A young female patient like this who has massive bleeding from her lower body for no apparent reason must first suspect that she has a threatened miscarriage.

In particular, ectopic pregnancies are most likely to cause miscarriage.

This is why the hospital will ask the patient before the operation, and if the female patient is pregnant, they will try to postpone the operation as much as possible. If surgery is necessary, an obstetrician and gynecologist will be asked to perform the surgery together.

Because in case of fetal gas, or if the patient has a miscarriage during the operation, no one can afford this responsibility.

The patient's lower abdomen is flat, but the rest of the body still shows a somewhat pregnant appearance.

It's not just stretch marks on the stomach and thighs that are pregnant.

Some parts of the body darken, thick down beards grow on the lips, dull skin on the face and even many pimples...... are all characteristics of pregnancy.

During the first trimester, these features may not be as noticeable.

In the third trimester, the characteristics are extremely apparent.

"I asked the patient and his family before the operation, and they all said that they were not pregnant! It shouldn't be possible! ”

Tang Wangnian was obviously not so sure.

There is even a suspicion of shirking responsibility and covering up the lack of preoperative examination.

Zhou Can's brows furrowed slightly, now is not the time to pursue accountability.

Saving the patient's life first is the most important thing.

"Did you take blood for a test before the surgery?"

"Smoked!"

A blood routine before surgery is almost one of the mandatory items.

What is the patient's blood type? Are there any infectious diseases? Is there a major physical defect?

There is a lot of information that can be found with a complete blood test.

"Immediately have the lab check this patient's blood hCG."

Blood HCG and progesterone are the gold standards for detecting pregnancy.

In clinical practice, HCG is the most widely used.

Theoretically, it is more accurate than a progesterone test.

The hCG test, also known as human chorionic gonadotropin, is positive as soon as a woman becomes pregnant.

It takes a certain amount of time for the laboratory to check the HCG, but the bleeding situation of pregnant women is very dangerous, and I am afraid that the person will be gone without waiting for the test results to come out.

Massive bleeding in the body, especially in women's uterus, is extremely dangerous, and the mortality rate is also extremely alarming.

"Did the family communicate?"

Zhou Can asked Tang Wangnian.

"No, no!"

Tang Wangnian's face was pale, and his eyes were full of panic and panic.

The female patient was on the verge of death, and he, the chief surgeon, could not escape the blame, and it is unknown what punishment would be given at that time. The lightest is also suspension investigation, and it is possible to cancel the surgical authority or even revoke the license.

Medical malpractice occurs every year in Tuya Hospital, and some of them are unavoidable.

Some medical malpractice is caused by doctors or nurses who do not strictly follow the regulations. In this case, the hospital and the higher authorities will often severely punish the medical staff involved.

"Director Zhou, because the cause of the hemorrhage has not yet been identified, communication with the family is easy to interfere with and hinder the rescue. It is more likely to cause misunderstandings. ”

Nurses Tang Ling and Zhou Can are old colleagues.

When Zhou Can first entered the operating room of the emergency department, she was also transferred to the operating room as a nurse.

A few years later, she became a nurse, and Zhou Can was promoted to the deputy director of the department, the deputy head of the operating room, and the first team member of the quality control department, who she could only look up to.

Behind every position is a height that many doctors find difficult to achieve in their lifetime.

"If a patient has a heavy intraoperative hemorrhage and does not inform the family, the trouble will be even greater. The only thing to be confirmed now is whether the patient is pregnant. Zhou Can's face sank like water, and his attitude towards Tang Ling was quite gentle.

After all, he is a sister and an old colleague, and he really can't be fierce for such a trivial matter.

"Dr. Tang, I really didn't say you, when the patient has signs of lower body bleeding, you should think of giving her a make-up pregnancy test as soon as possible. If you don't do a pregnancy test before the operation, you still just want to shirk your responsibilities if something goes wrong during the operation. If this patient dies on the operating table today, your future will be completely ruined, you know? ”

Zhou Can's anger really couldn't be suppressed.

Vent towards Tang Wangnian.

Don't look at Tang Wangnian is a senior attending physician, a person in his forties, much older than Zhou Can, but at work, Zhou Can is his superior leader and has the right to manage him.

Crushing people to death at the level of officials and universities is applicable everywhere.

"I, I thought that the patient might have a period...... Tang Wangnian was scolded and lowered his head, and could only explain in a whisper.

In fact, he also knew that there was an oversight in this operation.

After the accident, the response was indeed a little sluggish, and it was not done properly.

