As soon as the car stopped, Director Xu, who was waiting at the entrance of the hospital, ran over quickly.

"How's it going?"

"Mindfulness is still clear." Dr. Feng said, "But the blood pressure is already very low -- send it directly to the operating room!" ”

"Move lightly! Slow down! Director Xu said to the entourage who moved the patient, "If you are vigorous and you are active, you will continue to bleed!" ”

"Wait a minute!" The staff of the laboratory department squeezed over with blood collection tools, "I'll draw some blood first!" ”

Dr. Feng turned back to Yu Ruyi and said, "You took your family members to go through the formalities, and you have completed the application form for the examination and supply it to the laboratory department -- blood routine, blood coagulation analysis, blood type, blood hcg, cross-matching ......."

"Good!" Yu Ruyi hurriedly walked to the office with the patient's family.

After completing the admission procedures, Yu Ruyi quickly ran to the operating room.

Although she has undergone many surgeries, she has never seen an ectopic pregnancy operation, and Yu Ruyi doesn't want to miss it.

The main operating room of obstetrics and gynecology is similar to that of a surgical operating room.

Yu Ruyi changed into shoes and hand clothes in the locker room, put on a hat and mask, and pushed open the door of the operating room.

The patient is no longer breathing, no heartbeat.

After Dr Koh performed emergency chest compressions, the anesthesiologist immediately performed general anesthesia intubation.

"Establish a third venous access!" Dr. Fung ordered the nurses, "Plenty of fluids!" ”

"Notify the laboratory department." Dr. Feng said to the head nurse, "Prepare 3 whole bloods!" ”

The head nurse immediately ran out of the operating room.

Looking at the re-restored heartbeat curve on the ECG monitor, Dr. Feng signaled to Director Xu: "Open your stomach immediately!" ”

The moment he turned around. Dr. Feng caught a glimpse of Yu Ruyi beside him and asked, "Have the admission procedures been completed?" ”

"That's it!"

"Consent for surgery?"

"Signed!"

"Critical illness notice?"

"Signed too!"

"Hurry up and wash your hands and go on stage!"

Yu Ruyi quickly ran to the next door to wash her hands.

When Yu Ruyi washed his hands and came out, the patient had already eliminated the poison and laid the surgical sheet.

Dr. Feng stood in the chief surgeon position, and Director Xu stood in the assistant position.

Yu Ruyi consciously stood in the position of the second assistant.

Calmly, Dr. Fung made a small incision a few centimeters above the pubic symphysis in the lower abdomen.

Cut the subcutaneous tissue and fascia layer by layer, and then tear the rectus abdominis muscle from the middle to the sides with your hands...... Dr. Feng on the operating table is like a fast-moving, skillful, strategizing general, and the gentleness of life is like two people.

Dr. Feng carefully lifted the peritoneum with small forceps, and Director Xu hurriedly used another small pair of forceps to clamp it next to each other.

Dr. Fung carefully used a knife to cut the peritoneum between the two forceps.

Dark red blood clots suddenly met Yu Ruyi's eyes.

"It's a pity it's all congealed!" Director Xu sighed, "Okay. How nice it would be to be infused back into the veins! ”

"Whole blood is here!" The head nurse ran briskly into the operating room.

Dr. Feng ordered: "Lose one right away!" ”

Watch as Dr. Feng puts his hand into the patient's abdomen. Yu Ruyi hurriedly took the small basin handed by the instrument nurse.

Dr. Feng took out several large blood clots and put them in a basin and quickly searched for the bleeding area.

Dr. Xu looked at Yu Ruyi: "Did the B-ultrasound in the morning show a right fallopian tube mass?" ”

Yu Ruyi said with certainty: "Yes! When I went to pick her up at noon, I also said that there was severe pain on the right side.

Dr. Fung quickly found the bleeding and quickly clamped the mesangium.

The bleeding in the patient's abdominal cavity finally stopped.

Director Xu breathed a sigh of relief, raised his head and asked the nurse, "How many sets of liquids are okay?" ”

The head nurse looked at it: "No problem. ”

"What about vital signs?" Dr. Feng finally straightened up.

The anesthesiologist replied, "It's just that the blood pressure is still a little low, and everything else is fine." ”

"Good!" Dr. Fung put his hand into the patient's abdominal cavity again.

