Chapter 213: The First Obstetrics and Gynecology Surgery (Asking for a Monthly Pass)
PS: A more send, the brother in the back is too cruel, yesterday there were more than 20 votes, today directly burst the chrysanthemum of Lao Bai, Lao Bai has been fighting for a month, the last two days Lao Bai is really unwilling to lose to him, so brothers smash the ticket, the more Lao Bai smashes, the more Lao Bai gets, Lao Bai is a good person, no one adds more, just Lao Bai is here to play harder, monthly pass!
Hearing that Su Hongwen was going to do this operation alone, Jin Xu couldn't help but hesitate, he had never seen a doctor of Su Hongwen's age who could complete such a big operation alone, taking out the fetus, stopping bleeding, suturing the uterus, and cleaning the abdominal cavity, maybe this kind of operation is not difficult for an old doctor like Yang Jiayi who has worked for decades, but it is quite difficult for such a young person.
Because they have been in medicine for a short time and lack of experience, the mother is uterine rupture, this operation should be as fast as possible, once the operation time is too long, the mother is likely to die due to excessive blood loss, and the lack of experience also means that the operation time will be delayed, or even unable to do the operation, what are the consequences? As a result, the mother is likely to not be able to get off the stage.
This risk is too great, Jin Xu can't believe Su Hongwen, he doesn't want to have an accident, he wants to wait for Yang Jiayi to come and start, but Su Hongwen doesn't give him this time at all.
At this time, he had finished disinfection, and even the surgical sheet had been laid, Jin Xu had been weighing the consequences of letting Su Hongwen do this operation, and he did not pay attention to Su Hongwen's steps of disinfection and laying out the surgical sheet, but the itinerant nurse and instrument nurse saw it.
Su Hongwen was very strange to them, but he was very familiar. What is strange is that he went to work on the first day today, and the two sides have never met before, and what is familiar is that Su Hongwen was assigned to the obstetrics and gynecology department, and the hospital is already well known, and even the cleaning aunt knows about it.
However, like Jin Xu, they didn't think that Su Hongwen, a young doctor, had a high level of surgery, but seeing Su Hongwen's steps of disinfection and laying the surgical sheet, the two nurses believed that Su Hongwen had certain surgical skills and water skin, otherwise he would not be so proficient in the steps of disinfection and laying the surgical sheet.
Only doctors who work on the front line of surgery all year round will be so skilled in disinfection and laying sterile sheets, just take these steps done by Su Hongwen compared with those young doctors who have been in the hospital for a few years, they are not as skilled as Su Hongwen, so it can be inferred that Su Hongwen must have frequent surgeries and should also have certain surgical skills.
Nurses in the operating room are performing various surgeries all day long. Naturally, they could see this. But they don't know whether Su Hongwen's surgical skills can complete the operation in front of them, and like Jin Xu, they don't believe that Su Hongwen can do such a big operation alone at such a young age.
"Scalpel." Su Hongwen couldn't wait, every extra second of delay now meant that the mother's life was in the hands of death. He didn't want to watch death take the pregnant woman away. She should have a long way to go in life. Watch your own child be born, raise him or her, watch him or her get married. Or watching her get married, so many things are waiting for her to do, she can't die.
"Xiao Su, let's wait for Director Yang." Jin Xu finally chose to wait, he didn't want to have an accident, although this operation was Su Hongwen's main surgery, and the main responsibility for the accident would be borne by Su Hongwen himself, but Jin Xu couldn't say that it would be a little troublesome, he didn't want to get into this trouble, not to mention that he had seen the difficult patient's family in the ward just now, it was a piece of stinky shit, and whoever got it would stink for a year.
"Can't wait." After Su Hongwen finished speaking, he didn't need the instrument nurse to give him a scalpel, he directly reached out and took it, and cut the patient's lower abdomen with a knife.
Because the uterus was ruptured, and the abdominal cavity had to be flushed for a while, Su Hongwen did not choose the conventional obstetrics and gynecology transverse incision, but the vertical incision that is commonly used in general surgery.
A knife cut the epidermis, Su Hongwen pressed the incision with a dressing to stop the bleeding, and stretched out his hand and said, "Electric knife." ”
"Xiao Su, you better wait, you can't afford something wrong." Jin Xu was anxious when he saw Su Hongwen open his cortex.
"I can't wait, I can't watch the mother die, Brother Jin, you are also an old doctor, now the uterine rupture causes the patient to bleed hemorrhage, you know better than me, in an amniotic fluid has flowed into the abdominal cavity, it is likely to cause acute peritonitis, and the child, if he is not taken out, he will also be in danger, why do you say I wait? Trust me, I'll save them. Speaking of this, Su Hongwen took the electric knife and stopped the bleeding point in the cortex.
Immediately the fat and muscles were opened with an electric knife, and when the peritoneum was opened, a mixture of blood and an unpleasant smell that I couldn't tell what it was immediately poured out, even though several people in the operating room were wearing masks, but they still smelled this rather unpleasant smell.
Immediately, a large amount of blood mixed with amniotic fluid surged out along the incision, Su Hongwen saw this scene, and immediately said to the itinerant nurse who was his help: "Turn on the suction device to the maximum and suck these things out." ”
And Su Hongwen put his hand directly in, he has see-through glasses, and he has long seen the location of the uterine rupture, and now it is too slow to stop the bleeding with hemostats, and he directly pinched the bleeding point at the location of the uterine rupture with his hand.
