Benevolence!

The Department of Obstetrics and Gynecology held an emergency meeting.

Several attending doctors took their seats, and Director Xu Menghua quickly said, "Patient Li Xue, female, 23 years old, heart failure grade III. ”

As soon as he spoke, everyone frowned.

At present, the New York Heart Association's cardiac function classification is used for heart failure in China.

Cardiac function class I: belongs to normal cardiac function;

Cardiac function grade II.: It is a mild heart failure, the patient's daily activities are normal, and shortness of breath, chest tightness and dyspnea may occur during strenuous activities;

Cardiac function grade III.: patients have shortness of breath and dyspnea during daily activities, and some patients may have paroxysmal dyspnea at night;

Cardiac function grade IV: the patient presents with orthopnea, dyspnea and wheezing at rest.

Heart failure grade III., indicating that the myocardial function is impaired, and the blood output of the heart cannot meet the normal metabolism of the human body, how dare she get pregnant?!

"This is the patient's cardiac ultrasound and CT report, and everyone will circulate it to each other."

Well?

A pregnant woman is 28 weeks pregnant, but the fetus is only 24 weeks in size?

And the pregnant woman has also had mitral valve surgery!

Mitral valve replacement is a thoracic and cardiovascular surgery procedure in which an existing diseased or abnormal heart valve is replaced with an artificial valve.

The mitral valve is a very important tissue of the heart, and the effect of mitral valve replacement surgery is to improve heart function and promote blood circulation to the heart.

However, after mitral valve replacement surgery, it is necessary to take anticoagulant drugs on time, and at the same time, there should be no significant exercise or emotional agitation.

However, in order to get pregnant, the patient was worried about the impact of the drug on the child, so he stopped the anticoagulant drug, resulting in the problem of stuck valve in the mitral valve mechanical valve.

It's like taking your life to get pregnant!

After a while, Director Xu Menghua spoke, "You have all seen the situation of pregnant women, now let's think of a way together!" ”

Onigiri reads a book

"How?"

All the attending doctors shook their heads and smiled bitterly.

What kind of treatment can we talk about in this situation!

"The left atrium and left ventricle of pregnant women are enlarged, and the ejection fraction of the heart is seriously lower than normal."

And also

"The actual development time of the fetus is less than one month, which means that the heart failure of pregnant women not only affects their own health, but also because of insufficient oxygen supply, they cannot bring sufficient nutrients to the fetus, resulting in the development of the fetus has now stagnated."

Now there are only two ways in front of everyone, either to terminate the pregnancy immediately, or to ignore the child in the womb.

The former is likely to cause heavy bleeding during the operation, and the mother will die for life.

The latter is stillborn, which increases the cardiac involvement of pregnant women, which is also life-threatening.

In short, now the lives of pregnant women and fetuses are hanging by a thread,

Regardless of whether it is dissected or not, the chances of survival are extremely small.

Xu Menghua also frowned,

Now they are facing not only the problem of caesarean section, but also the problem of heart failure in pregnant women and mitral valve jamming.

heart failure plus flaps,

This is an extremely difficult operation in thoracic surgery, and they don't have such talents at all.

For a while, everyone in the conference room fell silent.

At this time, the pregnant woman's family also arrived.

The first to come was a middle-aged woman, and when the woman came in, she saw that the doctors were all calm and silent, and her face turned white at that time.

"Doctor, you must save my daughter, who is miserable, if she has three longs and two shorts, how can I live!" ”

Dong Lin's attending doctor sighed and said, "Now that I know that I'm scared, why should I do it earlier, don't you know that the patient's body can't get pregnant at all?" ”

"It's all my fault, it's all my fault!"

At this time, another man came in at the door, a tall man of more than one meter and eight meters, crying like a tearful man.

"Xiaoxue said that she was not in good health and wanted to keep a child for me, I persuaded her, but she didn't listen, I knew that I wouldn't dare to say anything!

”

The middle-aged woman also nodded, "We all know her situation, and we have all persuaded the girl to adopt a child, but the girl is stubborn, and what she decided is that I can't pull back a few cows." ”

"Doctor, please save Xiaoxue!"

Later, several family members came in one after another, and one cried more than the other.

It can be seen that the pregnant woman is not in good health, but the family is still very happy.

Otherwise, she can't risk her life and must leave a child at home.

merely

"Dear family members, the patient's current condition is very dangerous, the adult heart failure plus the card flap, and the small body development is just 6 weeks.

