Start as an Emergency Physician

Zhou Yuan didn't answer, but asked rhetorically, "Is the baby medicine ready?"

Caesarean section is not as good as natural birth and has many adverse effects. Because the newborn baby does not pass through the birth canal, one-third of the fetal lung fluid is not excreted from the baby's lungs, so some newborns cannot breathe on their own after birth.

Moreover, Sun Lele's situation is extremely special, the fetal development in her body is only less than seven months, and the weight at this time is only about one kilogram, while the weight of a normal newborn is between 2,500 grams and four kilograms...

This means that there is also the possibility of a range of complications in premature babies, such as intracranial hemorrhage, retinopathy, and even the birth of a baby with incomplete limb development.

Therefore, it is important to have baby medicine ready at the time of caesarean section and be ready to deal with various situations

"The active substances in the lungs are ready, and other medicines are in place. He Jing replied.

"You're going to... Have a caesarean section first?" Wei Lili guessed.

Zhou Yuan nodded: "The burden on the heart is too great." Performing pacemaker placement surgery will again increase the burden on the patient, and the fetus must be removed first. "

Wei Lili nodded.

"Gotta be fast!"

Wei Lili nodded: "The principle of short, flat and fast, I know." "

The time is short, the process must be smooth, do not let the mother's physical indicators fluctuate, and the speed is fast. This is the most important principle of this operation.

The crowd waited silently for their time.

To be precise, wait for Zhou Yuan to give the next order.

Zhou Yuan was silent, staring at the values on the instrument with a serious face, and finally, when the pulmonary artery pressure dropped again, he said in a deep voice: "Start caesarean section!"

Wei Lili immediately picked up the scalpel, and everyone in the first obstetrics department immediately moved.

Wei Lili has been an obstetrician and gynecologist for decades and is very experienced in doing caesarean sections. Although He Jing came from the county hospital, because there were few doctors there, she had many opportunities to go to the operating table, so she was very experienced.

After the sterilization was completed, Wei Lili dropped the scalpel about three centimeters above the pubic bone.

Then, the abdomen was cut layer by layer, and an incision of about 10 centimeters was made.

Wei Lili chose a transverse incision, which made the scar less conspicuous.

After making a ten-centimeter incision, He Jing stepped forward and opened the abdominal wall to both sides, while Wei Lili cut the uterine wall that wrapped the fetus.

The choice is still a transverse incision, and the transverse uterus has better resistance to pressure after healing than the longitudinal uterus, and will not easily rupture the uterus due to the next pregnancy.

Of course, for Sun Lele, it is basically impossible to have a second pregnancy.

"Tissue scissors. "

After revealing the fetus, Wei Lili cut the amniotic membrane that wrapped the fetus again.

Then, she reached in and confirmed the position of the fetal head.

This time the caesarean section went well, Wei Ci found the head of the fetus, grabbed it carefully, and began to slowly drag it outside.

After the fetus's head was exposed, Wei Lili, He Jing and others immediately opened the fetal's mouth and foreign bodies in the airway to dredge the respiratory tract.

However, the fetus, which had just come out of the womb, did not make a sound except for a cry at the beginning, but kept moving.

Wei Lili and the others' faces changed greatly.

"Quick, take out the fetus!" Zhou Yuan couldn't help but urge.

Wei Lili nodded heavily, pulled the fetus's shoulders out, and then, when the fetus left the mother's body, He Jing cut the umbilical cord.

"I'll do percussion resuscitation, and you continue to deal with the placenta!" Wei Lili said quickly.

He Jing nodded: "Understood!"

Speaking of which, this is the first time He Jingjing has operated in the operating room of Yenching International Hospital, and the first one is such a difficult operation.

However, He Jing was not stage frightened, and she quickly entered the state.

Zhou Yuan walked next to Wei Lili, paying attention to the condition of the newborn fetus.

The condition of the newborn fetus is terrible, it is only a little bigger than a slap and weighs 900 grams.

"The lungs are not fully developed!"

The baby's hands and feet were shaking on the warming table, his palms were the size of an adult's thumb, and his body was covered in mucus, and he was silent.

This is undoubtedly fatal - the newborn does not cry, indicating that the lungs are not engaged in gas exchange!

Wei Lili immediately patted the soles of the baby's feet, and Zhou Yuan stepped forward to help rub the baby's back.

The two intend to use the sense of touch to stimulate the newborn's breathing.

However, the cry of anticipation did not sound.

"Use an endotracheal tube!"

Wei Lili immediately looked at Zhou Yuan: "You perform tracheal intubation, I'll do chest compressions!"

Zhou Yuan quickly carefully inserted the trachea into the newborn's body, and began to slowly squeeze the gas into the newborn's airway, trying to wake up the lungs.

On the other side, Wei Lili also began to perform chest compressions.

Because it was a premature baby and small in size, mouth-to-mouth breathing and ordinary chest compressions were not feasible, Wei Lili bent her index finger and regularly tapped the newborn's chest to resuscitate.

"Do you want to have an intracardiac injection of epinephrine?" a doctor asked anxiously.

"No! newborns still have a heartbeat!"

Wei Lili's expression was eager, but the speed in her hand was smooth and gentle.

Under the rescue of Zhou Yuan and Wei Lili, not long after, a loud cry spread throughout the entire operating table.

Zhou Yuan slowly pulled out his trachea and smiled at Wei Lili, both of them breathed a sigh of relief.

"Easy ventilator!"

Wei Lili quickly put on the simple ventilator for the newborn.

"The baby's lungs are not fully developed, and he must rely on a simple ventilator to maintain his breathing, and once it stops, he will suffocate to death. Wei Lili explained.

The paramedics brought in another blanket and carefully wrapped the palm-sized baby in it — the newborn must be kept warm and spared.

Wei Lili is holding a ventilator and helping the baby breathe regularly according to the person's breathing rate.

The premature baby was unable to use a spontaneous ventilator and had to be given oxygen by a simple ventilator to control the force, which means that the ventilator had to be pressed at all times.

"Send the baby to the neonatal intensive care unit for constant monitoring!"

Wei Lili's voice was very small, "Several organs of the baby are not mature, especially the lungs..."

After that, the newborn's condition may improve and the organs will gradually mature, but it is also possible that the breathing difficulties will worsen again or even die.

Zhou Yuan nodded silently, he noticed that Sun Lele's pulmonary artery pressure had risen again, and it was soon approaching systemic pressure!

As if feeling his physical state, Sun Lele, who had been in a semi-numb state, turned his head and looked at the newborn who was about to be sent to the intensive care unit.

"Doctor, I... Want to see my kids..."

Sun Lele's faint voice rang out. _

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