Chapter 0272 - Survival Instinct
"Look at the umbilical cord, is it missing the umbilical cord, it is likely that the umbilical cord is entangled by the amniotic ribbon."
Professor Zhang gently picked up the little guy's hand, and he held the umbilical cord in his hand, as if he had just begun to touch his neck.
"Come, Xiao Yang, probe the umbilical cord."
Yang Ping received Professor Zhang's order and began to explore the umbilical cord, little by little, there was no problem on the surface, Yang Ping gently touched the umbilical cord with his hand.
"Microscissors!"
Yang Ping wanted to use microscissors to gently cut a part of the umbilical cord, but Director Mei stopped: "Don't move, the umbilical cord can't move!" ”
The umbilical cord is the source of oxygen and nutrition for the fetus, how can you move it casually, let alone an orthopedic surgeon, what kind of umbilical cord do you move, Director Mei's movements were very light, blocking Yang Ping's hand.
Yang Ping was quite embarrassed, looking at Professor Zhang, Professor Zhang looked down at the umbilical cord, and also reached out and touched it: "There is a hidden constriction ring here, let him open it for you to see." ”
There is Professor Zhang standing on the platform, Director Mei can still not believe it, he retracted his hand, Yang Ping gently cut the surface of the umbilical cord a little, yes, there is a constriction ring inside.
"That's the problem!" Professor Zhang pointed it out to Director Mei and Director Ke.
The two directors took turns to look at the assistant's eyepiece and were stunned, not only was there a coarctation ring inside, but also the umbilical cord was partially necrotic, which may not have reached the part of the blood vessel, so the blood vessel can still transport blood smoothly.
When this constriction ring is inserted, the gap is very small, and the tissues at both ends are fused, so that the surface is exactly the same as normal.
"To cut off this part and re-anastomosis the umbilical cord, first loosen the constriction ring and see." Professor Zhang said to Yang Ping.
Yang Ping released the constrictant ring, and the blood vessels inside were also necrotic a little, and Professor Zhang came over to take a look at the microscope.
"You touch the fetal heart!"
Director Mei touched it, and the results were immediate, and sure enough, the fetal heart rate went up, this old man is really amazing, he is not engaged in obstetrics and gynecology, how do you know that the problem is the umbilical cord.
"There are still patients waiting in my outpatient clinic, you do it, cut off all the necrotic sections, and then re-anastomize, if you keep it, the umbilical cord blood vessels will be necrotic embolism."
Professor Zhang began to take off his clothes and gloves, and Director Mei hurriedly asked before he left, "Professor Zhang, how can you see that the problem is the umbilical cord?" ”
"The mystery of human beings is far more complicated than you think, this behavior is the self-preservation instinct of the human body, you don't see that his hand is always at the umbilical cord part, to grasp the umbilical cord. People, whether they are born, or in their mother's womb, when they are in a desperate situation or isolated, they will stimulate their latent instincts and make some incomprehensible behaviors, he is saving himself, he wants to live, and if you don't deal with the key problem for him, he will close the uterus, how can he be willing. ”
After Professor Zhang finished speaking, he left in a hurry, leaving Director Mei, who was half-incomprehensible, and Director Ke wanted to ask a few words, but he didn't catch up.
A room full of people is stunned, will such a small fetus save itself? What a theory, let's tell a bedtime story.
"I don't understand, it's the same as a supernatural event." Said the anesthesiologist.
Director Mei came back to his senses: "There is such a thing, there is a fetus that heard that his parents don't like him and wants to kill him, he is so sad that he wraps the umbilical cord around it, and there are many human codes that medicine can't unlock for the time being." ”
"Old man god-man?" Director Ke was amazed.
"Otherwise, how can he be the leader of the expert group?" Director Mei also admired.
Experience this thing, sometimes you have to take it, you are older, you have a lot of knowledge, you want to do things for half a day, and people solve them in a few minutes.
Yang Ping revealed the necrosis of the entire section of the umbilical cord, not much, about one centimeter, but the fetus is only thirty centimeters long, which is quite a lot, and he seriously touched the other parts, it should be no problem.
"If you want to cut the umbilical cord and anastomosis again, it will be complicated, so let's communicate with the family."
This time, it was Director Mei's turn to go out to communicate, and today's operation was complicated.
Zhong Ming stayed outside, his heart was like fire, and he looked at the door of the operating room from time to time, hoping that his wife would push it out, and every time he pushed it out, he rushed up, no!
