I Have Unlimited Magic Skills

Chapter 572: Medication for bleeding without understanding the cause? Personally in charge

  However, Professor Liu from the Whale Hospital is no longer able to lead the team to the competition due to physical reasons. Without Professor Liu's Dinghai Shenzhen, the young doctors at the Whale Hospital have not yet appeared who can resist the flag.

  Including Li Quan, none of them has reached that level.

  It’s just that Li Quan has the potential to become the next leader in the Obstetrics and Gynecology Department of Whale Hospital.

   "Thank you Zhou Dabao from the Beijing Women's and Children's Hospital for the diagnosis! The pregnant woman is thirty-two years old this year and she is very young. If she can keep her uterus, that would be the best."

  The host’s words actually hinted at the doctors and experts present.

  The treatment plan of Zhou Dabao's expert does not meet the patient's wishes.

  "I’m Long Chang, director of the obstetrics department of Magic Ocean Hospital. I have different treatment plans. I think we can find out the cause of bleeding first, and then apply electric forceps to stop the bleeding, ligation to stop the bleeding, and drugs to stop the bleeding."

  The level of obstetrics and gynecology in Yuanyang Hospital is really not weak.

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  It's just that they have been suppressed to death by Whale Hospital over the years, and everyone is crowded in the magic city.

  So the Obstetrics and Gynecology Department of Yuanyang Hospital has been very sad all these years.

  This time, Professor Liu from the Whale Hospital fell down, and the mountain that was pressing on the top of the Yuanyang Hospital was gone. The Yuanyang Hospital was struggling and wanted to take advantage of the situation.

  National Medical Skills Competition is a very good opportunity.

  As long as you show your face in the game and compare Whale Hospital, the first hospital of Obstetrics and Gynecology in Magic City will be changed to Ocean Hospital.

  "The cause of the bleeding is temporarily unknown. The conventional hemostasis methods mentioned by Professor Long Chang are estimated to be difficult to achieve. Because the operating room has already been used, the amount of bleeding in the parturient is still very scary."

  The host didn’t hide it, but pointed it out clearly.

  In fact, after answering so many questions, everyone understands that there is a real patient behind each question.

   "It is true that I have cured at least 50 people with massive postpartum hemorrhage through my hands. I have accumulated a wealth of practical experience. At present, the most important thing is to find out the cause of the bleeding and then treat it accordingly."

  Professor Longchang’s medical advice was choked by the host, and he was obviously dissatisfied.

   even moved out his own historical achievements.

   "Well, thank you Professor Long Chang of Yuanyang Hospital for your valuable advice. Does any doctor have a better treatment plan?"

  As long as the host has no IQ in arrears, he will definitely not argue with the contestants.

  Unless he doesn’t want to do it, it’s almost the same.

  No one rushed to answer for a while.

  Hemorrhage after childbirth, which is very dangerous.

  A little carelessness can lead to death.

  In the case of uncertainty, most doctors cherish feathers and refuse to express their opinions easily.

  Of course, this is also a manifestation of being responsible to the patient.

  The domestic laws are fairly good. For example, foreign medical laws are equivalent to putting at least triple shackles on doctors. Sometimes, doctors can only watch the patient die.

  It's not that the doctor doesn't want to save people, but that they dare not save.

  For example, the patient must be operated immediately to save his life, but the patient did not sign the operation consent form. Then the hospital can only watch the patient die.

  No one dares to risk operating on a patient.

  "Whale Hospital’s obstetrics and gynecology department is one of the best in the country. How come there is no one who is suffocating today? Could it be that Professor Liu Jinshu of Whale Hospital has fallen, and there is no one to fight?"

  The speaker is Professor Xu Tiangao from Yuanyang Hospital.

  He has a deep grievance with Whale Hospital.

  I want to step on Whale Hospital whenever I have a chance.

"Huh, Professor Xu is not here to be yin and yang. What is your brain department in Yuanyang Hospital? You don't have a B number in your heart? How about the obstetrics and gynecology department of Whale Hospital, you don't need to be a foreigner. ."

  Professor Deng was originally a good talker.

  At this moment, Xu Tian uttered wild words, slandered the Obstetrics and Gynecology Department of Whale Hospital, and laughed at the follow-up of the Obstetrics and Gynecology Department of Whale Hospital.

  This makes Professor Deng extremely angry.

   is also rare to get angry.

  But Professor Deng’s temper has always been this way.

  Usually, with a smile on his face, if he really angered him, then he would dare to turn his face on the spot and refuse to recognize people, and dare to raise the table.

   "You have a good temper, you have the ability, then you can answer! This is not three missing one, only our Ocean Hospital and Beijing Women's and Children's Hospital have rushed to answer? Hurry up."

