Start with an emergency physician

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Zhou Yuan took the placenta, pushed the operating table next to him flat, and spread the placenta on the table.

"What are you doing?"

"Check the cause of the bleeding! He Jing, find a way to slow down the patient's bleeding!"

He Jianyi ran in when he heard the situation. Seeing the blood all over the floor of the observation room, his face turned pale.

"I control the patient's blood pressure and heart rate!" He Jianyi immediately went up.

The child's father stood at the door, looking at his unconscious wife lying on the operating table with a look of panic.

While Sun Meng was getting the emergency blood back, the old director of the obstetrics and gynecology department also came with Liu Kai who had gone to report the news.

"What's going on!"

The old director walked into the observation room and was shocked by the blood on the ground.

""Girl holding the blood bag, give her a blood transfusion immediately! If she continues to lose blood like this, she will die!"

After saying this, he put on sterile gloves, squatted down, and carefully checked the

"Poor vision... Medical flashlight!"

After observing for more than ten seconds, the old master's face became serious.

"The bleeding is very serious. If you want to stop the bleeding, there is only one best way.……"

"What!"The child's father immediately asked

"Hysterectomy……"

The old director's words made the observation room quiet all of a sudden.

The child's father stared at the old director blankly, thinking for a long time, and said,"Is this the only way?"

"The safest option at the moment is to remove the uterus!"

At this moment, He Jianyi successfully stabilized the pregnant woman's vital signs, and Sun Meng also completed the emergency blood transfusion. The pregnant woman gradually woke up under He Jianyi's rescue.

"No, I don’t want to have my uterus removed, I still want to have a baby!" The pregnant woman suddenly shouted with strength from nowhere.

Although her voice was very low, everyone heard it.

The old director looked embarrassed:"If the uterus is not removed, the heavy bleeding will be difficult to stop!"

At this time, Zhou Yuan, who was frowning next to her, suddenly widened his eyes

"There is a damage on the placenta... a gap!"

Zhou Yuan turned to look at He Jing:"He Jing, did you feel any abnormality in the placenta when you examined it?"

He Jing was stunned for a moment, thought for a moment, and said:"It seems so, the placenta is rough in several places."

Hearing Zhou Yuan's mumbling, He Jing walked over, looked at the place where Zhou Yuan pointed, and couldn't help but be stunned:"There is really a wound……"

Zhou Yuan quickly walked to the side of the pregnant woman and carefully checked her with a flashlight.

"I don't think there is a need to remove the uterus! You can use thrombin blood, and if it doesn't work, then perform a hysterectomy."

Thrombin perfusion therapy is mainly used for coagulation disorders in labor causes. If coagulation disorders occur, thrombin perfusion therapy can achieve good results, but it is ineffective for postpartum hemorrhage caused by other reasons.

Zhou Yuan noticed the suspected postpartum hemorrhage on the placenta because of coagulation disorders.

To put it simply, it is because the placenta was not completely detached before, the uterus was weak in contraction, and the blood vessels on the endometrium could not contract and close tightly, resulting in diffuse bleeding, and the coagulation function could not keep up.

"Are you sure?!"The old director was stunned for a moment, and then he said in a questioning tone.

Thrombin perfusion can indeed treat postpartum hemorrhage, because this method has a hemostatic effect.

For general postpartum hemorrhage, local administration of the drug to the wound surface can quickly form a stable blood clot, thereby controlling capillary venous bleeding and achieving a good hemostatic effect.

However...

when postpartum hemorrhage occurs clinically, the situation is more critical and blood volume needs to be replenished in time.

A reasonable treatment plan should be selected according to the specific situation.

When the life of the parturient is endangered, hysterectomy is the best way to control postpartum hemorrhage.

In the current situation, the old director cannot determine the location and cause of bleeding at all, and cannot achieve effective hemostasis, so he can only choose to remove the uterus.

To be honest, the use of thrombin perfusion therapy is not safe...

Zhou Yuan prepared the thrombin drug and said,"I think we have no right to deprive a woman of the right to become a mother... I have a certain degree of confidence in using thrombin perfusion therapy to stop bleeding."

Zhou Yuan is confident in his master-level thrombin hemostasis method, and the current situation shows that there is a high probability that there is a problem with the coagulation function.

"Prothrombin complex or fibrinogen, which one do you want?"

The old director hesitated for a moment, but finally chose to trust Zhou Yuan.

He was old, so he preferred conservative treatment, and hysterectomy was the most conservative and safest approach.

But... the other party was Zhou Yuan, a doctor who had created miracles in various departments, and now he chose to take a gamble!

"Prepare both drugs. Also, Sun Meng, go get some cold precipitate, fresh plasma, and prepare some platelets!"

Zhou Yuan squatted down, cleaned the uterine cavity and birth canal, and removed some residual placenta and endometrial fragments.

"He Jing, place an external drainage tube!

This is to drain the blood accumulated in the pregnant woman's uterine cavity

""Zhou Yuan, the two thousand milliliters of blood have been transfused!" Sun Meng said nervously as she changed the blood bag.

Zhou Yuan nodded, his face serious, and said,"Old Director, please prepare two thousand units of prothrombin complex and one hundred milliliters of saline solution to be injected into the uterine cavity immediately!"

According to Zhou Yuan's estimation, after the prothrombin complex and saline solution are infused into the pregnant woman's uterus, the amount of bleeding will be significantly reduced within twenty minutes. Another infusion will be performed after an hour, and with the addition of platelets, plasma, etc. that promote coagulation, complete hemostasis can be achieved.

Of course, everything is just Zhou Yuan's guess now. As for the result, he can only take it step by step.

"Two thousand units of prothrombin complex!"The old director handed it over.

Zhou Yuan quickly took it and looked at the lower body of the pregnant woman.

He Jing had already completed the placement of the extracorporeal drainage tube. A large amount of dark red blood was drawn out of the pregnant woman's body and discharged into the external extracorporeal drainage bag.

"The patient's blood pressure cannot be measured!"Director He's face changed.

Zhou Yuan was stunned.

"Director He, please rescue her. He cannot suffer from hemorrhagic shock at this time!"

Zhou Yuan hesitated.

Now... should we remove the uterus or perform thrombin perfusion...

If the uterus is removed, it means that the woman has lost the most basic characteristics of a woman, including reproductive function, menstrual period, etc.

However, thrombin perfusion will be very dangerous if the patient has suffered from hemorrhagic shock and more than 2,000 milliliters of whole blood has been infused...

Soon, a slightly joyful voice came from He Jianyi again:"Zhou Yuan, the patient is rescued and regained consciousness!"_

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