Some family members thought that he had some malicious intent, and other people's family members pushed it out, and he rushed up, especially the woman who had a cesarean section in the obstetrics and gynecology department, and when he pushed it out, he rushed faster than her husband and was almost beaten up.
Zhong Mingfang and his wife both graduated from Southwest Political Science and Law, when he graduated, he wanted to continue his studies, but his family conditions did not allow it, his wife gave up graduate school to work, relying on his wife's funding, Zhong Mingfang went to graduate school, and later opened a law firm with his wife, and he was also a figure in G City.
The biggest regret in life is that both of them have infertility, and it took a lot of effort to artificially inseminate a child with their own sperm and his wife's eggs, but now they are facing such a situation.
Hey, my life lacks this, I can't help it.
The door finally opened: "He Liru family!" ”
Zhong Mingfang immediately went over: "Here, Director Mei!" ”
"Now there is a new situation, your child also has a hidden constriction ring on the umbilical cord, and it is necrotic, and now it needs to be removed and re-anastomized."
"Are you alright?" Zhong Mingfang was very nervous.
"The adult is temporarily stable and can tolerate the continuation of the operation, if this step is not done, the fetus will be equivalent to giving up, and it will take an hour to do this step of the operation, are you willing to continue to do it? The patient is stable, and there is a risk, but you can try it. ”
Now I can only decide by myself, as long as the adults are okay, just do it, my wife is determined to have this child, and she wants it herself, and the matter has come to this.
"Okay! Thank you very much. ”
"Yes, wait for the doctor to come to you to sign an informed consent again, and we will go through the operation without delay."
Things are really twists and turns, Zhong Mingfang finally realizes now how helpless a person is when he is sick, he has a strong sense of dependence on doctors, his mood is conflicted, he doesn't want his wife to have an accident, but he wants children.
If he chooses one of the two, he chooses his wife; If you can choose both, of course, it's great, but I don't know if God will give you this opportunity.
Now I heard that my wife is still stable, but the child is in trouble, and the doctor is working hard to cut the umbilical cord and pick it up, and my head hurts when I think about it.
A young female doctor came out and asked Zhong Mingfang to sign the informed consent for the operation, because the umbilical cord had not been considered to be cut and re-anastomized.
These doctors seem to have been revolving around his wife's affairs, and he didn't eat lunch, so he asked carefully: "You haven't eaten lunch yet, have you?" ”
"Oh, no, your wife's matter is urgent, and the director said to eat it after it's done." The young doctor said casually.
It's really hard, Zhong Ming is a little ashamed, if you invite the doctor to eat, and I don't know if people will go, but I don't have time, I have to accompany my wife later, anyway, my heart is chaotic.
Usually quick thinking and clear logic, now my mind is a pot of porridge, or boiling porridge.
Director Mei returned to the operating room: "Cut it off and re-anastomize." ”
This small umbilical cord is similar to the tail of a mouse, but for Yang Ping, it is very easy.
Director Ke is glad that he is fortunate to pull his brother from the orthopedic department to the stage, otherwise in today's situation, he will close his abdomen and go back directly after the operation, and the fetus will die in the womb in a few days, and maybe there will be an intrauterine infection, which is scary to think about.
"Cut?" Yang Ping confirmed again.
Your patients, if you don't open your mouth, the knife will not go down.
Director Mei permitted: "Cut!" ”
Cut off the necrotic part, re-anastomosis of the umbilical cord under the microscope to drive the vein, the fetus has strong healing ability, which is not comparable to that of adults, and the blood vessels are almost left alone after anastomosis, and there is almost no vascular crisis.
Otherwise, once there is a vascular crisis, the fetus is in the womb, and it needs to be treated, and the uterus must be opened and re-operated.
Anastomostom blood vessels, the means of initiation, and just two blood vessels, it can be done in a few clicks.
"Matched?"
"That's it!"
There is no vanity under the fame, and the level of Dr. Yang in orthopedics is really strong, and he is really an old driver when he gets in the car.
Director Mei touched the fetal heartbeat, it was very good, the blood flow was good, and after observing it for about a few minutes, Director Mei was relieved: "Close the uterus,"
"Artificial amniotic fluid!"
Because the uterus needs to open a part of the amniotic fluid, it is necessary to supplement the artificial amniotic fluid to maintain the amount of amniotic fluid. Otherwise, after the operation, because of the oligohydramnios, the fetus will be in danger again.
Director Mei watched while stitching, and there was a psychological shadow.
Really, the little one is really not restless.
Is Professor Zhang Zongshun's fetal survival instinct true?
Director Mei felt that it was necessary to check the information, ask classmates and friends, and make a formal question to study.