  Xu Tiangao's concealed evil intentions.

   is deliberately resorting to radical methods to make Whale Hospital embarrassed and deduct points.

"I'm going to answer!"

  Professor Sun Limin is young, she has a trace of anger on her face.

  She is now the head of the Department of Obstetrics and Gynecology of Whale Hospital. Some people laughed at the Nobody in Whale Hospital. She suffered the most serious injuries. In itself, her self-esteem has always been strong.

"Postpartum hemorrhage is divided into many situations. If the bleeding is caused by residual placenta and fetal membranes, it must be surgically removed. If the bleeding is not stopped due to weakness of the uterine contraction, then use oxytocin and other drugs for treatment. If the parturient herself has blood coagulation disorders, she can also administer drugs to increase blood clotting ability."

  Professor Sun Limin's medical foundation is very solid.

  According to different causes of bleeding, different hemostatic programs are given.

  Of course, most of the people present were experts and professors, at least at the director level.

  All of them are experts.

  Sun Limin’s answer, in their view, is more like a golden answer.

   has no practical value.

  Because everyone knows and understands these methods.

"Okay! Thank you Professor Sun Limin of the Whale Hospital for participating in the rush. Just now, there was bad news from the operating room. This woman is still bleeding and needs to find a way to save it immediately. Please ask experts Zhou Dabao, Professor Long Chang, and Professor Sun Limin Immediately bring your assistant to the fourth operating room to participate in the rescue."

  There is a hint of anxiety in the host’s voice.

  The previous rush answer, each question will only allow two players to enter the operating room.

  This time, they let the three of them go in for rescue.

   is really rare.

   also indirectly indicates that the maternal situation is very critical.

   "Director Sun, let me be your assistant!" Li Quan knows Professor Sun Limin's skills.

  Fiddling with those high-tech instruments, or doing minimally invasive, endoscopic surgery, she may be good at it.

  But when it comes to the rescue of maternal hemorrhage, her skills can only be said to be very ordinary.

   "Thank you Dean!"

  Professor Sun Limin felt a trace of concern in Li Quan’s eyes, and she showed a smile on her face.

  Grateful from the heart.

  When Li Quan was just an intern, she was very helpful to Li Quan.

  Now that Li Quan is the dean, his medical skills are getting better and better. He has never forgotten her former kindness. Not only was she promoted to the director of the obstetrics and gynecology department, but also in the treatment of critically ill and difficult patients in the obstetrics and gynecology department, she did not hesitate to invite Professor Liu to come out, and the two masters and apprentices worked day and night for the obstetrics and gynecology department.

  At this moment, she took the initiative to be her assistant.

  This is definitely condescending.

  You know, hospitals are well-defined.

  The dean has the most noble status, equivalent to the emperor of a country.

  How can an emperor be an assistant to his courtier?

  ……

In   No. 4 operating room, all the clothes on the parturient woman should be removed, and she is covered with surgical cloth. Can see the face and shoulders.

  Her face was pale as paper, very scary.

  The whole person has fallen into a state of coma and shock.

  The amount of her uterine bleeding is amazing.

  Bleeding volume exceeds 200 ml in one minute.

In the plate next to   , you can see twenty or thirty blood transfusion bags stacked.

  The blood on the ground has been flowing everywhere.

  The patient's blood pressure has dropped to 60, his heartbeat has reached 150, and the life monitoring instrument issued a crazy alarm sound of "di di".

  "I think it is necessary to remove the uterus immediately. This is the only way." After checking the scene, Zhou Dabao's expert looked very serious.

  You can even feel the heaviness he carries.

  Don't say it is him, which medical staff in the operating room is not in a heavy mood?

  At present, the mother is in danger.

   may die at any time.

  "Inject oxytocin infusion immediately!" Professor Long Chang of Yuanyang Hospital also sank.

  "Oxytocin has been used, but the effect is not obvious." The nurse next to him replied in a low voice.

   "Well, sometimes oxytocin will be ineffective. It's better to use misoprostol." Professor Longchang is there, he is probably the most calm of all.

   "Already used."

  The nurse still lowered her eyebrows and her voice was gentle.

  The nurses who can be selected to the operating room are generally the elite of the nurses. First of all, you must have a solid medical background and excellent skills, and then you must have a good temperament.

  If you panic when you encounter a small matter, you must not be selected.

  "Did you find out the cause of the bleeding?" Professor Long Chang's face was a little bit uncontrollable.

  "Do you not even know the cause of the bleeding, so you just take medicine indiscriminately?" The nurse might not be able to stand him, so she choked back.

   "Uh...what is the cause of the mother's bleeding?" Professor Long Chang had a thick skin.

   Coupled with a mask to hide his shame, he can resist it.

