First parked on the side of the road and let Xiaoxue and Zeng Yan take the business minibus that followed behind, and then, Yu Zhiming drove the bed car with limes and sped up some speed.

The two rushed to Huashan Hospital, it was nearly half past nine in the evening.

Parking the car in front of the gynecology building, Yu Zhiming got out of the car and saw Ding Ye trotting over.

"Dr. Yu, I have regular contractions."

Yu Zhiming didn't talk nonsense, and directly followed Ding Ye and trotted into the gynecology building.

Lime followed slowly.

After a while, a security guard ran up.

He saw through the window that there was no one in the driver's seat and shouted.

"Whose car is this?"

"Get out of the way, don't you know it's not allowed to park here?"

This area is where pregnant women and patients get off the bus.

Only stop-and-go is allowed, and if the parking exceeds 10 minutes, a manager will come and drive you away.

The security guard shouted before a young nurse rushed out of the gynecology building.

"Stop shouting! Stop shouting! ”

The little nurse stopped the security guard and criticized, "Did you just go to work?" Don't you know whose car this is? ”

"This is the car of Dr. Yu Zhiming from our hospital."

The little nurse spoke quickly, "His car has privileges and can be parked casually in the hospital." ”

"Because where Dr. Yu appeared, there must have been medical incidents that urgently needed him to deal with."

"If you don't believe me, you can ask your leader."

The more real security personnel really confirmed with the superior through the walkie-talkie.

After confirming the authenticity, the young security officer stayed in the area and cleared the traffic.

In fact, Yu Zhiming consciously parked the car in the corner, and the impact on other vehicles was very small......

At this moment, Yu Zhiming had already followed Ding Ye to a delivery room on the third floor, and pushed up the pregnant belly to a pregnant woman with a round face and a throat from time to time.

This fetal position adjustment is Yu Zhiming's ability to gain a foothold in the county hospital and gradually become famous.

Therefore, this kind of thing that several experienced gynecological seniors in Huashan Hospital could not handle, Yu Zhiming only took more than 20 minutes to change the fetus in the girl's womb from a horizontal position with a very high rate of dystocia to a head-down natural birth position.

It's just that when Yu Zhiming finished his massage and withdrew his hands, he heard the sound of rushing water splashing on the ground.

It's the amniotic water breaking.

Two nurses hurriedly helped the pregnant girl to the gurney and pushed her to the delivery room.

Yu Zhiming was also accompanied by Ding Ye and left the waiting room.

"Dr. Yu, I don't even know how to thank you, plus a big meal?"

Yu Zhiming walked over to Lime who was waiting in the corridor and laughed softly: "Doctor Ding, you're welcome, it's all for the patients." ”

Speaking of this, Yu Zhiming suddenly stopped and turned to look at a waiting room not far away.

"Someone coughed twice."

"Coughed twice?"

Ding Ye's expression immediately became nervous, "Doctor Yu, which waiting room is it?" ”

"Shall we go over and have a look?"

There are a total of 12 waiting rooms.

There are one to three pregnant women in each waiting room, who are already in labor with contractions and uterine orifice.

The reason why Ding Ye is sensitive and nervous about the sound of coughing is because it may represent the most frightening nightmare for the mother.

Amniotic fluid embolism.

This is the most fatal condition for pregnant women during childbirth, and the mortality rate can be as high as 80% if not detected and treated in time.

One of the direct manifestations of this condition is coughing.

The cause of this disease, simply put, is that muscle movements such as contractions during childbirth will produce a certain pressure change, and the amniotic fluid may enter the mother's blood circulation through the blood vessels because of this change.

It may also be caused by cervical laceration, placenta previa, placental abruption, etc. during delivery.

In addition, there is a chance that the sinuses will open during a caesarean section, causing amniotic fluid embolism.

This amniotic fluid embolism does not mean that the amniotic fluid in the literal sense of the word blocks the blood vessels, causing the embolism.

Rather, it is because the amniotic fluid contains fetal products, such as meconium, sebum and other substances, as well as procoagulant substances and so on.

These substances will enter the blood circulation of the mother's body, which can trigger a series of pathophysiological processes such as pulmonary hypertension, disseminated intravascular coagulation, inflammatory damage, shock and renal failure.

In view of the clinical features of this condition, amniotic fluid embolism is more appropriately referred to as pregnancy-induced allergic syndrome.

Amniotic fluid embolism usually occurs between 2 hours before delivery and 30 minutes after delivery.

The disease is characterized by a sudden onset, a dangerous condition, unpredictable disease, and a high mortality rate.

Sometimes the onset of the disease is so intense and rapid that some women may die before they have time to complete the examination.

Therefore, Ding Ye is like a great enemy for a while, which is the most normal manifestation of a gynecologist.

Yu Zhiming didn't waste time, and when Ding Ye asked, he had already strode into the third waiting room on the left.

Each of the three beds in this waiting room is a pot-bellied pregnant woman, and her family is also taking care of her.

"Who coughed twice just now?" Yu Zhi asked in a bright voice.

As soon as his words fell, the pregnant woman sitting on the innermost hospital bed raised her hand timidly.

"The doctor is me. The food at home is a little salty, I couldn't hold back ...... just now."

Before the pregnant woman could finish explaining, she saw the leader come in, a dazzling young man with a hand, on her chest.

The pregnant woman was a little stunned, and then she saw the young man withdraw his hand, and then heard the man speak again.

"The heart is fine, and the lungs are fine."

