Start with the emergency physician

“Teacher, I can try.”

He also has four intermediate chests that can be redeemed for any surgery.

Compared with He Jing and the others, who were surprised because of Zhou Yuan’s youth, everyone in the emergency department had a much dull complexion, but there were some more different colors in their eyes.

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

The first obstetric department and emergency department soon reached an impasse, and no one answered again.

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

He Jianyi smiled and said, “I didn’t expect that your kid was secretly proficient in obstetrics?” …… Take Zhou Yuan over, I trust him. ”

The director spoke, and even if the first obstetrics department doubted, he could only hold back.

“Thank you, Director He!”

Saying that, He Jing winked at Zhou Yuan, “Quick, Doctor Zhou, you come with me!” ”

Saying that, the group was going to run towards the obstetrics and gynecology department with Zhou Yuan.

“Wait… I’ll go with me! ”

At this time, Lu Chenxi also walked out.

Zhou Yuan’s eyes lit up.

Lu Chenxi is a good hand in thoracic surgery, the level of surgery is not said, just right, the current situation of pregnant women is a familiar field of thoracic surgery.

“Okay, you come with me.” Zhou Yuan said.

Lu Chenxi quickly caught up with Zhou Yuan.

The group left in a hurry.

The ocean in the crowd moved his throat, wanting to say that he was also involved.

He didn’t want to miss the opportunity to operate with Zhou Yuan.

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

The injury on his hand is not yet good, with Zhou Yuan’s stitching, the ocean is not worried about the aftermath, but he can’t use his left hand excessively now, otherwise it will still leave sequelae.

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

Yesterday evening, Zhou Yuan was in a hurry to save his hand and did not take care of Brother Sharp, and in the end, the people of the security department arrested Brother Sharp and twisted him to the police station.

Haiyang did not 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, ostensibly masters of surgery, are actually secretly proficient in obstetrics…” After thinking for a while, Haiyang said in a low tone.

Everyone in the nervous emergency department was stunned for a moment, and then involuntarily smiled, and their mood suddenly relaxed.

He Jianyi patted Haiyang’s shoulder and scolded with a smile: “Just you kid talks a lot!” ”

Then, he said to everyone in the emergency department: “Okay, this excitement is over, everyone go back to work, go to work!” ”

……

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

“Show me the heart color ultrasound report!” Speed said.

Patients with heart failure generally rely on substances to treat, basically to strengthen heart diuresis and vasodilation, plus pregnant women have also done mitral valve replacement before, need to take anticoagulation, stop all drugs at a time, no problem is strange!

He Jing directly reported the results of the cardiac ultrasound report, saying: “The left ventricle, left atrium, and right atrium are large, and the ejection fraction of the heart is lower than normal!” Her heart failure had been treated before and improved, but forced pregnancy caused heart failure to recur! ”

Zhou Yuan nodded, his face becoming serious.

This is a combination surgery.

After the timing of the caesarean section has been judged, the valve must also be replaced to resolve the card flap.

On the other hand, it is also necessary to relieve the heart failure condition of pregnant women.

Although heart failure patients should be treated with drugs in the mainstream perception of society and academia, there are still three types of surgery that can play a better role.

First, three-chamber pacemaker treatment. CRT is used to reduce the non-synchronous contraction of the left and right ventricles, improve the overall function of the left ventricle, increase the left ventricular filling time, reduce the contradictory movement of the ventricular septum and the regurgitation of the mitral valve, and finally improve hemodynamics.

Second, it is also the most direct and brutal approach. Since the power of the heart is insufficient, the strength of the heart muscle is not enough, and the pumping function cannot keep up, myocardoplasty is used to wrap the strong muscles of the back or abdomen near the heart.

At the same time, a pacemaker consistent with the heart beating frequency is installed to assist the heart in supplying blood.

The third method is rare and is indicated for patients with severe heart failure. That is, an auxiliary artificial heart.

An assisted artificial heart is a mechanical pacing pumping device that is placed in the chest to help the heart pump more blood, which can partially or directly replace heart function.

Soon, I arrived at the conference room of the first obstetric department.

Everyone was waiting for the emergency department doctor to come to 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 the situation, so young?”

“Interns?”

“Are you Zhou Yuan?” Wei Lili, deputy director of the Department of Obstetrics and Gynecology, stood up and said suspiciously.

Zhou Yuan nodded.

“Sit down.” Wei Lili’s eyes lit up and suppressed everyone’s discussion.

“Let me tell you about the situation of the motherhood now.”

Wei Lili stood up and motioned for everyone to look at the information at hand, “The mother is 29 weeks pregnant, but our examination results show that the fetus is only 25 weeks in size, 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, it is impossible to bring sufficient nutrients to the fetus, and the development of the fetus has now completely stopped!”

“Now the situation of the mother is very critical, dilemma, if the pregnancy is terminated immediately, then it is likely to cause a large increase in blood, the mother will die nine lifetimes, but if you do not care about the child in the belly, the valve that has been jammed may be completely obstructed at any time, and the life of the mother and child will be seriously threatened!”

Zhou Yuan looked at the pregnant woman’s diagnosis results, CT, abdominal ultrasound, etc., and his expression gradually became solemn.

A pregnant woman suffers from congenital heart disease, which causes her heart to lack a septum between the left and right ventricles, resulting in pulmonary hypertension, heart failure, perennial lack of oxygen and inability to work.

At this time, in patients who are already hypoxic, the fetus in the abdomen is still increasing the pressure on the heart, and the mother and child are tied together.

Everyone in the conference room fell silent at this time.

Soon, the nurse invited the family in again 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 white at that time, and she cried: “Doctor, you must save my daughter!” She has been very fond of children since she was a child, telling us that we have to have a child when we die, we can’t persuade at all, who knows that this kind of thing really happened… Doctor, save my daughter! ”

Also walking in were the patient’s father, husband, and grandmother.

The patient’s husband did not say a word at this time, a strong man of one meter and eight meters, shrunk in the corner of the conference room, his eyes were red, and he did not say a word.

Deputy Director Wei Lili and others were extremely embarrassed.

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

Don’t say what to protect the big and keep the small, the big one has now had a jammed, the pulmonary artery continues to have high pressure, and the small one is a premature baby once a cesarean section, less than seven months, and the probability of survival is very small.

Now it’s hard to keep the big and the small!

The family also seemed to realize the seriousness of the problem, and the patient’s mother and grandmother had begun to cry, regretting that they had not stopped the patient from becoming pregnant.

Only crying and sighing remained in the operating room, and at this moment, suddenly a voice sounded.

“Deputy Director, I have an operation plan, maybe I can try it.”

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

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