"Have you ever seen a woman come to her period and bleed like a fountain? You're still a senior attending physician, so you don't even have any experience with that? Go get two pregnancy test strips right away. The itinerant teacher went to get a urinary catheter. Waiting for the results of laboratory tests to come back is too slow, and the cause must be identified immediately for further treatment. Otherwise, it will be difficult for the patient to be saved. ”

Zhou Can's rescue experience is extremely rich, and he never plays cards according to routines.

Those rules and regulations are just like that in his eyes, and he doesn't hesitate to break them when he should break them. Especially when saving the life of a patient, if you are tied up, a life can be lost.

As long as you do your best and do your best, there is really something to leave to the department and the hospital to help wipe your buttocks.

At least Tuya Hospital is doing a good job of protecting doctors at the moment.

Especially for a quasi-famous doctor like him, who is focused on training, the hospital and the department are very fond of him.

This is a good medical environment and very friendly to doctors. It can allow doctors to let go of their hands and feet during the rescue process, which greatly improves the success rate of rescue.

In addition, the doctor's medical skills are definitely the fastest in the rescue process.

Because in this situation of high nervous tension, doctors can't help but squeeze out all the potential.

Tang Wangnian and the other doctors listened to Zhou Can's rapid inspection plan and couldn't help but light up.

It is true that a pregnancy test is much faster than a blood test.

It's just that accuracy is hard to guarantee.

Less than five minutes later, Tang Wangnian got the pregnancy test strip.

In order to save himself, he also fought hard.

I called a relative who opened a pharmacy next to the hospital and asked him to send a box of pregnancy test strips as soon as possible.

Under normal circumstances, this relationship is certainly not easily exposed.

However, at least nine out of 10 stores that open pharmacies, hotels, rehabilitation centers, and confinement centers in the vicinity of hospitals are inextricably linked to the doctors and nurses in the hospitals.

Often, they are acquaintances or relatives.

It doesn't matter at all, if nothing else, pulling business is a big problem.

For example, to open a confinement center, if a relative is a chief physician in the obstetrics and gynecology department of Tuya Hospital. After receiving a patient, he will try his best to recommend the confinement center as long as he encounters the right one.

Out of trust in the doctor, most patients will go to the confinement center recommended by the doctor if they have this need.

Then the confinement center will tacitly give a commission to the recommended chief physician.

Everyone is mutually beneficial.

Only in this way can business last.

Some doctors simply go down and ask their other half or themselves to open a rehabilitation center.

As long as there is a steady stream of customers, the profits can be very considerable.

The hospital also turns a blind eye to this kind of thing.

As long as nothing happens, no one cares.

Some attending physicians only earn 10,000 yuan a month, but their families have bought several houses and drive luxury cars worth hundreds of thousands. The children are even sent to study abroad. Relying on a decent salary, it is impossible to live so well.

It can only be said that after working for several years or more than ten years, such a doctor has made money through his own accumulation.

After the pregnancy test strip came, Zhou Can had already inserted a urinary catheter into the patient and dripped the urine on the detection area of the test strip.

Then it's just a matter of waiting patiently.

The rescue of patients has also been ongoing.

It's just that the speed of blood transfusion can't keep up with the bleeding, and the situation has become very dangerous for a while.

Now I don't know if the patient is pregnant, and Zhou Cankong has the ability to stop bleeding and doesn't dare to use it casually. For example, the commonly used way to stop bleeding, knowing that it is intrauterine hemorrhage, can be filled with gauze to stop the bleeding.

If the patient is pregnant, this will not be used.

The test results came out quickly.

Positive pregnancy test.

In order to ensure the accuracy of the test, the test was deliberately carried out on two test strips.

The results were all positive.

At this point, Zhou Can has roughly guessed the cause of the patient's hemorrhage. While inviting experts from the Department of Obstetrics and Gynecology to come over to participate in the joint consultation and rescue, they also explained and communicated with the families.

Critical illness notices were also sent to the families.

In this case, the hospital has some responsibility, but the family and the patient themselves are also very responsible for concealing the fact of pregnancy.

Even if it is a lawsuit, the probability of the hospital winning the case is very high.

The Department of Obstetrics and Gynecology sent two doctors to participate in the rescue. One is Zhou Can's old acquaintance, an old classmate, Yang Chan. The other is the deputy chief physician of the Department of Obstetrics and Gynecology, Zhao Zhisheng. Many people think that obstetrics and gynecology are all female doctors, but this is a wrong perception.

There are also many male doctors in the Department of Obstetrics and Gynecology.

