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"Teacher, I can try."

He also has four intermediate treasure chests that can be exchanged for any operation.

Compared to He Jing and others who were surprised by Zhou Yuan's young age, the expressions of the people in the emergency department were much calmer, but there were some strange colors in their eyes.

He Jing looked at Zhou Yuan a few more times and found it a little incredible.

The First Obstetrics and Gynecology Department and the Emergency Department soon fell into a stalemate, and no one responded.

After all, Zhou Yuan's age was really unconvincing.

He Jianyi smiled and said,"I didn't expect that you are secretly proficient in obstetrics?... Take Zhou Yuan over, I believe in him."

The director has spoken, and even if the First Obstetrics and Gynecology Department has doubts, they can only hold them down.

"Thank you, Director He!"

He Jing winked at Zhou Yuan and said,"Hurry, Doctor Zhou, follow me!" As they spoke, they took Zhou Yuan to the Obstetrics and Gynecology Department.

"Wait... I'll go too!"

At this time, Lu Chenxi also came out.

Zhou Yuan's eyes lit up.

Lu Chenxi was an expert in thoracic surgery, and her surgical skills were beyond doubt. It just so happened that the pregnant woman's current condition was a familiar area for thoracic surgery.

""Okay, you come with me." Zhou Yuan said.

Lu Chenxi quickly caught up with Zhou Yuan.

The group left in a hurry.

Haiyang in the crowd moved his throat, wanting to say that he would also participate.

He didn't want to miss the opportunity to have surgery with Zhou Yuan.

But, after thinking about it, he finally held back his words.

The wound on his hand has not healed yet. With Zhou Yuan's suture, Haiyang is not worried about the recovery, but he cannot overuse his left hand now, otherwise there will still be sequelae.

At the same time, he also held back some things about Brother Sharp.

Last night, Zhou Yuan was in a hurry to save his hand and didn't care about Brother Sharp. In the end, the security department arrested Brother Sharp and sent him to the police station.

Haiyang didn't mention this matter in the end. He was worried that it would affect Zhou Yuan's mood, which would inevitably affect the operation.

"Some people are masters of surgery on the surface, but they are also proficient in obstetrics secretly.……"After thinking for a while, Haiyang said in a low voice.

The nervous emergency department staff was stunned for a moment, and then they couldn't help but smile, and their mood relaxed at once.

He Jianyi patted Haiyang on the shoulder and scolded with a smile:"You are the only one who talks too much!"

Then, he said to everyone in the emergency department:"Okay, the fun is over, everyone quickly return to their posts and get busy!"

……

On the other side, Zhou Yuan and others quickly got on the elevator

""Show me the cardiac ultrasound report!" he said quickly.

Patients with heart failure usually rely on medication for treatment, which basically requires cardiotonic, diuretic and vasodilation. In addition, the pregnant woman had undergone mitral valve replacement surgery before and needed to take anticoagulants. If all the medicines were stopped at this time, it would be strange if there were no problems!

He Jing directly reported the results of the cardiac ultrasound report and said,"The left ventricle, left atrium, and right atrium are enlarged, and the ejection fraction of the heart is lower than normal! Her heart failure has been treated before and has improved, but the forced pregnancy caused a recurrence of heart failure!"

Zhou Yuan nodded, his face became serious.

This is a combined operation.

After determining the timing of the caesarean section, the valve must be replaced to solve the stuck valve problem.

On the other hand, the heart failure of pregnant women also needs to be alleviated.

Although the mainstream understanding of society and academia is that heart failure patients should be treated with drugs, there are still three surgeries that can play a better role.

First, three-chamber pacemaker treatment. Through CRT to reduce the asynchronous contraction of the left and right ventricles, improve the overall function of the left ventricle, increase the filling time of the left ventricle, reduce the paradoxical movement of the ventricular septum and the regurgitation of the mitral valve, and finally improve blood dynamics.

The second is the most direct and crude way. Since the heart is not powerful enough, If the myocardium is not strong enough and the blood pumping function cannot keep up, then myocardial remodeling is used to wrap strong muscles of the back or abdomen around the heart.

At the same time, a pacemaker that matches the heartbeat frequency is installed to assist the heart in blood supply.

The third method is relatively rare and is suitable for patients with severe heart failure. That is, an assisted artificial heart. An assisted artificial heart is a mechanical pacemaker and blood pumping device that is implanted in the chest to help the heart pump more blood and can partially or directly replace the heart function.

Soon, they arrived at the conference room of the first obstetrics department.

Everyone was waiting for the doctors from the emergency department to participate in the discussion of the surgical plan.

When He Jing walked in with Zhou Yuan and Lu Chenxi, the faces of everyone in the conference room changed.

"What's going on? So young?"

"Intern?"

"Are you Zhou Yuan?" Wei Lili, deputy director of the Department of Obstetrics and Gynecology, stood up and asked in confusion.

Zhou Yuan nodded.

"Sit down." Wei Lili's eyes lit up and she suppressed the discussion.

"Let me talk about the current situation of the pregnant woman."

Wei Lili stood up and motioned everyone to look at the information at hand, saying:"The pregnant woman is already 29 weeks pregnant, but our examination results show that the fetus is only 25 weeks old, and the actual development level of the fetus is one month less.

"In other words, heart failure not only affects the health of the mother, but also, because of insufficient oxygen supply, the fetus cannot provide sufficient nutrients, and the development of the fetus has now completely stopped!"

"The mother's condition is very critical now. She is in a dilemma. If she terminates the pregnancy immediately, it is very likely to cause a large increase in blood flow and the mother will be in danger of death. However, if she ignores the baby in her belly, the valve that has been stuck may be completely blocked at any time, and the lives of both mother and child will be seriously threatened!"

Zhou Yuan looked at the diagnosis results of the pregnant woman again.、CT、Abdominal color ultrasound, etc., her expression gradually became solemn.

The pregnant woman suffered from congenital heart disease, which caused the lack of the diaphragm between the left and right ventricles in her heart, resulting in pulmonary hypertension, heart failure, long-term hypoxia and inability to work, etc.

At this time, the patient was already hypoxic, and the fetus in her belly was still increasing the pressure on the heart, and the lives of mother and child were tied together.

Everyone in the conference room fell silent at this time.

Soon, the nurse invited the family members in to discuss.

The first to rush in was a middle-aged woman. Seeing that the doctors in the operating room were silent, her face turned pale and she cried,"Doctor, you must save my daughter! She has loved children since she was a child. She told us that she would have a child even if she died. We couldn't persuade her at all. Who knew that this really happened... Doctor, please save my daughter!"

The patient's father, husband, and grandmother also walked in.

The patient's husband said nothing at this time. A strong man of more than 1.8 meters, huddled in the corner of the conference room, his eyes red, and said nothing.

Deputy Director Wei Lili and others were extremely embarrassed.

In this situation, it is really too difficult to choose a surgical plan!

Forget about saving the big one or the small one. The big one has a stuck valve and persistent high pressure in the pulmonary artery. If a caesarean section is performed on the small one, it will be a premature baby, less than seven months old, and the chance of survival is very small.

Now it is difficult to save both the big one and the small one!

The family members seemed to realize the seriousness of the problem. The patient's mother and grandmother began to cry, regretting that they did not stop the patient's pregnancy at the time.

The operating room was filled with crying and sighing. At this moment, a voice suddenly rang out.

"Deputy Director, I have a surgical plan, maybe we can try it."

Zhou Yuan stared at the patient's film and said slowly._

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