In the afternoon of the next day, Xia Wei received a call from Yumei's husband Xiaomao, saying: "Doctor Xia, Yumei suddenly had a stomachache today, she was in a hurry, and she didn't have time to go to you. I see that her stomach hurts more and more now, and her face is not good, a little pale. ”

Xia Wei hurriedly said: "You hurry up and let them do B ultrasound for Yumei first, you can't wait any longer." ”

The person on the other end of the line said, "What could be going on?" ”

Xia Wei was anxious and said: "Don't ask so much, listen to me, I can't say for sure if I haven't seen her, I'm afraid that there will be internal bleeding, so it will be troublesome, and the doctor can be accommodating." ”

"Oh, it's so serious." Without waiting for Xia Wei to speak, Xiao Mao hung up the phone.

After a while, he took his wife to Xia Wei's outpatient office.

I saw Yumei's face pale, bending over and covering her stomach with her hands. Xia Wei measured her blood pressure as quickly as possible, the blood pressure value was low, the pulse pressure difference became smaller, and the situation was not good. Xia Wei immediately gave her a gynecological examination, gynecological bimanual examination, abdominal tenderness rebound tenderness was obvious, cervical lifting pain, and posterior fornix puncture to extract non-coagulable bloody fluid. Xia Wei hurriedly took her to a B-ultrasound examination, which showed a large number of liquid dark areas in the abdominal cavity. Internal bleeding is already evident, and the rupture of the corpus luteum is preliminarily diagnosed based on history and clinical examination, requiring immediate surgical treatment.

Xia Wei immediately called the dean and said, "Dean Liu, please come to the obstetrics and gynecology department, there is an emergency patient with internal bleeding here, who needs immediate surgery, and I am afraid it will be too late to transfer to the hospital." ”

"Then you should hurry up and prepare for the operation, I will call Director Yang of the county hospital to come for the operation, and I will come over immediately." Dean Liu commanded decisively.

Xia Wei immediately gave the patient anti-shock treatment, and made various preparations before the operation, prepared the skin, prescribed medical orders, and wrote medical records, all of which were ready. After a while, Director Yang of the county hospital also came here.

The anesthesiologist who followed him began to get busy, Director Yang and Xia Wei were washing their hands, and Director Yang asked, "What is the patient's blood pressure now?" ”

"70 mm Hg at 50."

"Okay, anti-shock treatment, right?"

"Yes, it's been anti-shock therapy."

"Is the patient's menstrual period normal?" Director Yang continued to ask.

"It's the fourteenth day after menstruation, and I think it should be a rupture of the corpus luteum." Xia Wei continued to brush her hands.

"Okay, let's get ready to go on stage." Director Yang washed his hands and came to the operating room with Xia Wei.

Wearing a surgical gown and coming to the operating table, Director Yang just opened the abdominal cavity and found that his abdomen was full of blood, and immediately ordered: "Quick, the suction device is opened to suction." ”

Xia Wei kept using a suction tube to suck the blood in the abdominal cavity, Director Yang gently wiped the organs in the abdominal cavity with gauze to find the bleeding point, it turned out that the bleeding point was on the right ovarie, Director Yang said to Xia Wei: "It is the rupture of the corpus luteum on the right side, the bleeding point is on the right ovarie, and you are not afraid to find the bleeding point." ”

The surgery went smoothly and was also successful. When Yumei returned to the ward after the operation, Xiao Mao said to Xia Wei gratefully: "Doctor Xia, thank you so much, if it weren't for your reminder, I'm afraid Yumei wouldn't know what it would be like now." ”

"It's okay, isn't this all my business, take good care of Yumei, come to the office to find me if there is any situation, and I'll write the medical records." Xia Wei went back to the office after speaking. She began to write down the operation in detail, then picked up a blood pressure monitor and went to the ward to measure Yumei's blood pressure. With the infusion of liquid, Yumei's face began to regain its flush, and her blood pressure was normal, Xia Wei smiled comfortingly, she remembered the scene when Yumei met her for the first time.

