Start as an Emergency Physician

"Zhou Yuan, the patient has regained consciousness!"

He Jianyi's slightly joyful voice rang out.

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

Removal of the uterus now guarantees that the patient's life is not in danger.

Or, take the risk of thrombin perfusion therapy...

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

"Doctor, you must save my womb... Even if I die, I will die with my womb!"

This sentence made Zhou Yuan and the others stunned.

Death also requires a womb...

He Jing stood up, was silent for a moment, and explained, "Actually, this situation was very common in the county hospital before me. A woman, if she doesn't have a uterus, then she will be exposed to momentum everywhere, her mother's side feels embarrassed, and her husband's side, even if her husband can accept it, the more pedantic elders can't accept it, and in the end she can only divorce..."

"So, a woman without a womb might as well even die..."

Zhou Yuan was silent, walked to the patient's side, and said, "Don't worry, we will do our best to save your life, and at the same time, also 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 milliliters of normal saline! Sun Meng, increase blood preparation! Increase the amount of blood transfusion, and intermittently transfuse platelets and plasma!"

The old director was already ready, and when he heard Zhou Yuan's words, he immediately gave Zhou Yuan the diluted prothrombin complex.

Zhou Yuan glanced at the extracorporeal drainage bag.

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

Five hundred milliliters of blood loss, which is already severe intraoperative bleeding ...

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

Time passed slowly.

Zhou Yuan kept perffusion, and the mother's blood pressure was always in an unstable state, and she almost went into shock several times, but fortunately, she was rescued by the experienced He Jianyi.

Until a voice sounded—

"Doctor Zhou, blood flow has decreased!"

He Jing looked at the extracorporeal drainage bag in surprise.

At the beginning, the blood in the extracorporeal drainage tube came out one by one, but now it has become intermittent, and the blood in the extracorporeal drainage bag is basically fixed at about 800 ml, and there is no more blood loss.

The tension in the observation room dissipated a lot.

Zhou Yuan, who was sweating profusely, also slowly breathed a sigh of relief.

Finally stopped...

Zhou Yuan's judgment was not wrong.

The reason for the trauma of the placenta is that it is not completely dissociated from the endometrium, and the uterine contraction is weak and the contraction is not coordinated, which causes one part of the placenta to separate from the uterine decidua layer, but the other part is not detached, affecting the overall contraction of the uterus.

As a result, the uterus is partially relaxed, the sinus of the dissected side of the disc is opened, and the coagulation function of the nearby blood vessels cannot keep up, resulting in extensive bleeding.

After thrombin perfusion, the bleeding point of the endometrium quickly coagulates into a blood clot under the action of thrombin, and the capillary and venous bleeding are all blocked, thus completing hemostasis.

Sure enough, soon, He Jing's voice sounded again.

"The bleeding stopped. There is no blood draining from the extracorporeal drain. "

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

"Move to your obstetrics and gynecology ward, and do another thrombin perfusion treatment in an hour, and the bleeding should not come back. "

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

"Wife, I've worked hard for you..."

Zhou Yuan walked over and glanced at the patient.

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

Zhou Yuandao: "I really thank my wife, let's be kind to her in the future." "

According to He Jing, the patient's parents are probably backward in their thinking, and they just regard women as fertility machines.

What is even more tragic is that perhaps the patient's mother and mother-in-law also think the same, and they only see themselves as the family's reproductive tools.

Therefore, everyone will focus on the child who is born.

At that time, the prenatal care was taken care of by the family in every way, and everyone ran to the child's side after giving birth, compared with the two, plus the patient's own physique became much worse because of heavy bleeding, and it was easy to get postpartum depression.

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

The old director was still shocked at this time.

"How did you come up with the idea of using thrombin to stop bleeding..."

Thrombin hemostasis can indeed be used for postpartum intraoperative bleeding, but because it is difficult to grasp the amount of thrombin used, it is impossible to confirm where thrombin stops bleeding, so the actual effect is not very large.

But...... Zhou Yuan forcibly used this method to stop the hemorrhage!

He Jianyi also felt incomprehensible: "When did you learn the thrombin hemostatic method?"

As soon as he asked this question, He Jianyi regretted it a little.

Sure enough, Zhou Yuan showed an indifferent smile at this time and said, "Actually, this is also my epiphany. "

He Jianyi: ...

Old Director: ...

"Now we need to find a way to clean up the observation room, or tomorrow the patients in the emergency department will be scared away. Zhou Yuan said.

He Jian reacted as soon as he 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.

Moreover, Zhou Yuan and the others were also full of blood on their white coats, if they went out now, they could scare the patients who came to the emergency department into going to the morgue...

"Find some tools to clean up. He Jianyi sighed.

After more than an hour, Zhou Yuan and the five people finally cleaned up the observation room, and the bed sheets and so on were replaced with brand new.

"It's finally settled. I didn't expect to encounter such a dangerous patient on the night. Liu Kai said with a sigh of relief.

Sun Meng smiled and looked at Zhou Yuan: "Thanks to Zhou Yuan this time... If there is no Zhou Yuan, the uterus can only be removed, and when the time comes, the patient must be more uncomfortable than death, right?"

He Jian nodded and said, "I think Zhou Yuan has the potential to be an obstetrician and gynecologist... Some time ago, he ran to the obstetrics and gynecology department all day long, and this time the pregnant woman was sent directly to the door. "

The crowd burst into laughter.

In the midst of the jokes, the tension and depression brought by the bleeding patient were swept away, and the next day came.

After Zhou Yuan and the others handed over to the people in the day team, they went back to their homes to prepare for rest.

But just then, someone from the hand surgery department called for an emergency call. _

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