Doctor Song, are you married?

Chapter 412 Chapter 411. Let’s set a precedent
"Doctor Song, this, this, she is in a coma, how can she deliver the baby?" Although Dr. Xiao Ke is young, his obstetric delivery skills are quite good. He was also chosen by Qi Lian for his unique skill of delivering babies in Ren'ai. She has been working in the hospital for more than three years. Except for maternal requests, she rarely takes the initiative to ask for help. It was just once, although it was unsuccessful.

However, now seeing Scarlett falling into a coma, Xiao Ke felt that something big was going to happen if he didn't move on!

"Dr. Song, you'd better call Mr. Qi quickly. This is her friend." Under the emergency situation, Xiao Ke still gave up. After all, human life is at stake, and it's two lives.

Song Qi was frowning at the moment, reading Scarlett's various test reports again while searching his brain for relevant knowledge about the family's hereditary blood disease.

There are many hereditary blood diseases in families. The more common hematological genetic diseases include hemoglobin genetic disease, thalassemia, sickle cell anemia, hemophilia, etc. The success rate of curing familial hematological diseases is very low and can only rely on prevention.

The results of the brain CPU search were not optimistic or specific.

Song Qi thought for a while. Scarlett was in a coma at the moment and could not get more first-hand information. It would be better to start with her mother's medical history.

What special circumstances can blood transfusion cause hemolysis?
Song Qi thought of this.

"By the way, draw another tube of blood for her and do a detailed genotype test!" Song Qi ordered the busy nurse.

Although Scarlett was in a coma at the moment, her vital signs were relatively stable, and the fetal heart rate in her belly was also stable. However, her uterine contractions were becoming more and more intense, and it seemed that she would give birth soon.

"I have to find a way to deal with the upcoming anemia and possible postpartum hemorrhage. In Scarlett's situation, there is a high probability that I will not dare to transfuse blood." Song Qi glanced at the neatly arranged plasma and whole blood beside him.

"Song Qi, are you really not going to call Mr. Qi?" Scarlett washed her hands and stood on the side of the delivery bed, on standby. At this moment, she was extremely anxious, but she couldn't move, so she could only A slim hope rests on Song Qi.

Moreover, it is already the 21st century, and it is extremely rare for mothers to die during childbirth.

If a seriously ill person dies without receiving treatment, it is understandable. However, if a mother dies on the operating table due to postpartum hemorrhage, I am afraid there is no way to explain this to everyone.

The nurse had indeed called Qi Lian because Qi Lian was the contact person filled in during hospitalization.

The fetal heart rate, which was originally 140 times, has risen to more than 160 times, which means that the fetus has shown signs of hypoxia.

"Didn't the nurse do it?" Song Qi didn't look up. At this time, he didn't want anyone to disturb his thoughts.

Song Qi felt a sense of urgency and pressure at this moment.

Even if something happens, it's good to have someone to keep you company. Being in jail with a handsome guy as your companion is not that miserable. Xiao Ke was thinking in his mind.

Once bleeding occurs, if blood cannot be transfused and the bleeding cannot be stopped, it will be a dead end!

After all, a mother is a living, normal person before giving birth.

"Otherwise, wash your hands and come with me." Seeing that Song Qi didn't follow her advice at all, Xiao Ke had to find a way to get Song Qi to come with him.

"But the current situation" Qi Lian glanced at the fetal heart monitor.

The speed must be fast! Otherwise, the onset of labor can easily lead to intrauterine distress and postpartum hemorrhage.

"Tell the laboratory that it's urgent!" Seeing that the nurse had drawn blood, Song Qi continued.

So much blood could not save his life, and Song Qi was quite helpless.

"Dr. Song, Miss Scarlett's blood genotyping has been released." The nurse answered the phone and reported to Song Qihui.

Song Qi quickly read the test results. Different from ordinary blood type tests, Scarlett's blood type results include more detailed genotyping in addition to the conventional ABO blood type and RH blood type. Song Qi took a look and found that there were more than fifty genotypes of various sizes. item.

At first glance, Scarlett's blood type genotyping was no different from that of ordinary people. However, upon closer inspection, Song Qi discovered that her blood type was slightly different at the 36th gene locus.

Could this be the cause of Scarlett's anemia? Song Qi thought.

"There is an abnormality in the fetal heart rate. Dr. Song, are you considering an emergency caesarean section?" Dr. Xiao Ke has been staring at the fetal heart rate monitoring curve. Just now, the fetal heart rate dropped sharply from a hundred times to more than a hundred and more times. Continuously falling.
"The contractions are still irregular, the cervical canal has receded by 70%, and the cervix is ​​not dilated!" Dr. Xiao Ke quickly performed an internal diagnosis on Scarlett, and then looked at Song Qi eagerly.

Song Qi's knowledge of obstetrics and childbirth is limited to the theoretical knowledge learned in school. According to what was said in class, in this case, the symptoms of fetal hypoxia must first be corrected, usually by increasing the flow of oxygen inhaled by the pregnant woman, and then the next step It means either intravenous infusion of oxytocin to induce labor, or else consider a caesarean section.

The nurses in the obstetrics department are also very experienced. Without waiting for the doctor's orders, Scarlett's nasal cannula oxygen inhalation was replaced by a mask oxygen inhalation, and the oxygen flow rate was also increased from 3L/min to 5L/min.

"What do you think?" Song Qi looked at Xiao Ke.

"If you use oxytocin, the risk to the fetus will be greater, but if you have a caesarean section, the maternal anemia will be more serious. If there is bleeding after surgery and blood transfusion is not possible, the pregnant woman will be really in danger," Xiao Ke analyzed truthfully.

"So, is this the real-life version of the question of whether to keep a child or a child?" Song Qi looked at Xiao Ke with a headache.

"Although it's not exact, it can be understood this way." Xiao Ke was also quite helpless. Why was he coaxed onto the operating table by Song Qi's handsome face in the first place? Now, now, he really has to share weal and woe with him.

"Dr. Song, the most critical issue still needs to be solved by you. Even if oxytocin is administered to induce labor first, there is a high probability that the induction will not be successful and a caesarean section will eventually be required. So, do you have any ideas on how to deal with postpartum hemorrhage?" Xiao Ke At this time, my mind was extremely clear.

No matter whether the first choice is vaginal or caesarean section, there is a high probability that you will have to face the problem of postpartum hemorrhage.

"Call me the lab number." Song Qi thought for a long time and suddenly had a bold idea.

The nurse quickly called the lab.

After the call was connected, Song Qi answered, "Can we destroy the 36th genetic locus of plasma in a short time?"

Yes, Song Qi's idea is so bold. Since Scarlett's blood genotype is abnormal, why not destroy this gene site in the existing plasma, so that if it is imported into the body, there will be no immune response, and thus no Hemolysis will occur!
"What? Please say it again?" The laboratory was also stunned by Song Qi's bold proposal and quickly confirmed again.

"I want you to destroy the 8th gene locus in units of plasma in the shortest possible time," Song Qi repeated.

"This is theoretically possible, but we have never done it before." The laboratory was quite hesitant.

"Then let's set a precedent," Song Qi said.

"But, this is risky."

"I will bear the risk, I am Song Qi!" Song Qi said solemnly.

"Is it the Song Qi who filled the gap in medicine?" The staff in the laboratory were also very excited.

"Yes, it's me!" Song Qi nodded.

"Well, okay." The staff in the laboratory thought for a moment and then made a decision.

With Song Qi supporting you, what else is there to be afraid of? If it succeeds accidentally, it can be regarded as a medical breakthrough, right?

(End of this chapter)