The sweet wife of the doctor is a big shot

Chapter 134 Chapter 153
It was late at night, but the noise didn't stop.

A thick automatic sliding door cuts off the noise of the anxiously waiting family members.

In the operating room, although there is no loud noise, the alarms of various instruments and equipment in each operating room are more disturbing and frightening than the noise outside.

Alarms issued by medical instruments and equipment mean that the lives of patients are in danger. For medical staff, these sounds can be regarded as the most unpleasant sounds in life, and they are also the sounds they least want to hear!
In the caesarean section special operating room of the obstetrics department, the sirens kept ringing, and the staff who were treating pregnant women and children looked more serious and felt more uneasy.

The pregnant woman's child has been taken out by caesarean section, 30+5 weeks of pregnancy, less than eight months, a small ball, up to about 1200 grams by visual inspection.

White Cardamom assisted Director Zhao of the Neonatology Department to resuscitate the newborn from suffocation. The golden 5 minutes have passed, and the newborn is still only breathing weakly and has not yet cried. , Neonatal Apgar (Apgar) score is still below 8 points.

Neonatal Apgar score refers to a standard assessment method for checking the physical condition of a newborn immediately after birth.After birth, newborns were scored according to the five signs of skin color, heart rate, respiration, muscle tone and movement, and laryngeal reflex.

在一般情况下，1分钟阿氏评分结果：各项总分8～10分为无窒息，4～7分为轻度窒息，0～3分属重度窒息。一般8分或8分以上都表示很正常。

The score of most newborns is between 8 and 10 points, so this ups and downs is a watershed, with a score of 7 or more without choking, and a score of 8 or less with choking.

The doctor will give appropriate treatment according to the newborn's score.There is another watershed between mild asphyxia and severe asphyxia. Newborns with mild asphyxia will generally improve quickly after cleaning the airway and inhaling oxygen, and the prognosis is good.

Moreover, the neonatal Apgar score is also divided into two stages: 1-minute assessment and 5-minute assessment.

If the 5-minute Apgar score is still lower than 8 points, it means that the effect of neonatal asphyxia resuscitation is not ideal.

The newborn in front of me had a score of 1 in 1 minute and a score of 5 in 5 minutes. Therefore, he was severely asphyxiated in 1 minute after birth, and after the golden 5-minute rescue, he recovered from severe asphyxia. Suffocation turned into mild suffocation.

Although the newborn has a tendency to improve, the effect is not ideal.

You must know that the person in charge of resuscitating newborns is Director Zhao of the Neonatology Department of Juzhou People's Hospital. He is one of the top specialists in the field of neonatology. The 5-minute Apgar score was less than 7 points, which means that the newborn's suffocation in the uterus was already very serious.

Moreover, the condition of newborns is not ideal. Premature babies born at 30+5 weeks are immature in all aspects of their bodies, and their own endurance is very poor, and the prognosis is not optimistic.

What's more serious is that there was thick smoke at the scene of the fire, which must have had a certain impact on the newborn who was in the mother's womb at that time. The toxins in the thick smoke entered the lungs and then into the blood with the mother of the newborn breathing. Circulation, it is possible to transmit to the newborn's body through the umbilical cord.

Whether it is the factors that can be guessed or the factors that have not been guessed, in a word, there are many factors that affect the survival of newborns, and even if they are rescued temporarily, the prognosis is very poor!
Director Zhao of the Neonatology Department had already guessed the situation that Bai Cardamom could have guessed. He discussed with Ma Aojun, the director of the Obstetrics Department on the operating table, and put the newborn into the neonatal incubator, ready to push it to the Neonatology Department for follow-up suffocation resuscitation work.Because the neonatal department has more instruments and equipment that he needs than the operating room.

Bai Cardamom held the resuscitation airbag to maintain positive pressure ventilation for the newborn, and assisted Director Zhao to go to the neonatology department.They took the internal green passage in the operating room and took the elevator directly to the neonatology department, while a doctor from the neonatology department brought by Director Zhao took the passage outside the operating room and was responsible for talking to the family members waiting outside the operating room. communicate.

