Back to 1999: From operating surgeon to becoming a top doctor

"Give her an intramuscular injection of phenobarbital."

"Have you used the magnesium sulfate injection?"

"Mannitol drips quickly, as fast as possible, and it's best to drip it within 15 minutes."

Faced with the man's pleading, Xiao Chenguang had no time to pay attention.

He came to the bedside and supported the pregnant woman to prevent her from falling out of bed.

At the same time, Xiao Chenguang was quickly checking the pregnant woman's life.

Retinal congestion and swelling, hypertensive crisis, limb edema, lungs full of wet rales...

Especially now, the pregnant woman's eyes were staring, her eyelids were turned outward, and she was still twitching. Xiao Chenguang's heart sank, and a bad premonition came over him.

This is the most serious of the five complications of pregnancy-induced hypertension, eclampsia.

And eclampsia is the unexplained epileptic convulsions like the pregnant woman now.

"Doctor Xiao, magnesium sulfate has been used, I'll ask someone to get phenobarbital."

The head nurse heard Xiao Chenguang's medical advice and did not dare to neglect it, and immediately arranged for someone to get it.

"I hope it works, otherwise it will be troublesome." Xiao Chenguang muttered to himself.

For a pregnant woman with such severe gestational hypertension, Xiao Chenguang used almost all the available treatment drugs at this stage.

Phenobarbital is a second-class psychotropic drug, and is used for adult sedation like diazepam.

It not only has the effect of treating anxiety and insomnia, but also can relieve patients' persistent epilepsy.

Magnesium sulfate, as the first choice of drug for gestational hypertension, not only has the effect of anti-eclampsia, but is also often used as a pregnancy-preserving drug for symptoms such as threatened abortion.

Mannitol relieves cerebral edema, furosemide (furosemide) diuresis, sodium nitroprusside lowers blood pressure...

Almost all symptomatic drugs quickly emerged in Xiao Chenguang's mind.

As the head nurse brought phenobarbital, the thumb-sized bottle of white powder became the hope of relieving the pregnant woman's eclampsia.

The saline was prepared, and 2ml of empty needle was aspirated. As the needle tip emerged with liquid, the head nurse selected the deltoid muscle of the pregnant woman's right upper arm, disinfected it, and inserted the needle vertically at 90°.

The hair-thin needle completely penetrated the pregnant woman's muscle layer, and no blood returned after the needle was drawn back. After confirming that it did not enter the blood vessels by mistake, the head nurse began to inject.

After a while, the restless pregnant woman gradually calmed down, and even her vital signs returned to normal.

"Doctor Xiao, it works."

At this time, even the head nurse was a little excited.

After all, she had never seen such a dangerous symptom in her many years of work.

It was natural to be at a loss when dealing with it.

Now with Xiao Chenguang, it was like a tranquilizer, which made the medical staff of the general surgery department feel at ease.

Seeing their relieved look, Xiao Chenguang shook his head.

In this case, no one except Xiao Chenguang could treat it, not because of how low their medical level was.

The main reason was that the general surgery department rarely encountered pregnant women with this kind of pregnancy-induced hypertension.

As for why Xiao Chenguang dared to treat it, it was because after the second child policy was relaxed in the previous life, the obstetrics and gynecology department ushered in a wave of baby booms.

At that time, the obstetrics and gynecology department performed hundreds of surgeries every day, and it was even more difficult to find a bed in the inpatient department. In the end, there was really no manpower available, so they applied to the whole hospital for secondment of manpower. It happened that Xiao Chenguang, who was still on rotation at the time, was one of them.

At that time, Xiao Chenguang almost vomited from performing surgeries every day. All he could hear were the cries of babies crying for food, so that he dreamed of pulling the placenta in the uterus at night.

"Hey, Dr. Xiao, why is the heart rate on the maternity monitor so strange?"

"Huh?"

Xiao Chenguang, who had been guarding the pregnant woman, looked up at the ECG monitor next to the bed.

I saw a green line on the screen that was constantly beating regularly, and suddenly it became abnormal.

The wide and deformed heart rates, like the ebb and flow of the waves, completely disrupted the originally regular lines.

"The patient's heart is about to stop, epinephrine hydrochloride, bring it over, quickly!"

Just when everyone was confused, Xiao Chenguang, with his many years of clinical experience, immediately judged the patient's current condition.

Severe eclampsia causes a heart attack, which is extremely rare, but once it happens, the price is two lives.

In an instant.

Xiao Chenguang's body secreted adrenaline crazily, and his heart rate and blood pressure suddenly soared.

"Ah, the heart is going to stop?"

Xiao Chenguang's slightly manic voice frightened everyone.

They looked at the heart rate still beating on the monitor in confusion. The pregnant woman had just calmed down, why was her heart going to stop?

But the next second, the originally calm pregnant woman suddenly opened her arms and sat up like a zombie.

Her hands were claw-shaped, her wrists were turned inward, her forearms were flexed and extended, and she was twisted in a weird posture, just like when she was suddenly electrocuted on weekdays, she slowly curled back.

What's going on? Epilepsy has recurred, but it doesn't look like it.

The sudden change scared everyone.

Just as they were stunned, the originally quiet monitor burst into a piercing and sharp alarm, and a terrifying red light flashed on the screen. The vital signs of the pregnant woman were disappearing at a very fast speed.

At this moment, everyone at the scene was like a frightened bird, completely panicking.

Although they didn't understand why Xiao Chenguang could predict the pregnant woman's cardiac arrest before the monitor gave an alarm.

But the situation was critical at the moment, and they didn't have time to think about it. They hurriedly followed Xiao Chenguang's instructions and began to prepare rescue drugs.

"The pregnant woman's carotid artery fluctuations disappeared, the pupils were dilated and fixed, and CPR was performed immediately!"

"1mg of epinephrine, intravenous injection."

Xiao Chenguang's fingers slid along the mandible of the pregnant woman and accurately located the internal carotid artery next to two horizontal fingers.

This is the key step to determine whether the patient has cardiac arrest before CPR.

"1001, 1002, 1003..."

Counting silently in the heart, after five or six seconds, there is no fluctuation at the fingertips, which means that the heart stops beating, the blood in the body stops flowing, and the internal organs are about to die.

The strange posture of the pregnant woman just now is because of the cardiac arrest, the aorta cannot supply blood, and the microcirculation and electrolytes in the body are all disordered, which is like an electric shock.

The pregnant woman's face, which was originally rosy, is now extremely pale, without a trace of blood, as if it was stained with a thick layer of white frost.

Then, the skin began to turn black and purple, and even the whole body was vaguely necrotic.

"Bring a simple respirator, open the airway, and help the pregnant woman breathe."

Every second counts at this moment. If the pregnant woman's heart stops, she will be brain dead in three to five minutes. If she cannot be saved within ten minutes, it will cause systemic organ failure. At that time, no matter how high the medical skills are, there is no way to save her.

Xiao Chenguang shouted, turned over to the bed, and knelt beside the pregnant woman.

He quickly positioned himself, pressed the base of his left palm on the sternum of the pregnant woman, overlapped his right hand, and pressed down quickly with his waist strength.

He pressed with his palm to make the heart beat again, and accurately felt the chest rebound of the pregnant woman, and then pressed again.

The frequency was 100 times/minute, and the pressing depth was 5cm. This was the standard external cardiac compression technique.

Clang, clang...

The rapid pressing made the whole bed shake violently. Xiao Chenguang's rescue was shocking, and the originally bloodless pregnant woman gradually came to life.

But then a more serious problem was placed in front of Xiao Chenguang.