Start as an Emergency Physician

"Doctor... I want to see my kids..."

No one can refuse such a request from a mother.

The doctor who walked to the door immediately stopped, turned around and glanced at Wei Lili with inquiring eyes.

Wei Lili nodded slightly.

Soon, the child was carried to Sun Lele's side.

Seeing the child with a trachea in his mouth shaking his arm from time to time, Sun Lele showed a satisfied smile.

It seemed to her that her mission had been accomplished...

She is an introvert, she has not read much, and because she was born with a disease, she has been exposed to very few people in her life.

It can be said that apart from her parents, her husband is her whole world.

Sun Lele is uneducated, but she is not stupid, she has a third-level heart failure, she knows that she only has five or six years left in her lifespan, and she also knows that this pregnancy is undoubtedly accelerating her death.

Leaving a flesh and blood behind is her only wish.

And at this moment, this wish was completed, and Sun Lele's mood suddenly relaxed.

"Pulmonary artery pressure is rising again!!It's about to exceed the systemic circulation!" the anesthesiologist hurriedly shouted.

Sun Lele began to roll her eyes, her breathing was already a little unstable, and she began to cough.

"Pulmonary hypertension!" Zhou Yuan's face changed.

On the other side, He Jing had also peeled off the placenta, took out all the gauze used to stuff the uterus, and was ready to start suturing the uterus.

But...... Everyone stopped.

Sun Lele's condition is extremely critical.

Pulmonary artery crisis and dyspnea occurred during the operation, which means that once Sun Lele's body is accidentally stimulated by every stitch, the pulmonary artery may swell and exceed the systemic circulation!

At that point, the lungs will start to be ischemic and the breathing activity will stop!

Zhou Yuan rushed up directly and took the needle clamp in He Jing's hand.

Among the people present, he was the most suitable for suturing, and he was also the most stable for suturing.

Zhou Yuan took a deep breath and began to stitch it up.

He was extra careful with every stitch he dropped, and after each stitch, he would raise his head to see the changes in pulmonary artery pressure and systemic pressure.

He Jing was stunned on the side.

This stitching is too delicate...

Accurately seized the opportunity of caesarean section and carried the pacemaker placement operation...

This doctor seems to be a bit open-minded!

Wei Lili and others were also staring at the sidelines, and their hearts were greatly touched.

Lu Chenxi took He Jing's position as an assistant - she had cooperated with Zhou Yuan in an operation, so she had a more tacit understanding and knew Zhou Yuan's surgical rhythm very well.

Suturing the uterus, suturing the abdominal cavity...

Step by step, Zhou Yuan did it step by step, but he didn't panic at the same time.

On the other side, Wei Lili also squatted next to Le, and said quickly: "This beautiful little guy will go to school in the future and start a family in the future, it must be very beautiful!"

The psychological counselor also chatted with Lele about the child's future at this time.

Only in this way will Sun Lele have the desire to survive.

At this time, the doctor couldn't help her anymore, what could pull her back from the ghost gate was Sun Lele's desire to survive.

Soon, the last layer of skin was also stitched up, leaving only a beautiful scar.

"Whew. "

Zhou Yuan breathed a long sigh of relief, only to find that his body had been soaked in cold sweat.

The situation just now is equivalent to Sun Lele stepping into the ghost gate with half a foot, and it is conceivable how difficult it is to stitch such a person.

"The pulmonary artery pressure has dropped and returned to the previous high pressure level..."The anesthesiologist's sweat was also frightened, but he was finally relieved.

Next, pacemaker placement surgery is performed. "

"Anesthesia again. Zhou Yuan said.

After the fetus is removed, the pressure on Sun Lele's heart will be reduced a lot, but she is still unable to maintain her normal life activities, and a pacemaker must be placed.

"Necessary drugs 2% lidocaine, gentamicin, 5% glucose, normal saline, and then prepare atropine, respiratory stimulants, cardiotonics, vasopressors..."

"Director Wei, establish an intravenous infusion channel in the lower limbs!"

Wei Lili was stunned for a moment, and asked while doing so, "Why?"

"The patient's condition is critical, and there is a possibility of an accident in the process, so establish an intravenous infusion channel in advance so that the drug can be administered at any time during rescue!"

After Zhou Yuan finished speaking, he began to disinfect the pacemaker again.

Pacemaker placement surgery must be strictly aseptic, and infection is one of the common complications of pacemaker placement.

Once infected, not only the therapeutic effect of the pacemaker will be affected, but in severe cases, it will also cause sepsis and other life-threatening patients.

Even if a mild infection occurs, the wound is difficult to heal because the pacemaker is buried in the body, which can be life-threatening.

What's more, Sun Lele's heart condition itself is not optimistic, and coupled with the infection, it is equivalent to a death sentence.

"Let's get started. "

Zhou Yuan completed the disinfection.

Wei Lili took the initiative to retreat to the position of the second assistant, and He Jing was in the third assistant.

Lu Chenxi helped because she had worked closely with Zhou Yuan, and Lu Chenxi herself was a thoracic surgeon, which was what she was good at.

There are four steps in the pacemaker placement surgery.

First, choose the intravenous route.

Second, place the wires and test the parameters.

Third, embed the pacemaker.

Fourth, postoperative treatment.

After starting the operation, Lu Chenxi quickly asked, "Which venous channel to choose?"

The cephalic vein, subclavian vein, and internal and external jugular vein are the three pathways available.

Zhou Yuan picked up the scalpel and asked as he opened the knife, "What do you think?"

"The cephalic vein surgery is safe to operate, with few complications, and there is no need to worry about long-term lead breakage..."

Before he finished speaking, Lu Chenxi stopped in surprise.

The incision Zhou Yuan chose was not the cephalic vein, but the subclavian vein.

"Why..."He Jing asked this question instead of Lu Chenxi. She had similar thoughts to Lu Chenxi.

The cephalic vein path has almost no drawbacks, but the subclavian vein, on the one hand, requires skilled technique, the wires are prone to breakage, and on the other hand, there are complications.

Zhou Yuan smiled: "You think the subclavian vein is difficult to do, so don't you choose?" But you look at the patient's situation first." "

Lu Chenxi, He Jing, and Wei Lili all turned their heads to look at the instrument.

The heart rate is only about 40, and the pressure in the pulmonary arteries rises again after dropping.

Zhou Yuandao: "Do you dare to move your head vein at this time?"

"What I like is the speed of the subclavian vein. For those who are skilled, the subclavian vein access can be easily and quickly inserted into the lead, and as for the remote lead that you are worried about will break during the insertion... That's still a technical issue, don't think about it. "

He Jing and the others understood it.

What Zhou Yuan meant by this was that as long as it could be made up for with technology, it was not a problem. _

Feilu reminds you: there are three things to read - collection, recommendation, and points