The operating room is equipped with an internal green channel, which is convenient for the surgical departments to send critically ill patients to the operating room for surgery in a timely and rapid manner.Like the situation of newborns at this time, if you go out through the gate of the operating room, the family members will come forward to watch, and you will say something, and I will say something, so it will inevitably waste time.

The family members don't understand the priority of the disease, and it will take a while to wait until the doctor explains it clearly before getting the understanding and support of the family members.

If you encounter a critical illness and the fire is imminent, you don’t have so much time to explain. However, if you don’t explain, the family members don’t understand, don’t sign, and you can’t do the necessary major surgery and rescue work.

After the operation, the person was rescued, and he signed the signature afterwards.

However, after the operation, there is still no way to recover, and it is a troublesome process to sign after the fact.

Moreover, the family members did not understand, refused to sign, and even had a tough attitude, thinking that the doctor had performed an operation that made the condition worse. At this time, it is very difficult to obtain a signature!

For critical and severe major surgery, although it is possible to re-sign the documents, it depends on the situation, and the re-signing is also time-sensitive. If the signature of the family members is not obtained after the time limit, it is considered that the operation is performed without the consent of the family members and does not follow the rules and regulations. category.

In the past, doctors treated illnesses and saved lives based on their enthusiasm, regardless of other things, they should try their best to treat them first.

But now, many times, when doctors treat patients, they have to go through the rules and regulations in their minds before treating patients. Now that the relationship between doctors and patients is tense, doctors still need to consider "whether to save" or "can they save" , "Can it be saved" and other issues need to be weighed by the rules and regulations. Only within the scope allowed by the system and the subjective wishes of patients and their families can doctors perform their duties of curing diseases and saving lives. Otherwise, it is illegal to practice medicine.

Director Zhao and Bai Doukou pushed the newborn to the neonatology department, and the doctor in the neonatology department was in charge of communicating with the family members, gaining understanding and obtaining a signature.A two-pronged approach is adopted in order not to waste time and not affect the follow-up treatment of newborns.

The policy system is dead, but people are alive. They know how to adapt and don't stick to the rules. The reason is not to take advantage of loopholes or loopholes.Instead, try your best to save lives, be more worthy of your conscience, and better perform your duties as a medical worker.

……

After Bai Doumou assisted Director Zhao to send the newborn to the neonatology department, because there were professional colleagues in the neonatology department, she went back to the obstetrics department to complete relevant medical records and nursing documents.

After finishing the work at hand, Bai Cardamom was called to the delivery room to help deliver the baby.

This night is destined to be uneasy...

It was three or four o'clock in the middle of the night when he was able to catch his breath. Bai Doukou walked out of the delivery room and went to the doctor's office in the ward to inquire about the situation. After learning that the pregnant woman had a caesarean section, she was sent to the intensive care unit.

Acute uterine rupture, placental abruption, and postpartum hemorrhage, these three critical and severe diseases, if only one occurs, it is enough to be choking, and the combination of the three is simply extremely dangerous!

The emergency team of the obstetrics department carried out various emergency treatment measures but still could not stop the bleeding, so they had to obtain the consent of the family members and performed a total hysterectomy.

Total hysterectomy means that the woman will no longer be able to bear children in the future.

This woman is the first child. If her premature baby can survive safely, then she has another son. If...

Regarding the vicious things that might happen, Bai Cardamom didn't want to continue to speculate, and didn't want to predict more.

I don't know if her husband was rescued, if not, then this fire is really a catastrophe for this family!

Bai Cardamom shook her head, as if she wanted to get all the bad guesses out of her head.

She took out her mobile phone and dialed Nianhua's number, and waited until the female voice in standard Mandarin said "no one answered", before Bai Doukou hung up the phone, and she entered the nurse's lounge tiredly and depressed.

Tired!Heart is more tired!

White Cardamom was overwhelmed by the heavy and helpless emotions in her heart!
Why are there so many disasters?
　0：30、8：30、12：30目前暂定这三个更新时间，三章，共万字。

　　Some relatives said that they are very busy recently, and they are raising Wen, let’s raise it!

　　Dear friend, where are you?Xiao Yang has been working hard to drive recently, the benefits are so hot, and the update has caught up, but you all don't come to bubble up, I feel so stuffy... Please comfort me!

　　
　
(End of this chapter)