This doctor is very stable

Chapter 492 Save the hemorrhagic patient in the caesarean section? [Please subscribe, ask for a monthly pass. 】

Caesarean section bleeding is unavoidable, but heavy bleeding is very dangerous.

At worst, one dead body and two lives.

In the operating room, the more dangerous and urgent the situation, the more calm the doctor must be. Yang Jingsi, the director of the obstetrics and gynecology department, looked at the patient's life monitor, and then at the patient's surgery port that was bleeding out, and asked , "What specifically caused the massive bleeding? Placenta previa, coagulation dysfunction, uterine atony, tearing of the surgical port?"

The problems she mentioned are the most common causes of massive bleeding during caesarean section operations.

He Yuejia, who was in charge of the surgery, also lied for a while when there was heavy bleeding during the operation!

Moreover, the massive hemorrhage flooded the patient's uterus almost instantly, and the surgical field of view was completely out of the question!
"Director, the patient's placenta previa is a bit previa, but I have already carefully removed it... In case of massive bleeding, I have immediately performed blood volume expansion, external massage of the uterus, and uterine cavity packing. I have also tried it. , the blood still hasn't stopped!"

At this time, the newborn has been taken out of the pregnant woman's womb, and the experienced head nurse is taking care of it. Perhaps the mother and child are connected, and the newborn is still crying from time to time, and the crying sound is a bit miserable...

Yang Jingsi can't take care of that much anymore, depending on the patient's blood pressure will drop below 90/60H!
"First increase the amount of blood transfusion to stabilize my blood pressure."

Qin Yang also looked at He Yuejia, and asked, "That means the placenta hasn't been taken out yet?"

……

In the Pediatrics Department of the Third Hospital, Lin Ran has just checked the condition of the child, and he is still in a good mood!
Different from yesterday, after the supplement of vitamins, the spirit of the child has obviously improved to a certain extent, and even the little face of the child has regained a little luster.

The little hands are already able to pick and pull people. Yesterday, the child didn't care about people's energy at all, even if he was crying, he didn't have much strength!
Of course, this is only temporary. If the blocked bile duct of the child cannot be resolved, the bile metabolized in the liver of the child cannot be discharged normally. Once the cholestasis leads to liver cirrhosis, once it reaches a certain level, even with the use of more nutrients Liquid didn't help either!
After walking out of the neonatal intensive care unit, Lin Ran looked at the child's parents and said, "The child's condition has improved to a certain extent. This is good news, and it will be more conducive to our operation."

When the family members of the child heard what Lin Ran said, their smiles returned immediately, and the grandfather of the child even asked, "Doctor Lin, is it possible to cure my grandson without surgery?" ? Will it be detrimental to his physical development in the future if such a young child suffers such a big crime from undergoing an operation!"

Adult surgery may leave sequelae, not to mention neonatology. Anyone with a little common sense knows that surgery is also a kind of damage to the human body while curing the disease.

Lin Ran nodded and remained patient, "Uncle Liu, I understand your feelings. You are concerned about the child's physical health, but if there is no operation for the child with congenital biliary atresia to allow the child's stomach to obtain bile normally, time will pass." The child's liver will develop irreversible cholestatic cirrhosis, leading to liver failure ... This is a cause that cannot be treated with drugs, so the child's life cannot be saved without surgery."

The word death is too heavy, especially for a newborn who has just reached the full moon, Lin Ran is not even willing to use the word death on the newborn.

Liu Yue, who was on the side, saw his father coming again, and said, "Dad, let's stop the doctor! Before, you thought that operating on your grandson would cost money and suffer, and it might not cure the disease, but Now I've decided to save my son and your grandson, so don't talk about it."

As a daddy of Ben San, Liu Yue also took the responsibility.

Usually at home, many things can indeed be decided by his father.

After all, my father is only less than 60 years old, and he is still the head of the family, so the right to speak is more important.

But it's about his own child, Liu Yue must take responsibility.

In the end, the grandfather of the patient couldn't say anything more, "Okay! You decide your own life in the future. You have to experience the bitterness and sweetness for yourself. Son, you also have a family and a career. Remember your current responsibilities..."

Seeing this, Lin Ran said, "Then our operation arrangement will remain the same. We will start the operation around one o'clock in the noon."

Preoperative phobia is not only caused by patients, but also by family members of patients!
Among them, distrust of doctors, distrust of medicine, surgery, treatment options, etc...

are all key influencing factors.

Therefore, there are naturally many patients and their family members who temporarily change their minds before surgery.

As a doctor, Lin Ran naturally didn't want the patient's family to change their minds temporarily!
This will not only delay the treatment of patients, but also delay the normal development of their daily treatment work.

The child's mother was afraid that there would be another accident, so she hurriedly said, "Okay, Dr. Lin, we will listen to you."

Lin Ran nodded and left with the people.

But just walked to the elevator door.

The cell phone in the pocket of his white coat rang!
Lin Ran frowned, his cell phone wouldn't ring easily, if it rings, there must be something wrong!

I don't know if it's a big thing or a small thing.

Lin Ran stepped aside to answer the phone.

He looked at it, and it was Director Qin who called!
"Hey, Teacher Qin, are you looking for me?"

Director Qin's urgent voice came over the phone, "I don't have time to explain to you, you come to the obstetrics and gynecology operation area right now, right now, right now, in No. Patients, remember to disinfect your hands when entering the operating room."

Obstetrics?
C-section!
Bleeding! ?
These terms flashed through Lin Ran's mind.

Lin Ran hardly hesitated, "Okay, Teacher Qin, I'll be right there."

The rescue fate of patients with massive intraoperative bleeding is urgent!

After Lin Ran finished speaking, he hung up the phone, looked at Li Jinxia and said, "Dr. Li, come with me."

Seeing that the elevator would not come for a while, Lin Ran ran straight to the stairs after speaking.

"what!"

Li Jinxia waited for Lin Ran to run out before reacting, and then quickly followed.

"Where are we going, leader?"

"Obstetrics and gynecology operation area! Rescue patients with massive bleeding in the hands of caesarean section."

Lin Ran ran while talking, with long legs thumping downstairs, taking two steps at a time, maximizing his efficiency.

"Obstetrics?"

Li Jinxia exclaimed, she is a serious extrahepatic doctor!

Lin Ran, who has a slightly road-crazy attribute, took the time to touch the entire hospital environment in advance.

Obstetrics and Gynecology and Pediatrics belong to the same building, and the operating areas of both are on the second floor of this building.

And the neonatal intensive care unit area is on the fifth floor!

one two Three.

When we arrived, Lin Ran almost ran while counting the floors, for fear of running too far.

(End of this chapter)