Chapter 104: An Unlucky Day (1)
"Xia Fei, there is an emergency ectopic pregnancy, you can get off work after this operation." I was just about to wash my hands and come out of the buffer room to take a shower, when I received this call, I immediately returned to the operating room with Jingxin to prepare things.
"Xia Fei, wait for you to come to the stage, right?" Jing Xin's face was a little pale.
"What's wrong with you, Jingxin?" I hurriedly asked.
"I seem to have my period, my stomach hurts very much at this time, then you prepare things first, I'll go to the toilet"
"Go ahead, do you have sanitary napkins? I have it in the cupboard, the cabinet is not locked, if you need it, go get it. "After explaining to Jingxin, I quickly prepared things, because the head nurse did not explain whether it was done laparoscopically or laparotomy, so I prepared for laparoscopic surgery, because now as long as it is not a shock patient, those who can generally do laparoscopic ectopic pregnancy will no longer do laparotomy, because laparoscopy will cause less damage to the patient.
When things were ready, I went to the patient hall to wait for the patient, and before I reached the patient hall, I heard a hurried doorbell, and I rushed over to open the door.
As soon as the electric door opened, I saw the stretcher cart pushed in directly, and the director of the gynecology department said, "Fei Fei, quickly, push it to the operating room, open the abdomen, the patient has gone into shock." ”
I quickly took the stretcher, pushed the patient into the operating room, and turned on the heater, hoping that the patient would be more comfortable.
After the patient was properly placed, I began to prepare for intravenous access, and the patient came in a hurry and only had an ordinary infusion needle in his hand, so I quickly changed to an intravenous indwelling needle to prepare for puncture.
Since the patient was in shock, the veins had completely lost their elasticity, and it was not so obvious that I had to slowly touch it little by little.
The back of the hand was completely unpalpable, and the patient's body temperature was already very low at this time, so I had to quickly find a way to establish intravenous access. So I put the patient's hand in my arms, hoping that it would warm up a little bit. After I rubbed and warmed her hands, I finally felt a little elasticity of the blood vessels, I tightened the skin, adjusted the angle of the needle, and finally felt a sense of frustration, but at the moment there was no blood return, the anesthesia teacher said, "No blood return, Fei Fei." ”
I said, "It's okay, it's okay, it's possible that the blood volume is insufficient, and the blood return is slow, so I pumped the needle core and tried it." "I slowly pulled out the needle core, loosened the tourniquet, sent the regulator, and injected the liquid Normally, I reversed the infusion tube and pinched it hard, although there was less blood return along the pressure, but I could clearly see that there was a little red at the needle.
"Okay, okay, it's on, let's anesthetize it." At this moment, I breathed a sigh of relief. "Jingxin, are you back?" The electric door opened, and Jing Xin walked in, "How's it going?" ”
"I still have my period, and I know that my body must be brewing a big menstrual cramp, because I have been feeling a little uncomfortable since the other day." Jing Xin said angrily.
"It's okay, I'll go on stage, you can take advantage of the incident to rest for a while." After I finished talking to Jing Xin, I quickly washed my hands and went on stage. For an ectopic pregnancy patient, once the ectopic pregnancy ruptures, it is easy to cause heavy bleeding, which can be life-threatening. At this time, what we can do is to quickly establish intravenous access, we must ensure infusion and blood transfusion, and we must start the operation quickly to find the bleeding place to stop the bleeding for the patient.
Washing my hands and going on stage, I cooperated with the doctors. "Prepare for sewing." The director said.
I handed the needle to the director, and then handed the curved disc to the operating table, but because of the urgency, the director did not look at the needle when he returned it, so he stuck the needle directly in my hand.
"Shhh Although it was a small round needle, it was also very sharp, and I immediately saw that the area under the glove was pierced and began to bleed.
"Director, I need to step down and deal with it, my hand is pricked."
"Stitch again" At that time, the director didn't seem to hear me, so I had no choice but to my thumb and continue to thread the needle to the director.
"Sewing." In the entire operating room, except for the special steps that will hear the director's voice, there is only the ticking sound of the ECG monitor.
Finally the bleeding stopped, and everyone breathed a sigh of relief. "Anesthesia teacher, how's your blood pressure?"
"The blood pressure has gone back up and is now 85/40."
"Okay, ensure blood volume."
Seeing that the whole operation had slowed down, I took off my clothes and got off the operating table to treat the wound, but because the time was slowed down by a few minutes, the blood was no longer flowing in the place where I was pierced just now.
I squeezed hard under the flowing water, and although I couldn't squeeze out much, I could squeeze out a little. Then iodophor disinfection and bandaging returned to the stage.
"Fei Fei, I'm sorry just now, the situation is so urgent, I didn't see it clearly in a hurry." The director said to me apologetically.
"It's okay, the director must put the needle holder in the curved plate for me next time, fortunately it is a needle today, if it is a knife, I'm afraid I will have to add one more emergency surgery to do vascular anastomosis."
Because the operation went relatively smoothly and was nearing the end, everyone laughed on the operating table.
"Jingxin, help me see if there's anything wrong with the patient's virus?"
Jing Xin flipped through the electronic medical record and said, "That, the five items of the virus that were urgently checked haven't come back yet, and it may be tomorrow." I just came to rescue the patient, this patient is so young. ”
"How old are you?" I asked.
"Guess what, she's only 16."
"Now the little girl, sometimes for love, I feel that this is a kind of appearance, in the outpatient clinic I have seen too many little girls who came to have an abortion in high school without telling their families, and some even did it again and again. I feel that the school must strengthen education in this area. "The director talked to us as he prepared to close the peritoneum.
"Yes, it's not that you can't have a relationship if you can't get married, but you must know how to protect yourself, no matter what the other party says, you must be responsible for yourself."
"Speaking of this, I want to talk about a gossip again, when I go to further study, isn't it, the heart of the big bull who sets up the stage with me every day, every day says that his children are going to kindergarten, the key is that they are in their fifties and their children have not yet gone to kindergarten. I wondered, is it a second child? Finally one day I couldn't help it and asked my tutor, and I knew, hahahaha" Jing Xin laughed before he finished speaking.
"Jingxin, don't laugh, just wait to hear it." The anesthesia teacher also began to gossip.
"It turns out that this director is very expensive, he secretly got along with a teacher in the anesthesiology department with a teacher in the cardiopulmonary bypass department of anesthesiology without telling his original partner at home, and later he got along with a trainee, but because this trainee had a child, he was so powerful that he forced the director to divorce and cut off the relationship with the teacher in vitro. Pity this teacher in vitro has been with this director for many years, just waiting for him to divorce and marry her, but he was taken out of position by a teenage girl. "Jing Xin's voice is colorful.
"So, Jingxin, do you say this has anything to do with me talking to the director?"
"It doesn't matter, this is also a teenage girl's pregnancy, that's also a teenage girl's pregnancy, you see that people are pregnant, they have a house and a car, and they have suddenly gained a firm foothold in the capital haha."
"Are you envious?" I squinted and scoffed.
"I'm not envious, I'm afraid that when I wake up one morning, she will be cold when she touches the people around her hahaha"
"Okay, you're really bad, don't talk about it, let's go to count the second gauze."