Chapter 929: Mom is here to accompany you
At nearly three o'clock in the afternoon, Liu Yun's daughter-in-law was transferred from the Affiliated Hospital of Jiaotong University to Zhizhen Building.
Yu Zhiming suspended the physical examination and examined Liu Yun's daughter-in-law and the fetus in her womb.
After a careful examination, Yu Zhiming found the problem of the failure of the last intrauterine interventional operation.
Although the puncture was successful, the angle at which the needle penetrated the right ventricle of the heart was distorted, resulting in difficulties in the intervention of the guidewire, and it was believed that the dilated balloon was not transported to the precise position in a limited time.
Yu Zhiming guessed that there was a high probability that during the puncture process, the fetal position moved slightly, which made Dr. Sun Qi unable to react for a while.
This is one of the reasons why this intrauterine intervention is so difficult, there are many uncontrollable factors.
"Dr. Yu, I know it's wrong, please save my child, please!"
Yu Zhiming looked at the pale face on the gurney, looked at the young woman who was in her early twenties, and said, "Since I agreed, I will naturally go all out." ”
"But I can't guarantee what the outcome will be."
After a pause, Yu Zhiming told again: "I heard that mother and son are connected, you must not only be strong yourself, but also tell your children to be strong." ”
"If your child wants to live, he has to rely on himself."
At this time, Duan Yi followed Yu Zhiming's instructions and took a seventeen-centimeter-long puncture needle from the outside.
Yu Zhiming explained: "There is too much blood in the pericardial cavity of the fetus, which has compressed the heart and needs to be withdrawn. ”
"You, bear with me."
As he spoke, Yu Zhiming began to adjust the fetal position.
Because the belly, uterus, and puncture holes on the fetal body are connected in a straight line, which makes it many times more difficult to adjust the fetal position.
It took Yu Zhiming nearly twenty minutes to get it done.
Immediately afterwards, he uncovered the medical tape on the lower abdomen of the pregnant woman, held the puncture needle connected to the syringe, and pierced it again from the puncture old wound, and suddenly submerged nearly 12 centimeters.
Then, he quickly drew about eleven milliliters of blood with a syringe and quickly pulled out the puncture needle.
"Sent to the ward for monitoring, surgery at 6:20 in the evening."
After the pregnant woman was pushed out of the soundproof examination room, Yu Zhiming continued to conduct physical examinations on the personnel arranged by the Health Bureau......
At nearly five o'clock in the afternoon, Yu Zhiming received a call from Gu Qingran and was told that Xia Linge, the holy hand of traditional Chinese medicine who was the best at using ginseng, was kicked out of the research and development team.
"Alas, this is the disadvantage of the family heirloom of traditional Chinese medicine, the heirloom generally guards that little thing, and cherishes the broom!"
Gu Qingran sighed, and persuaded again: "Zhiming, don't lose confidence, the so-called good things are grinding, and it is normal for such an important thing to have some twists and turns." ”
"Also, after Old Man Xia left, the Poison King introduced a replacement candidate, an old Chinese medicine doctor in the Northeast."
"The good news is that the old Chinese medicine doctor is still alive, and Ning An's staff in the northeast have rushed over. If it goes well, we will be able to bring people to the Marina tomorrow. ”
Yu Zhiming was a little staggered.
Gu Qingran said on the phone again: "One more thing, I have seen that Jingcheng Hospital has issued an apology statement on their website, apologizing for a certain Chu family member who tricked a nurse into sabotaging your treatment trial. ”
"This should be that they know that they can't hide it, and they are the first to expose their ugliness and save a little reputation."
Yu Zhiming snorted lightly: "An apology statement, not painful, is not a big deal for Jingcheng Hospital." ”
He asked instead, "The one who sells ginseng?" ”
Gu Qingran replied with a smile: "I've been talking about the price back and forth." I could feel that he was dragging his feet. The other party also knows that I am also delaying time. ”
"He and I are waiting for news from the expert group."
Yu Zhiming hopefully: "Although there are many good things, I still hope that the fewer twists and turns, the better......"
The sudden twists and turns in the process of developing alternative drugs made Yu Zhiming feel bored.
But he can only pray that no matter what the process is, the result is always good, after all, he is a layman in terms of drug research and development, and it is useless to be in a hurry, and he can't help.
However, as the physical examination continued, Yu Zhiming's body and mind gradually devoted, and his worries disappeared......
At nearly six o'clock in the afternoon, Yu Zhiming completed the physical examination, as well as the lung sound discrimination and teaching Zhou Luo and Shen Qi, and waited for Dr. Wang Chunyuan, who had completed the day's work.
"Doctor Wang, I'm going to trouble you again."
Yu Zhiming first said politely, and then gave a detailed explanation to Dr. Wang about the expansion of the air bag during the operation.
It is still three expansions, with intervals of one second and two seconds, but the pressure of expansion is slightly increased.
The main thing is that this fetus is twenty-seven weeks old, and the heart is slightly larger than the last one.
In addition, the biggest difference compared with the last intrauterine intervention is that Yu Zhiming requires the dilation balloon to inflate to the size of a sesame seed after leaving the puncture needle and entering the right ventricle.
