Start with an emergency physician

Chapter 173



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""Zhou Yuan, the patient has regained consciousness!"

He Jianyi's voice rang out with a hint of joy.

Zhou Yuan stared at the patient on the bed and froze for a second.

Removing the uterus now can ensure that the patient is not in danger of life.

Or, take the risk of thrombin perfusion treatment...

Just as Zhou Yuan was hesitating, the patient on the bed suddenly woke up and looked at He Jianyi next to him.

"Doctor, you must save my uterus... I want to die with my uterus!"

This sentence made Zhou Yuan and others stunned. I want to die with my uterus...

He Jing stood up, was silent for a moment, and explained:"In fact, this situation is very common in the county hospital where I used to be. If a woman loses her uterus, she will be bullied everywhere. Her parents will feel ashamed, and even if her husband can accept it, the more conservative elders will not accept it, and finally they can only divorce.……"

"Therefore, a woman without a uterus might as well die.……"

Zhou Yuan walked to the patient in silence and said,"Don't worry, we will do our best to save your life and your uterus."

After that, Zhou Yuan looked at Sun Meng and the old director.

"Start thrombin perfusion therapy!"

"Old director, dilute the prothrombin complex with 100 milliliters of normal saline! Sun Meng, prepare more blood! Increase the amount of blood transfusion, and intermittently transfuse platelets and plasma!"

The old director was already prepared. After hearing Zhou Yuan's words, he immediately gave Zhou Yuan the diluted prothrombin complex.

Zhou Yuan glanced at the extracorporeal drainage bag.

The blood in it had reached 500 milliliters, half of the volume of the extracorporeal drainage bag, and it was still increasing.

500 milliliters of blood loss, this is already a serious intraoperative bleeding...

Zhou Yuan knocked on a syringe, sucked out the diluted prothrombin complex, and slowly injected it into the patient's uterine cavity.

Time passed slowly.

Zhou Yuan kept perfusing, and the mother's blood pressure was always unstable. She almost went into shock several times, but fortunately she was rescued by the experienced He Jianyi.

Until a voice rang——

"Doctor Zhou, the blood flow has decreased!"

He Jing looked at the extracorporeal drainage bag in surprise.

At the beginning, the blood in the extracorporeal drainage tube came out one by one, but now it has become intermittent, and the blood in the extracorporeal drainage bag has basically been fixed at about 800 ml, and there is no more blood loss.

The tense atmosphere of the people in the observation room dissipated a lot at once.

Zhou Yuan, who was sweating profusely, also slowly breathed a sigh of relief.

It finally stopped...

Zhou Yuan's judgment was not wrong.

The reason why the placenta is traumatized is that it is not completely separated from the endometrium, the uterus is weak and the contraction cannot be coordinated, which causes part of the placenta to separate from the uterine decidua layer, but the other part is not separated, affecting the overall contraction of the uterus.

As a result, the uterus is partially relaxed, the sinuses on the surface of the disc separation are opened, and the coagulation function of the nearby blood vessels cannot keep up, resulting in large-scale bleeding.

After the infusion of thrombin, the bleeding points of the endometrium quickly coagulated into blood clots under the action of thrombin, and the capillary and venous bleeding were all blocked, thus completing the hemostasis.

Sure enough, soon, He Jing's voice rang again

"The bleeding has stopped. There is no more blood in the external drainage tube."

Zhou Yuan took off his mask and smiled with ease.

"Transfer her to your obstetrics and gynecology ward. Perform another thrombin infusion treatment in an hour. The bleeding should not recur."

The child's father ran in excitedly, looking at his wife lying on the bed, crying uncontrollably.

"Wife, thank you for your hard work.……"

Zhou Yuan walked over and took a look at the patient.

Although his face was pale, the patient's vital signs were very stable and he was in a safe state.

Zhou Yuan said,"Thank you so much, my wife. I'll be nicer to her in the future."

According to He Jing, the patient's parents were probably backward in their thinking and only regarded women as reproductive machines. What

's even more tragic is that the patient's mother and mother-in-law may also think so. They also only regard themselves as tools for the family's reproduction.

Therefore, everyone will focus their energy on the newborn.

At that time, the family will take good care of the child before delivery, and everyone will run to the child after delivery. In contrast, the patient's physical condition has deteriorated a lot due to heavy bleeding, and it is easy to get postpartum depression.

The child's father nodded solemnly, and pushed the patient to the obstetrics and gynecology department with He Jing.

The old director was still shocked at this time.

"How did you come up with the idea of using thrombin to stop bleeding?……"

The thrombin hemostasis method can indeed be used for postpartum intraoperative bleeding. However, since it is difficult to control the amount of thrombin used and it is impossible to confirm the location of thrombin hemostasis, the actual effect is not very great.

But... Zhou Yuan used this method to stop the bleeding!

He Jianyi also found it incomprehensible:"When did you learn the thrombin hemostasis method?"

As soon as he asked this question, He Jianyi regretted it.

Sure enough, Zhou Yuan smiled indifferently at this time and said;"Actually, this is also my sudden realization."

He Jianyi:...

Old Director:……

"Now we should find a way to clean up the observation room, otherwise all the patients in the emergency department will be scared away tomorrow."Zhou Yuan said.

He Jianyi just realized that there was a large pool of blood on the ground, a bloody placenta was placed on the table next to it, and the observation bed was also covered with blood...

This scene was like a horror movie.

Moreover, Zhou Yuan and others' white coats were also covered in blood. If they walked out now, they would scare the patients who came to the emergency department to go to the morgue.……

""Let's find some tools to clean it up." He Jianyi sighed.

More than an hour later, Zhou Yuan and his five companions finally cleaned up the observation room, and the bed sheets and other items were also replaced with new ones.

"Finally it's solved. I didn't expect to meet such a dangerous patient so late at night." Liu Kai said with a sigh of relief.

Sun Meng smiled and looked at Zhou Yuan:"This time it's all thanks to Zhou Yuan... If it weren't for Zhou Yuan, the uterus would have to be removed. At that time, the patient must be more uncomfortable than death, right?"

He Jian nodded and said:"I think Zhou Yuan has the potential to be an obstetrician and gynecologist... He ran to the obstetrics and gynecology department all day long some time ago, and this time the pregnant woman came directly to the door."

Everyone laughed.

In the jokes, the tension and depression brought by the bleeding patient were swept away, and the next day arrived.

After Zhou Yuan and others handed over to the day shift, they went back to their homes to rest.

But at this moment, the hand surgery team called the emergency number._To read the ununderlined version of the novel, please download Fulu Novel AP


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