208 C-section
85_85245 The next day, Yu Ruyi made breakfast early.
Although Wang Hao didn't speak, he still ate breakfast as usual.
Yu Ruyi was relieved, and after packing up, she went to the inpatient department of obstetrics and gynecology.
Dr. Jiang, who is on duty, is examining a newly admitted patient.
Yu Ruyi hurriedly stepped forward.
"Placenta previa!" Dr. Jiang said succinctly, "Hurry up and inform Director Xu!" β
Placenta previa? Isn't that why my mother died? Β’wanΒ’δΉ¦Β’γba,aβnshubβa.! Yu Ruyi trembled and dialed Director Xu's phone.
After making the call, Dr. Jiang's bedside ultrasound results also came out: "Partial placenta previa, fetal survival!" β
Yu Ruyi hurriedly asked about the medical history: "When did you start bleeding?" What is the approximate amount of bleeding? Is there anything else uncomfortable? β¦β¦β
"The ECG is normal!" Yu Ruyi collected her medical history, and Dr. Jiang's ECG report results came out.
Yu Ruyi quickly drew blood for the pregnant woman, and handed the test application form to the nurse on duty along with the blood sample, so that she could quickly send it for testing.
At this time, Director Xu also came out of breath. After listening to the report, Director Xu said decisively: "Emergency caesarean section, notify the operating room to prepare!" β
"The operating room staff and anesthesiologists are in place." Yu Ruyi motioned for the nurse to push the flat cart, carefully lifted the pregnant woman to the flat cart, and pushed it to the operating room.
"Dr. Jiang stayed outside, please sign the surgical consent form, and wait for Dr. Gao to do a good job of handover." Director Xu said decisively, "Ruyi will have surgery with me!" β
Yu Ruyi's heart jumped, and her footsteps stopped involuntarily: "Me? β
Director Xu looked at Yu Ruyi keenly: "Is there a problem?" β
"I didn't ...... No problem! Yu Ruyi continued to push the flat cart carrying the pregnant woman towards the operating room.
After all, I was mixed up in surgery for a few months. There is definitely no problem with surgery on the stage, what Yu Ruyi is afraid of is that the pregnant woman will die in her hands, just like her mother died on the operating table back then.
However, since Director Xu has been named, Yu Ruyi can only choose to go to power head-on, and she can't sue Director Xu because of her own knots and refuses to treat the patient, right?
Fortunately, Director Xu personally took charge of the operation.
Yu Ruyi disinfects and spreads towels according to the routine.
Director Xu picked up the scalpel and calmly made a small incision in the pregnant woman's abdomen.
Bright red blood bubbled up all at once.
Yu Ruyi quickly dipped the wound with saline gauze.
Director Xu carefully cut open the subcutaneous fat layer.
Yu Ruyi was engrossed in staring at the wound, not thinking about anything else.
Director Xu made a small incision in his abdominal muscles.
Yu Ruyi stretched out her hand in understanding. and Director Xu tore the muscles at the same time. Apart.
Director Xu used small forceps to pick up the peritoneum, and Yu Ruyi hurriedly used another pair of forceps next to Director Xu's forceps to clamp the peritoneum.
Director Xu carefully cut the peritoneum between the two small forceps.
Yu Ruyi quickly let go of the two small pliers.
The dark red womb was exposed to everyone's eyes. As the child moves in the womb, the uterus moves gently.
While Director Xu cut the uterine fascia to separate the bladder, he also said the first sentence after going to the operating table: "The placenta is low." The opening on the uterus should be higher. β
Yu Ruyi responded. Swiftly dragged the straw over. And motioned to the traveling nurse in the operating room: "Check again to see if the suction device is connected?" β
After receiving an affirmative answer from the nurse, Director Xu began to cesarean section.
Director Xu straightens the uterus. A small incision is made horizontally in the middle of the uterus.
Yu Ruyi quickly used the index fingers of both hands to tear the incision wide with appropriate force.
When encountering resistance, Director Xu immediately stretched out the scissors and continued to extend the incision to both sides.
After dealing with the incision on the uterus, Director Xu punctured the fetal membranes with vascular forceps.
Yu Ruyi immediately stretched out the straw prepared in advance to suck off the amniotic fluid.
Director Xu put his hand into the uterine cavity and lifted the fetal head through the uterine incision.
Yu Ruyi gently presses the fundus to assist in the delivery of the fetus.
"Wow!" The newborn boy burst out into his first cry.
"What a cute little baby!" The itinerant nurse under the operating table excitedly reported the time, "Eight o'clock!" This baby was born at 10:10 a.m.! β
Yu Ruyi knew that the delivery of the child was the first step, and the greater danger was still to come.
Sure enough, the anesthesiologist reminded: "Blood pressure is dropping!" β
Yu Ruyi immediately clamped and cut the umbilical cord and handed it to the itinerant nurse under the operating table.
Seeing that Director Xu had already clamped the two ends of the uterine incision with forceps oval, Yu Ruyi quickly injected the ten units of oxytocin that had been prepared into the body of the uterus.
Director Xu quickly put his hand into the uterine cavity and peeled off the placenta with his bare hands.
The blood in the uterine cavity gushed out.
Yu Ruyi stretched out the curved disc with one hand to catch the placenta, and the saline gauze pad with the other hand reached into it, compressing and stopping the bleeding.
Blood quickly spilled over the back of Yu Ruyi's hand.
Director Xu pressed a gelatin sponge with thrombin on the bleeding area, and said with a stern expression: "If you can't do it, remove the uterus."
Minutes and seconds passed.
The only thing in the operating room was the crying of newborns.
After about ten minutes, Director Xu cautiously let go of his hand.
"No more bleeding!" Yu Ruyi cheered.