The reason for this is that it is difficult for the guidewire to quickly deliver the balloon to the designated position due to the puncture angle.
Yu Zhiming's idea was to use the power of blood flow to carry the air bag to the pulmonary valve.
Without the guidance of the guidewire, this requires a precise grasp of the timing and the position of the balloon.
Yu Zhiming can confidently do this step.
"Doctor Wang, this time there are a lot of cooperation requirements compared to last time, do you need to cooperate with the practice a few times?"
Wang Chunyuan looked at Yu Zhiming's bright eyes and said a little depressedly: "Doctor Yu, I have been doing interventional surgery for more than 20 years. ”
Yu Zhiming smiled and said, "Doctor Wang, I'm sorry, I was too careful. ”
"I just want to cooperate with a little bit of skill, and if I can delay for one second less, then the fetus will have more hope."
Yu Zhiming apologized, and was about to say "go", but Wang Chunyuan said: "Such a difficult operation involves the life and death of Dr. Liu's grandchildren, so it is impossible to be too careful." ”
"Doctor Yu, since you are so persistent, then let's practice cooperation."
The corners of Yu Zhiming's mouth twitched, and Zhou Mo brought the spare interventional surgical equipment used in the next operation, and cooperated with Wang Chunyuan to do some exercises.
The two of them practiced eleven times......
After half past six in the evening, the soundproof operating room still had the same number of people as yesterday's operation.
Dr. Wang Chunyuan gave Yu Zhiming as a surgical assistant, and Dr. Liu Yun and Duan Yi were prepared just in case.
Yu Zhiming also asked the pregnant woman again.
"Would you like to sleep for a while?"
Liu Yun's daughter-in-law shook her head and said, "I won't sleep this time." I want to be like that sister yesterday, brave to accompany my baby. ”
The next moment, she suddenly shouted: "Baby, don't be afraid, this time, mom is with you." ”
"If you have to be strong, your mother will be strong."
"Baby, let's make an agreement to see you in three months."
While this guy was talking, Yu Zhiming gave her belly and uterus intramuscular anesthesia.
Then, he started to adjust the fetal position.
This time, the fetal position adjustment was relatively smooth, and it took 16 minutes to complete.
At the moment when the fetal position was adjusted in place, Yu Zhiming's movements seemed to have been suddenly doubled, and he made a puncture with lightning speed.
This speed was so fast that Wang Chunyuan couldn't react a little, until he heard Yu Zhiming's "right now", and then subconsciously tapped the pressure valve in his hand.
In the blink of an eye, Wang Chunyuan heard the prompt sound again, and used the pressure valve to compress the expansion balloon again.
Once.
Every second, again.
Two seconds apart, the third expansion.
Immediately, Wang Chunyuan removed the pressure of the balloon as quickly as possible, and when he looked up again, he saw that Yu Zhiming had already pulled out the balloon and guidewire, followed by the puncture needle.
This scene made Wang Chunyuan breathe a sigh of relief.
Regardless of the outcome, the thrilling five or six seconds finally passed smoothly.
Ya Ting, he used to do interventional surgeries slowly rather than urgently, and he needed to be patient.
There has never been a time like these two intrauterine interventions, which have been as if they were at the speed of life and death.
But it's really exciting......
In Dr. Wang Chunyuan's emotion and aftertaste, the monitoring instruments in the operating room were turned on one after another, and various sensors were connected to the pregnant women.
"73, bradyheart rate."
In general, the normal fetal heartbeat is between 110 and 160 beats per minute.
The heart rate was 73, which was noticeably slow.
This value was not what Yu Zhiming cared about, and he looked at the dynamic diagram of fetal heart rate ultrasound displayed on the instrument screen.
It shows that the anterior blood flow through the pulmonary valve has increased significantly, about four or five times more than before.
Yu Zhiming looked at Dr. Liu Yun, who came to the operating table a few steps, and Dr. Wang Chunyuan, who was busy injecting drugs into pregnant women.
"Dr. Liu, Dr. Wang, my job is done. Next, it's up to you whether the child can be saved. ”
"I still have surgery scheduled in the oncology department, so I'll go first."
As he spoke, Yu Zhiming strode off the operating table.
"Hey......"
Liu Yun raised her hand and wanted to shout Yu Zhiming, but stopped after a while.
The next thing is to deal with the complications of the operation and the abnormal reaction of the fetus.
These tasks, according to the prior work arrangement, are under the responsibility of her and Dr. Wang.
It's just that Yu Zhiming left, and Liu Yun felt that her heart seemed to be missing the backbone, and she was a little empty.
She suppressed the uneasiness in her heart, looked at her daughter-in-law, whose face was as white as paper, full of nervousness, and her breathing became short, and said in a deep voice: "Dr. Yu's operation was very successful, but the key is to survive this hour. ”
"You are the source of your child's dependence and confidence, you can't panic, you have to encourage your child to persevere."
Liu Yun's daughter-in-law nodded, took a hard breath, and said, "I'm not panicking, I can't panic." ”
But the next moment, she cried, "Mom, I'm ...... I'm scared, I'm scared, woo woo......"
Liu Yun held her somewhat cold hand hard.
"Don't be afraid, don't be afraid, mom is here with you, mom is here with you......"
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(End of chapter)