After raising a cat, the goddess doctor became popular in the interstellar

Chapter 520 The Scale of Life and Death
On the operating table, Leng Qi was ready for the laparotomy. When she saw Dr. Xin coming, she immediately gave up the position of the chief surgeon, and quickly introduced the situation:

"At 28 weeks of pregnancy, the fetus has died in the womb. Two deep vein accesses have been established for rapid rehydration and volume expansion, but the blood pressure still has not risen, only 76/58."

Xin Yue's face became more serious.After rehydration and volume expansion, the blood pressure still couldn't go up. Naturally, there was only one reason: the bleeding in the pregnant woman was still going on.

Fetal death, hemorrhagic shock in pregnant women.This is third-degree placental abruption, and the dead baby must be taken out by cesarean section immediately.

But before that, even though she knew that there was little hope, she still wanted to ask one more question: "Where is the blood bank?"

How could Leng Qi not understand what she was going to ask.

She had arranged for someone to inquire about this matter early in the morning: "There is no type B blood."

This is too much trouble.Open the abdomen, no matter how light the incision is, there will still be bleeding.Coupled with abnormal blood coagulation function, isn't this even worse?
But wait a minute.Now it's different from before, and she has other ways.

Xin Yue remembered the big bag of needles that she had brought in without letting go.

"Quick, go to the locker room, get the pack of needles I put there, and disinfect it, hurry up!"

"By the way, get the coagulation factor right away—I saw it was in stock this morning—and oxytocin, and prepare gauze soaked in hot saline."

The itinerant nurse acted very quickly, Xin Yue immediately took four needles, and carefully inserted them into several acupoints on the mother's chest and lower abdomen, seeing Leng Qi's head full of question marks.

"Is this what you went to learn just now?" Leng Qi finally remembered that there was such a training class held in the courtyard tonight, and her subordinate Tao Le was the keynote speaker.

"Yes." Xin Yue replied simply and clearly.In fact, she was sweating a lot in her palms, and she was also extremely nervous.

What I studied today was just an introductory course. Most of the time I was familiar with the meridians and acupoints. I just learned a little about acupuncture and moxibustion to stop bleeding. I have never encountered intrauterine bleeding such as placental abruption.

She dared to give the needle like this only because Teacher Tao in the space had explained in terms of the principle that it involved bleeding in the lower abdomen, which meridians should be sealed, and pointed out a few commonly used acupoints at the same time.

The scalpel was very sharp and cut through the epidermis lightly - the incision was clean without a single drop of blood oozing out.

This not only greatly boosted Xin Yue's confidence, but also amazed Leng Qi, anesthetist and nurses in the operating room.

Next, she opened the womb in layers and took out the dead baby.

At this moment, Leng Qi glanced at the monitor next to the operating table, and a look of joy suddenly appeared on her face:
"Doctor Xin, you are quite good at controlling pulse and stopping bleeding with acupuncture and moxibustion! The patient's blood pressure has risen!"

Xin Yue turned her head to look, it really was!
The blood pressure, which had never risen after two-way rehydration before, has now risen to 90/65, and it is still rising slowly!
"It actually stopped the bleeding!" Xin Yue looked at the few needles, feeling extremely joyful in her heart.

Blood pressure is back!From this moment on, the scale of life and death began to tilt towards them!This is really rare good news!
The most important thing is that she knows very well in her heart that it is only a superficial learning that can be of such great use in actual combat, creating possibilities out of the impossible.

What would it be like if you had learned the entire set of courses, understood them well and became proficient?
To solve the bleeding problem, for obstetricians and gynecologists, it's like getting a cheating device, it's really very useful!
After some difficulty, Xin Yue recovered from the excitement and turned her attention to the pregnant woman.

The dead baby was taken out, and the rest of the womb was filled with a mixture of amniotic fluid and blood.

She sighed, and looked helplessly at the blood recycling machine that the nurse pushed over: "This kind of blood can't be recycled anymore."

Both she and Leng Qi used this kind of equipment frequently in Beijing before, but it was the first time she saw it in Tibet Province.

The one in front of her was slightly different from the ones she had used before, but it was still that kind of thing in her bones, and there was nothing she could do about this kind of polluted blood.

Unexpectedly, Leng Qi did not agree with her words.

"This blood recovery machine is different from the ones we used before. Even if the blood is seriously polluted, after recovery and cleaning, it can be restored into autologous blood and directly transfused back."

"How is this possible?" Xin Yue was extremely surprised.If there is such a good thing, then the threshold for blood recovery is equivalent to a huge drop, which is simply the gospel for trauma patients.

"I didn't believe it before. But the fact is that this device from Mio Technology is simply amazing."

Leng Qi said while operating the negative pressure suction device to suck the liquid in the uterus into the blood storage tank, and then go through a specific centrifugal cleaning procedure to separate the waste liquid and return the clean blood to the patient.

On the monitor, the patient's blood pressure was constantly increasing, and soon it rose to 100/75, and the heartbeat became more and more stable.

At this time, everyone in the operating room dared to let out a long breath.

The mother's life, until now, is basically guaranteed.

But things aren't quite over yet.

After the amniotic fluid and blood were sucked away, the uterus and placenta already covered with blue-purple ecchymosis were exposed.

This is because the post-placental hematoma increases and the pressure increases, blood soaks into the uterine muscle, causing muscle fiber separation, rupture and degeneration. When the blood penetrates into the uterine serosa layer, it is commonly known as uterine placental apoplexy.

Xin Yue has rich experience in this situation.

Anticoagulant factors and oxytocin were injected for the parturient, the placenta that had already peeled off was taken out, the wound on the peeled surface was sutured, and gauze soaked in hot salt water was taken out, and the uterine contraction was assisted by massage.

After some hard work, the uterus gradually began to contract on its own.

This means that the last resort-hysterectomy will not be used.

Everything is changing for the better.

"Okay." Xin Yue let go of the massaging hand, and said happily: "The blood pressure is under control. The operation was successful, and now only sutures are left."

"That's right." Leng Qi also had a smile on her face: "I didn't expect that acupuncture to stop bleeding would be so effective——I'll take the initiative to sign up for the next issue!"

The instrument nurse handed over the needle holder.Xin Yue was about to reach out to pick it up, when suddenly her heart shook violently, her eyes went dark, and she fell limply to the ground.

"Doctor Xin!" An exclamation sounded in the operating room.

Gan Yi stood outside the operating room, accompanied by Duoji, who acted as an interpreter, to comfort the patient's family.

This is a dark and red Kham man with braids all over his head and a red hero knot underneath. He looks quite mighty, but he was crying profusely there.

(End of this chapter)