Director Xu motioned for Yu Ruyi to start suturing the uterus.
Yu Ruyi hurriedly handed over the prepared needle holding pliers.
The patient was fine, and Director Xu's words increased: "Placenta previa is one of the obstetric emergencies, and the slightest carelessness will cause the death of both mother and child due to heavy bleeding, and massive bleeding may occur before, during, and after surgery." β
Yu Ruyi inevitably thought of her mother.
The mother was unable to return to heaven because of placenta previa, which caused prenatal hemorrhage, and because of the failure of vital organs in the whole body due to untimely treatment.
Fortunately, Feng's mother took out herself by caesarean section at the last moment, giving herself a chance to survive.
If the road in my hometown had been repaired as soon as possible, my mother would not have been delayed on the road for so long, and she would not have died.
If the hospital had as many doctors as it does now, and the rescue equipment was as complete as it is now. The father who was suddenly in shock did not die.
The past has become a thing of the past.
In the current patient's case, even if the uterus is removed, the chances of survival are very high.
Yu Ruyi looked at the sleeping faces of the patients in the stands, and looked at the newborns dancing in the incubator, and she was also overjoyed.
Yu Ruyi was once again proud that she chose to return to the town to work.
Although the town lacks the lights and bustle of the city, it is able to guard the place where the mother fell and prevent others from repeating the mistakes of the mother, and its sense of responsibility and accomplishment is incomparable to the work in the city.
The rest of the job was much easier.
Director Xu motioned for Yu Ruyi to suture the uterine incision.
Yu Ruyi picked up the needle forceps and asked tentatively: "Full-thickness continuous suture?" β
Director Xu agreed: "I have checked the information. Other obstetricians and gynecologists have also been consulted. Full-thickness continuous sutures have a good hemostatic effect and there is no risk of endometriosis, you are right! β
The hospital had been using double-layer interrupted sutures for cesarean section uterus in the past, and Yu Ruyi questioned the suture method after entering the obstetrics and gynecology department. Director Xu listened to Yu Ruyi's Jianyì. I also consulted many obstetrics and gynecology authorities. Then he accepted Yu Ruyi's opinion.
Yu Ruyi tugged at the corners of her mouth, there are such good colleagues and such a good environment. Why worry about unsuccessful careers?
After suturing the uterus, Yu Ruyi began to suture the abdominal incision again.
Because of the solid foundation of surgical practice, suturing the abdominal incision was a piece of cake for Yu Ruyi.
Director Xu smiled and said: "The alignment is neat, the spacing is consistent, and the speed is fast enough, it can almost compete with Wang Hao, the 'surgical knife'!" β
Yu Ruyi couldn't help but thank Wang Hao a little, if it weren't for Wang Hao's trust in him and boldly letting himself do it, his progress would not be so fast.
Speaking of Wang Hao, the nurse in the operating room who had relaxed suddenly said: "I heard that Chen Li in the surgical room has taken a long leave!" β
"Huh?" Yu Ruyi's hand moved, and she thought to herself: Could it be because of the goof?
Although Chen Li made up a series of lies to deceive himself, it is true that Chen Li likes Wang Hao.
Yu Ruyi even thought a little selfishly: If Wang Hao accepted Chen Li's love, he wouldn't be upset about his liking for Chu Yunchuan, right?
Director Xu also felt a little surprised: "How could Chen Li take a long leave?" She is a very dedicated nurse, not only does she work neatly, but she has been in the hospital for several years, and she rarely takes holidays off, which can be regarded as a treasure of surgery! β
"I also heard from the surgical nurse, and everyone didn't know why." The instrument nurse said, "Dr. Xu has a good relationship with her, Dr. Xu should know why Chen Li is on vacation!" β
"When girls are older, they naturally have more ideas." Director Xu said regretfully, "It's very difficult to train a good operating room nurseβββ uh! "Director Xu vigilantly glanced at the two nurses beside him, if you want to leave in the future, you must inform me first!"
"We're not leaving!"
"We are reluctant to allow the director, and we are reluctant to ...... obstetrics and gynecology."
Listening to the nurse's chattering voice expressing loyalty, Yu Ruyixin had already gone to the surgery.
Chen Li is gone, isn't Wang Hao missing his right-hand man?
Last time he treated Chen Li so much, will Wang Hao regret it now?
Is there something you should be doing?
After getting off the operating table and handling the follow-up affairs of the surgical patient, Yu Ruyi took the time to go to surgery.
Yu Ruyi didn't go directly to the doctor's office to find Wang Hao, and stopped a nurse passing by in the corridor: "Liu Xing is not at work?" β
"Yes." The nurse pointed to the doctor's office, "Where's it inside?" β
"Oh...... 'Yu Ruyi asked again, "Is Wang Hao also in the office?" β
"Wang Hao?" The nurse hesitated, "Wang Hao doesn't seem to be at work today." β
"He didn't go to work?" Obviously seeing him go out, Yu Ruyi whispered to herself, "How is it possible?" β
"Let's ask Liu Xing for the specific situation!" The nurse hurriedly waved her hand, "He must be clear." β
Yu Ruyi hurriedly ran into the doctor's office.
Wang Hao is really not in the office.
Liu Xing raised his head in surprise: "Ruyi!" Rare customers! β
Yu Ruyi asked bluntly: "What about Wang Hao?" β
"He said he had something to do today and asked for leave."
"Why are you taking a leave of absence?"
Liu Xing looked at Yu Ruyi in confusion: "You don't know how I know?" β
Maybe he went to find Chen Li! Yu Ruyi thought to herself, Wang Hao might also think that Chen Li's departure had something to do with that incident, maybe he went to apologize to Chen Li and ask her to come back? (To be continued......).