Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 59
It can be seen that this [dangerous placenta previa] is terrible!
It can even be said that pregnant women use their lives to give birth to children.
This risk is even tens of thousands of times more dangerous than the previous acute appendicitis during pregnancy!
......
And this pregnant woman was sent to the hospital when she had contractions.
According to the family members, they live in the community next to the City No. [-] Hospital, which is only a few minutes away from their home.
So there is no admission to the hospital for observation, just regular inspections.
But two hours earlier, the patient had contractions and was sent in for a caesarean section.
Xu Yingying came over for surgery, and something went wrong!
Bleeding!
And no bleeding was found!
This is the worst!
If you can't find the bleeding port, it means you can't stop the bleeding. If the bleeding doesn't stop, pregnant women are in danger!
The current situation is already at stake.
Especially the situation of pregnant women is worse than imagined, the placenta even enters the myometrium.
In this placental position, during the process of childbirth and placental separation, the probability of hemorrhage is almost 90%!
Now the number one cause of death among pregnant women is postpartum hemorrhage!
"What about the family members? Why didn't you go to the hospital immediately after checking out this situation? Stop the pregnancy?"
Qin Feng frowned and couldn't help scolding.
"Don't mention it, the pregnant woman's mother-in-law said that she had checked with a relationship, this baby is a boy, it must be!"
"Fuck!"
When Qin Feng heard this, he couldn't help but swear.
Does this mean that the family has the throne to inherit?
In order to have a boy, even the life of the pregnant woman was ignored!
Chapter 45
"Actually, the husband of the pregnant woman knew this and didn't want the child, but the mother insisted on staying, so there was no other way."
Deputy Director Chen sighed, not knowing what to draw.
Is it because the mother-in-law wants a boy and has to risk death to have it?
......
Qin Feng didn't know what to say.
Forget it, this is their private matter, and I have no control over it.
The most important thing now is to rescue!
Save the life of the pregnant woman first!
"Tell me about the operation."
Qin Feng walked up to the chief knife position and said with a serious expression.
"At present, the patient has undergone balloon surgery, established double venous access, and received massive blood transfusion.
The fetus has been taken out, but during the cesarean section, the place where the electric knife penetrated was blocked by the bladder, and the large blood vessels were bleeding, but fortunately it has stopped. "
Xu Yingying immediately told the current situation of the operation,
"At present, the two most fatal places, one is that the placenta swells into the myometrium and cannot be taken out. When we stripped the placenta, there was heavy bleeding, and the aspirator couldn't keep up. 1000ml per minute."
Qin Feng took a deep breath after listening, this is really too dangerous!
"How much blood do you have left?"
"There are still 2000 left, and people have been sent to the blood bank to prepare 3000."
He nodded when he heard that this blood preparation should be enough.
Glancing at the pregnant woman's abdominal cavity, it was like a pool of blood, still gushing out.
Most people can't stand that scene at all!
Moreover, there is no operating room at all, and it is impossible to remove the placenta by hand.
Rash surgery may even cause more serious consequences!
Because the placenta grows to the myometrium, it is equivalent to one piece. If you want to peel it off, it is like pulling out a carrot to bring out the mud. You can only pull out the root together!
Qin Feng glanced at the picture of the examination, and a three-dimensional distribution map including the uterus, placenta, bladder, and arteries and veins quickly appeared in his mind.
He wants to choose the most effective solution as quickly as possible, without wasting any time.
At present, there are only two preferred options. The first one is to continue to forcibly separate the placenta from the uterus and use the blood to fight!
The disadvantage of this method is that the bleeding rate is too fast, it does not give a good surgical field of view, and it is very difficult to peel off.
The second is more straightforward, removing the entire uterus!
Solve all problems at once!
But the pregnant woman will completely lose the uterus and fertility in the future, and will also lose some female functions attached to the uterus.
Including menstruation, estrogen that regulates endocrine, etc., there will be great sequelae in later life.
"Qin Feng, if you don't have a good solution, you can only cut off the whole uterus, life-saving is the most important thing!"
Xu Yingying saw that he was not moving, with a serious expression, and said quickly.
"Wait a minute."
Qin Feng took a deep breath, raised his hand and stretched into the pregnant woman's abdomen, and began to explore,
"I'm not sure whether the placenta can be removed, but let the family members know first, and sign the situation and the hysterectomy letter first, so as to save trouble."
