Start as an Emergency Physician
Chapter 89
In that case, a small life, without even having a chance to see the world, has already passed away...
He Jing and Lu Chenxi thought of this possibility, and suddenly felt a little sad.
"What are you still thinking, wash your hands and disinfect them immediately!" Zhou Yuan urged.
He had already completed the preoperative preparations, raised his hands, and hurried to the operating room.
At the same time, he woke up the system.
"Ask me who is the most handsome?" the system was a little impatient.
"Get out, exchange for pacemaker placement surgery!" Zhou Yuan didn't have time to talk nonsense.
The system was silent for a moment.
In the inventory, three mid-level chests quietly disappeared, and at the same time, the icon of the master pacemaker placement surgery lit up.
A pacemaker is a very small device, weighing about 20~40 grams, about the size of a matchbox, but thinner than a matchbox.
It can emit a weak artificial pulse current to stimulate the heart, which in turn stimulates the heart to beat.
Theoretically, Zhou Yuan could also choose to assist the artificial heart to solve the current problem, but... Once the artificial heart is placed, it means that the patient's original heart will lose its function, and the patient will only have to wait for a heart transplant to die!
Sun Lele has not yet reached the point where the heart is completely out of function, and there is no need to use an assisted artificial heart.
"Get! Master pacemaker placement surgery!" the system's voice rang out.
In Zhou Yuan's mind, the knowledge about the master-level pacemaker placement surgery quickly flooded into his mind, and at the same time, the whole body began to change slowly, especially the hands, and all the muscles digested the knowledge of the master-level pacemaker placement surgery.
Soon, Zhou Yuan moved his fingers, and all the theoretical knowledge and practical experience were completely integrated into his body.
"Come on. "
Zhou Yuan pushed open the door of the operating room.
"Zhou Yuan!"
Seeing Zhou Yuan's arrival, Wei Lili, who had been waiting by the operating bed, was excited.
"How's the patient's condition?" Zhou Yuan asked as he put on his lead suit with the help of the nurse.
"The pulmonary artery pressure has stabilized temporarily, but it has always been high!"
Zhou Yuan nodded: "Don't worry about this, the patient suffers from heart failure, usually pulmonary hypertension, as long as it does not exceed the systemic arterial pressure, there will be no major problems." "
"Director, we can't use drugs like probiotics!" He Jing walked in and said anxiously.
The patient's body is now very fragile, and even anesthetics can only be used drop by drop, and drugs such as probiotics that promote uterine contractions are impossible to use to assist in childbirth - Sun Lele can't stand this kind of stimulation.
However, the patient's blood supply to the whole body is insufficient, and there will definitely be uterine contraction fatigue, and without hormone stimulation such as probiotics, it is impossible to complete the caesarean section!
"Try uterine tamponade?" Zhou said.
He has no expertise in this area, and he has no department, so he can only rely on the theoretical knowledge he has accumulated in his daily life to judge.
"Uterine tamponade..."
Wei Lili thought for a while, and her eyes lit up: "If there is uterine contraction atony, perform uterine cavity gauze tamponade!"
Uterine cavity gauze tamponade gauze strips tamponade the uterine cavity have the effect of stimulating uterine contractions.
In addition, when uterine contractions are atony and bleeding is ineffective, tamponade gauze can be used to temporarily stop the bleeding.
However, this method is generally not used because it is easy to cause infection due to the cleaning of the gauze, etc., and because the gauze may not be tightly packed, causing occult bleeding.
At this time, Sun Lele was no longer able to use drugs to promote contractions, and using gauze to fill and stimulate the uterus was the only possible way!
"When performing uterine gauze tamponade, remember to squeeze regularly to further promote contractions!" Wei Lili reminded.
He Jing nodded: "Understood!"
Zhou Yuan glanced at the time again and said, "Anesthesiologist, please start anesthesia." "
The anesthesiologist nodded and walked up, "My plan is to put it in the spinal canal and use a dropper to anesthetize it drop by drop!"
Zhou Yuan nodded.
If the blood vessels are injected, Sun Lele's blood vessels will relax, and the blood flow in the body will change, which will inevitably affect his pulmonary artery pressure, etc., and spinal anesthesia is the safest choice.
Wei Lili also nodded: "Let's perform spinal anesthesia." "
Zhou Yuan walked over and let Sun Lele, who was still awake, lie on his side with his back to the anesthesiologist.
"Sister Lele, try to arch your back like a crayfish. Zhou Yuan called very kindly, this was to let Sun Lele relax.
The psychological counselor next to him had been paying attention to Sun Lele's emotional changes, and found that Sun Lele relaxed at this time, and immediately breathed a sigh of relief.
"Collapse your body, don't get into it and hide. The anesthesiologist said.
As he spoke, he carefully inserted the anesthetic dropper into Sun Lele's spinal canal, who subconsciously dodged it, but quickly recovered.
"It was nice and exceptional. Zhou Yuan said.
Zhou Yuan looked at Sun Lele and couldn't help but feel distressed.
Giving birth to a child is a painful thing in itself, and it is even more so for Sun Lele.
Ordinary pregnant women only need to take an anesthetic injection and wait for more than ten minutes to start anesthesia, but Sun Lele's body can't withstand such drastic physical changes, so she can only take her time, and this painful process may last for dozens of minutes, or even an hour.
"Your husband loves you very much. Zhou Yuan tried to talk to Sun Lele to divert her attention.
Sun Lele laughed when he heard this.
"Do you love your husband very much, do you want to give him a child no matter what?" Lu Chenxi leaned over and stood next to Zhou Yuan.
Sun Lele muttered in a low voice, and a smile appeared on his face again.
Lu Chenxi was a little moved, and subconsciously glanced at Zhou Yuan next to him.
However, he quickly looked away.
"The anesthesia is done. "
Dozens of minutes later, the anesthesiologist's relieved voice came.
"Continue to deliver oxygen. Zhou Yuan said.
He glanced at his oxygen saturation and his face was a little solemn.
Sun Lele has always been breathing high concentration of oxygen, but his blood oxygen saturation is still hovering around 70.
Normal people's blood oxygen saturation is between 95~100, it stands to reason that after inhaling high concentration of oxygen, this data will exceed 100, but Sun Lele's current blood oxygen saturation is still in a very low state.
This means that Sun Lele's oxygenation and hemoglobin oxygenation capacity in her lungs have decreased a lot, and the blood supply in her lungs has begun to be insufficient, and she is now in a state of hypoxia!
Zhou Yuan nervously observed Sun Lele's heart rate, pulmonary artery, and systemic pressure, and once these values fluctuated violently, the operation must be stopped immediately.
Fortunately, although Sun Lele's indicators are still in danger as usual, they have not changed much, which is good news for everyone in the operating room.
At this time, Wei Lili's voice sounded again.
"Zhou Yuan, do you plan to take the child first or perform pacemaker placement surgery first?"
Feilu reminds you: there are three things to read - collection, recommendation, and points
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