The classic triad of amniotic fluid embolism presents with abrupt onset of hypoxemia, hypotension, and coagulopathy.

The internal manifestations of the viscera are abnormal cardiopulmonary function, disseminated intravascular coagulation, etc.

When Ding Ye heard the results of Yu Zhiming's investigation, he couldn't help but breathe a sigh of relief.

There was a false alarm.

Ding Ye chuckled and explained to the pregnant woman: "Don't worry, this is Dr. Yu Zhiming from this hospital, who heard your cough just now, so he gave you a temporary examination." ”

"This season, pneumonia and influenza are frequent."

After a pause, Ding Ye comforted again: "The examination just now shows that your cardiopulmonary function is normal. ”

"Just wait for the baby with peace of mind." After speaking, Yu Zhiming and Ding Ye were about to leave the waiting room.

At this moment, on the hospital bed near the door, a pregnant woman who looked to be in her thirties suddenly coughed.

"Dr. Yu, my throat is a little itchy and I want to cough all the time, can you please check me too?"

This one......

Yu Zhiming resisted the urge to roll his eyelids.

He knew that he had been recognized, and that the pregnant woman wanted to have a free check-up.

It's a casual thing.

Besides, meeting is also fate.

Yu Zhiming thought so, replied with a light smile on his face, "Okay", and put his hand on the pregnant woman's chest.

Although it is done casually, the professionalism does not allow Yu Zhiming to just be pretentious and perfunctory.

He calmed down, feeling the message in his hands.

Breathing, slightly dull, is normal.

It's just that the sound of this heartbeat gave Yu Zhiming a feeling that the old cow was pulling the broken car and struggling to hold on.

Considering that this is an older pregnant woman, who is about to give birth, and her body is overburdened, it is reasonable for her heart and lungs to behave like this.

However, Yu Zhiming had a faint uneasiness in his heart.

He immediately calmed down, and his probing hand moved directly to the pregnant woman's heart......

The sound of blood flowing from the heart echoed in Yu Zhiming's mind very clearly.

He was keenly recognized.

The sound of blood flowing was not pure enough, and it seemed to be mixed with a lot of chaotic noise.

Yu Zhiming further identified ......

The churning blood flow became clearer and clearer, almost transparent, and Yu Zhiming seemed to "see" one flocculent particle after another, dancing and flying in the blood.

Floccy particles?!

Yu Zhiming immediately became agitated, blurted out and shouted: "Ding Ye, DIC, rescue room." ”

Ding Ye naturally understands what this DIC is, disseminated intravascular coagulation, and one of the most feared symptoms of amniotic fluid embolism.

Ya Ting, what are you really afraid of, just come.

"Nurse, inform Dr. Xu, amniotic fluid embolism DIC."

Ding Ye glanced at the bracelet information on the pregnant woman's wrist again, and shouted again: "Prepare twenty units of type A blood." ”

While shouting, she and Yu Zhiming pushed the pregnant woman out of the waiting room with the gurney under her.

In the process, there were two nurses and two doctors rushing over from nowhere.

Seeing this, Yu Zhiming gave up his position next to the gurney.

Then, he watched the panicked pregnant woman be hurriedly pushed into the operating area by a group of medical staff.

The rescue of amniotic fluid embolism is not his specialty, so he will not follow them to interfere with their work.

The next moment, Yu Zhiming noticed that his hand was held by a soft little hand.

"Zhiming, the situation is serious?"

"Amniotic fluid embolism, it's dangerous. However, it was discovered very early, and the team of doctors also have similar experience, so the problem of successful rescue should not be big. ”

Yu Zhiming introduced, took Lime's little hand, and slowly walked to the stairs.

"Let's go, there's nothing to do here, let's go home."

Taking advantage of the efforts to go downstairs, Yu Zhiming briefly talked about the process of discovering the pregnant woman's amniotic fluid embolism.

Then, he sighed with emotion: "It is said that doctors will believe in life after a long time, and believe in the life in the dark." ”

"I found that you really have to believe in your fate, and you can't believe it if you don't believe it."

Yu Zhiming sighed: "Lime, you see, I was tricked by Ding Ye's ill-intentioned guy to adjust the fetal position of the young pregnant woman. ”

"Then, I happened to hear a cough as I left."

"The pregnant woman who coughed is fine, but the pregnant woman who stopped me has a big problem."

"During this period, if there is a problem in any link, the pregnant woman will be in danger, and the disseminated intravascular coagulation will be found in the middle and late stages, and there is basically no solution."

Lime gently shook Yu Zhiming's hand and said, "This shows that the pregnant woman should not die, and God doesn't want her to die." ”

She grinned again: "Zhiming, we are together now, it should be God's arrangement." ”

"The biggest arrangement from God, you are not allowed to bully me."

Yu Zhiming grinned: "Look at what you said, it seems that I dare to bully you." ”

As they spoke, the two boarded the cart parked in front of the gynecology building.

Just as Yu Zhiming started the car, a security guard came to the window.

"Dr. Yu, Dr. Yu......"

Yu Zhiming lowered the window and looked at the young security guard, who was also in his early twenties.

"Something?"

The young security guard said with an embarrassed face: "Doctor Yu, I know that you are very good at seeing a doctor, my mother has not been in good health, can you please take a look?" ”

"I can afford the 10,000 expenses."

Yu Zhiming wanted to refuse, but suddenly thought of the so-called fate and traction in the dark, so he changed his words.

"On Monday, come to the 15th clinic and find me......"

Ask for support such as monthly passes, recommended tickets, etc!!

(End of chapter)