Pregnant women plus acute intestinal perforation, this is no joke.

The mortality rate from acute intestinal perforation is as high as 60 percent, let alone in pregnant women.

"Central venous access should be established at this point!" Chen Fan said.

The central vein refers to the superior and inferior vena cava connected to the right atrium, and the commonly used puncture routes are the infraclavicular vein, internal jugular vein, and femoral vein.

The purpose of this is to inject the drug into the vein quickly so that the effect of the drug can be achieved as quickly as possible.

Looking at Chen Fan, who was thinking, Zhuang Shu was not surprised.

During this period of time, he found that as long as Chen Fan got on the operating table, he would become extremely calm, and his focused appearance was like a high-speed machine.

And any operation that Chen Fan has seen is said to be done!

For example, Chen Fan followed Fu Bowen, the president of Renhe Hospital, to perform the heart bypass surgery a few days ago.

That surgery covered almost every possible heart bypass situation, and there were many details that were textbook-quality surgeries.

And the child in front of him, after getting off the operating table, can review without watching the video! And it's done exactly in front of all surgeons.

This is simply a natural surgical holy hand!

"Here, here comes the obstetrician and gynecologist." At this moment, one, while putting on sterile gloves and masks, hurried into the operating room.

It was the deputy chief physician of the Department of Obstetrics and Gynecology and an obstetrician and gynecologist wearing an assistant's suit.

"Ding, the obstetrician TV series plot character was detected, He Jing! Reward brain domain development 0.5%. ”

Chen Fan's brain was dizzy, and it was already noon at this time

The little food eaten in the morning has been consumed, and at this time, there is almost no energy for it to consume to develop the brain domain.

With less than 1% of the brain domain development, the system will not greet Chen Fan at all, nor will it wait for Chen Fan to accept, because it will not pose a danger to his life at all.

Fortunately, no one noticed Chen Fan's discomfort.

Chen Fan quickly walked to the changing room and took out a few pieces of chocolate from his pocket.

He Jing, the heroine of Chen Fan's obstetrician in his previous life, played by Tong Yaya.

At this time, it seems that he is just a gynecology intern, and he has come here to work as an assistant.

Walk into the operating room again

I only heard the deputy director of the gynecology department ask, "Professor Zhuang, what are you going to do?" How are the patients? ”

Zhuang Shu took the picture of CT and abdominal color ultrasound that had just been done to the deputy director and said:

"You save the children, we cut the intestines."

Deputy Director: "The risk is very high, the chance of fetal death is 60 percent, and the chance of the patient is 50 percent. ”

Zhuang Shu: "Don't wait, start the operation, Xiaofan, you give the deputy director a hand!" ”

The deputy director frowned and glanced at Zhuang Shu, meaning, I have already brought an assistant, what is the matter with you.

"Xiaofan's assistive ability is well-known in our hospital. He can even caesarean section a pregnant woman on your behalf, and his knife skills are not human. Zhuang Shu explained.

The deputy director was surprised, she knew Zhuang Shu's identity.

Chinese medical professor in the United States, eyes above the top, surgical holy hand.

In this case, she was also willing to give young people a chance, so she said to Chen Fan: "Come on!" I'll give you a hand, young man. ”

Chen Fan knew that Zhuang Shu was giving himself a chance, and now was not the time to excuse himself.

Cesarean

Lu Chenxi also encountered this operation by chance in surgery

For example, the family mistook giving birth for appendicitis!!

Follow the steps for a caesarean section in the book

"The deputy director helped me plug in the urinal."

There was some inconvenience for this gay man

"I can only know this by listening to the fetal heartbeat and determining the position of the baby, and my hand touching the mother's belly."

The deputy director was stunned

Do you know by touching it? Are you the deputy director for nothing?

My mother has also given birth!

But seeing Zhuang Shu nodding, the deputy director shut up. 29GG

Chen Fan glanced at He Jing and ordered in a deep voice:

"Count the gauze!"

At this time, Chen Fan had already changed into a new pair of sterile gloves

In a daze, He Jing immediately stepped forward: "One, two......"

Holding the surgical forceps, Chen Fan spoke: "Now start anesthesia." ”

"Ten milliliters of propofol, intravenous!"

"Remifentanil 5 ml, Static Push!"

Immediately a nurse began to dispense the medicine

Then Chen Fan took the needle and pushed it into the pregnant woman's vein.

Then he glanced at the audience: "Wait, after five minutes, you must take out the child, otherwise, both are in danger of life, all posts are ready." ”

This is Chen Fan's habit

He has obsessive-compulsive disorder and doesn't allow his assistants to make mistakes, so being in the operating room and the doctors he works with can be tiring.

Watch everyone nod their heads, and then don't look at their watches either.

In Chen Fan's heart, there is a precise clock, a clock that is exactly the same as the network time.

"It's 11:20:05, and now the operation begins!"

After Chen Fan finished speaking, his hand had already dropped the scalpel.

Gently cut through layers of flesh and muscles, and the place where Chen Fan went under the knife was above the uterus.

As soon as the connoisseur made a move, he knew if there was one, and the deputy director was shocked.

Chen Fan seems to be simple to go under the knife, but in fact, a knife is a layer of texture, and there is no superfluity, which means that there is no unnecessary damage.

Cut the uterus

Only cut three centimeters, Chen Fan is accurate, no more, no less, just three centimeters. Then the uterus is torn open with both hands, which the book says will cause the least harm to the mother and is conducive to the postoperative recovery of the mother.

"Anesthetize, report blood pressure, I'm ready to take out the baby." Chen Fan ordered directly.

Deputy Director: "It's anesthetized. ”

Zhuang Shu: "If the blood pressure is normal, the baby can be taken out." ”

The two top masters, before Chen Fan could say anything, they already knew what to do next.

Chen Fan nodded, and then put the scalpel in He Jing's hand.

The technique is very professional, like a mechanical arm, first probing the womb with both hands, first supporting the baby's head, and then taking out the baby and cleaning the fluid in the baby's mouth and nasal cavity, before slowly holding out the fetus and cutting off the umbilical cord.

However, Chen Fan waited for three seconds

There was no expected fetal cry

Chen Fan didn't have to think about it, so he spoke: "The newborn baby is suffocating." ”

Deputy Director: "I'm here to do cardiac resuscitation." ”

Chen Fan did not fight

He would, but he had other work to do.

And the deputy director is more experienced

"Two minutes and two wonders, and two minutes and fifty-eight minutes must complete the operation!"

Chen Fan picked up the surgical forceps and spoke: "German B. Braun snake brand sutures!" ”

"Gauze"

"Inject 20u oxytocin"

If Chen Fan's sword skills shocked He Jing just now

Then the stitching at this time made her feel even more fluid

Chen Fan first quickly cleaned up the uterine effusion

Then the stitching begins

To suture the uterus, you need to use a sheep gut that can be absorbed.

Since Chen Fan took over the stapler, the first needle was inserted from the anterior layers of the uterus at 0.5 cm lateral to the right end of the uterine incision, and immediately after the knotting was made, the micro-end was clamped with a vascular clamp to retain the thread, and the single-layer continuous seam suture at the base of the uterus was started.