medical treatment

Chapter 665

First park on the side of the road, and let Xiaoxue and Zeng Yan take the business minibus that followed, and then, Yu Zhiming drove Lime in a bed car, speeding up a little.

The two rushed to Huashan Hospital at nearly 09:30 in the evening.

Parked the car in front of the Gynecology Building, when Yu Zhiming got out of the car, he saw Ding Ye running towards him.

"Doctor Yu, there are regular contractions."

Yu Zhiming didn't talk nonsense, and trotted into the gynecology building directly following Ding Ye.

Qing Ning followed slowly.

After a while, a security guard ran over.

He saw through the car window that there was no one in the driver's seat, and shouted loudly.

"Whose car is this?"

"Drive the car away, don't you know that parking is not allowed here?"

This area is where pregnant women and patients drop off.

Only stop-and-go is allowed. If you park for more than 10 minutes, management personnel will come to drive you away.

The security guard yelled a few times before a nurse rushed out from the gynecology building.

"Stop shouting! Stop shouting!"

The little nurse stopped the security guard and criticized: "Did you just go to work? Don't you know whose car this is?"

"This is the car of Dr. Yu Zhiming from our hospital."

The little nurse spoke quickly, "His car has privileges, and he can stop anywhere in the hospital."

"Because wherever Dr. Yu appears, there must be medical incidents that urgently need him to deal with."

"If you don't believe me, you can ask your leader."

The more serious security personnel actually confirmed it to the superior through the walkie-talkie.

After confirming the authenticity, the young security guard stayed in this area to guide the passing vehicles.

In fact, Yu Zhiming consciously parked the car in a corner, and the impact on other vehicles was very small...

At this moment, Yu Zhiming had already followed Ding Ye to a waiting room on the third floor, and pushed the pregnant belly of a pregnant woman with a round face and a double voice from time to time.

This fetal position massage adjustment, but Yu Zhiming was able to gain a foothold in the county hospital and gained a reputation for his special skills.

Therefore, this kind of thing that several experienced senior gynecologists in Huashan Hospital can't handle, Yu Zhiming only took more than 20 minutes to change the fetus in the girl's abdomen from a horizontal position with a high dystocia rate to a head-down position. Natural birth position.

It's just that when Yu Zhiming finished his massage and retracted his hands, he heard the sound of rushing water splashing on the ground.

This is the amniotic fluid broke.

Two nurses hurriedly helped the pregnant girl onto the gurney and pushed her to the delivery room.

Accompanied by Ding Ye, Yu Zhiming left the waiting room.

"Doctor Yu, I don't even know how to thank you, plus a sumptuous meal?"

Yu Zhiming walked towards Qing Ning who was waiting in the corridor, and said with a soft smile, "Doctor Ding, you're welcome, it's all for the patients."

Speaking of this, Yu Zhiming suddenly stopped and turned to look at a waiting room not far away.

"Someone coughed twice."

"Cough twice?"

Ding Ye's expression immediately became tense, "Doctor Yu, which waiting room is it?"

"Shall we go over and have a look together?"

There are a total of twelve waiting rooms here.

Each waiting room accommodates one to three pregnant women in labor who have experienced contractions and dilated cervix.

The reason why Ding Ye is sensitive and nervous to the sound of coughing is because it may represent the most frightening nightmare of a pregnant woman.

Amniotic fluid embolism.

This is the disease most likely to cause death in pregnant women during childbirth. According to statistics, the mortality rate caused by it can be as high as 80% if it is not detected and treated in time.

One of the immediate manifestations of the disease is coughing.

The cause of this disease, in simple terms, is that muscle movements such as contraction during childbirth will produce a certain pressure change, and amniotic fluid may enter the blood circulation of the parturient through the blood vessels due to this change.

It may also be caused by cervical laceration, placenta previa, placental abruption, etc. during childbirth.

In addition, during cesarean section, there is also a chance of sinus opening, causing amniotic fluid embolism.

This amniotic fluid embolism does not mean that the amniotic fluid literally blocks the blood vessels and causes embolism.

It is because the amniotic fluid contains fetal products, such as meconium, sebum and other substances, as well as coagulation-promoting substances and so on.

These substances will enter the blood circulation of the mother, causing systemic allergic reactions, and a series of pathophysiological changes such as pulmonary hypertension, disseminated intravascular coagulation, inflammatory injury, shock, and renal failure.

In terms of the clinical features of this condition, it is more appropriate to call amniotic fluid embolism a pregnancy allergy-like syndrome.

Amniotic fluid embolism mostly occurs between 2 hours before delivery and 30 minutes after delivery.

The disease is clinically characterized by rapid onset, dangerous condition, unpredictable and high fatality rate.

Sometimes the onset is so strong and violent that some mothers may die before the examination is completed.

Therefore, it is the most normal behavior of a gynecologist that Ding Ye feels like he is facing an enemy for a while.

Yu Zhiming didn't waste any time, and when Ding Ye asked, he had strode into the third waiting room on the left.

There are three beds in this waiting room, each with a pregnant woman lying on it, and there are family members taking care of them.

"Who coughed twice just now?" Yu Zhi asked clearly.

As soon as his words fell, the pregnant woman sitting on the innermost hospital bed raised her hand timidly.

"The doctor is me. The food at home is a bit salty, I couldn't hold back just now..."

Before the pregnant woman could finish explaining, she saw the leader coming in, a dazzlingly tall young man with good looks, put his hand on her chest.

The pregnant woman was a little stunned, and then saw the young man withdraw his hand, and then heard the man speak again.

"There is no problem with the heart, and there is no abnormality in the lungs."

