"Ram, take a look again, save my daughter," pleaded with a sad face as the woman holding the prayer wheel.

"I've tried everything I can, but she still can't wake up"

Ram was bothering to explain when he saw Tao Le and the others come in. She immediately found the backbone of the heart and said:

"With these Angelas, your daughter will be fine. I'm just a midwife, not a mamba. ”

After saying this, Ram almost rushed out of the door.

"Angela!" As if she had seen a life-saving straw, the mother bowed deeply to the three of them and said:

"Please, save my daughter, she's just twenty years old!"

Tao Le hurriedly reassured her and said, "We will definitely do our best." ”

Chang Shengnan quickly pulled the mother aside: "The family members should go out first, don't delay our rescue." ”

The phrase worked better than anything else, and the mother hurried out of the house, looking back at the door.

Tao Le had already seen the situation of the pregnant woman during the day, and he also had a guess on the way over.

Sudden abdominal pain and fainting all point in one direction, and this is also the situation she fears the most: a ruptured uterus.

opened Goldfinger, and the truth was exactly what she feared:

Age: 20 years old. Health: 32 (Fetal Health: 85)

Etiology: uterine rupture 80% cervical erosion second degree 15% anemia (mild) 5%

Hemoglobin 105g/L, blood pressure 80/50, heart rate 119 beats/min

Complications: threatened miscarriage, hemorrhagic shock, oligohydramnios.

In the hologram below the interface, a fetus weighing about 2,800 grams can be seen, and the amniotic fluid is only in the lower right area of the uterus, which is only one-third of the number of normal mothers.

THE MOST IMPORTANT THING IS THAT AT THE RIGHT UTERINE ANGLE, A 3.0CM*2.5CM BREACH CAN BE SEEN, FROM WHICH A 7.0CM*6.0CM LARGE HORN-SHAPED MEMBRANOUS SAC IS BULGED.

BLOOD WAS FLOWING DOWN THE BOTTOM OF THE BREACH, FORMING AN EFFUSION OF ABOUT 1,000 ML IN THE ABDOMINAL CAVITY.

Tao Le frowned and saw that the fetus's health value began to decline rapidly, from 85 to 78 in just a few minutes.

This is because the lack of amniotic fluid causes the fetus to lack oxygen, and if it is not treated, he will die of asphyxiation.

This is the reason why uterine rupture, even if treated promptly, has a maternal mortality rate of 5 percent and a fetal mortality rate of more than 50 percent.

"Have a C-section right away!" Tao Le didn't have time to explain, so he ordered directly.

Xiao Chen didn't say a word, and immediately began to make preoperative preparations. Chang Shengnan glanced at the two of them, and had some doubts in his heart, but when the words came to his mouth, he still didn't say them.

Tao Le first performed acupuncture to stop the bleeding for the mother, and then did two deep venous catheters in a row, quickly prepared the crystals and colloids, and began to rehydrate.

After five minutes, everything was ready.

The health value of the fetus has dropped to 65, showing an accelerated downward trend, which makes Tao Le anxious.

"After testing, under the current conditions, it is supported to carry out cesarean section surgery in the lower uterine segment + uterine breach repair. Do you need simulation instruction exercises? Yes/No. ”

"Yes."

The next moment, Tao Le's expression became calm and calm, and he could no longer see a trace of melancholy.

With a flick of her fingers, she pricked a few millistitches on the abdomen of the mother, and took the scalpel handed by Xiao Chen.

Chang Shengnan couldn't help it: "Teacher Tao, we brought a subdural puncture needle and catheter, do you want to do a spinal anesthesia?"

"No, I don't. I have just done acupuncture anesthesia. Tao Le said as he determined the location of the incision and prepared to go under the knife.

Acupuncture anesthesia or something, is difficult for Chang Shengnan to understand. She glanced at Xiao Chen, and when she saw her nodding desperately at herself, she understood that this matter was reliable.

This technique sounds even higher than acupuncture anesthesia to stop bleeding!

However, even if acupuncture can stop bleeding and anesthesia, it cannot replace surgery!

"Mr. Tao, have you ever had a cesarean section? Why don't we wait for Dr. Shi? She asked again.

"Can't wait." Tao Le didn't raise the corners of his eyes, and made a transverse incision 10cm long directly in the lower part of the uterus.

There was no bleeding at the incision, which obviously showed that acupuncture had taken effect to stop the bleeding, which made Chang Shengnan's eyes brighten.

The abdominal cavity was opened in layers, and a large amount of blood flowed out.

While sucking with a simple negative pressure suction device, Tao Le enlarged the uterine fissure, pierced the amniotic membrane, and sucked the amniotic fluid clean.

She put her right hand into the uterus, took out the baby who was suffocating and turned purple, held it in her palm after cutting the umbilicus, and slapped her back a few times on her head and feet.

A small baby girl let out a very weak cry under Tao Le's hand.

This cry dispelled the solemn atmosphere in the room, and added joy to the faces of Tao Le and the three of them.

Tao Le handed her to Xiao Chen. The latter immediately scrubbed the baby with the warm water he had prepared, wrapped the baby girl tightly with a clean cloth towel, and placed it in the corner of the bed.

The surgery continued. The blood in the abdominal cavity has been suctioned clean.

"Oxytocin 20U, for injection."

Xiao Chen quickly dispensed the medicine and handed the syringe to her hand.

Oxytocin is injected into the uterine muscle abdomen to clear the surgical area.

Tao Le gently massaged the uterus, and after the placenta peeled off, the placenta and fetal membranes were carefully checked, and then the uterus was sutured with No. 1-0 sutures, and the abdomen was closed in layers.

The rest of the process takes five minutes.

In her opinion, this operation is very ordinary, but in the eyes of Chang Shengnan and Xiao Chen, it is really different.

Dr. Tao's hands are different from those of us?

Why is it that both efficiency and accuracy are so much higher than normal people?

Not to mention the pleasing stitching in the back, like an art show.

Xiao Chen is okay, although he has not seen it with his own eyes, he has also heard of Tao Le's master-level suturing technique, which was rumored by the people of the first courtyard to be called a skyscraper, but it is really only when he sees it in person that he knows that they are not specific and comprehensive enough.

Chang Shengnan was stunned. Is this really the level of a resident doctor in a third-tier city? How can she be much smarter than the experts from the famous Beijing Academy she followed before?

I decided that I would add a set of large sutures to my list of studies. Chang Shengnan's heart is heavy and very fulfilling.

"Completed the lower uterine segment cesarean section under acupuncture anesthesia + uterine breach repair, which took 9 minutes and 12 seconds, improved the health value by 23 points, and evaluated: excellent.

Awarded one opportunity to practice the caesarean section simulation instruction. Do you want to use it now? Yes/No"

"No." Tao Le made the choice without hesitation.

In the middle of the night, I had to be pulled into a small black room and had three or four hundred cesarean sections.

If anyone thinks that she is still unsatisfied, and wants to go in and enjoy a cesarean section collection, they really look up to her.

Of course, her refusal would displease a certain black-bellied masked man, but only because of this would she feel a little happy.

Indeed, the happiness of human beings is based on the suffering of certain existences.

(End of chapter)