life is sweet

Chapter 12 [012] Internal iliac artery embolization

In the operating room, today's anesthesiologist is the deputy director of the anesthesiology department. He first gave Xiaomei a precise anesthesia, and then Su Qingchun gave Xiaomei a blood transfusion and targeted anti-shock treatment.

After Xiaomei's condition was almost stable, Su Qingchun performed curettage and curettage to clean up all the tissues left in her body due to the induction of labor.

Then, he gave vaginal gauze filling, fluid replacement, and uterine contraction to stop bleeding.

But 20 minutes later, he found that there was still fresh blood flowing out of Xiaomei's body, and she lost 1000ml of blood during the operation, and her blood pressure dropped to 60/40mmHg.

"Increase the blood volume of three more units." Su Qingchun said.

"Yeah!" The nurse hurriedly prepared to go.

Afterwards, Su Qingchun treated Xiaomei with anti-shock, blood transfusion, fluid infusion, etc., but Su Qingchun found that Xiaomei's bleeding not only did not stop, but also the amount of bleeding was still increasing.

Seeing that the patient's condition was not good, Su Qingchun became nervous, but he calmed down quickly, knowing that the most important thing now is to find the bleeding point, so as to effectively stop the bleeding.

Time passed by, and he still couldn't find it. If he couldn't find the bleeding point and couldn't stop the bleeding, the patient might die at any time, or he could take another method, which is to remove the uterus Come save your life.

At this moment, large beads of sweat appeared on Su Qingchun's forehead.

The nurse on the side wipes it every few minutes.

"No, no! This patient is only 18 years old, and her life will be over after hysterectomy." Su Qingchun kept thinking, reminding himself to stay calm.

Before entering the operating room, Su Qingchun had a lot of risky guesses, and the bleeding, which could not be stopped, should be the worst outcome he could think of.Hemorrhage and inability to stop the bleeding meant that the uterus had to be removed, and it was absolutely impossible for the patient to be so young.

Su Qingchun also faced another psychological pressure. This patient couldn't pay the handling fee before entering the operating room. He was the one who gave her a guarantee first. If the uterus was removed during the operation, how should he explain to her parents? What would you think of him.

These are indescribable!Moreover, will her parents blackmail him because of this?
The double pressure made Su Qingchun feel anxious.

"Brother, what should we do now?" Jiang Kuang asked.

Su Qingchun didn't speak, he was sweating profusely.

"No! Hysterectomy is not possible!" These words lingered in Su Qingchun's ears again.

But what if the uterus is not removed?He has used all the methods to stop the bleeding now, but he can't stop it at all.

"What should I do?" Su Qingchun asked himself.

Suddenly another plan flashed through his mind.

"Internal iliac artery embolization!"

However, Su Qingchun thought of internal iliac artery embolization to find the bleeding point, but faced two problems.

First, this operation is performed through intervention, and Su Qingchun himself is not skilled in this area.Second, if the internal iliac artery embolization operation is unsuccessful, the patient may die due to massive bleeding at any time if it is delayed.

At this time, facing Xiaomei's surgical treatment plan, Su Qingchun was in a dilemma, and he began to hesitate.

"Did the patient's family members sign it?" Su Qingchun reconfirmed.

"The patient's mother has authorized the patient's friend to sign." Jiang Kuang explained, "I've called her mother, and it sounds reasonable."

Hearing that the family members had authorized the signature, Su Qingchun seemed relieved.

"Brother, what should we do now?" Jiang Kuang asked weakly.

"The uterus cannot be removed, she is still so young."

"But if the hysterectomy is not performed, what if the bleeding cannot be stopped?"

"Perform internal iliac artery embolization and find the bleeding point."

"Internal iliac artery embolization?" Jiang Kuang asked in surprise, and then added, "Did you do it?"

Su Qingchun was hesitant when asked by Jiang Kuang, because he had no idea and was afraid.

It's not that he doesn't know how to embolize the internal iliac artery, but he is not proficient.As for the patient in front of her, she was really too young. He was afraid that the operation would fail because of his unskilled hand shaking.

"Who is the third-line class today?"

"Director Cai!" Jiang Kuang glanced at Su Qingchun, and then asked tentatively, "Brother, do you want Director Cai to come over?"

Su Qingchun took a deep breath, and said loudly to the nurse, "Hurry up and call Director Cai Junmei, the third-line doctor in the obstetrics and gynecology department, and tell her that there is an emergency operation in the department, and she needs to be in charge in person."

"Okay!" The nurse replied cleanly, and immediately went to contact Director Cai Junmei.

"This patient's bleeding has not been stopped, and the internal iliac artery embolization is needed to stop the bleeding, otherwise the only option is to remove the uterus." Su Qingchun repeated again.

"And now contact the doctor in the intervention room to help."

"Okay." The nurse replied quickly.

It is said that the doctors who are on duty in the third-line shift in the hospital at night are generally high-ranking doctors, that is, the chief physician, and generally the chief physician will not stay in the hospital all night like the doctors in the first-line and second-line shifts. When there is no serious illness in the hospital, They are generally on standby at home.

If there is a major emergency and the second-line doctor cannot handle it, the third-line doctor will be notified.

Fortunately, Cai Junmei's home is not far from the hospital. Cai Junmei rushed to the hospital immediately after receiving the call.

With the help of Cai Junmei and the doctors in the intervention room, Su Qingchun successfully completed the operation. After the operation, Xiaomei's bleeding volume was significantly reduced, and Xiaomei's uterus was preserved.

After this operation, Jiang Kuang, who had been working as an assistant, was sweating for Su Qingchun.

Fortunately, the operation was successful. For Su Qingchun, he once again completed a challenge in his career, and every doctor with superb medical skills is like this, accumulated from the challenges one after another.

For Jiang Kuang, what Su Qingchun did tonight set an example for this young doctor who was just starting out. Su Qingchun took the initiative to guarantee the patient when the family members did not pay the money, and then he bet his reputation and did a good job. Embolization of the internal iliac artery, all for the purpose of saving the uterus of a young girl, the so-called benevolence of the doctor, maybe this is what they are talking about.

　Postpartum hemorrhage includes 2 periods from after delivery of the fetus to before delivery of the placenta, from delivery of the placenta to 2 hours after delivery, and from 24 hours to 3 hours after delivery, mostly occurring in the first two periods.Postpartum hemorrhage is one of the important causes of maternal death, ranking first in my country.

　　
　
(End of this chapter)