Start with the emergency physician

Zhou Yuan did not answer, but asked rhetorically, “Is the baby medicine ready?” ”

Caesarean section is no better than natural delivery, and there are many adverse effects. Because the newborn fetus is not squeezed through the birth canal and one-third of the fetal lung fluid is not drained from the baby’s lungs, some newborns cannot breathe on their own after birth.

Moreover, Sun Lele’s situation is extremely special, the fetal development level in her body is only less than seven months, and her weight at this time is only about one kilogram, while the normal newborn weight is between 2,500 grams and four kilograms…

This means that a range of premature complications can occur, such as intracranial hemorrhage, retinopathy, and even babies with infully developed limbs.

Therefore, it is necessary to have baby medicine ready at the time of caesarean section to prepare for various situations at any time

“The active substance in the lungs is ready, and other medicines are in place.” He Jing replied.

“Are you intending to… Have a caesarean section first? Wei Lili guessed.

Zhou Yuan nodded: “The burden on the heart is too great. Performing pacemaker placement surgery again increases the burden on the patient, and the fetus must be removed first. ”

Wei Lili nodded.

“It has to be fast!”

Wei Lili nodded: “The principle of shortness and fastness, I know.” ”

The time is short, the process must be smooth, do not let the mother’s physical indicators fluctuate, and the speed is fast. This is the most important principle of this operation.

Everyone waited quietly for their moment.

To be precise, wait for Zhou Yuan to give the next order.

Zhou Yuan was silent, staring at the values on the instrument with a serious face, and finally, when the pulmonary artery pressure dropped again, he said in a deep voice: “Start the cesarean section!” ”

Wei Lili immediately picked up the scalpel, and everyone in the first obstetrics department immediately moved.

Wei Lili is an old obstetrician and gynecologist for decades and is very experienced in performing caesarean sections. Although He Jing came from the county hospital, because there were few doctors there, she had many opportunities to go to the operating table, so she was very experienced.

After disinfection, Wei Lili dropped the scalpel about three centimeters above the pubic bone.

Then, the abdomen was cut layer by layer, and an opening was made about ten centimeters.

Wei Lili chose a transverse incision to make the scar less conspicuous.

After opening a ten-centimeter opening, He Jing stepped forward and opened the abdominal wall to both sides, while Wei Lili cut the uterine wall that wrapped the fetus.

The choice is still a transverse incision, and the transverse uterus has better resistance to pressure after healing than the longitudinally incised uterus, and will not easily rupture the uterus due to the next pregnancy.

Of course, for Sun Lele, there is basically no second pregnancy.

“Tissue scissors.”

After revealing the fetus, Wei Lili cut the amniotic membrane wrapped around the fetus again.

Then she put her hand in to confirm the position of the fetal head.

This time the cesarean section went well, and Wei Ci found the head of the fetus, carefully grabbed it, and began to slowly drag it outside.

After the fetus’s head was exposed, Wei Lili, He Jing and others immediately opened the fetal mouth and foreign bodies in the airway to unblock the respiratory tract.

However, the fetus, which had just come out of the womb, made no sound except for a cry at the beginning, but kept moving.

Wei Lili and the others’ faces changed drastically.

“Quick! Remove the fetus! Zhou Yuan couldn’t help but urge.

Wei Lili nodded heavily, pulled the fetus’s shoulders out, and then, when the fetus’s entire body left the mother’s body, He Jing cut the umbilical cord.

“I’ll go for percussion resuscitation, you continue to deal with the placenta!” Wei Lili said quickly.

He Jing nodded: “Understood!” ”

Speaking of which, this is the first time that He Jingjing has operated in the operating room of Yanjing International Hospital, and the first one is such a difficult operation.

However, He Jing was not frightened, and she quickly entered the state.

Zhou Yuan walked to Wei Lili’s side and paid attention to the condition of the newborn fetus.

The newborn fetus is in terrible condition, only a little larger than a slap and weighs nine hundred grams.

“The lungs are not fully developed!”

The baby’s hands and feet were shaking on the thermos, his palms were only the size of an adult’s thumb, and his body was full of mucus, which was extremely quiet.

This is undoubtedly fatal – the newborn does not cry, indicating that the lungs do not carry out gas exchange!

Wei Lili immediately patted the sole of the baby’s foot, and Zhou Yuan stepped forward to help rub the baby’s back.

The two intend to stimulate the newborn’s breathing with a sense of touch.

However, the cry of anticipation did not sound.

“Use endotracheal intubation!”

Wei Lili immediately looked at Zhou Yuan: “You perform endotracheal intubation, I will press on the chest!” ”

Zhou Yuan quickly inserted the trachea carefully into the newborn’s body and began to slowly squeeze the gas into the newborn’s respiratory tract in an attempt to wake up the lungs.

On the other side, Wei Lili also began to perform chest compressions.

Because it was a premature baby and was very small, mouth-to-mouth breathing and ordinary chest compressions were not feasible, Wei Lili bent her index finger and regularly performed percussion resuscitation on the newborn’s chest.

“Do you want to get intracardiac epinephrine?” A doctor came over and asked anxiously.

“Nope! Newborns still have a heartbeat! ”

Wei Lili’s expression was eager, but the speed in her hand was gentle and gentle.

Under the rescue of Zhou Yuan and Wei Lili, soon after, a loud cry spread throughout the operating table.

Zhou Yuan slowly pulled out his trachea and smiled at Wei Lili, both of them breathed a sigh of relief.

“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, and once it stops, he will suffocate.” Wei Lili explained.

The paramedics brought another blanket and carefully wrapped the palm-sized baby in it – the newborn must be kept warm and reduced in distribution.

Wei Lili holds a ventilator and regularly helps the baby breathe according to the person’s breathing rate.

The premature baby could not use an autonomous ventilator, but had to use a simple ventilator to deliver oxygen through artificial control, which meant that someone must press the simple ventilator at all times.

“Send the baby to the neonatal intensive care unit for constant monitoring!”

Wei Lili’s voice was very small, “Several organs of babies are immature, especially the lungs…”

After that, the newborn’s condition may improve, and the organs will gradually mature, but it may also worsen the difficulty of breathing again, or even die.

Zhou Yuan nodded silently, he noticed that Sun Lele’s pulmonary artery pressure had risen again, and soon approached systemic pressure!

As if feeling his physical state, Sun Lele, who had been in a semi-numb 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 child…”

Sun Lele’s faint voice sounded. _

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