0121 Postpartum hemorrhage
Yang Lei ran straight to the ward, and Zheng Ren saw the son of the middle-aged woman who had had an appendectomy yesterday walking out angrily, as if the whole world was sorry for him.
It is estimated that it will not be a big deal, and on the other side, the nurse shouted: "Mr. Zheng, obstetric emergency consultation!"
"Yang Lei, it's okay. Zheng Ren asked.
"It's okay, I'll take care of it, you go and get busy. Yang Lei had already walked to the door of the ward, took a look at the situation, and knew it in his heart, so he asked Zheng Ren to go to the emergency consultation.
Obstetrics and gynecology is the taste of eating marrow, when they didn't know or had little contact before, they could only bite the bullet with some problems.
Once you are exposed to intervention, you find that this treatment method is simple and easy to do, and you can achieve results that cannot be achieved by surgery, and you will come to one consultation after another.
Hurriedly came to the obstetrics department, and the hospitalists on duty were about to cry, "Mr. Zheng, you can take a look." ”
"Don't panic, what's wrong?" Zheng Ren asked.
"Twenty minutes ago, a patient with heavy bleeding after caesarean section was sent from Laohugang, and I opened the admission slip to go for a physical examination, and all the family members disappeared. The obstetric inpatient always said with a look of fear.
This is common in the emergency department and rarely in obstetrics.
In the past, when the second child was not released, which family did not give birth to a child as a treasure? Throwing an endangered mother to the hospital and leaving, this kind of thing did not exist in the general consciousness of obstetric hospitalization.
But after so many years of being a doctor, she can more or less judge that she has unknowingly walked on a tightrope, and if she is not properly disposed of, she will be crushed.
Zheng Ren asked, "What about the patient?"
The general manager of the obstetric department immediately took Zheng Ren to the disposal room.
As soon as I got close to the disposal room, a smell of blood came to my face.
Zheng Ren sighed in his heart, the smell of blood is so strong, what is the patient?
Involuntarily quickened his pace, entered the disposal room, and a flat car appeared in front of Zheng Ren's eyes. The flat car was covered in blood, and a miserable white body lay on the flat car.
"The patient was brought to the maternity ward of our hospital 20 minutes ago and was diagnosed with postpartum hemorrhage with blood pressure of 50/30 MMHg and heart rate of 132 beats per minute. During the physical examination, the patient's lower body was taken out to stuff hemostatic gauze, and it was found that the birth canal was ...... "The obstetric hospitalization was always stupid, and the medical history was reported mechanically, as if Zheng Ren was her senior doctor."
Zheng Ren estimated that there must be countless negative cases echoing in her mind at this time.
"Your judgment. Zheng Ren asked.
"It was a second child, and it was considered that the uterine artery was not ligated, resulting in postpartum hemorrhage. Obstetric inpatient always answered crisply.
She is already confused, she has no family, what should she do if she signs? This kind of thing is not known to every clinician.
In the emergency department or surgery, there are many cases of anonymous people, so it is better to talk about it. Switch to obstetric ...... It is estimated that this is the first anonymous person she has encountered.
"Preparing for surgery. Zheng Ren knew that time could not be delayed, so he made a decision immediately, "There are a few things, you should hurry up and do it." First, the blood samples are sent to the blood transfusion department, and then they are urged to speed up the blood matching, which requires 10u red blood cells and 1000ml of plasma, and the same number of red blood cells and plasma are needed. ”
The general manager of the obstetric hospital nodded repeatedly.
In a state of confusion, all she can do is obey.
"Second, call the medical department, say that I received an anonymous patient, sign before the operation, I will come to the stage, you will get it, and ask the medical department to be present, remember?!"
"Remembered. The maternity inpatient continued to nod.
"Third, find a senior obstetric doctor to command on the spot. Zheng Ren finally instructed.
As long as someone is in charge, everything starts to work smoothly. Push the patient to the emergency operating room, call the operating room on the way, and prepare the relevant equipment.
Because it is a new project that has just been launched, the night shift nurse is not familiar with it tonight, and can only do some basic work.
Zheng Ren didn't complain too much, the experience was accumulated little by little, and it was useless to complain now.
Pushing the flat cart to the emergency interventional catheterization laboratory, the little doctor and the operating room nurse who followed from the obstetrics department began to carry the patient.
It's almost like lifting people in a pool of blood, and the scene is bloody.
Zheng Ren didn't have time to look at it, so he opened the storage room, quickly found the consumables he needed, handed them over to the nurse, and began to wear lead clothes, brush his hands, and lay out sheets.
It's still a lot of people to work, Zheng Ren sighed.
If Su Yun was here at this time, maybe it would be better.
It is easy to go from thrift to luxury, and it is difficult to go from luxury to thrift. After Zheng Ren felt the benefits of being a shopkeeper, he was busy with himself and began to feel a little uncomfortable.
Everything was ready, and the sound of Ding Dong ~~~ reached Zheng Ren's ears.
The system that big pig's trotters appear in due time and issue tasks.
[Urgent Mission: The Distortion of Human Nature or the Degradation of Morality.]
Mission: Rescue a patient with postpartum hemorrhage.
Reward: Passive, Lucky +2.
Mission duration: 2 hours. 】
While preparing for the operation, Jung in expressed surprise.
For the first time, the big pig's trotters of the system gave a personal passive attribute, and this time it turned out to be a lucky value.
Although he has never played online games, Zheng Ren has read a lot of novels about online games. In the novel, luck is a miracle skill, and there is no one.
But...... Why would the system reward itself with luck?
After the sterile sheet was laid, Zheng Ren picked up the arterial sheath and puncture needle, and began the operation.
At the same time, the live broadcast room of Xinglinyuan, which had been silent for two topics, also began to broadcast live.
[Wow, the great god hasn't appeared for a long time. 】
[It's rescue again, is there so much emergency surgery in Canada? Who said that capitalism is dark in all evils, don't you see that people don't do surgeries in the morning and evening? 】
[I think something is strange, I just came back from studying abroad, and the situation seems to be different. The specific situation is not clear in one sentence or two. 】
At the beginning of the operation, according to the practice of urging the operation first, everyone said a few words.
Zheng Ren's surgical level is master-level, and he obviously feels that his technique is more proficient, considering that it should be when he operated on Zheng Yunxia, he overselected six or seven major arteries in a short period of time, and his skills were sublimated under pressure.
In a few words, Zheng Ren had already sent the guidewire to the position, turned on the imaging system, and began to send the microcatheter.
[Postpartum hemorrhage, I have a headache when I see this diagnosis now.] 】
[Next door is the wall, go bump it, bump it, it's healthier.] 】
[It's not difficult, if you have a feeling that it is difficult to deal with, it proves that your hospital does not have an interventional department, and you can only remove the uterus. In the case of destructive surgery, communication with the family requires a high level of skill. Thank you to the colleagues in the interventional department, salute. 】
[Ninety percent of the hospitals don't have an interventional department, right! If you show off like this, aren't you afraid that the emperor will become a non-chief?]
The barrage flew over four or five, and Zheng Ren's side had been sent to the location with a microcatheter and began to make pictures.
The patient has a malformation of the uterine artery, with a branch that crosses the uterus in the middle, which means that it causes the patient to bleed heavily after surgery.
It is estimated that the doctors at the township hospital in Laohugang did not notice this mutated small blood vessel.