Chapter 108: Obstetric Death (Subscription Requested)
At this moment, the pregnant woman's face was pale and the pain was unbearable, Zhou Qiao originally wanted her to lie down, but she couldn't lie down, so she could only struggle to get up and sit upright, on her face and forehead, I don't know if it was rain or sweat.
Zhou Qiao wiped it with a tissue, it was cold and cold.
Uncle Luo Ya was surprised: "Your wife is only 29 weeks, right?" If you give birth now, it's premature! Mary~, Mary~" He shouted outside the door, Mary was Loya's aunt.
But the wind and rain were strong, and my aunt was probably upstairs and didn't hear it.
Luo Ya said, "I'll call it." ”
She hurried out, and in a few moments her chubby aunt Mary came in a hurry, and as she went, she wore a nurse's uniform and said, "Poor Tracy, oh, my poor darling......"
Then, start measuring the blood pressure of the pregnant woman.
As for Uncle Luo Ya, he went to move a portable B to check on the mother.
This kind of small-town clinic is not like San Francisco with supporting commercial testing centers, and basically has to rely on itself.
Luo Ya's aunt will even do blood routine, urine routine and other tests. Use purchased kits and instruments.
In fact, the distribution of medical resources in the United States is extremely uneven, and like in China, they are concentrated in large cities.
"Paul, things are not good," Aunt Loya's face was solemn, and she stopped chattering, and said, "Tracy's blood pressure continues to rise, diastolic blood pressure was only 93 just now, and now it's over 100, oh my, it's jumping again, it's 102!" 103…… 112 up! ”
Mayor Kevin hurriedly said on the side: "My wife was in Houston for a prenatal check-up before, and she was found to have high blood pressure, which was 150 at high blood pressure, 110mmHg at low blood pressure, and high blood sugar. ”
"Oh my God," Aunt Loya couldn't help but start babbling again, "This is gestational hypertension and diabetes!" Poor Tracy, poor little darling......"
Uncle Luo Ya frowned and asked, "Are there any other situations besides these?" ”
The heart said, don't have it again! Otherwise, how can I handle this small clinic? I'm not a famous doctor in a big hospital, so I can only see minor illnesses here!
Where do you know, what to be afraid of, Mayor Kevin said: "I went for a check-up last week, and it seems that the doctor said she has preeclampsia!" ”
As soon as these words came out, even Zhou Qiao gasped!
The so-called gestational eclampsia refers to the disease of a pregnant woman in the third trimester of pregnancy or during labor or after a new birth, dizziness and headache, sudden coma, upward gaze, tetany of the hands and feet, stiffness of the whole body, awakening after a short time, recurrence after waking up, and even unconscious, which is called "eclampsia", also known as "gestational epilepsy".
Eclampsia in pregnancy develops from the exacerbation of symptoms and signs of preeclampsia.
Eclampsia can occur during pregnancy, childbirth, or within 24 hours after giving birth, and is known as prenatal eclampsia, intrapartum eclampsia, and postpartum eclampsia, respectively, and is one of the four major causes of death in obstetrics!
Once it happens, maternal and infant complications and mortality increase significantly!
Once a pregnant woman has eclampsia, the death rate is extremely high!
Outside, there was a storm, a hurricane was blowing from the sea, and inside the clinic, Uncle Luo Ya couldn't help but sit on the ground, and then quickly got up again!
Because, not only pregnancy eclampsia, Uncle Luo Ya also found on B ultrasound that Tracy had a 13.6cm ╳ 9.5cm lump in the left liver area, and in addition, she also had "complete placenta previa"!
I don't know what the lump is, there is no CT here, so I can't confirm it further.
But placenta previa is quite dangerous!
Refers to the placenta located in front of the fetus, on this side of the cervical canal.
Under normal circumstances, the placenta is generally attached to the fundus of the uterus, behind the fetus, generally in the anterior or posterior wall, if it is placenta previa, it is generally in front of the fetus, complete placenta previa, which means that the placenta blocks the cervix opening!
This is a very serious lesion, because after the third trimester, the uterus will contract, and at this time, the placenta will separate from the cervix, and heavy bleeding will occur!
"Oh my God!" Uncle Luo Ya was stunned! It's just overwhelming!
With so many serious lesions, together, he is a small town doctor, with average medical skills, and he usually looks at colds and fevers, deals with simple trauma, and the clinic conditions are average, how can he get it?
If it's usual, don't say a word, refer immediately!
It's just over 100 kilometers from Houston, so you can get there quickly by ambulance, by car, or by calling a medical helicopter!
Mayor Kevin isn't short of money either!
However, who would have expected that the onset of the disease would collide with such a bad hurricane?
Tracy and Mayor Kevin also regretted it very much, they had previously had a prenatal checkup, they were all driving to Houston, and they felt inconvenient, so they discussed and wanted to move to Houston to settle down.
However, Mayor Kevin has always been reluctant to "ancestral business"!
The town of Erlot, since his great-grandfather became the mayor of the town, has been continued, several generations have bought and accumulated little by little, and by his generation, almost all the land and property here are theirs!
Where can it be said that you give up and give up?
Besides, he has always felt that as long as there is a car and a plane, it is not easy to go to Houston in normal times? It's just over an hour away!
However, it has already happened, and it is too late to regret it!
Mayor Kevin pleaded again and again, saying, "Paul, Paul, you have a kind heart, hurry up and save my wife and children!" This is our first child! ”
The pregnant woman Tracy was pale, her body trembled slightly, and she was also very scared, she had begun to be a little unconscious, and she was hallucinating!
Uncle Loya: "......"
There was silence in the examination room.
Zhou Qiao suddenly opened his mouth and said, "The lump in her left liver area, which is estimated to be the liver capsule, has been bleeding profusely!" Had to have surgery as soon as possible! ”
Luo Ya's eyes suddenly lit up and looked at Zhou Qiao.
Uncle Luo Ya and Mayor Kevin also looked at each other in surprise, I don't know why Zhou Qiao expressed his opinion, could it be that he is also a doctor?
Luo Ya was beside Zhou Qiao, so she got closer at this time and asked in a low voice, "Can you handle it?" ”
Zhou Qiao nodded, but then shook his head again, and said: "Whether you can do it or not, I think you have to try it, and the most suitable plan now is cesarean section and surgery!" ”
Uncle Luo Ya was very embarrassed and said: "I have never had a cesarean section, and the conditions in my operating room here are also very limited!" ”
Zhou Qiao took a deep breath and said, "I am a doctor, and I have a clinics of decent size in San Francisco, and I have done cesarean sections!" ”
In fact, he didn't. However, there are a lot of medical mysteries accumulated these days, and you can get your hands on master-level medical skills casually!
He didn't want to be strong, or pretend to be forced, or show off his skills, and there was no benefit, but in this case, as a doctor, he grew up under the red flag, and he really couldn't stand by and watch!
Zhou Qiao is not a saint, he is very lustful and attentive, but except for this shortcoming, everything else seems to be very good.
Uncle Luo Ya hesitated, and Mayor Kevin also hesitated, after all, Zhou Qiao was too young! So young, okay?
Mayor Kevin felt that Dr. Paul was more reliable, after all, he was old and bald.
Zhou Qiao is a Chinese, and he doesn't know the level of medical skills of the Chinese!
"Do it, there is a glimmer of life, if you don't do it, the mother and fetus are estimated to not be able to survive the hurricane! The situation of pregnant women is quite serious, so you can decide for yourself. "If the patient's family doesn't agree, he can't do anything.
Moreover, he could not take that risk.
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(End of chapter)