The Surgeon’s Studio

Chapter 123: 0121 Postpartum hemorrhage

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Yang Lei ran straight to the ward. Zheng Ren saw the son of a middle-aged female patient who had an appendectomy yesterday walking out angrily, as if the whole world was sorry for him.

It probably won't be a big deal. On the other side, the nurse shouted: "Mr. Zheng, emergency obstetric consultation!"

"Yang Lei, are you okay?" Zheng Ren asked.

"It's okay, I'll take care of it, you go and do your work." Yang Lei had already walked to the door of the ward, took a look at the situation, and understood, then asked Zheng Ren to go to the emergency consultation.

In obstetrics and gynecology, you know the taste from the marrow. In the past, when they didn't know about it or had little contact with it, they had no choice but to deal with some problems.

Once I came into contact with interventional therapy and found that this treatment method was simple and easy to perform and could achieve results that surgery could not achieve, I started to have one consultation after another.

I quickly came to the obstetrics department. The resident manager on duty was almost crying, "Mr. Zheng, please take a look."

"Don't panic, what's wrong?" Zheng Ren asked.

"Twenty minutes ago, a patient with massive bleeding after caesarean section was sent from Laohugang. I wrote an admission note, and when I went for a physical examination, all the family members disappeared." The obstetrics resident said with a look of fear.

This is common in emergency departments, but rarely seen in obstetrics departments.

In the past, before second children were allowed, which family would not treat a child as a treasure? Throwing an endangered mother into the hospital and leaving is simply not a common idea among obstetric residents.

But after so many years as a doctor, she can more or less judge that she has walked on a tightrope without knowing it, and if she doesn't handle it properly, she will be shattered to pieces.

Zheng Ren asked: "Where is the patient?"

The chief resident of the obstetrics department immediately took Zheng Ren to the treatment room.

As soon as they approached the disposal room, the smell of blood hit their face.

Zheng Ren's heart skipped a beat. The smell of blood was so strong. How would the patient feel

He involuntarily quickened his pace and entered the disposal room. A flat car appeared in front of Zheng Ren. The flat car was covered with blood, and a pale body was lying on the flat car.

"The patient was sent to the obstetrics ward of our hospital 20 minutes ago and was diagnosed with postpartum hemorrhage. At that time, the blood pressure was 50/30mmhg and the heart rate was 132 beats/min. During the physical examination, the patient's lower body was taken out and filled with hemostatic gauze, and it was found that the birth canal..." The obstetrics resident has been She was so frightened that she reported the medical history mechanically, as if Zheng Ren was her superior doctor.

Zheng Ren estimated that there must be countless negative cases echoing in her mind at this time.

"What's your judgment?" Zheng Ren asked.

"It's the second child. It's considered that the uterine artery was not ligated, which caused massive postpartum bleeding." The obstetrics resident general replied simply and neatly.

She is confused. She has no family members. What should she do if she signs? Not every clinician knows this kind of thing.

In the emergency department or surgery, there are more cases where you encounter anonymous people, so it is better to talk about it. Switching to the obstetrics department... This is probably the first anonymous person she has met.

"Prepare for the operation." Zheng Ren knew that there was no time to lose, so he made a decision immediately, "There are a few things that you need to do as soon as possible. First, send the blood sample to the blood transfusion department, and then urge them to speed up the blood matching. 10u red blood cells and 1000ml of plasma are needed. There must also be the same number of red blood cells and plasma as backup.”

The resident in the obstetrics department nodded repeatedly.

Already in a dazed state, all she could do was obey.

"Second, call the medical office and tell them that they have received an anonymous patient. Sign the pre-operative signature. I will go on stage and you do it. The medical office must be present. Remember?!"

"Remember." The obstetrics resident continued to nod.

"Third, ask the obstetrician's superior doctor to give on-site instructions." Zheng Ren finally gave instructions.

As long as someone is in charge, everything will start running smoothly. Push the patient to the emergency operating room and call the operating room on the way to prepare relevant equipment.

Because it is a new project that has just been launched, the night shift nurse tonight is not familiar with it and can only do some basic work.

Zheng Ren didn't complain too much. Experience was accumulated bit by bit, and it was useless to complain now.

After pushing the flat cart to the emergency interventional catheterization room, the junior doctors and operating room nurses who came from the obstetrics department began to transport the patients.

It was almost like carrying people in a pool of blood, the scene was bloody.

Zheng Ren didn't have time to look, so he opened the storage room and quickly found the consumables he needed. After handing them over to the nurse, he began to put on lead clothes, brush his hands, and lay out the sheets.

It’s easier to work when there are so many people, Zheng Ren sighed.

It might be better if Su Yun was here at this time.

It is easy to go from frugality to luxury, but it is difficult to go from luxury to frugality. After Zheng Ren experienced the benefits of being a hands-off shopkeeper, he began to feel uncomfortable with being busy by himself.

Everything was ready, and the sound of ding-dong~~~ reached Zheng Ren's ears.

The big pig hooves of the system appeared at the right time and issued the task.

Urgent task: distortion of human nature or moral decay.

Mission content: Rescue a patient suffering from postpartum hemorrhage.

Mission reward: Passive ability, luck +2.

Task time: 2 hours.

Zheng Ren expressed surprise while preparing for the operation.

This big pig's trotter of the system gave out personal passive attributes for the first time, and this time it was actually luck points.

Although he has never played online games, Zheng Ren has read many novels about online games. In novels, luck is nothing but magical skills.

But... why does the system reward myself with lucky points? strangeness.

After laying out the sterile drape, Zheng Ren picked up the arterial sheath and puncture needle and started the operation.

At the same time, the Xinglinyuan live broadcast room, which had been silent for two questions, also started live broadcasting.

Wow, the great god hasn’t appeared for a long time.

It’s rescue again. Are there so many emergency surgeries in Canada? Who says the evil of capitalism is dark? You see, people don’t have surgery sooner or later.

I felt something was strange. I had just returned from studying abroad, and the situation there seemed to be different. The specific situation cannot be explained in a sentence or two.

At the beginning of the operation, everyone said a few words in accordance with the custom of asking for updates before watching the operation.

Zheng Ren's surgical skills are master-level, and he obviously feels that his techniques are more proficient. He considered that when he performed surgery on Zheng Yunxia, he super-selected six or seven major arteries in a short period of time, and his skills were sublimated under pressure. for the sake of.

Within a few words, Zheng Ren had already sent the guide wire to the location, turned on the imaging system, and started feeding the microcatheter.

Postpartum hemorrhage, I now have a headache when I see this diagnosis.

The next door is the wall, go and hit it, it will make you healthier.

It’s nothing difficult. If you feel it’s difficult to deal with it, it means your hospital doesn’t have an interventional department and can only remove the uterus. Once destructive surgery is performed, communication with family members requires extremely high skills. Thank you to my colleagues in the interventional department. Salute.

Ninety percent of hospitals don’t have interventional departments, okay? If you show off like this, aren't you afraid that the European Emperor will become a non-chief

The barrage flew past four or five, and the microcatheter on Zheng Ren's side was sent to the position and imaging began.

The patient's uterine artery was malformed, with one branch running transversely through the uterus, which caused massive postoperative bleeding.

It is probably because the doctors at the township hospital in Laohugang did not notice this mutated small blood vessel.