Start From Emergency Doctor

Chapter 175

“Zhou Yuan, the patient has regained consciousness!”

He Jianyi’s slightly joyful voice rang.

Zhou Yuan stared at the patient on the hospital bed for a second.

Now the removal of the uterus can ensure that the patient is not life-threatening.

Or, risk a thrombin infusion therapy…

When Zhou Yuan hesitated, the patient on the bed woke up suddenly and looked at He Jianyi next to him.

“Doctor, I must save my uterus… I will die with my uterus even if I die!”

This sentence surprised Zhou Yuan and others.

You have to die…

He Jing stood up, was silent for a moment, and explained: “In fact, this kind of situation is very common in the county hospital before me. If a woman does not have a uterus, then she will be agitated everywhere. Her family feels embarrassed. Even if the husband can accept it, the elders with more pedantic thinking cannot accept it. In the end, they can only divorce…

“So, a woman without a uterus might as well die…”

Zhou Yuan was silent, walked to the patient, and said, “Don’t worry, we will do our best to save your life, and at the same time, to save your uterus.”

After speaking, Zhou Yuan looked at Sun Meng and the old director.

“Start thrombin perfusion therapy!”

“Old director, dilute the prothrombin complex with 100 ml of normal saline! Sun Meng, increase blood preparation! Increase blood transfusion, intermittently inject platelets and plasma!”

The old director was ready. Hearing Zhou Yuan’s words, he immediately gave Zhou Yuan the diluted prothrombin complex.

Zhou Yuan glanced at the external drainage bag.

The blood inside has reached 500 milliliters, half of the volume of the external drainage bag, and it is still increasing.

Five hundred milliliters of blood loss, this is already severe intraoperative bleeding…

Zhou Yuan knocked on a needle, inhaled the diluted prothrombin complex, and slowly injected it into the patient’s uterine cavity.

Time passed slowly.

Zhou Yuan continued to perform perfusion. The mother’s blood pressure had been in an unstable state, and she almost suffered shock several times, but fortunately, she was rescued by the experienced He Jianyi.

Until a voice sounded–

“Doctor Zhou, the blood flow has decreased!”

He Jing looked at the external drainage bag in surprise.

At the beginning, the blood in the extracorporeal drainage tube came out one by one. Now it has become intermittent. The blood in the extracorporeal drainage bag is basically fixed at about 800ml, and there is no more blood loss.(Read more @ wuxiax.com)

The tension in the observation room disappeared a lot.

Zhou Yuan, sweating profusely, also let out a sigh of relief.

It finally stopped…

Zhou Yuan made no mistakes in his judgment.

The placenta is traumatized because it is not completely peeled off from the endometrium, the uterine contraction is weak and the contraction cannot be coordinated, which causes a part of the placenta to separate from the decidua layer, but the other part is not peeled off, which affects the overall contraction of the uterus.

As a result, part of the uterus was loosened, the sinus of the placental peeling surface was opened, and the coagulation function of nearby blood vessels could not keep up, which resulted in a large area of ​​bleeding.

After thrombin is perfused, the bleeding spots in the endometrium quickly coagulate into blood clots under the action of thrombin, and all capillary and venous bleeding are blocked, thereby completing hemostasis.

Sure enough, soon, He Jing’s voice rang again.

“The blood has stopped. The external drainage tube has no blood to drain.”

Zhou Yuan took off his mask and showed a relaxed smile.

“Transfer to the ward of your obstetrics and gynecology department, and perform thrombin perfusion therapy again in an hour. The bleeding should not recur.”

The child outside the door, his father ran in excitedly, looked at his bloodless wife on the hospital bed, and cried uncontrollably.

“My wife, thank you for your hard work…”

Zhou Yuan walked over and glanced at the patient.

Although his face is bloodless, the patient’s current vital signs are stable and in a safe state.

Zhou Yuan said, “I really thank my wife, and treat her better in the future.”

According to He Jing, the parents of the patient may be relatively backward in thinking, and only regard women as a reproductive machine.

What’s even more sad is that perhaps the patient’s mother and mother-in-law also think so, and they just use themselves as a tool for family reproduction.

Therefore, everyone will focus their energy on the born child.

When the time comes, the family will take care of everything before delivery, and everyone will go to the child after delivery. Compared with the two, plus the patient’s physical deterioration due to hemorrhage, it is easy to get postpartum depression… …..

The child’s father nodded solemnly, and together with He Jing pushed the patient to the obstetrics and gynecology department.

The old director was still shocked at this time.

“How did you think of using thrombin to stop bleeding…”

Thrombin hemostasis can indeed be used for massive bleeding during postpartum surgery. However, since it is difficult to grasp the amount of thrombin used, and it is impossible to confirm where thrombin stops bleeding, the actual effect is not great.

But… Zhou Yuan abruptly used this method to stop the bleeding!

He Jianyi also felt unable to understand: “When did you learn the thrombin hemostasis method?”

He Jianyi regretted it as soon as he asked this question.

Sure enough, Zhou Yuan smiled indifferently at this time and said, “Actually, this is my epiphany.”

He Jianyi:…

Old Director:…

“Now we should think of a way to clean up the observation room, otherwise the patients in the emergency department will have to be scared away tomorrow.” Zhou Yuan said.

He Jianyi realized that there was a large pool of blood on the ground, a bloody placenta was placed on the table next to him, and the observation bed was also stained with blood…

This scene is a horror movie alive.

Moreover, the white coats of Zhou Yuan and others are also full of blood. If you go out now, you can scare the emergency patients into the morgue…

“Find some tools to clean.” He Jian sighed.

After more than an hour, Zhou Yuan’s five people finally cleaned the observation room, and replaced the bed sheets with brand new ones.

“It’s finally solved. I didn’t expect to encounter such a dangerous patient at night.” Liu Kai said with a sigh of relief.

Sun Meng smiled and looked at Zhou Yuan: “Thanks to Zhou Yuan this time…If you don’t have Zhou Yuan, you can only have the uterus removed. By then, the patient must be more uncomfortable than death, right?”

He Jian nodded and said, “I think Zhou Yuan has the potential to become a gynecologist… Some time ago, he went to the obstetrics and gynecology department all day long, and this time pregnant women were sent directly to the door.”

Everyone roared with laughter.

Amidst the jokes, the tension and depression brought by the bleeding patient was wiped out, and the next day came.

After Zhou Yuan and others handed over with the day-team members, they went back to their homes and prepared to rest.

But at this moment, someone from the hand surgery department called an emergency call. .