Start with the emergency physician

“The doctor … I want to see my children…”

No one can refuse such a request from a mother.

The doctor who walked to the door immediately stopped and looked back at Wei Lili with an inquiring look.

Wei Lili nodded slightly.

Soon, the child was carried next to Sun Lele.

Seeing the child with the trachea in his mouth shaking his arm from time to time, Sun Lele showed a satisfied smile.

It seemed to her that her mission had been accomplished…

She is an introvert, has not read any books, and because she was born with a disease, she has very little contact with people in her life.

It can be said that in addition to her parents, her husband is her world.

Sun Lele has no culture, but she is not stupid, heart failure level three, she knows that she only has five or six years left to live, and she knows that this pregnancy is undoubtedly accelerating her death.

Leaving a flesh and bone behind was her only wish.

At this moment, this wish was fulfilled, and Sun Lele’s mood suddenly relaxed.

“Pulmonary artery pressure is rising again! It’s almost over the body cycle! The anesthesiologist shouted hurriedly.

Sun Lele began to roll her eyes, her breathing was already a little unable to keep up, and began to cough.

“Pulmonary hypertension!” Zhou Yuan’s face changed.

On the other side, He Jing has also peeled off the placenta, taken out all the gauze that was previously used to stuff the uterus, and is ready to start suturing the uterus.

But…… Everyone stopped.

Sun Lele’s situation is extremely critical.

Pulmonary crisis and dyspnea during the operation, which means that every stitch is sutured, once Sun Lele’s body is accidentally stimulated, the pulmonary artery may soar and exceed the systemic circulation!

At that time, the lungs will begin to be ischemic and respiratory activity will stop!

Zhou Yuan rushed directly and took the needle pliers in He Jing’s hand.

Among those present, he is the most suitable for suturing, and he is also the most stable suture.

Zhou Yuan took a deep breath and began to stitch it up.

He was extra careful with every stitch he dropped, and looked up to see changes in pulmonary artery pressure and systemic pressure after each stitch.

He Jing was stunned on the side.

This stitching is also too delicate…

Accurately grasped the opportunity of caesarean section, carried the pacemaker placement surgery…

This doctor seems to be a bit open!

Wei Lili and the others were also staring from the side, and their hearts were greatly touched.

Lu Chenxi took the position of He Jing’s assistant – she had cooperated with Zhou Yuan in an operation, so she had a more tacit understanding and was well aware of Zhou Yuan’s surgical rhythm.

Suture the uterus, suture the abdominal cavity…

Step by step, Zhou Yuan did it step by step, but at the same time his hands were not flustered.

On the other side, Wei Lili also squatted next to Le, and quickly said: “This beautiful little guy will go to school in the future and start a family in the future, it must be very beautiful!” ”

The psychological counselor also talked to Lele about the child’s future at this time.

Only in this way will Sun Lele have the desire to survive.

At this time, the doctor could no longer help her, and what could pull herself back from the ghost gate was Sun Lele’s desire to survive.

Soon, the last layer of skin was also stitched up, leaving only a beautiful scar.

“Phew.”

Zhou Yuan breathed a sigh of relief, only to find that his body was already soaked in cold sweat.

The situation just now is equivalent to Sun Lele stepping into the ghost gate with half a foot, and how difficult it is to stitch such a person can be imagined.

“The pulmonary artery pressure has dropped and returned to the previous high pressure level…” The anesthesiologist sweated out, but finally breathed a sigh of relief.

“Next, perform pacemaker placement surgery.”

“Anesthesia again.” Zhou Yuan said.

After the fetus is removed, the pressure in Sun Lele’s heart will be much reduced, but she still cannot maintain her normal life activities, and a pacemaker must be placed.

“Necessary drugs 2% lidocaine, gentamicin, 5% glucose, normal saline, and then prepare atropine, respiratory stimulants, cardiotonics, vasopressors…” Zhou Yuan quickly said a series of drugs.

“Director Wei, establish an intravenous infusion channel in the lower limbs!”

Wei Lili was stunned, and asked while doing so, “Why?” ”

“The patient’s condition is critical, there may be accidents in the process, establish an intravenous infusion channel in advance so that it can be administered at any time during rescue!”

After Zhou Yuan finished speaking, he began to disinfect the pacemaker again.

Pacemaker placement surgery must be strictly sterile, and infection is one of the common complications of pacemaker placement.

Once infected, not only the treatment effect of the pacemaker will be affected, but in severe cases, it will also cause sepsis and other life-threatening patients.

Even if a mild infection occurs, it is difficult to heal because the pacemaker is buried in the body, which is life-threatening.

What’s more, Sun Lele’s heart itself is not optimistic, coupled with infection, it is equivalent to pronounced a death sentence.

“Let’s get started.”

Zhou Yuan completed the disinfection.

Wei Lili took the initiative to retreat to the position of the second assistant, and He Jing was in the third assistant.

Lu Chenxi helped because she had worked closely with Zhou Yuan, and Lu Chenxi herself was a thoracic surgeon, which was her specialty.

There are four steps to pacemaker placement.

First, choose the intravenous route.

Second, place the wires and test parameters.

Third, embed the pacemaker.

Fourth, postoperative treatment.

After starting the operation, Lu Chenxi quickly asked, “Which venous channel to choose?” ”

The cephalic vein, subclavian vein, and internal external jugular vein are the three options available.

Zhou Yuan picked up the scalpel and asked while opening the operation, “What do you think?” ”

“Head vein! Head vein surgery is safe to perform, there are few complications, and there is no need to worry about long-term lead breaks…”

Before he finished speaking, Lu Chenxi stopped in surprise.

The incision chosen by Zhou Yuan was not the cephalic vein, but the subclavian vein.

“Why…” He Jing asked this question instead of Lu Chenxi. She had similar thoughts to Lu Chenxi.

The path of the cephalic vein is almost without drawbacks, but the subclavian vein, on the one hand, requires skilled technology, the leads are easy to break, and on the other hand, there are complications.

Zhou Yuan smiled: “You guys think that the subclavian vein is difficult to do, so you don’t choose?” But you look at the patient first. ”

Lu Chenxi, He Jing, and Wei Lili all turned their heads to look at the instrument.

The heart rate is only about 40 left, and the pulmonary artery pressure rises again after it drops.

Zhou Yuan said, “Do you dare to move the head vein at this time?” ”

“What I fancy is the speed of the subclavian veins. If you are skilled, the subclavian vein passage can be easily and quickly inserted into the lead, as for the remote lead you are worried about, it will break during the insertion… That’s still a technical problem, don’t think about it. ”

He Jing and the others understood it.

What Zhou Yuan meant by this is that as long as it can be compensated for with technology, it is not a problem. _

Feilu reminds you: read three things – favorites, recommendations, and points