Chapter 254: Ectopic pregnancy

The noise in the ward alarmed many onlookers.

Before and after the melon-eating masses learned about the matter, they all criticized the unfilial daughter.

Seeing this, the woman could only leave the emergency room in disgrace.

At this time, the girl who had just undergone the operation also woke up, clamoring to see her parents.

Because he was afraid that the other party would struggle to tear the surgical incision, he gave a diazepam.

After that, Qian Min was instructed to stay in the ward for monitoring and talking.

In the future, only the mother-in-law and grandson will depend on each other, and no one's body can collapse!

……

Out of the ward area, Li Xiyang suddenly saw Lin Yue hurriedly running over from the other side.

"What's wrong, Kobayashi?"

"Ah, Dr. Lee!"

Lin Yue stopped and said anxiously, "There was a patient with heavy bleeding in the emergency room just now, and the master asked me to get the examination report!" ”

Massive hemorrhage?

What is the reason, have you found out?

Lin Yue shook her head, "It was found that the patient was 3 months pregnant, but the cause of the heavy bleeding was not found!" ”

"Show me!"

Li Xiyang stretched out his hand to take the light sheet in Lin Yue's hand and glanced at it quickly.

At first glance, there is really no problem.

But

Is that...

When Li Xiyang's gaze fell on one place, his expression changed.

"The patient is in the emergency room, take me to see it!"

"Oooh!"

Lin Yue hurriedly took Li Xiyang to the No. 2 rescue room.

As soon as I entered the ward, it was a mess.

There was a lot of blood on the ground, on the sheets, and on the medical staff in the emergency room.

At this time, Zheng Xiaoyu Zheng stood beside the bed and pressurized a bag of 300cc whole blood into the patient's body.

"Dr. Zheng, your blood pressure has stabilized!"

The little nurse shouted in surprise, and Zheng Xiaoyu breathed a sigh of relief.

Turning around, a large patch of white coat was soaked from her chest.

"Dr. Li, why are you here?"

Zheng Xiaoyu was a little surprised when he saw Li Xiyang.

Li Xiyang raised the information in his hand, "Inspection report!" ”

Zheng Xiaoyu looked solemn and hurriedly took it.

The patient had ventricular fibrillation before, and there was almost a problem, but fortunately, everyone worked together to save him against time, but what was the cause, Zheng Xiaoyu was still puzzled.

But after taking the light film and looking at it carefully for a while, Zheng Xiaoyu frowned.

No problem!

The patient is a pregnant woman, because the embryo is very small for three months, so the patient's family did not say it before, and she did not see it.

Fortunately, during the rescue process just now, there was no big and exaggerated action.

But other than that, it's fine.

But why did she bleed profusely?

Zheng Xiaoyu was puzzled, so he had to look at Li Xiyang.

She asked Lin Yue to get the examination report before, but now Dr. Li personally sent it over, so she must have found something.

"Dr. Li, do you have any ideas?"

Li Xiyang glanced at the woman on the hospital bed, nodded and said, "It's an ectopic pregnancy!" ”

What?!

Zheng Xiaoyu was shocked.

Ectopic pregnancy is an abnormal pregnancy process in which a pregnant egg implants outside the uterine cavity and develops.

Tubal pregnancies are the most common.

The cause is often due to inflammation in or around the lumen of the fallopian tubes, which causes poor patency of the lumen, hinders the normal operation of the pregnant eggs, makes them stay, implant and develop in the fallopian tubes, and leads to the miscarriage or rupture of the fallopian tubes.

There are often no obvious symptoms before miscarriage or rupture, and there may be menopause, abdominal pain, and small bleeding.

Once ruptured, it manifests as acute severe abdominal pain, recurrent episodes, massive bleeding, and even shock.

Zheng Xiaoyu hurriedly picked up the light sheet again.

But once again, there is still no obvious finding.

At this time, Li Xiyang stretched out his hand and pointed to the light piece and said, "Look at it confidently, this film has a mold lake on the edge of the uterine horn, this is not a problem with color ultrasound, but the embryo is a little beyond the outside of the uterus."

And because this is just the right corner of the uterus, it forms a shadow of a mold lake, which is actually an ectopic pregnancy. ”

After Li Xiyang's explanation, Zheng Xiaoyu's heart suddenly brightened.

Massive uterine bleeding is a common symptom of ectopic pregnancy.

"It's not good, it's hard to protect the mother and child from an ectopic pregnancy, and it must be removed before the embryo grows further!"

"Lin Yue, immediately push the patient into the operating room!"

"Good!"

Lin Yue beckoned the little nurse to join her, and several people pushed the gurney and ran to the operating room.

"Dr. Li, you should come along!"

Zheng Xiaoyu followed out of the rescue room, and suddenly paused and turned back to invite Li Xiyang.

