Start as an Emergency Physician

It stands to reason that there is still a lot of work to be done in a caesarean section, such as the first step, inserting a urinal tube, listening to the fetal heartbeat to confirm the position of the fetus, and so on.

However, in the special case of pregnant women, these steps can only be saved.

"Count the gauze!" said the deputy director of the Department of Obstetrics and Gynecology.

Zhou Yuan came back to his senses and hurriedly counted the gauze used in the operation: "One, two..."

The deputy director of the Department of Obstetrics and Gynecology put on gloves and stepped forward.

"Anesthesia!" she said, holding the surgical forceps.

"Ten milliliters of propofol, intravenous!".

A drug was pushed into the pregnant woman's vein.

"Remifentanil 5 ml, Push Quietly!".

The deputy director took a look at it and said solemnly: "I emphasize again, once the patient enters the state of general anesthesia, we must take out the child within five minutes, otherwise the life of the child and the adult will be in danger!".

"The anesthesia is complete, and the operation can begin!" a voice rang out.

The deputy director glanced at the time: "The operation starts at 10:20, and the operation starts now!".

After saying that, she slowly cut open the belly of the pregnant woman.

Tiny beads of blood bubbled up.

The deputy director skillfully cut through the skin and muscles layer by layer, and slowly approached the uterus. After incision of the complex abdominal wall, the uterus is finally exposed to the visual field.

Zhou Yuan's surgical field was not in a very good position, but he still noticed that when the uterus was cut, the deputy director only made an incision of about three centimeters, and then tore it with both hands, which was conducive to the postoperative recovery of the mother.

"Anesthetized, blood pressure reported, I'm ready to remove the fetus. "The deputy director of the Department of Obstetrics and Gynecology does not squint.

"The blood pressure is normal!The fetus can be removed!".

The deputy director put down the scalpel, put his hands into the uterus, first supported the fetus's head, took out the uterus and cleaned the fluid in the fetal's mouth and nasal cavity, and then slowly took out the fetus.

However, the expected cry did not come.

"Newborn suffocation!" the deputy director of the Department of Obstetrics and Gynecology cut the umbilical cord short, and his face was a little ugly.

"I'll suture the uterus to you, and I'll do CPR. She stepped aside.

Cardiopulmonary resuscitation of newborns requires high force and frequency. Moreover, He Jianyi also ensured the safety of the mother and child before going to the operating table, so that the deputy director of the Department of Obstetrics and Gynecology, who has more than 20 years of experience in cesarean section, performed cardiopulmonary resuscitation with a higher success rate.

He Jianyi took the place of the chief surgeon on the operating table, and his eyes swept over the interns and resident doctors.

Suturing the uterus is not a difficult task, and it can be completely handed over to the following doctors to practice.

He glanced at the time, three minutes and three seconds, and one minute and fifty-seven seconds before the operation was over.

"Who's coming?" He Jianyi asked.

Although he said that he had the intention to let Zhou Yuan try, he always had to fight for the opportunity himself.

Zhou Yuan swallowed his saliva, consciously walked to He Jianyi's side, and picked up the surgical forceps, "I'll come." "

He Jian nodded.

To his surprise, when the other residents and attending physicians hesitated for a moment, it was Zhou Yuan, an intern, who came up directly.

"German B. Braun snake brand sutures. As soon as Zhou Yuan came to the stage, he started directly.

He Jian was stunned.

He found that the moment he stepped on the operating table, Zhou Yuan seemed to be a completely different person.

He could feel a sense of confidence from Zhou Yuan.

In fact, it is true that what is needed to suture the uterus is the butt seam legal, and I have mastered the master-level butt seam legal, and I don't worry about accidents at all.

"Inject 20U oxytocin. "

At this time, Ichisuke and Nisuke didn't care about the idea that they were actually being commanded by an intern, and immediately followed the order after confirming that it was correct.

Zhou Yuan picked up the dry gauze, quickly cleaned up the fluid in the uterine cavity, and began to prepare for suturing.

The little nurse next to her had already prepared the sutures.

Sutures of the uterus are done using absorbable sheep gut.

Zhou Yuan took the stapler, and entered the first needle from the anterior layers of the uterus at 0.5 cm on the outside of the right end of the uterine incision.

It stands to reason that doctors like Kan Dashan when doing surgery, but this is Zhou Yuan's first time getting started, although he has enough confidence, he does not allow any mistakes.

This is a matter of human life.

However, He Jianyi and others were quite surprised.

"Is this an intern?" said the resident Ocean, dazzled.

Simply sewing a continuous seam is not a difficult technique, in short, a long suture is used to continuously suture a wound from beginning to end, and finally tie the knot.

The advantage is that the stitches and time are saved, and the airtightness is good, but the disadvantage is that if there is a break, all the stitches will be pulled off and need to be restitched.

Obviously, Zhou Yuan took a fancy to the fact that continuous seam stitching saves time, but... Once there is a mistake, it means that the stitching fails this time, and there is absolutely not enough time!

"Stitched up!" Zhou Yuan let out a long sigh of relief.

He Jianyi frowned, glanced at Zhou Yuan, and said, "Are all the medical students from Yenching University so powerful?"

Zhou Yuan smiled lightly and retreated, "Director He, it's your turn." "

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