I watched as Dr. Feng kept pulling out clumps of blood clots. Director Xu sighed: "It is estimated that the amount of bleeding is more than 3,000 milliliters. One blood transfusion may not be enough! ”

The head nurse said, "Didn't you let me prepare three bloods?" There are two more! ”

Director Xu said with a smile: "Teacher Feng is still experienced. Before I opened my stomach, I knew that I needed three bloods! ”

Dr. Feng modestly said, "Patients with hemorrhagic shock generally need three bloods to be sufficient. ”

Director Xu said: "I was very lucky at first, thinking that if the blood in the abdominal cavity did not coagulate, I could infuse my own blood, but I didn't expect it to be completely coagulated!" ”

"The pathogenesis of ectopic pregnancy is mostly related to inflammation." Dr. Fung explained as he did the work. "I read the patient's ultrasound report this morning, and at that time the patient's ectopic pregnancy had no signs of rupture, but there was already a large amount of fluid in the pelvis, because she had a history of full abdominal pain, and I suspected that there was a lot of inflammatory discharge there."

Yu Ruyi suddenly said: "Because there is a lot of inflammatory secretions, the blood flowing into the abdominal cavity quickly coagulates!" ”

Seeing Dr. Feng smiling, Director Xu praised Yu Ruyi: "The son can be taught!" ”

Dr. Feng said regretfully: "It's a pity that she passed away in the morning, and if she had had had surgery in the morning, she would not have had so much blood." ”

Director Xu nodded: "This patient is also a fortune teller, if you delay it any longer, it is estimated that it will not be saved!" ”

Yu Ruyi suddenly remembered Driver Xie's arrogant appearance, and secretly glanced at Dr. Feng, who was concentrating on the blood clot in the patient's abdominal cavity without saying a word.

After the blood clot in the abdominal cavity was cleared, Yu Ruyi handed the heavy basin to the itinerant nurse and quickly connected the suction tube.

Director Xu poured saline into the gap that Dr. Feng had opened with his hand.

After Dr. Feng cleaned the abdominal cavity, Yu Ruyi put the straw into the abdominal cavity.

After rinsing several times, Dr. Feng carefully inspected the implantation site of the pregnant egg: "Interstitial part!" ”

Director Xu said: "No wonder there is so much blood! Want to cut? ”

"Definitely!" Dr. Feng looked at the head nurse: "Inform the family!" ”

A few minutes later, the head nurse walked back to the operating room: "The informed consent form has been signed!" ”

Dr. Feng quickly clamped the sides of the diseased fallopian tube and removed the middle section into the plate stretched out by Yu Ruyi.

Director Xu cut it open with a knife, took out the gestational sac in it, carefully put it back on the plate, and instructed Yu Ruyi: "Remember to send it for pathological examination after going down later!" ”

Yu Ruyi replied seriously: "Yes!" ”

The next step is simple: suture and embed the broken end of the fallopian tube, clean the abdominal cavity again, and suture layer by layer.

When the skin was sewn, Director Xu stopped Dr. Feng and said with a smile: "Let's let Ruyi come, let's touch the bottom and see how her basic skills are for suturing?" ”

Dr. Feng stepped back from the operating table with a smile: "This little thing shouldn't be difficult for her!" ”

This is the first time I have performed in an obstetrics and gynecology operating room! Yu Ruyi looked around a little nervously.

"Don't be afraid!" The head nurse standing next to her smiled and encouraged Yu Ruyi, "You came from surgery, what are you afraid of?" How you used to sew, now you can sew as you like, try to be as slow as possible and you won't go wrong! ”

Yu Ruyi moved her fingers, holding the needle pliers in one hand and the tweezers in the other.

Although after going to the pediatrics, there were no stitches for three months, except for the action of the first stitch was a little jerky, Yu Ruyi sewed more and more smoothly, sewing a small abdominal transverse incision like a straight line, without even a small bulge in the middle.

"Oops!" Director Xu said in surprise, "Teacher Feng, is this genetic?" It's better than blue! ”

"Director Xu's words are not logical!" The head nurse said half-jokingly and half-seriously, "How can it be inherited without a blood relationship?" That's wishful talent! ”

Yu Ruyi knew that the head nurse saw that the patient was safe, and her heart was steady, and she remembered the holiday with Dr. Feng again, and smiled helplessly.

Dr. Feng was neither angry nor defensive, and left the operating room with a slight smile. (To be continued......)