I thought that this would be the case, but who knew that Lu Dao Jin Xu suddenly shouted: "The blood pressure is down, 60/40mmHg, finger pulse oxygen 62, it's broken." ”
Su Hongwen never expected hemorrhagic shock to come so quickly, he had tried as fast as possible, but it was still a little late: "Let the people from the laboratory come in and draw blood, and the four groups of intravenous channel fluids will be opened at low speed to the maximum, fast." ”
At this time, Jin Xu didn't have time to say anything, so he picked up the pager and asked the laboratory doctor who was guarding outside to come in, and it was a nurse who came first than them, and she said in a panic: "Dr. Su's patient's family does not sign the consent form for surgery. ”
"What?" Jin Xu was dumbfounded, if the patient's family did not sign the surgical consent form, it meant that they forcibly operated on the patient against the wishes of the patient's family, even if there was no accident, if the patient's family made trouble, Su Hongwen would have to be unlucky, not to mention that now the patient has hemorrhagic shock, once something happens, don't say that he Su Hongwen doesn't want to be a doctor in his life, and he has to suffer a lawsuit, even he has to be unlucky.
"No matter, if you don't sign it, you won't sign it, I'll take care of it myself, it's okay with you, continue the operation." Su Hongwen said that the other hand picked up a toothless hemostat and probed it along the incision, first clamping the bleeding point on the uterine fissure, the mother can't lose blood, otherwise it will be troublesome.
At this time, the people from the laboratory department also came in, Su Hongwen directly took off his gloves and took off his surgical gown: "Draw 400 first, and then transfuse the patient immediately, when will the blood from the blood station be delivered?" ”
The one who came up from the laboratory was a female doctor of the same age as Su Hongwen, she was wearing a mask and a hat so that she couldn't see her appearance clearly, but a pair of Danfeng eyes were very beautiful, but Su Hongwen had time to pay attention to this now.
"It's already on the way, but after 400 milliliters of blood, how can you still operate?" The female doctor Danfengyan was a little worried.
"I'm fine, hurry up, don't waste time, I have to get the child out as soon as possible." When Su Hongwen said this, he said to Jin Xu: "Brother Jin, please help me find a surgical gown." ”
"Xiao Su, this? You better wait, the patient's family members have not signed, this is going to be a big incident. "Jin Xu will be completely panicked.
"What is bigger than human life, in this way, there is no director on duty in the hospital, you can go and ask for instructions." Su Hongwen didn't want to embarrass Jin Xu too much, after all, this operation was not in accordance with the rules.
Jin Xu saw that his abdomen was now open, and it was too late to say anything, so he hurriedly found a surgical gown for Su Hongwen and then went out, he first called the dean on the second line and briefly explained the current situation, and then ran out of the hospital with the surgical consent form to find the patient's family, hoping to persuade him to sign it.
The doctor of the laboratory department drew 400 ml of blood for Su Hongwen, and then handed it to the nurse to transfuse the patient, Su Hongwen's face was a little pale at this time, and his head was dizzy, which was a normal reaction after donating blood, he shook his head and put on a surgical gown and gloves and said to the nurse: "The speed of blood dripping in is slowed down, look at the blood pressure and pulse oxygen, once the blood pressure reaches 80/60mmHg, the finger pulse oxygen reaches more than 75, stop the blood transfusion." ”
Speaking of this, Su Hongwen continued the operation, now that the bleeding has stopped, the fetus must be taken out as soon as possible, to take out the fetus, the uterus must first be opened, Su Hongwen in order to reduce the damage to the patient's uterus, directly in the uterus rupture carefully opened an opening, and then took out the fetus covered with blood and amniotic fluid.
Su Hongwen didn't have time to see if the child was a man or a woman now, he rushed the child's back, stretched out his hand and patted it a few times, usually the child would cry at this time, but the child didn't react at all.
It's bad, Su Hongwen sighed in his heart, hurriedly rushed the child's face to himself, wiped his mouth with a dressing, and then reached in and buckled it, but found that there was nothing in the child's mouth, could it be that the amniotic fluid or blood entered the pharyngeal cavity, which is troublesome.
Thinking of this, Su Hongwen suddenly pulled off the mask on his face, put his mouth on the child's mouth and sucked it hard, and the instrument nurse next to him hurriedly said, "Doctor Su, you?" ”
It is very common for amniotic fluid to block the child's airway, but few doctors will use their mouth to suck out the amniotic fluid in the child's mouth, and the amniotic fluid is full of feces and urine in the child's mouth at this time.
Su Hongwen sucked the child's head down and turned it upside down, so that the amniotic fluid and blood in his pharyngeal cavity could be discharged as soon as possible, Su Hongwen only felt that something in his mouth that made him want to vomit was sucked up, and his stomach turned over for a while, obviously wanting to vomit, but Su Hongwen endured it and sucked it for a while, and then took the child away, and began to pat the child's back without waiting for the contents in his mouth to be spit out.
The baby's loud cry finally appeared, and everyone breathed a sigh of relief when they heard this sound, but after Su Hongwen handed over the child to the nurse, he suddenly bent down and vomited at the bucket where the medical waste was placed next to him. (To be continued......)