Li Xiyang nodded, "Okay!" ”

But before he could catch up, his arm was grabbed.

The other party was a thin young man, and shouted to Li Xiyang with tears on his face, "Doctor, you must save my sister, please!" ”

Li Xiyang nodded, "Okay, let's do our best!" ”

……

in the operating room.

"Blood transfusion 200cc, general anesthesia!"

"Doctor Li, you are the main surgeon, and I will help!"

Zheng Xiaoyu took the initiative to give up the position of the main knife.

The situation was urgent, Li Xiyang did not shirk, and quickly walked to the main knife position and said, "The patient's fallopian tube rupture caused massive bleeding, and the fallopian tube can only be removed directly!" ”

The patient is in the supine position,

Hand sponge forceps clamp iodine tincture, ethanol yarn ball to disinfect the skin...

Hand the surgical film on the patient's abdomen, and lay a treatment towel to reveal the surgical incision...

Hand the No. 20 blade to cut the skin, dry gauze to wipe the blood...

Line 1 ligation...

Hand the thyroid retractor to retract the surgical field, dry gauze two pieces to protect the incision...

Separation of middle curved forceps, bleeding points in forceps...

The electric knife cuts and expands the incision, and the straight forceps clamps the edge of the stroke and fixes it on the incision protective pad...

The sponge forceps clamp the bleeding site of the fallopian tube, and the suction device sucks up the blood in the abdominal cavity...

The middle curved forceps peel off the tissue of the lesion, and the stump 3-0 absorbs the suture suture...

Normal saline flushes the abdominal cavity to clear pelvic hemorrhage...

Li Xiyang operated, and the whole process was extremely smooth.

Soon, the patient's diseased fallopian tube was successfully removed.

"Dr. Zheng, come on with the rest of the sutures!"

"Good!"

Zheng Xiaoyu took the needle forceps and began to close his abdomen.

No. 0 absorbable suture continuous suture peritoneum...

9x28 round needle, No. 4 silk suture intermittently sutured fascia...

9x28 round needle, No. 1 silk suture subcutaneous tissue...

4-0 angle needle non-absorbable thread intradermal suture skin...

Until the abdominal cavity closes and the sutures stop.

Although Zheng Xiaoyu's stitching speed cannot be compared with Li Xiyang, it is also extremely fast.

Alcohol disinfects the skin, gauze covers the incision ...

The surgery is over!

The two glanced at each other, and at the same time tacitly got off the operating table.

Outside the operating room, as soon as the young man from before saw the doctor come out, he rushed forward.

"Doctor, how is my sister? Is she okay? ”

Zheng Xiaoyu said to him, "Don't worry, the patient has had the diseased fallopian tube removed and is out of danger of life." ”

"What about the kids? Is the child still there? The young man asked urgently.

Li Xiyang patiently explained to him, "Your sister is an ectopic pregnancy, the child can't be kept at all, and the hemorrhage when it is sent is because the patient's fallopian tube is ruptured, and the child is no longer alive at that time." ”

What?

The child is gone...

The young man looked grief-stricken.

Li Xiyang sighed lightly, "There is no way, the child with ectopic pregnancy can't be kept." ”

But

"Ectopic pregnancy is so dangerous, why didn't you bring your sister to the hospital earlier?"

The young man shook his head, "I only found out yesterday that my sister was pregnant, and I didn't know that she was ectopic pregnant!" ”

Li Xiyang frowned, the woman has been three months old, and it is impossible that she has not done a pregnancy test.

"Doctor, my sister values the child more than his life, and if my sister knew that the child was gone, she would go crazy."

Zheng Xiaoyu didn't have a good breath and said, "If you don't take out the child as soon as possible, your sister will die, and you won't even have a chance to go crazy." ”

It's not a nice word, but it's true.

"Okay, your sister is still very weak after the operation, and she needs to recuperate, you have to take care of the patient's emotions, especially after the operation, you can't be too excited, it will affect the healing of the wound."

The young man nodded, but after a moment's thought, he asked, "Doctor, I have one more question." ”

Li Xiyang said, "What's the problem? ”

The young man hesitated, "You just said that your sister's fallopian tubes were removed, so can she still conceive a child in the future?" ”

Li Xiyang explained, "Theoretically speaking, there is no possibility of pregnancy within one to two years after this operation, at least not in the short term, but this does not mean that it cannot be done in the future. ”

Li Xiyang patiently explained to the family, but Zheng Xiaoyu on the side couldn't listen to it.

"When has this been, still thinking about having children, are you a child machine when you are a woman?"

This pregnancy, I almost killed your sister for a child, and my health is more important than anything else, don't you understand?

Zheng Xiaoyu glared at the patient's younger brother, a little angry.

