The most enlightened doctor

Qing Ning accompanied Yu Zhiming and sat in the phantom car driven by Zhang Hai, which was driving rapidly.

Qing Ning had already learned from the phone call between Yu Zhiming and Qi Yue that Yin Wenzhu had been raising a baby in his hometown and was about half a month away from the due date, so he came to Binhai to prepare for the birth.

Unexpectedly, as soon as she returned to Binhai today, her amniotic fluid ruptured. She finally gave birth in the hospital, but suffered a suffocating amniotic fluid embolism.

Qing Ning knew that Yu Zhiming had a good relationship with Director Qi's niece, so she held his hand firmly and comforted him softly.

"With Director Qi in charge, he discovered it in time, and with so many medical experts watching over him, everything will be fine."

As a doctor, Yu Zhiming naturally knows the dangers of amniotic fluid embolism. It has clinical characteristics of sudden onset, dangerous condition, unpredictable condition, and high mortality rate.

As for its treatment, once it fails to achieve effective relief in the early stages of the disease and delays it in the middle and later stages, it is a kind of letting fate dictate everything.

In addition, there is currently no specific treatment for amniotic fluid embolism. Supportive and symptomatic treatment is mainly used to maintain vital signs and protect organ function.

Practice has proven that the more effective treatment methods are respiratory support, which provides oxygen through a mask or positive pressure oxygen through tracheal intubation to relieve the body's hypoxia.

The second is circulatory support. To put it simply, it means blood transfusion, massive blood transfusion.

In the treatment of amniotic fluid embolism, it is a routine operation to transfuse two to three times of the patient's total body blood or even more blood volume.

As a professional, Yu Zhiming was comforted by Qing Ning, knowing that her too heavy expression worried her.

He shook Qing Ning's hand and made his expression clearer, saying, "The teacher is here and the relevant experts must be here, so it is unlikely that something will happen."

"I am confused if I care a little."

Yu Zhiming took a few deep breaths and said, "This is why I avoid major treatments such as surgery for my family members, no matter how skilled I am in medicine."

"Caring too much, especially at critical moments, makes it difficult to make objective and correct decisions in a timely manner."

Qing Ning couldn't help but ask: "Then Director Qi also has to avoid it?"

this……

Yu Zhiming pondered for a moment and said: "The treatment of amniotic fluid embolism is not what the teacher is good at. He will not give random medical orders."

"But out of concern, the teacher will probably stay aside and pay attention to the treatment process."

Qing Ning said softly.

Yu Zhiming whispered again: "Qing Ning, don't be afraid. The probability of amniotic fluid embolism is very low, less than one person in ten thousand people, and the majority of them are elderly women and pregnant women who have given birth multiple times."

Qing Ning smiled and said, "Don't worry about me, I'm not scared. I'm looking forward to giving birth to your baby."

"I'm also convinced that if something bad happens, you won't let me or my child have any problems."

Yu Zhiming nodded vigorously and said, "That's for sure, I won't let you have any problems."

"But it's better not to say such unlucky words."

Yu Zhiming whispered to himself again: "When there is time in the future, it is necessary to promote the research on artificial wombs. Pregnancy and childbirth are a very difficult hurdle for women..."

Accompanied by Qing Ning, Yu Zhiming spent nearly 30 minutes driving quite comfortably.

Thanks to Zhang Hai's superb driving skills, the Phantom drove at high speed with the siren blaring, and even ran through red lights. It took less than half an hour to complete the original drive of more than 50 minutes.

It was also the first time that Yu Zhiming knew that the Phantom car was equipped with police lights and sirens.

Zhang Hai told him that the installation of police lights and sirens was to deal with the emergency situation at hand.

The phantom car parked directly in front of the gynecology building of Huashan Hospital.

Before Yu Zhiming got out of the car, Shen Yiyi, who was waiting in front of the building, quickly came over to greet him.

As soon as Yu Zhiming got off the car, Shen Yiyi's urgent voice came to his mind, "Doctor Yu, please come with me. In the emergency room on the third floor, Dr. Liu and Dr. Dong Ping are responsible for the treatment..."

