Start with an emergency physician

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"Doctor...I want to see my child.……"

No one can refuse such a request from a mother.

The doctor who walked to the door stopped immediately, turned back and looked at Wei Lili with an inquiring look.

Wei Lili nodded slightly.

Soon, the child was brought to Sun Lele's side.

Seeing the child with a trachea in his mouth shaking his arms from time to time, Sun Lele showed a satisfied smile.

In her opinion, her mission seemed to have been accomplished...

She was an introverted person, had not read much, and because of her congenital illness, she had very few contacts in her life.

It can be said that apart from her parents, her husband is her whole world.

Sun Lele is uneducated, but she is not stupid. She has stage three heart failure. She knows that she only has five or six years left to live, and she also knows that this pregnancy is undoubtedly accelerating her death.

Leaving a child is her only wish.

And at this moment, this wish has been fulfilled, and Sun Lele's mood suddenly relaxed.

""The pulmonary artery pressure is rising again! It's about to exceed the systemic circulation!" the anesthesiologist shouted hurriedly.

Sun Lele began to roll her eyes, her breathing was a little slow, and she began to cough.

"Pulmonary hypertension!" Zhou Yuan's face changed.

On the other side, He Jing had also peeled off the placenta and took out all the gauze used to fill the uterus, preparing to start suturing the uterus.

But... everyone stopped.

Sun Lele's condition was extremely critical.

Pulmonary crisis and dyspnea occurred during the operation, which meant that if Sun Lele's body was accidentally stimulated by each stitch, the pulmonary artery might surge and exceed the systemic circulation!

At that time, the lungs would begin to be ischemic and respiratory activity would stop!

Zhou Yuan rushed up and took the needle holder from He Jing.

Among the people present, he was the most suitable for suturing and the most stable.

Zhou Yuan took a deep breath and began to sew.

He was extremely careful with every stitch, and every time he sutured, he was very careful. After finishing, he would look up to see the changes in pulmonary artery pressure and systemic circulation pressure.

He Jing was stunned.

This suture is too delicate...

He accurately grasped the timing of the caesarean section and undertook the pacemaker placement surgery...

This doctor seems to be a bit of a cheat!

Wei Lili and others were also watching from the side, and they were deeply touched.

Lu Chenxi replaced He Jing's assistant position - she had cooperated with Zhou Yuan in an operation, so she had a better understanding and was very clear about Zhou Yuan's surgical rhythm.

Suturing the uterus, suture the abdominal cavity...

Step by step, Zhou Yuan did it step by step, but his hands were not flustered.

On the other side, Wei Lili also squatted next to Le and said quickly:"This beautiful little guy will go to school and start a family in the future, which will definitely be very beautiful!"

The psychological counselor also talked to Lele about the child's future at this time.

Only in this way will Sun Lele have the desire to survive.

At this time, the doctor could no longer help her. What could pull herself back from the gates of hell was Sun Lele's desire to survive.

Soon, the last layer of skin was also sutured, leaving only a beautiful scar

""Huh."

Zhou Yuan let out a long sigh, only to find that his body was soaked with cold sweat.

The situation just now was equivalent to Sun Lele stepping half a foot into the gates of hell. It is conceivable how difficult it is to sew up such a person.

"The pulmonary artery pressure dropped and returned to its previous high pressure level.……"The anesthesiologist was also scared and sweating, but he finally breathed a sigh of relief

"Next, pacemaker implantation surgery"

""Improve anesthesia again." Zhou Yuan said.

After the fetus is removed, the pressure on Sun Lele's heart will be reduced a lot, but it is still not enough to maintain her normal life activities, so a pacemaker must be placed.

"Essential drugs: 2% lidocaine, gentamicin, 5% glucose, normal saline, atropine, respiratory stimulants, cardiotonic drugs, and pressor drugs……"Zhou Yuan quickly named a series of medicines

"Director Wei, establish an intravenous infusion channel in the lower limbs!"

Wei Lili was stunned, and asked while doing it:"Why?"

"The patient is in critical condition and there is a possibility of accidents during the process. Establish an intravenous infusion channel in advance so that medication can be given at any time during rescue!"

Zhou Yuan finished speaking and began to disinfect the pacemaker again. The pacemaker placement surgery must be strictly aseptic. Infection is one of the common complications of pacemaker placement.

Once infected, not only will the therapeutic effect of the pacemaker be affected, but in severe cases it will also cause sepsis and endanger the patient's life. Even if a minor infection occurs, since the pacemaker is buried in the body, the wound is difficult to heal and it is enough to threaten life.

What's more, Sun Lele's heart condition itself is not optimistic, and the infection is equivalent to a death sentence.

"Let's get started."

Zhou Yuan finished the disinfection.

Wei Lili took the initiative to retreat to the position of second assistant, and He Jing was the third assistant.

Lu Chenxi was the first assistant because she had worked closely with Zhou Yuan, and Lu Chenxi herself was a thoracic surgeon, which was her area of expertise.

There are four steps in the pacemaker implantation surgery.

First, choose the venous route.

Second, place the wires and test the parameters.

Third, implant the pacemaker.

Fourth, postoperative treatment.

After the operation began, Lu Chenxi quickly asked:"Which venous channel to choose?"

The cephalic vein, subclavian vein, and internal and external jugular vein are the three available routes.

Zhou Yuan picked up the scalpel and asked while operating:"What do you think?"

"Cephalic vein! Cephalic vein surgery is safe, with almost no complications, and no need to worry about long-term wire breakage.……"

Before he finished speaking, Lu Chenxi stopped in surprise.

Zhou Yuan chose not the cephalic vein but the subclavian vein.

"Why……"He Jing asked this question on behalf of Lu Chenxi. She had similar ideas to Lu Chenxi.

The cephalic vein route has almost no disadvantages, but the subclavian vein requires skilled techniques and the wires are prone to breakage, and there are complications.

Zhou Yuan smiled:"You think the subclavian vein is difficult to operate on, so you don't choose it? But take a look at the patient's condition first."

Lu Chenxi, He Jing and Wei Lili all turned to look at the instrument.

The heart rate was only about 40, and the pulmonary artery pressure rose again after decreasing.

Zhou Yuan said:"Dare to operate on the cephalic vein at this time?"

"What I value is the speed of the subclavian vein. A skilled person can easily and quickly insert the wire after opening the subclavian vein channel. As for your concern that the remote wire will break during insertion... that is still a technical problem, don't worry about it."

He Jing and others understood.

What Zhou Yuan meant was that as long as it can be compensated by technology, it is not a problem._Feilu reminds you: Three things to do when reading - collection, recommendation, and sharing