  “There are two reasons for the bleeding of the parturients. The contractions are weak, there is damage in the uterus, and the arteries are injured.”

  The person who answered this was Li Quan.

  After entering the operating room, the first thing he did was to observe the mother’s skin color and appearance, and then diagnose the pulse of the mother.

  Through cutting the pulse, he has basically found out the cause of the bleeding.

   "You, you are also just entering the operating room, how do you know the cause of maternal bleeding?" Professor Longchang was full of distrust.

   "The cause of the bleeding described by this doctor is very accurate, and it is consistent with the results of our examination." A middle-aged female doctor behind the nurse said coldly.

   "Doctor Mei Zhen Nazi, I didn't expect you to be in the operating room." Expert Zhou Dabao recognized the middle-aged female doctor wearing a mask and surgical gown at this time.

  Listen to the name, not like a Chinese.

  But there are some top foreign experts who like to work in China.

  "Professor Zhou, lucky to meet!"

  The female doctor named Mei Zhen Nazi bent over and saluted Zhou Dabao.

  This etiquette immediately reminded Li Quan of an island country.

   "The mother is in shock, blood pressure is too low, and she is in danger!"

  The anesthesiologist shouted from the side.

   "You must find a way to stop the bleeding immediately, otherwise the mother will die." Mei Zhen Nazi's brows frowned tightly.

   "Ah...I choose to give up!"

  Professor Longchang found that the situation was not good and chose to leave directly.

  I would rather deduct a point than sacrifice a life.

  At the moment, this mother is afraid that it will be more difficult.

  He wanted to leave without anyone’s approval, so he took his assistant and left.

  Mei Jennako cast a contemptuous look at him.

  Perhaps she is thinking, how did such a person become a doctor?

   "Doctor Mei Zhen Nazi, it is important to save your life, and immediately remove the patient's uterus." Expert Zhou Dabao's medical ethics is much more noble, and he did not escape from the operating room.

  "Before the patient was in a coma, he used to cry and begged us to find a way to save her uterus. I promised her that she would not have her uterus removed as a last resort. Now it seems that the uterus cannot be saved."

  Mei Zhennazi's tone was helpless, and there was a trace of pity for being a woman.

  Losing the uterus is a very big blow to a woman.

  May be painful for the rest of life.

  "Please give us about eight minutes of the operation to try. If it fails, can I remove the uterus?" Li Quan hesitated, then said.

   can make a woman not even want her life, but also keep the uterus, there must be her difficulties.

  At this moment, Li Quan moved his compassion.

  He wanted to take some risks and try his best to help this woman stop the bleeding.

  Unfortunately, I failed to learn Sun Simiao’s special treatment of blood collapse.

   Otherwise, you should be able to have greater certainty.

  However, Sun Simiao's medical skills should not be too deified. After all, the medical skills of other ancient geniuses would not be much worse.

  Li Quan has learned Chen Ziming’s obstetrics for young women, and there are also some methods to deal with blood collapse.

  It’s just that there is no way that can be fully used.

   "Seven or eight minutes should be no problem, contact the blood bank immediately and ask them to find a way to transport another twenty generations of blood." Mei Zhennazi should not be in a low position, give orders, and the medical staff will listen to her.

  She didn't even look down on Li Quan because he was young.

  I trust Li Quan.

  "Do you really have a way to stop the bleeding?" Expert Zhou Dabao solemnly looked at Li Quan for the first time.

  "Professor Sun Limin and I are willing to try our best." Li Quan's expression was serious. Time is life. After speaking, he looked at Sun Limin. "Director Sun, let's start!"

  It is good for Li Quan to be Sun Limin's assistant.

  But now the situation is more critical than imagined, and the condition is more complicated.

  Professor Sun Limin's surgical ability is not as good as Li Quan.

  This time to stop bleeding for the parturient, Li Quan is the most insured.

  The abdominal cavity of the parturient is open.

  "To expand the wound, the instrument nurse prepares the suture tool, without stitching. At the same time, prepare a unipolar electric knife."

  Li Quan could see blood flowing out from the wound.

  This bleeding volume is bigger than expected.

After Sun Limin expanded the wound, he used gauze to **** out the blood in the uterine cavity.

  It's just that the patient's bleeding is very scary, and it will happen again soon after being sucked up.

   "There are fetal membranes, I will clean them first." Li Quan found the fetal membranes and immediately used tools to clean it up.

  When the patient was pulsed just now, he found one of the biggest pulse leakage points.

   means that when checking the pulse, there is a gap in the pulse.

  If you guess right, there is the biggest bleeding point.

   is just in the stenosis of the uterus, which is very hidden.

  Now Li Quan has a bottom in his heart. After sucking up the blood in the uterus, that bleeding spot soon appeared.

  He carefully sutured and repaired the bleeding.

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