The classic triad of amniotic fluid embolism is characterized by sudden onset of hypoxemia, hypotension, and coagulopathy.

The internal manifestations of viscera are abnormal cardiopulmonary function, disseminated intravascular coagulation and so on.

When Ding Ye heard Yu Zhiming's investigation results, he couldn't help but breathe a sigh of relief.

It was a false alarm.

Ding Ye smiled lightly and explained to the pregnant woman: "Don't worry, this is Dr. Yu Zhiming from our hospital. Hearing your cough just now, he gave you a temporary checkup."

"This season, pneumonia and influenza are frequent."

After a pause, Ding Ye comforted again: "The examination just now showed that your cardiopulmonary function is normal."

"Just wait for the delivery with peace of mind." After speaking, Yu Zhiming and Ding Ye were about to leave the delivery room.

At this moment, on the hospital bed near the door, a pregnant woman who looked to be in her 30s suddenly coughed.

"Doctor Yu, my throat is a little itchy and I want to cough all the time, can you please check me too?"

this……

Yu Zhiming resisted the urge to roll his eyelids.

He knew that he had been recognized, and the pregnant woman wanted a free checkup.

It's a do-it-yourself thing.

Besides, meeting is also considered fate.

Thinking of this, Yu Zhiming replied "Okay" with a smile on his face, and put his hand on the pregnant woman's chest.

Although he did it casually, his professionalism did not allow Yu Zhiming to just put on a show and muddle through.

He calmed down and felt the message from his hand.

Breathing, slightly dull, is normal.

It's just that the sound of the heartbeat gave Yu Zhiming a feeling of being an old bull pulling a broken cart and struggling to hold on.

Considering that this is an older pregnant woman who is about to give birth and her body is overburdened, it is reasonable for her heart and lungs to behave like this.

However, Yu Zhiming felt a faint uneasiness in his heart.

He immediately calmed down, and moved his probing hand directly to the pregnant woman's heart...

The sound of blood flow pumped by the heart echoed in Yu Zhiming's mind very clearly.

He recognized it keenly.

The sound of blood flowing was not pure enough, it seemed to be mixed with a lot of chaotic noises.

Yu Zhiming went further to identify...

The churning blood flow became clearer and almost transparent, Yu Zhiming seemed to "see" one flocculent particle after another, dancing and flying in the blood.

flocculent particles? !
Yu Zhiming immediately shuddered, and blurted out, "Ding Ye, DIC, emergency room."

Ding Ye naturally understands what DIC is, disseminated intravascular coagulation, the most feared symptom of amniotic fluid embolism.

Ya Ting, this is really what you are afraid of, just come here.

"Nurse, inform Dr. Xu, amniotic fluid embolism DIC."

Ding Ye glanced at the bracelet information on the pregnant woman's wrist again, and shouted again: "Prepare twenty units of type A blood."

While shouting, she and Yu Zhiming pushed the pregnant woman out of the waiting room together with the gurney under her body.

During this process, two nurses and two doctors rushed over from nowhere.

Seeing this, Yu Zhiming gave up his seat next to the gurney.

Then, he watched as the terrified pregnant woman was hurriedly pushed into the operating area by a group of medical staff.

The rescue of amniotic fluid embolism is not his specialty, so he won't join them in interfering with their work.

The next moment, Yu Zhiming felt that his hand was being held by a soft little hand.

"Zhiming, is the situation serious?"

"Amniotic fluid embolism is very dangerous. However, it was discovered quite early, and the doctor team also has similar experience. The problem of successful rescue should not be serious."

Yu Zhiming introduced a sentence, took Qing Ning's little hand, and walked slowly towards the stairs.

"Let's go, I have nothing to do here, let's go home."

Taking advantage of the time when he went downstairs, Yu Zhiming briefly explained the process of discovering the amniotic fluid embolism of the pregnant woman.

Afterwards, he sighed with emotion: "It is said that doctors who have been doing this for a long time will believe in their fate, and believe in the fate that is in the dark."

"I found that you really have to believe in fate, but you can't believe it."

Yu Zhiming sighed and said, "Qing Ning, look, I was lured here by Ding Ye, an evil guy, to adjust the fetal position of a pregnant girl."

"And then, just as I was leaving, I heard a cough."

"The pregnant woman who coughed was fine, but the pregnant woman who stopped me had a big problem."

"During this period, if something goes wrong in any link, the pregnant woman will be in danger. Disseminated intravascular coagulation is discovered in the middle and late stages, and there is basically no solution."

Qing Ning gently shook Yu Zhiming's hand, and said: "This shows that the pregnant woman deserves to die, God doesn't want her to die."

She giggled again and said, "Zhiming, we are together now, it should be God's arrangement."

"God arranged the most, you are not allowed to bully me."

Yu Zhiming grinned and said, "Look at what you said, it seems that I dare to bully you."

While talking, the two boarded the bed cart parked in front of the Gynecology Building.

Just as Yu Zhiming started the car, a security guard came to the window.

"Doctor Yu, Doctor Yu..."

Yu Zhiming lowered the car window and looked at the young security guard who was only in his early 20s.

"Is something wrong?"

The young security guard said with an embarrassed face: "Doctor Yu, I know you are very good at seeing a doctor. My mother has not been in good health. Could you please take a look?"

"I can afford the [-] fees."

Yu Zhiming wanted to refuse at first, but suddenly thought of the so-called fate and traction in the dark, so he changed his mouth.

"On Monday, come to the NO.15 outpatient room to find me..."

　Ask for monthly tickets, recommendation tickets and other support! ! !
　　
　
(End of this chapter)