Start with an emergency physician
Chapter 90
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Zhou Yuan did not answer, but asked,"Are the baby's medicines ready?"
Caesarean section is not like natural delivery, and there are many adverse effects. Because the newborn fetus has not been squeezed through the birth canal, one-third of the fetal lung fluid is not discharged from the baby's lungs, so some newborns cannot breathe independently after birth.
Moreover, Sun Lele's situation is extremely special. The fetus in her body is less than seven months old and weighs only about one kilogram at this time, while the normal weight of a newborn is between two thousand five hundred grams and four kilograms...
This means that there may be a series of complications of premature babies, such as intracranial hemorrhage, retinopathy, and even babies with incomplete limbs.
Therefore, baby medicines must be prepared during caesarean section to be ready for various situations at any time.
"The lung active substances are ready, and other medicines are also in place."He Jing replied
"Are you planning to... perform a caesarean section first?" Wei Lili guessed.
Zhou Yuan nodded:"The heart is under too much pressure. Performing a pacemaker implantation surgery will increase the patient's burden again. The fetus must be removed first."
Wei Lili nodded.
"It has to be fast!"
Wei Lili nodded:"I know the principle of short, flat and fast."
The time is short, the process must be smooth, the mother's physical indicators must not fluctuate, and the speed must be fast. This is the most important principle of this operation.
Everyone waited quietly for the opportunity.
To be more precise, waiting for Zhou Yuan to give the next order.
Zhou Yuan was silent, staring at the various values on the instrument with a serious face. 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 started to move.
Wei Lili is an old obstetrician and gynecologist who has been in the hospital for decades and is very experienced in caesarean sections. Although He Jing came from the county hospital, because there were few doctors there, she had many opportunities to go on the operating table, so she was very experienced.
After disinfection, Wei Lili placed the scalpel about three centimeters above the pubic bone.
Then, she cut the abdomen layer by layer, making an incision of about ten centimeters.
Wei Lili chose a transverse incision, which would make the scar less conspicuous.
After making a ten-centimeter incision, He Jing stepped forward to open the abdominal wall to both sides, and Wei Lili cut the uterine wall that wrapped the fetus.
The choice was still a transverse incision. The transversely cut uterus has better pressure resistance after healing than the longitudinally cut uterus, and it will not easily cause the uterus to rupture 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 open the amniotic membrane that wrapped the fetus.
Then, she reached in to confirm the position of the fetal head.
This time the caesarean section went smoothly. Wei Ci found the fetus's head, carefully grabbed it, and began to slowly drag it out.
After the fetus's head was exposed, Wei Lili, He Jing and others immediately opened the fetus's mouth and removed foreign objects in the airway to clear the airway.
However, the fetus that had just come out of the uterus, except for the initial cry, there was no sound, but kept moving.
Wei Lili and others changed their faces greatly.
""Quick! Take out the fetus!" Zhou Yuan couldn't help but urge.
Wei Lili nodded heavily and pulled the fetus's shoulders out. Then, after the fetus's entire body left the mother's body, He Jing cut the umbilical cord.
"I will do the percussion resuscitation, you continue to deal with the placenta!"Wei Lili said quickly.
He Jing nodded:"Understood!"
Speaking of which, this was He Jingjing's first time to perform surgery in the operating room of Yanjing International Hospital, and the first one was such a difficult operation.
However, He Jing was not afraid of the stage, and she quickly got into the state.
Zhou Yuan walked to the side of Wei Lili and paid attention to the condition of the newborn.
The newborn fetus was in a very bad condition, only slightly larger than the palm of a hand, weighing 900 grams.
"The lungs are not fully developed!"
The baby on the warming table was shaking his hands and feet. His palms were only as big as an adult's thumb, and his body was covered with mucus. He was very quiet.
This was undoubtedly fatal - the newborn did not cry, which meant that the lungs did not exchange gases!
Wei Lili immediately patted the baby's feet, and Zhou Yuan stepped forward to help rub the baby's back.
The two planned to use touch to stimulate the newborn's breathing.
However, the expected cry did not sound.
"Use endotracheal intubation!"
Wei Lili immediately looked at Zhou Yuan:"You perform the endotracheal intubation, and I will perform chest compressions!"
Zhou Yuan quickly and carefully inserted the trachea into the newborn's body, and began to slowly squeeze the gas into the newborn's respiratory tract, trying to wake up the lungs.
On the other side, Wei Lili also began to perform chest compressions.
Because it was a premature baby with a very small body, mouth-to-mouth breathing and ordinary chest compressions were not feasible. Wei Lili bent her index finger and regularly tapped the newborn's chest for resuscitation.
"Do you want to inject adrenaline into the heart?"A doctor came over and asked anxiously.
"No need! The newborn still has a heartbeat!"
Wei Lili looked anxious, but her hands were gentle and soft.
After Zhou Yuan and Wei Lili's rescue, a loud cry spread throughout the operating table.
Zhou Yuan slowly pulled out the trachea, and he and Wei Lili smiled at each other, both of them relieved.
"Simple ventilator!"
Wei Lili quickly put the simple ventilator on the newborn.
"The baby's lungs are not fully developed, and he must rely on a simple ventilator to maintain his breathing. Once it stops, he will suffocate to death."Wei Lili explained.
The medical staff brought a blanket and carefully wrapped the palm-sized baby in it - newborns must be kept warm to reduce the emission of heat.
Wei Lili held the ventilator and helped the baby breathe regularly according to the human breathing rate.
This premature baby cannot use an autonomous ventilator and can only be supplied with oxygen through manual control of the force with a simple ventilator. In other words, someone must press the simple ventilator at all times.
"Send the baby to the neonatal intensive care unit for constant monitoring!"
Wei Lili said in a low voice,"Several organs of the baby are not fully developed, especially the lungs.……"
After that, the newborn's condition may improve and its organs will gradually mature, but it is also possible that breathing difficulties will worsen again, or even death.
Zhou Yuan nodded silently. He noticed that Sun Lele's pulmonary artery pressure had risen again and was soon approaching systemic circulation pressure!
As if sensing his own physical condition, Sun Lele, who had been in a semi-anesthetized 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 baby.……"
Sun Lele's weak voice rang out. _To read the ununderlined version of the novel, please download Faloo Novel AP
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