super anesthesiologist

Chapter 60 I am not an obstetrician and gynecologist (please recommend, please collect, thank you!)

"Relax, don't hold your breath!" Through the skirt, Lin Xiaobei patted the pregnant woman's thigh, hinting that he was talking to her.

The purpose of this is to reduce intra-abdominal pressure.

Then he held the pregnant woman's buttocks with one palm and slowly pressed upwards.

It was the shoulder first, and he could feel that one hand of the fetus had entered the vagina, and the shoulder was stuck.This is particularly likely to cause uncoordinated contractions of the uterus, no wonder pregnant women are so uncomfortable.

If the body position is not adjusted and allowed to develop, the uterus will rupture, and adults and children will all die of shock and suffocation.

"If you still have pillows, bring some more." Lin Xiaobei shouted.

If you are in a hospital, there is a special crank handle, which can be directly adjusted to head down and feet up.But there is none here, so I can only try to create conditions by myself.

The people around quickly came over four or five.

Lin Xiaobei stacked these together, placed them under the pregnant woman's buttocks, and raised the buttocks to 45°.

"Stay here." He pointed at the pregnant woman's vagina and said to Xu Zhenzhen, then touched the head of the fetus on the pregnant woman's abdomen and gently pushed back. With the help of gravity, he could feel the fetus slowly falling back.

After a while, he felt his hands loosen, and a sense of disappointment came from the pregnant woman's belly. The fetus successfully retreated into the uterine cavity.

With inertia, part of the exposed umbilical cord was brought in, but there were still more than 10 centimeters left outside.

The squeeze was partly released, Lin Xiaobei touched the umbilical cord, the pulse was stronger than before, but the frequency was still very slow, and the intensity was much worse than normal.

The hypoxic state of the fetus has only been improved, but the fundamental squeeze problem has not been resolved. For example, if a drowning person takes a breath of oxygen, he still needs to find a way to pull him ashore to truly relieve his distress.

He touched the pregnant woman's belly for a while, and the heart rate of the fetus rose to more than 110, which has not yet returned to the normal range.

"Can you send the umbilical cord back into the uterine cavity?" Lin Xiaobei asked Xu Zhenzhen.

"This——" She shook her head with embarrassment.

That's right, she's only a nurse who hasn't been working for long, and she hasn't been in the obstetrics department before. How can she do these operations?Isn't it difficult?

"Hold it here."

Lin Xiaobei grabbed Xu Zhenzhen's hand and placed it on the pregnant woman's nipple.

Then he extended his index finger and middle finger inward, and only a little bit in, the pregnant woman screamed, "It hurts! It hurts! It hurts!"

"Don't shout, we are saving your baby. Your umbilical cord has protruded and is compressed. It is very dangerous." Xu Zhenzhen comforted.

Her husband also stuck his head in and saw the pale and blue umbilical cord flowing out. Knowing that what he said was true, he quickly patted the pregnant woman's thigh and coaxed: "Daughter-in-law, be good, hold on, the doctor is saving us .”

"Relax, take a deep breath slowly, and relax." Lin Xiaobei instructed the pregnant woman.

His own fingers slowly spread to the sides, trying to relieve the pressure on the umbilical cord.His technique was very effective. In just a dozen seconds, the surface of the umbilical cord regained its luster, the pale and dark green gradually turned red, and the pulsation suddenly increased a lot.

But his fingers were not long enough to reach the bottom, and the deep squeeze still existed.And because the deep part is not expanded, the umbilical cord cannot be sent in. At this time, no force can be used, otherwise the umbilical cord will be knotted, which will increase the risk.

"Bring a pair of clean chopsticks, and a bottle of white wine by the way." Lin Xiaobei said to the pregnant woman's husband.

"What are you doing?" The man was taken aback, really puzzled.

Xu Zhenzhen didn't know what Lin Xiaobei wanted to do, but she believed that he was definitely useful.

"Go and get it if you want it, why are you asking so much?" She scolded.

The man didn't dare to make a sound and got up quickly.

After a while he brought a few pairs of chopsticks and a bottle of Luzhou Laojiao, "Is it enough?"

Lin Xiaobei unwrapped a pair, "Open the bottle!"

It turned out that he was disinfected with alcohol.

After the chopsticks were sterilized, he used the head end (thick part) to send it along the expanded part of the finger, all the way to the cervix, and then gently separated the tail part to the two sides.

His movements were very gentle. Although the pregnant woman was moaning, the pain was not obvious.

The pressure was relieved, and the umbilical cord on the outside became instantly rosy, as if suffocated, and the pulsation became very strong, which could be clearly seen with the naked eye.

Lin Xiaobei asked Xu Zhenzhen to hold the other chopsticks, and gently clamp the outer umbilical cord like vegetables, starting from the proximal end, and feeding it inward bit by bit.

But this is very difficult for Xu Zhenzhen.Like Liu Xu, she couldn't accept the feeling of holding the umbilical cord with chopsticks, and her hands were far less flexible than Lin Xiaobei's, and she couldn't grasp the strength well.

She trembled for a long time and didn't send half of it in.Moreover, due to the dilation of the cervix, the pregnant woman held her breath hard, resulting in an increase in intra-abdominal pressure, and a large section of the umbilical cord suddenly slipped out again.

Xu Zhenzhen's face turned pale with fright, she was shaking violently, and she was completely at a loss.

