able to enter the house.

He knows where the point of everyone's entanglement is - to preserve the uterus and stop the bleeding, the only way to do it is through interventional treatment.

However, interventional treatment has to withstand a large amount of radiation, so the first hospital in the city basically stopped the normal chronic interventional surgery after an interventional doctor got a large B lymphoma. Later, the doctor either transferred or went to the circulation to do heart stent surgery, anyway, there are no doctors in the interventional department at all.

Director Wang of the anesthesiology department sighed for this.

When it came to intervention, Zheng Ren suddenly remembered that the system had "tempted" him to choose the treatment of interventional surgery.

Maybe you can try it yourself? Zheng Ren has some activities in his heart.

There's only a few minutes left, so hurry up.

He immediately entered the system space and opened the system mall. When I saw the entry for the purchase of interventional surgery training time, I hesitated.

Zheng Ren is not hesitant to learn or not, if he can save a person, or let a woman retain her reproductive function, what is a little experience point?

He hesitated whether he could learn it or not.

Since having the system, Zheng Ren's memory has been comprehensively improved. Coupled with the climb of the general surgery skill tree, the anatomy is better understood than before.

As I recalled, the interventional treatment of placental abruption seems to be the simplest interventional operation by embolizing only one uterine artery.

So...... So be it.

Once Zheng Ren made a decision, he didn't hesitate at all, and pointed his finger up.

In an instant, the operating room climbed up on the ground, and Zheng Ren's body sank suddenly, and a lead suit was already worn on his body. The subject was in front of him, and Zheng Ren was holding a puncture kit in his hand.

What should I do?

Zheng Ren was in a trance.

[If you choose to learn interventional surgery, please increase the number of interventional skill points first.] 】

The indifferent appearance of the mechanical female voice of the system reminded Zheng Ren - you are a fool, if you want to do interventional surgery, is it okay to put the skill tree on the tree first?

Zheng Ren Khan immediately used a skill book to upgrade the interventional surgery to the high-level peak, that is, the 1000-point skill state. This is followed by 1 skill to reach the expert level.

His speed was very fast, and then he felt a thunderbolt falling from the sky, falling on his body, and his whole body was numb.

Soon, my mind was clear, and many unfamiliar memories appeared naturally.

When he was in the Climbing Surgical Skill Tree, Zheng Ren didn't feel that there was a qualitative difference in any change. That's because he is a general surgeon himself, and he usually comes into contact with various diagnosis and treatment items of general surgery. After a certain point of improvement, and even the skill has been improved to more than 2,000 points, Zheng Ren just feels very powerful.

Interventional surgery is different, it is a skill from scratch, which makes Zheng Ren feel more and more magical about the system.

The expert-level intervention skills are prepared, and there are a total of 189,920 experience points, which is more than 52 hours. Zheng Ren directly exchanged 50 hours of surgical training time, and the rest of the experience points were ...... Just defend yourself.

Interventional surgery training has officially begun!