He walked slowly through the stairs to the third floor, and the nurse waiting in the corridor handed him a disposable sterile first aid suit.

As Yu Zhiming walked quickly and put on sterile clothes, he immediately saw Teacher Qi's sister in the corridor, looking nervous and worried.

Mainly because she is more eye-catching and has white hair.

Yu Zhiming also had a relationship with her.

Beside her, there were Shi Xinyan, Qi Xiaopang and others with a big belly.

Yu Zhiming didn't have time to talk to them, so he just nodded to them and strode into the emergency room.

As soon as he entered the rescue room, the scene of the entire rescue room was constructed in Yu Zhiming's mind.

Yin Wenzhu was wearing an oxygen mask and lying motionless on the emergency bed, with three intravenous blood transfusion channels opened in his body.

Dr. Liu Yun and Dr. Dong Ping, who was about the same age as her, stood on both sides of the emergency bed.

Beside them, each accompanied an emergency nurse.

Teacher Qi Yue was standing in the corner of the emergency room with a serious face, just as Yu Zhiming had guessed.

Yu Zhiming took a few steps to the emergency bed, stood in the position vacated by Dr. Liu Yun, stretched out his hands and pressed on Yin Wenzhu's head, lungs and heart.

The typical symptom of amniotic fluid embolism is pulmonary embolism, which can lead to pulmonary hypertension, pulmonary edema, respiratory failure, etc.

During this process, the heart is also greatly affected and can easily lead to failure and arrest.

Therefore, in the treatment of amniotic fluid embolism, maintaining smooth breathing and blood circulation is the key.

Yu Zhiming discovered the problem after this inspection.

Although Yin Wenzhu's lungs were obviously damaged, with the help of oxygen, Yu Zhiming found that he could barely meet his breathing needs.

But the problem is...

"The blood pressure is low and the heart's pumping capacity is insufficient..."

Low blood pressure, coupled with low blood oxygen, can lead to permanent brain damage or brain death, as well as chain damage to organ function.

Just as Yu Zhiming finished speaking, Dong Ping's voice rang in his ears, "I have had two cardiac arrests, and finally recovered my heartbeat. The heart rate is now nearly 110, which is tachycardia. We are still thinking about lowering the heart rate. , to prevent further heart damage.”

this……

The pumping ability of the heart is not only related to the heart rate, but also depends on the amount of blood pumped with each heartbeat.

During Yu Zhiming's investigation, Yin Xinzhu's heart rate, which was now over 100, was beating weakly.

Insufficient pumping ability is the main cause of hypotension.

But given Yin Wenzhu's heart condition, it was difficult to use the power of drugs to stimulate it.

Then you can only use external force...

Yu Zhiming did it as soon as he thought of it. The next moment, he began to apply external chest pressure to Yin Wenzhu.

Performing chest compressions on a person with a heartbeat is not something that can be done casually.

If the patient has weak heart sounds and insufficient blood pumping ability due to myocardial ischemia, myocarditis and other diseases, he or she can use chest compressions as directed by the doctor to restore the heart's blood circulation to normal, thereby alleviating the patient's symptoms of weak heart sounds.

However, in most cases, performing chest compressions while the heart is beating may aggravate the patient's condition and even endanger the patient's life.

Yu Zhiming performed chest compressions on Yin Wenzhu very carefully, and they were completely synchronized with her heartbeat.

The ventricles contracted, so Yu Zhiming pressed hard to let the ventricles pump more blood to supply the whole body.

The ventricles relax, and Yu Zhiming withdraws force simultaneously.

In this way, Yu Zhiming can reduce the burden and damage on the heart as much as possible while improving the body's blood circulation and supply.

Nowadays, only Yu Zhiming can control the precise and synchronized chest compressions at all times.

Not only that, after every two or three minutes of chest compression, Yu Zhiming paused and did a quick check on Yin Wenzhu's lungs, kidneys and other internal organs, and found subtle changes, which provided the basis for Liu Yun and Dong Ping's targeted medication...