The days when I was an obstetrician and gynecologist in Chang'an

Chapter 620 Amniotic Fluid Embolism
One day, when Li Sanniang was on duty in the medical hall, suddenly a person broke into the medical hall and shouted, "Doctor Li, I'm looking for Doctor Li, Doctor Li?"

In addition to Li Sanniang's surname Li, there is also a male doctor surnamed Li in the medical hall, who is generally called "Old Physician Li" in the medical hall.

Seeing this, Nan Xing hurried out from the front desk and asked which Dr. Li the man was looking for?
"My eldest lady gave birth, and Mrs. Wen said to find a female doctor surnamed Li to help her."

As soon as Li Sanniang heard this, she knew she was looking for her.

Qiuxiang had already had experience. When Li Sanniang went to Nan Xing to get the medicine kit, Qiuxiang had already left the clinic with Li Sanniang's medical kit.

Like a gust of wind, Li Sanniang and Qiuxiang followed the man into the carriage and rushed to his house.

On the contrary, Dr. Cui in the medical hall said to old Dr. Li: "Dr. Li is really young. Look, the people who came back to look for Dr. Li were trained by Dr. Li, but they left in just a dozen breaths." , but it’s really fast.”

Dr. Cui did not ask Dr. Li to say anything, but Tang Mingyue, who was listening on the sidelines, answered, "You can't hurry up. This woman gives birth, and she is wandering behind the gate of hell. If she goes late, where can she go?" Can you still fight for your life with Lord Yan?"

No matter what the other consciousness in the medical hall said, Li Sanniang sat in the carriage and asked the man with a calm face to understand the situation.

It turned out that it was Yao Qingqing who asked the man to come to the medical hall to find someone. Yao Qingqing was originally a stable woman. Since she learned the new style of stable woman in Li Sanniang's stable woman school, she has become more comfortable in the profession of stable woman .

Moreover, because of her status as a student of Wen Po School, wealthy households with a small family background are willing to invite her to come to deliver babies.

This time, this family is a wealthy businessman with a small family background in Chang'an City. Although it is not the first time that the eldest wife of the Zhou family gave birth this time, she has already given birth twice and still cares about her own health. , so she invited Yao Qingqing to come over.

Everything was fine, and she was a multipartum woman, so she was familiar with the procedure.

Everyone thought it was just an ordinary woman giving birth, and the accident happened.

Yao Qingqing, who was helping the lady of the Zhou family to adjust her breathing according to what Li Sanniang taught, found that the lady of the Zhou family was shivering and her breathing was short of breath.

At this time, Yao Qingqing already sensed that something was wrong, and she immediately said to the woman beside her: "The situation is not right, go and invite the doctor to come home!"

This is the eldest lady of the Zhou family, the mistress who is already in charge of the family, not to mention that the eldest lady Zhou has given birth to two sons and is a great contributor to the Zhou family.

The mother-in-law could see Yao Qingqing's seriousness. After all, she roared like that, with such a serious expression on her face, everyone knew it was not a joke.

The mother-in-law immediately went out to tell the mother-in-law Zhou who was waiting outside, and mother-in-law Zhou naturally agreed to her words, and hurriedly called the housekeeper to send someone to the medical hall to invite someone to come.

This is why Li Sanniang was invited by this man.

But now Li Sanniang, who was sitting in the carriage, listened to what this man said, her heart skipped a beat, and she knew it might not be too late.

Although there was no way to know the specific situation of Mrs. Zhou's family on the spot from the man's mouth, there were only a few situations that could make Yao Qingqing call the doctor decisively.

No matter what the situation is, the period from when Zhou's family sent people to the medical hall to Li Sanniang's return to Zhou's family has been shortened as much as possible.

After another quarter of an hour, the carriage stopped. At this moment, Li Sanniang guessed in her heart that the Zhou family's wife might be in danger.

But saving people is the doctor's duty. Li Sanniang got out of the car and started running, followed the man to the backyard.

"It seems that I am late."

However, Li Sanniang still entered the room, glanced at what Li Sanniang saw first, Yao Qingqing who was standing beside her with a sad face, the surgical gown she was wearing was covered in red blood.

"gentlemen!"

Li Sanniang nodded, and after getting closer, Yao Qingqing whispered to Li Sanniang describing the situation at that time.

".I found something was wrong, so I hurriedly asked the Zhou family to call Mr.