For example, this Zhao Zhisheng is one of the many male doctors in obstetrics and gynecology. He was able to become the chief physician, and his strength and level were naturally very high.

After coming, through examination, it was directly determined that the patient was ectopic pregnancy, which is commonly known as ectopic pregnancy.

It may be that during the procedure, the drug causes uterine contractions, which can lead to miscarriage, heavy bleeding.

Ectopic pregnancy itself is very dangerous.

This female patient concealed the fact of her pregnancy and asked the doctor to remove her subcutaneous tumor without preparation, which was simply a joke with her life.

Hemostasis and surgery, Zhou Can is very good.

But he was really not good at obstetric surgery.

Yang Chan, who hasn't seen her for a long time, seems to be a little thinner, but she has also become more beautiful. A hint of confidence could be felt between her eyebrows.

It seems that her medical strength should have improved a lot in the past few years.

In the next operation, she showed her hand very well, which really made Zhou Can look at her with admiration.

Her current surgical level is not inferior to that of senior attending physicians, no wonder Director Zhang of the Department of Obstetrics and Gynecology fell in love with her at a glance and cultivated her with all his might.

Don't look at Zhou Can's current medical skills have all reached the director level, and he has thrown her several streets, it is because of the systematic bonus.

She has no system, and it is amazing that she can improve her surgical ability to this level in just a few years with her talent and sweat.

……

At the end of the rescue, the patient's uterus was not removed.

Postpartum hemorrhage is often forced to remove the uterus in order to save life.

In the event of massive intrauterine bleeding, the doctor will generally ask for the removal of the patient's uterus to save his life after comprehensive consideration.

Because it is difficult to stop the bleeding from the uterus.

And it's extremely dangerous.

The patient's uterus was saved, and his life was saved, which was a blessing in misfortune.

After Zhou Can saw that the patient had turned from danger to safety, he couldn't help but breathe a long sigh of relief, only to feel that his back was cold. At this time, I realized that I was busy saving people just now, and my back was already soaked with sweat.

Tang Wangnian took off his mask and showed an expression of rebirth after the catastrophe.

The patient was almost not saved.

The feeling of your head pinned to your waistband is truly terrifying.

It is believed that after this experience, he will be more cautious in practicing medicine in the future.

He had already received more reliable news a while ago, and the department gave him a place for the deputy senior professional title.

With this quota, as long as the hardware conditions in all aspects are qualified, it is basically a certainty.

When many medical students just graduate, they naively think that as long as their ability is enough, they can be rated as deputy high and high. In fact, they ignore the biggest influencing factor, the hospital.

We all know that doctors work in whichever hospital they are registered in.

According to the size of the hospital and the comprehensive strength, there are indicators for the professional titles of deputy high school and senior high school.

If you get the hospital's indicators, you will definitely get twice the result with half the effort.

In a compound like Tuya, the deputy high school, the main high school, and the establishment quota will be assigned to specific departments.

The emergency department has been blessed by Zhou Can for the past two years, and when these places are divided, it can be regarded as a small piece of meat.

In the past, it was hard to say whether I could drink a sip of soup.

Tang Wangnian got a sub-high indicator from the emergency department, and his heart was a little fluttering.

When a person floats, he must be careful of being stabbed.

He inevitably had some negligence and carelessness in his work, which almost led to a tragedy in the end. The lesson was very profound to him.

"Okay, the patient should be fine, let's withdraw first."

Director Zhao Zhisheng took the mask and gloves and threw them into the trash.

"Thank you for your hard work, Director Zhao and Dr. Yang. I'll send you off. ”

Although Zhou Can has been trying to avoid contact with Yang Chan, this time he has a request for help, so he can't cross the river and tear down the bridge, right?

I can only send the two of them away.

It's also a form of respect.

"Director Zhou didn't call me that before!"

Yang Chan's bright eyes narrowed slightly, and a complicated expression appeared on her pretty face.

"Ahem...... Don't make fun of me, what director is not a director, I have always been old classmates with you. ”

Zhou Can was told this by her in front of his colleagues in the department, and suddenly felt a little fever on his face.

Others grinned weirdly, somewhat gloatingly.

Everyone usually only sees Director Zhou invincible in the department, whether it is the operating room, the rescue room, or the emergency department, they are all invincible. Now seeing Director Zhou deflated, everyone is still very happy.

"You still recognize me as the squad leader, thinking that you will stop playing with us old people after you are promoted to director! Every time I come to the emergency department, I don't see you, so I deliberately avoid me, right? ”

Yang Chan seems to have a grudge for a long time, and she doesn't plan to let him go easily today.

(End of chapter)