With Xiao Su picking up his parents, Yang Ping was relieved.

The time of the operation is still to be determined, and all the examination results of the pregnant woman are out, and there are serious problems with the coagulation function, and once the operation is performed, it is easy to cause heavy bleeding.

Amniotic fluid embolism is still a matter of probability, and this surgical bleeding is a definite thing, and the usual large vessel occlusion technique cannot be used here at all.

There are two major risks in front of her, and the pregnant woman is not afraid at all and insists on the operation.

The amniotic band of the fetal limbs and neck is already type III, which seriously affects the blood supply to the distal end, and the hands and feet, and several toes are still fused together.

If it is born in the limbs, the limbs far from the narrowing ring will disappear, which is an intrauterine amputation.

If it occurs in the neck, the head is deprived of blood and oxygen, and the fetus eventually dies.

The pregnant woman did not eat breakfast or drink water, and she was ready for surgery at any time.

Obstetricians and gynecologists have been monitoring pregnant women, and the fetal movement was restless before, but now it has been significantly reduced, which is a manifestation of hypoxia in the head.

The obstetrician and gynecologist immediately reported the situation to Director Mei and Director Ke, who felt that the situation had deteriorated.

"Less fetal movement?" Director Mei is sensitive.

"Twelve hours, only eight times!"

Less than 10 times in 12 hours is dangerous, very dangerous, and if you drag it on, you will still have a stillbirth.

I thought I could wait and solve the problem of coagulation dysfunction before surgery.

Now this situation can't wait, either don't do this operation, or hurry up, for the fetus, it's a life-saving operation.

Director Mei and Director Ke told the pregnant woman the latest condition, and the pregnant woman was very calm: "Doctor, hurry up and operate on me, I want to save this child!" ”

She grabbed her husband's hand: "Husband, I beg you once, give me a chance, okay?" Let me operate and save the baby. ”

She turned to the doctor and said, "Director Mei, Director Ke, I know that the operation is very risky, but it is not an absolute contraindication in medicine, before the operation, I can record a video, and I am willing to take all the risks of this operation." ”

"Mingfang! Promise me, support me, okay? If I don't work hard now, I won't be at ease in my life! The pregnant woman took her husband's hand and shook it, urging anxiously.

The pregnant woman is very resolute and undaunted, and the husband walks around the bedside, unable to decide.

He gritted his teeth, stopped, sat on the edge of the bed, and helped his wife wipe the sweat from her forehead: "Doctor, I agree, please, is the risk really high?" ”

"This operation is a flight taking off in bad weather, but we will do our best to pay for it, and if there is an accident in the middle of the operation, such as heavy bleeding or amniotic fluid embolism, we will give up the fetus at any time and try to save the mother." Director Ke is unguided and completely objective.

The husband and wife looked at each other and nodded: "In case of an emergency, make every effort to rescue the adults and give up the children." ”

"Let's record a video in front of the doctor!"

The pregnant woman and her husband took a selfie with their mobile phones and recorded a video of the informed consent form being read out and sent it to Director Mei and Director Ke.

She wanted the doctor not to get entangled in the internal conflicts of their family and go all out for the operation.

Yang Ping has been waiting for surgery in the department, and Director Ke told him to be on call at any time, because the fetal condition may deteriorate at any time, once the patient's family has a unified opinion, emergency surgery will be arranged, and the surgical preparations are ready.

As he entered the system space, the waterfall grew more and more majestic, the trees grew bigger and bigger, and the sky appeared clear and magnificent.

He spent another 30,000 points to purchase 300 fetal surgeries, and the later the operation, the easier it was to master the operation, and the accumulation of all the surgeries in the early stage was the basis for the subsequent surgeries.

Fetal surgery, more difficult, the fetus is mostly soaked in amniotic fluid to maintain his body temperature, and the local site of the operation is exposed.

And the fetus is relatively small, all the structures are small, and when it comes to operation, it is cautious, and with a shake of the hand, it may cut off any organs.

Specific to this pregnant woman, there is still a disorder of coagulation function, it is not easy to stop bleeding, and the risk of major bleeding is very high.

Therefore, the hemostasis should be careful and thorough during the operation, and the operation speed should be fast to reduce the bleeding time.

Another risk is amniotic fluid embolism, which requires that the uterine incision not be immersed in the amniotic fluid, preventing the amniotic fluid from entering the venous vessels from the open venous sinus.

These details must be grasped well, and if you don't pay attention to one detail, you may be in danger.

As for the method of liberating the constrictant ring, Z-shaped modification, it is a commonly used orthopedic plastic surgery method.

It can change the direction of the constriction ring, such as the scar contracture of the tiger's mouth of the hand, and can be modified to move the position of the scar beyond the tiger's mouth, turning the linear scar into a zigzag shape, and completely loosening the contracture.

The coarctation ring of amniotic band syndrome also requires this Z-shaped modification, in which the ring-shaped hoops are loosened, their direction is changed, and they are moved to the side in an oblique direction, and the entire surgical incision becomes jagged.

In this way, the narrowing ring is eliminated, like a steep slope, you ride a bicycle, ride directly up, it is difficult, but walking in a zigzag, zigzag back and forth, it is much easier.

After the operation, Yang Ping rested in the space, he now likes this feeling more and more, doing the operation alone in the space, quietly, let the time pass, but no matter how long, it is only a moment in reality, and it does not occupy any time in reality.

This gives him time to think and prepare calmly in the face of any incurable disease.

Now the system no longer publishes a single task, only a stage task, each operation is a single task, you can get points, and stage tasks can get a huge amount of points.

In this way, the points accumulated in each stage are used to participate in surgical training, go to the library to read books, and prepare for the next stage of tasks.

Director Ke of Pediatric Surgery asked Yang Ping to go to the Department of Pediatric Surgery immediately and prepare for surgery, there is Song Zimo in the department, so there is no need to worry.

Yang Ping rushed to the Department of Pediatric Surgery to see what special explanation Director Ke had before the operation.

Several doctors on the operating table have to communicate again together.

"Xiao Yang, the situation has changed, and it is more urgent." Director Ke had a calm face.

"Fetal movement is reduced, it is very dangerous, and after a long time, it will be stillborn, and even if it is barely saved, the brain will develop poorly." Director Mei said.

"It's going to be solved in an hour, it's hard, let's do our best." Director Ke was a little overwhelmed.

This kind of surgery is all delicate work, anesthesia preparation is not done in half an hour, and there is only half an hour left, and the narrowed ring of the neck should be solved within half an hour to improve the blood supply to the head.

Director Ke knew that Yang Ping's microsurgery was powerful, but finger replantation and fetal surgery were two different things, and he couldn't get up quickly.

Do your best, Director Ke took everyone and hurried to the operating room.

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