No matter how big or small, it's hard to protect! ”

After Xu Menghua finished speaking, the family members completely collapsed.

"My child, why are you so miserable!"

"You're gone, how will we live in the future!

”

"Xiaoxue, it's my husband who is sorry for you!

”

“……”

For a moment, only the cries of family members and the sighs of medical staff remained in the conference room.

But this is not a solution, after all, the pregnant woman is still lying in the intensive care unit, so she can't really do nothing.

Xu Menghua got up and was about to go to see the patient's condition again.

It really doesn't work, so I can only get hard.

But as a result... The probability is the same as everyone has expected.

"You have to be prepared!"

Xu Menghua sighed and was about to get up and walk outside the conference room.

Suddenly, a man came up to him.

The person who came was in a hurry, glanced at the badge on Xu Menghua's chest, and panted, "Hello Director Xu!" ”

"You are..."

Xu Menghua looked the person opposite up and down, very unfamiliar.

"Director Xu, my name is Li Xiyang, and I am an emergency doctor!"

"Oh?" Xu Menghua's eyes lit up, "You are Li Xiyang!" ”

The two detectives who had brought the pregnant woman to the obstetrics department had already told her about what had happened.

The young man is good, he saved the pregnant woman who was held hostage by himself.

Courage is commendable!

"Director Xu, how is the patient doing?"

"I'm not optimistic!"

Xu Menghua handed the patient's chest X-ray and CT scan to Li Xiyang.

Li Xiyang glanced at it quickly, a little surprised.

The patient even had mitral valve replacement.

It seems that there is also a jam!

"Director Xu, do you have any plans now?"

Xu Menghua shook his head and sighed, "No clue!" ”

"But it's come to this point, and I can only bite the bullet, but this operation... I'm afraid it's going to be hard to go smoothly! ”

In this case...

"Director Xu, I think I can help!"

"You?"

Before Xu Menghua could speak, the attending doctor Dong Lin on the side smiled first.

"Dr. Li, do you understand the chest X-ray?"

"The patient's current situation, every move will be life-threatening, how can you help? How else can you help? ”

The patient's family was still around, and the director told them to be mentally prepared.

Where did this daredevil, who boasted that he could help?

Isn't that a mess!

Director Xu Menghua was good-natured, she waved her hand, "It's okay, if Dr. Li has any ideas, just say it and listen to it, and let's make a reference together." ”

Xu Menghua knows very well that this pregnant woman has been able to support until now entirely because of Li Xiyang.

Since the other party has an idea at this moment, Xu Menghua is naturally willing to give it a chance.

"Thank you, Director Xu!" Li Xiyang nodded at Xu Menghua, and then said, "The most critical condition of the patient now is nothing more than heart failure, and the heart cannot supply the life activities of the mother and fetus at the same time. ”

"Therefore, I recommend that the patient be fitted with a pacemaker to restore the patient's heart function first, and at the same time perform a caesarean section to remove the fetus."

If everyone thinks about it, this plan is feasible.

Dong Lin snorted coldly, "The idea is good, but who will install the pacemaker?" And who will solve the problem of mitral valve stuck in the patient? ”

Not to mention the patient's heart failure, once the chest is opened again, it is extremely dangerous.

Even if you are lucky enough to open your chest, the pacemaker and flap surgery are both extremely difficult surgeries in thoracic surgery.

Who will do it?

"I can!"

"Huh?"

For a while, everyone's eyes were all focused on Li Xiyang's body.

Even Xu Menghua was stunned.

"Dr. Li, you said you can have a pacemaker and a flap surgery?"

Li Xiyang nodded, "Yes, Director Xu, these operations can be handed over to me!" ”

Dong Lin was dumbfounded, "Aren't you an emergency doctor?" ”

Li Xiyang frowned, "So what?" ”

This question can make Dong Lin choke a lot.

However, the family members on the side seem to see hope!

"Doctor, can you really just take care of my daughter?"

"If you save Xiaoxue, you will be the benefactor of our whole family!"

"Please, you must save Xiaoxue!"

“……”

Seeing this scene, the other attending doctors in the obstetrics department frowned.

"Young man, this is no joke!"

"Don't be reckless!"

"When the time comes, if something happens, you can carry it yourself!"

The attending obstetrician opened his mouth, apparently not believing that an emergency physician could perform a fourth-degree thoracic surgery.

At the same time, they were worried that the operation would fail and the family members would make trouble.

Li Xiyang's gaze swept over everyone and said, "What do you think mitral valve surgery is better than double lung transplantation?" ”