"I'll go with this."
Deputy Director Chen took the initiative to speak, and walked out with a nurse after speaking.
It's better for her to do this kind of thing.
at this time,
Qin Feng's hand has probably touched the entire abdominal cavity.
The growth area of the placenta in the myometrium has reached an irregular oval shape of 10*12.
The stripped area reached nearly one-fifth of the entire placenta.
As for the bleeding port, a nurse has already firmly held down one, not daring to relax at all, there is no way to stop the bleeding at present, as long as he relaxes a little, the blood will surge up like a fountain.
"I didn't find the bleeding hole, it's too hidden."
Xu Yingying said beside him.
Qin Feng nodded, his eyes slightly closed, and his palms slowly moved in the blood, feeling the flow of blood carefully.
Such a large amount of bleeding shows that the damaged blood vessels are definitely not thin.
With the main bleeding outlet being controlled as much as possible, the flow of blood inside is relatively obvious.
He has inherited so much world-class experience, and the sensitivity of his hands is several times higher than that of ordinary people.
1 minutes......
2 minutes......
found it!
The blood volume of nearly 2000ml went down again, Qin Feng opened his eyes, turned his arm lightly, and instantly pinched the blood vessel that was bleeding with two fingers.
"Blocking forceps!"
Qin Feng hurriedly said, after the blocking forceps reached his hand, he penetrated into the blood-filled abdominal cavity and blocked the blood vessel.
This location is indeed too hidden!
zizizizi~
The aspirator began to suck blood rapidly, and the blood volume in the abdominal cavity began to drop rapidly.Gradually exposed a certain surgical vision.
However, there were still signs of bleeding in the abdominal cavity, and it seemed that there should be other bleeding outlets.
The area of the placenta in the myometrium is too large, and it is very easy to touch blood vessels when it is free, so it is normal.
Xu Yingying, who was standing beside her, finally breathed a sigh of relief.
"Okay, stop the bleeding first, give it to me."
Qin Feng took the large blocking forceps and began to try to block the blood vessel in the nurse's hand.
Because the bleeding port needs to be suppressed by hand to stop the bleeding, but this will occupy a certain surgical field of view, so the hemostatic forceps must be used to remove the hand so as not to hinder the surgeon's operation.
But as soon as he let go of his hand, blood would spurt out crazily, instantly blurring his vision.
This time it's a little tricky!
Qin Feng tried several times in a row, but he couldn't successfully block the blood vessel. The last 3000ml blood preparation has been continued.
"It's really troublesome."
He frowned slightly, and couldn't help but say.
Although he has inherited so much world-class experience, for things like surgery, there are always more accidents than methods.
"If it doesn't work, just remove the uterus."
Xu Yingying was worried as she watched from the side, she looked up at Bei Xue and said,
"Anyway, the baby was born safely, and the hemorrhage just now was like a fountain. You didn't see it, the blood column was as thick as a finger.
If it continues, the blood in the body will be sprayed out in just a few minutes!
If there is really no way to stop the bleeding, we can only remove the entire uterus in the end, and we can't stop it. "
at this time,
outside the operating room,
The husband and mother-in-law of the pregnant woman also disagreed with the hysterectomy.
Especially mother-in-law!
"No! Hysterectomy? Then my daughter-in-law won't be able to give birth again? I don't agree!"
It seems that women in their [-]s immediately exploded after hearing Chen Yuanfang's explanation.
"She gave birth to a boy for our family, what if there are more children in the future?
It was agreed at the beginning that we would add two boys to our family!I don't agree with hysterectomy!
Son, speak up! "
The man's expression was full of entanglement and helplessness, as if he was struggling.
"Now your wife's life is in your hands. If you want to keep the uterus, the risk will be very high. You have to bear the result yourself."
Vice-principal Chen Yuanfang heard the old woman's words, suppressed her anger in her heart, looked at the man and said,
"As for the operation plan, you can choose, she is your wife."
......
The man was silent, but the mother-in-law was still resisting.
"I'm telling you! If you can't keep my daughter-in-law's womb, I will definitely sue your hospital!"
"What kind of hospital do you have the ability to open? Quack doctors! They are all quack doctors!"
"My daughter-in-law has a little problem, and I will never let you go!"
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