Lin Xiaobei quickly grabbed her hand, supporting the umbilical cord to prevent it from falling to the ground. With just such an effort, the pregnant woman's vagina contracted nervously, and the color of the umbilical cord quickly turned gray again.

This time the squeeze was worse.

"Relax, don't hold your breath, relax, do you hear me?" He patted the pregnant woman's thigh and slowly supported it with chopsticks again. Just as he was about to say you help me with the chopsticks, he heard the "mi woo" of the 120 ambulance. And to.

"The ambulance is coming! The ambulance is coming!" the crowd cheered.

Xu Zhenzhen breathed a sigh of relief, and was about to put down the chopsticks, because she really didn't want to give them away anymore.

"Don't give up, take your time." Lin Xiaobei encouraged.

Don't relax at this time.

Pregnant women will be very excited when they feel the hope is coming. If they pull out the chopsticks rashly, it will cause a strong contraction. The umbilical cord will be subjected to several times the pressure in an instant, and the blood and oxygen supply of the fetus will be interrupted immediately. The consequences will be disastrous.

The crowd was pushed aside, and a female doctor with a stethoscope around her neck squeezed in hurriedly, followed by a little girl, not sure if she was an intern.

The doctor frowned. She saw such a Picasso-style picture: the pregnant woman's lower body was exposed, a man was lighting it with a flashlight, and another man and a woman were half kneeling on the ground, facing the pregnant woman's private parts.

"What are you doing?" she scolded.

"They are rescuing my wife," said the pregnant woman's husband.

"Hu——" The female doctor only uttered one word, and she was speechless after that.

She saw Lin Xiaobei using chopsticks to dilate the cervix of the pregnant woman and a section of umbilical cord left outside. It was a very long section, at least 30cm.

This is something only a very professional doctor would do.

Insiders need not say much.She squatted down immediately and examined the umbilical cord carefully.

"Xiao Meng, quickly bring the first aid kit."

With the professional medical equipment, Lin Xiaobei immediately felt much more relaxed.

The female doctor took out a steel pipe with a hole in the bottom side wall, sterilized it, put the umbilical cord in it, and then inserted the steel pipe inside.

Since Lin Xiaobei was exposed very well and fully, the process of advancement went smoothly.But there is still stimulation, and the pregnant woman is whining again.

"Relax, breathe in slowly, don't force yourself." The female doctor instructed the pregnant woman.

Lin Xiaobei saw that she had fully extended the steel pipe to the bottom. At this time, the umbilical cord would no longer be squeezed, so he slowly pushed out the chopsticks.

"Which hospital are you from?" the female doctor asked.

"It's from the Affiliated Courtyard of S University."

"Oh, Teacher Li Xiumei is your director, right?"

"No, I'm in the anesthesiology department, and I'm currently on rotation in the emergency department."

"You, aren't you an obstetrician?" The female doctor looked surprised, but said nothing.

It is unimaginable that a doctor who is not specialized in obstetrics and gynecology can handle the case of umbilical cord prolapse so perfectly, without the help of any medical equipment.

"No." Lin Xiaobei shook his head.

"You're amazing," she praised.

The little girl listened to the pregnant woman's belly with a stethoscope for a while, "Mr. Ma, the fetal heart rate is 155 beats per minute."

Dr. Ma nodded, "Prepare for transfer, notify the operating room, and operate immediately."

Lin Xiaobei asked in shock, "Well, you're not going to send the umbilical cord back into the uterine cavity?"

It is not suitable to expose such a long umbilical cord outside the body, although Dr. Ma has asked his assistant to wrap it in gauze.

Dr. Ma was not expecting his question, and frowned, "How can you send it back after such a long time?"

Of course, she herself had to admit that sending her back to the uterine cavity was the best choice.

"Let me try it?" Lin Xiaobei recommended himself.

Dr. Ma hesitated for a while, then took a pair of tweezers from the instrument tray and handed it to him.

She didn't know how Lin Xiaobei handled it before, but judging from the current results, he handled it very effectively.

If such cases of umbilical cord prolapse had not occurred in the hospital, by the time they arrived, many fetuses would have died of suffocation in the abdomen, and it was too late to be rescued.

She asked Meng Tingting to listen to the heartbeat of the fetus to see if there was any hope of first aid. The heart rate of 155 beats/min was enough to prove that the fetus was still alive.

Lin Xiaobei used tweezers to hold the umbilical cord and fed it in bit by bit. Dr. Ma helped on the side, holding the exposed part with both hands and trying to keep it as flat as possible.

30cm is long, but it didn't take much time.

After delivery, Lin Xiaobei moved away, and Dr. Ma blocked it with gauze, and let his assistant Meng Tingting hold it down.Then he ordered the pregnant woman's husband to help and transferred to the ambulance.

"You are so lucky today, you met a very professional doctor, otherwise the consequences would be disastrous, you have to thank him very much." Doctor Ma said to the man, but looked at Lin Xiaobei.

"That's that, thanks to her." The man nodded hastily, "Thank you, doctor."

Lin Xiaobei smiled faintly, "No, you guys go quickly."

When he turned around and was about to leave, Dr. Ma suddenly turned around and asked Lin Xiaobei, "What's your name?"

"Lin Xiaobei."

　Happy Saturday everyone.

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(End of this chapter)