The young man waved his hand again and again, "Doctor, no, no, you misunderstood me, it's actually my sister she... She really wanted to have a baby. ”

Hearing this, Zheng Xiaoyu's face was slightly better.

is also a woman, she is really tired of those who only think about children and don't care about women's life and death.

Li Xiyang waved his hand at the young man, "Okay, go take care of your sister, she is almost anesthetized and should wake up!" ”

"Remember to give her more food to warm her menstruation and nourish blood in the past two days, such as animal liver, bone broth and the like."

The man nodded, "Okay doctor, I remember!" ”

After saying that, the man was about to run to the ward.

Zheng Xiaoyu suddenly stopped him, "Wait a minute! ”

"What's wrong, doctor?"

"No, your sister is just your family, and her husband? Didn't come to the hospital for such a serious operation? ”

The young man's expression suddenly became lonely, and he lowered his head and said, "My parents are gone, I was raised by my sister, my sister... She's not married, her boyfriend is a firefighter, but... But two months ago, he died in a fire accident. ”

Li Xiyang was stunned, and Zheng Xiaoyu's expression suddenly became a little unnatural.

I felt that what I said earlier was a bit excessive.

It turns out that she is so hard, this child is the only bond and connection between her and her boyfriend, no wonder she desperately wants to give birth to the child.

"What's that... The child is gone, and your sister may not be able to accept it for a while, so let's go and see it with you! ”

Zheng Xiaoyu spoke, and Li Xiyang also nodded.

Seeing this, the young man excitedly thanked the two again and again.

He was worried about how to talk to his sister for a while, and he didn't know how to comfort her, maybe it would be better if there was a doctor to help.

"Let's go!"

The three of them went to the hospital room together.

By the time she got inside, the woman in the hospital bed had woken up.

She was pale, very thin, and her palms were covered with calluses on the side of the bed.

It's hard to imagine that in today's society, such a young girl's hands would be so rough.

But through what the boy said before, Li Xiyang could guess that the girl must have suffered a lot when she raised her younger brother for so many years.

"Sister!"

When the man saw that his sister was okay, he rushed directly to the side of the hospital bed and squatted down.

"Sister, how do you feel? Does it still hurt? ”

The girl's eyes are dull, which should be the cause of the anesthetic.

She looked at her brother in a daze for a moment before she came back to her senses, "Brother, where is this?" What's wrong with me? ”

The boy choked up, "Sister, have you forgotten, you just flowed out, we are in the hospital now!" ”

"Hospital?"

"yes, thanks to the two doctors who operated on you, you're fine!"

Hearing the word surgery, the woman subconsciously reached out and touched her stomach.

"Kid, how is my baby, are you alright?"

The younger brother lowered his head and did not answer.

"Little brother, let me ask you, how is the child? You speak! ”

The boy lowered his head so low that he didn't even dare to look into his sister's eyes.

Zheng Xiaoyu and Li Xiyang glanced at each other, and also sighed and stepped forward, "Girl, you should know that you are ectopic pregnant, right?" ”

My sister looked at Zheng Xiaoyu in a daze, and the next moment pain flashed in her eyes, and she shouted, "Why, why didn't you take my child away without asking, why!"

The woman was hysterical, and the whole person cried until she broke down.

Li Xiyang hurriedly said, "Patient, you just finished the operation, you can't be too excited, calm down first!" ”

But the woman is in the pain of losing her son at the moment, where can she listen to Li Xiyang's words.

Zheng Xiaoyu saw that he couldn't stop it, so he could only call a nurse to give the patient a diazepam.

Soon, the girl in the hospital bed slowly quieted down.

But the tears on his face could not be stopped no matter what.

Soon a large slice of pillow was wet.

She stared at the ceiling and whispered softly, "The day I just found out I was pregnant, something happened to him, the child is the only thing I miss about him, you can't do this to me..."

The girl's voice slammed into the hearts of everyone in the ward.

The younger brother saw his sister like this, and he blamed himself and felt heartache.

In order to provide for him to go to school, the elder sister began to drop out of school after graduating from junior high school to work outside.

The sister and brother have been dependent on each other for so many years, and finally my sister found her own happiness, but this happiness was too short...

My brother-in-law is a hero, but why can't I save my lover!

The younger brother can't imagine what life his sister will live in the future...

Looking at the painful sister and brother, Li Xiyang sighed lightly, "Girl, ectopic pregnancy is life-threatening, I know you can't bear it, but only in this way can you live!" ”

Survive?

He's gone, what's the point of my life...

She has lived for others all her life, and it was only when she met him that she really felt warmth and love.

Zheng Xiaoyu noticed that the girl's mood was wrong, and hurriedly said, "Don't worry, this time the child is gone, and it will be reborn in the future!" ”

Regeneration?

The woman was like a withered weed, and there was no life in her eyes.

But he's gone.