Start with the emergency physician

Logically, there is still a lot of work to be done for a caesarean section, such as the first step, inserting a urine tube, listening to the fetal heart rate to confirm the position of the fetus, and so on.

However, pregnant women are special and these steps can only be saved.

“Count the gauze!” The deputy director of the Department of Obstetrics and Gynecology said in a deep voice.

Zhou Yuan came back to his senses and quickly counted the gauze used for surgery: “One, two…”

The deputy director of the Department of Obstetrics and Gynecology put on gloves and has already stepped forward.

“Anesthesia!” She held surgical forceps in her hand and said.

“Propofol ten ml, intravenous!”

An agent is pushed into the veins of the pregnant woman.

“Refentanil five ml, push still!”

The deputy director glanced at it and said solemnly: “I emphasize once again, once the patient enters the general anesthesia state, we must remove the child within five minutes, otherwise the child and the adult will be in danger of life!” ”

“After anesthesia, you can start the operation!” A voice sounded.

The deputy director glanced at the time: “The operation start time, ten twenty, start the operation now!” ”

After that, she slowly cut the pregnant woman’s belly.

Tiny beads of blood came out.

The deputy director skillfully cut the skin and muscles layer by layer, and slowly approached the uterus. After making an incision of the complex abdominal wall, the uterus is finally exposed to view.

Zhou Yuan’s surgical field position is not very good, but he still noticed that when cutting the uterus, the deputy director only cut an opening of about three centimeters, and then tore it with both hands, which is conducive to the postoperative recovery of the mother.

“Anesthesia, report blood pressure, I am ready to remove the fetus.” The deputy director of the Department of Obstetrics and Gynecology does not squint.

“Normal blood pressure! The fetus can be removed! ”

The deputy director put down the scalpel, probed his hands into the uterus, first supported the head of the fetus, removed the uterus and cleaned up the fluid in the fetus’s mouth and nasal cavity, and then slowly took out the fetus.

However, the expected cry did not come.

“Newborn choke!” The deputy director of the obstetrics and gynecology department cut the umbilical cord short, and his face was a little ugly.

“Suture the uterus and leave it to you, and I will perform CPR.” She stepped aside.

Cardiopulmonary resuscitation in newborns requires high strength and frequency. Moreover, He Jianyi also ensured the safety of the mother and child before going to the operating table, and let the deputy director of obstetrics and gynecology, who has more than 20 years of experience in cesarean section, perform cardiopulmonary resuscitation with a higher success rate.

He Jianyi took the place of the main surgeon on the operating table, and his gaze swept over the interns and residents.

Suturing the uterus is not a difficult task, and it can be left to the doctor below to practice.

He glanced at the time, three minutes and three seconds, and one minute and fifty-seven seconds to finish the operation.

“Who’s coming?” He Jianyi asked.

Although he had the intention to let Zhou Yuan try, he always had to fight for opportunities himself.

Zhou Yuan swallowed his saliva, consciously walked to He Jianyi, and picked up the surgical forceps, “I’ll come.” ”

He Jian nodded.

What surprised him was that when the other residents and attending physicians hesitated for a moment, it was actually Zhou Yuan, an intern, who directly came up.

“German B. Braun Serpent Suture.” As soon as Zhou Yuanyi took the stage, he directly began to do it.

He Jianyi was stunned.

He found that the moment he stepped on the operating table, Zhou Yuan seemed to have completely changed as a person.

He could feel a sense of confidence from Zhou Yuan.

In fact, it is also true, what is needed to suture the uterus is that the butt seam is legal, and I have mastered the master-level butt seam legal, and I don’t worry about accidents at all.

“Injection of 20U oxytocin.”

At this time, Kazusuke and Nisuke did not care about the idea that they were actually being commanded by an intern, and immediately did so after confirming that the order was correct.

Zhou Yuan picked up the dry gauze, quickly cleaned up the fluid in the uterine cavity, and began to prepare for suturing.

The little nurse next to her had already prepared the sutures.

The uterus is sutured using absorbable amniotic gut.

Zhou Yuan took the suture, entered the first few layers of the uterus from the outside of 0.5 cm outside the right end of the uterine incision, and immediately after tying the knot, clamped the micro-end retention thread with vascular forceps, and began to do the continuous locking suture of the single layer of the uterine myometrium.

It stands to reason that doctors like Kan Dashan when doing surgery, but this is Zhou Yuan’s first time, and although he has enough confidence, he can’t tolerate any mistakes.

This is a matter of human life.

However, He Jianyi and others were quite surprised.

“This is an intern?” The resident ocean was dazzled.

Simply continuous seam sutures are not a difficult technique, in short, a long suture is used to stitch a wound continuously from beginning to end, and finally tie the knot.

The advantage is to save sutures and time, good sealing, the disadvantage is that one break, all the sutures will pull off, and need to be re-sewn.

Obviously, Zhou Yuan took a fancy to the fact that continuous seam stitching saves time, but… Once there is a mistake, it means that this stitching fails, and there is definitely not enough time!

“Stitching complete!” Zhou Yuan let out a long sigh of relief.

He Jianyi frowned, glanced at Zhou Yuan, and said, “Are the medical students from Yanjing University so powerful?” ”

Zhou Yuan smiled easily and retreated, “Director He, it’s your turn.” ”