It was a few years ago when Yumei was pregnant, Yumei, who had just conceived a child, came to the health center for prenatal check-up less than two months ago, and Xia Wei established a maternal health card for her, allowing her to come to the outpatient clinic regularly for prenatal check-ups. In the fifth month of Yumei's pregnancy, Xia Wei asked her to do a B-ultrasound examination, and the results showed that the fetus's skull was large. Xia Wei asked her to go to the city for a re-examination of women and children to see if there was abnormal fetal development. When Yumei heard that she was going to the city for a re-examination of women and children, she began to get nervous and said, "Doctor Xia, I'm fine, why do you have to go to the city for a check-up?" ”

Xia Wei said seriously: "I'll tell you the truth, the child in your belly shows that the head is a little big, compared with the fetus of the same month, it shouldn't be like this." Let's go to the city to get a diagnosis, otherwise, giving birth to a disabled child will be a burden on the family and society. ”

"Oh, that's right, I'll check it out." Yumei also got serious.

"Yes, don't be nervous, even if it's a poorly developed fetus, it doesn't matter, it's induced, and then you can conceive a normal one, and if you want to give birth, you will have the healthiest child."

"Okay, thank you, the people in the village still said that I was making a fuss, and the old people said, 'Which of our previous pregnancies went to the hospital for a check-up.' It's not all good. I said, 'In the past, you were in the old society, how could you have such conditions, but now the living conditions are so good, the doctor said that you must have a prenatal check-up, and you will regret dying if you have a disabled child.' ”

"yes. Now that the medical conditions are good, it is possible to find out whether the fetus is developing well or not. ”

A month later, Yumei came over and told Xia Wei: "Doctor Xia, my child is gone, thank you, it is really a big-headed hydrocephalus child, if you didn't let me do regular prenatal check-ups, I'm afraid I wouldn't have found out, and I would be miserable when I gave birth to a disabled child." ”

"Yes, the medical conditions are so good now, and if you find a child who is not developing well, you can terminate the pregnancy, so good." Xia Wei was a little excited.

looked at Yumei lying on the bed, and sighed in her heart: What a woman who is not hard, I hope she can be safe in the future. On second thought, she should also be a lucky person, how good it is to terminate the underdeveloped child and give birth to a healthy and lively daughter.

Xia Wei sat in front of Yumei's bed and asked, "Yumei, when did you start having a stomachache today?" ”

"When I got up in the morning, I had a little stomachache, I didn't care, after breakfast, I went to do some work in the field, and when I came back, my stomach hurt badly, Xiaomao took me to the health center near my home."

"Oh, did you have sex before you woke up?" Xia Wei continued to ask.

Yumei said a little embarrassed: "Well, there is." ”

"Do you have a burden to work in the fields?"

"Yes."

Xia Wei looked at Yumei and said with concern: "Yumei, you must pay attention in the future, when ovulation in the middle of menstruation, sometimes there will be some bleeding and a little pain, at this time, you can't do heavy physical work, and don't increase the pressure in the abdominal cavity, which is very important." ”

"Oh, I see, if you don't tell me, I really don't know. I'll definitely pay attention to it in the future. Thank you. In the future, I will call you sister, if there is something, I will consult you, don't bother me. Yumei said gratefully.

"Okay, I won't bother."

Xia Wei realized that it is not easy to be a qualified doctor, not only to master the general diagnosis and treatment techniques, but also to flexibly use the theoretical knowledge learned to combine with clinical practice, to master the timing of examinations, not to follow the rules dogmatically, and to have the necessary health education. If the patient waits for the bladder to be full, then undergoes ultrasound examination, and then does other tests, and then determines the treatment plan, it will definitely delay the best time to save the patient, and a life will be lost in this world.

Xia Wei wrote in her notebook: Medical staff should not only have a sense of responsibility, love and dedication, but also practice basic skills, brainstorm and learn to apply.