But the eldest lady of the Zhou family fell ill very quickly. I just finished talking with the old lady when she couldn't breathe, and she started coughing after a few breaths, coughing up pink foam.

I felt the pulse for the eldest lady, and it was very fast.

I immediately thought that this was the amniotic fluid embolism that my husband said. Before I could react, the old lady lost her breath. "

Li Sanniang saw a woman standing in front of Mrs. Zhou's family holding a quilt. Li Sanniang looked at Yao Qingqing with questions in her eyes.

"Sir, after I found out that the eldest lady was dying, I immediately thought of what the husband said about the caesarean section. The situation was urgent and I couldn't take care of it. I, I
I directly took the knife and cut open the lower body of the eldest lady, and took the child out.

Fortunately, I took it early, and I breathed the child according to my husband's instructions, and saved the child's life. "

Li Sanniang stretched out her hand and patted Yao Qingqing's upper arm to comfort her: "A woman's childbirth is a hell, and you have handled such an emergency situation very well.

At least you saved the kid.

In such a situation, even if I came, it would be useless.

Physicians can only cure diseases, they cannot compete with Lord Yama. "

After a while, two teenagers came in from outside. Li Sanniang was watching. They were probably the first two sons born to Mrs. Zhou's family.

Sure enough, the two broke into the house, but the grandmother of the Zhou family did not allow them to come forward, "Your mother hasn't cleaned up yet, it's so indecent, how could you want to see someone like your mother who cares about face?
Right here, the two of you kowtow to your aunt here, and complete the mother-child relationship. "

In the end, the two young boys were dragged out.

"This must be Dr. Li?"

Seeing Li Sanniang nodding, it was the grandmother of the Zhou family who braced herself and began to deal with the funeral affairs for the eldest lady of the Zhou family, so she saluted Li Sanniang and Yao Qingqing solemnly.

This startled Li Sanniang and Yao Qingqing, and they couldn't even escape in time.

"Thank you to Yao Wenpo and Dr. Li today, if Yao Wenpo hadn't made a quick decision, my mistress might not have died in her womb.

Such was the destiny, Dr. Li made it a waste of time.

But Dr. Li came here like this, my Zhou family must remember it in my heart. "

Li Sanniang and Yao Qingqing didn't expect that Zhou's grandmother didn't scold them, didn't make trouble for them, and thanked them even after the death of the eldest lady of Zhou's family.

Seeing the expressions on the faces of Li Sanniang and Yao Qingqing, Zhou's grandmother guessed what they were thinking.

The grandmother of the Zhou family glanced back at the blood-stained lady of the Zhou family and Saburo Zhou in the arms of her mother-in-law, shook her head, then turned her head and explained to Li Sanniang and Yao Qingqing: "When I first got married, When I was visiting relatives at home, I saw that Xiumei had an emergency during childbirth, and died before being rescued.

That was my eldest brother's first wife, who was killed by two people at the time. "

　Amniotic fluid embolism basically cannot be saved. It is said that the mortality rate is 80%, but in fact it is no different from 100%.

　　=====================
　　Amniotic fluid embolism refers to the serious complications of childbirth in which amniotic fluid suddenly enters the maternal blood circulation during childbirth, causing acute pulmonary embolism, anaphylactic shock, disseminated intravascular coagulation, renal failure or sudden death.

　　The incidence rate is 4/10 to 6/10. Amniotic fluid embolism is caused by the contamination of amniotic fluid with tangible substances (fetal vellus hair, keratinized epithelium, vernix, meconium) and procoagulant substances entering the maternal blood circulation.

　　Once amniotic fluid embolism occurs, even if it is actively rescued, the mortality rate is still very high, and the maternal mortality rate can be as high as 80%.

　　The time of death can be as fast as several minutes to several hours. About 1/3 of the patients died within half an hour of onset, and another 1/3 died within 1 hour of onset, mostly due to pulmonary embolism, and the remaining 1/3 died of Blood does not clot or kidney failure.

　　Amniotic fluid embolism is the most dangerous complication in obstetrics. Since this situation is often unpredictable before delivery, the mother must be closely observed during delivery, especially in cases of fetal death, macrosomia, placenta previa, placenta Premature stripping, excessive uterine contraction and other conditions should be more careful. ---The above is from the Internet

　　
　
(End of this chapter)