Sleepless Doctor

Recently, I have had a lot of contact with Teacher Wu, and Xue Chunhe has a general understanding of Wu Mian's level. Anesthesia, surgery, and treatment of diseases like Zhou Lao, as well as the diagnosis and operation of the grandson of the old leader are all examples.

　　 But even Teacher Wu doesn't speak at this time.

Is it because I think too much, or I should explain clearly to the patient’s family that I can do it if I can induce labor. If I still want to have a glimmer of hope, I will take the pregnant woman... Alas, Xue Chunhe also knows that he will take the pregnant woman to the Imperial Capital and the Demon Capital. It's just an excuse.

　　 As long as the pregnant woman doesn't have an accident in the Second Hospital of Medical University, she can't manage that much by herself.

　　 "Xue Yuan, you are here." A female doctor wore isolation gowns inside and white gowns outside. She hurriedly walked in and saw that she had just underwent surgery.

　　 "Director Guo." Dean Xue nodded.

　　 "I just stepped down." Director Guo said, "I know this pregnant woman, I have seen it."

　　 "Can it be cured?" Xue Chunhe asked.

"The couple are both engaged in business. When I was young, I was delayed in having children because of earning money, and suffered a habitual miscarriage." Director Guo said, "Surgery cannot be performed, and the pregnancy period is too short. Even if you don't do it after a caesarean section. The child will not survive a chest surgery."

　　 Xue Chunhe nodded. Everyone agrees, so he can only explain to the patient's family.

　　 To be honest, although it is very detrimental, it is just a blunt knife to cut the meat. It is not good for the patient and the patient's family.

　　 gave a hope, and soon the soap bubble of hope would be punctured, which is more cruel to some extent.

　　 "Director Guo, let me introduce you, this is Teacher Wu Mianwu." Xue Chunhe stood up and introduced.

　　 "Wu Mian... Teacher Wu? The new version of diagnostics..." Director Guo said in surprise, and then stretched out his hand, "Mr. Wu, look up for a long time."

　　 Wu Mian shook his hand with a serious expression.

　　 "Teacher Wu, do you have any suggestions?" Director Guo asked.

　　 This is out of respect for higher-level doctors. In fact, Director Guo didn't want to get any answers from Wu Mian.

　　 "Although the operation is nine deaths a lifetime, it can still be done." Wu Mian said in a deep voice.

　　 Just about to let go of Wu Mian's hand, Director Guo subconsciously clenched again after hearing Wu Mian's words, and then she realized that she was out of shape and quickly let go.

　　 "Director Guo, is fetal surgery carried out in our hospital?" Wu Mian asked.

　　 "Teacher Shen from the Imperial Women's and Children's Hospital has performed two fetal surgeries over 33 weeks." Director Guo said, "This...is only 26 weeks, so I can't do it."

　　 "It can be done, but the success rate is not high." Wu Mian said, "Director Guo, sit down and talk."

　　 Director Guo looked at Wu Mian helplessly, thinking for a few seconds before sitting down full of thoughts.

　　 "Ms. Wu? How do you do the surgery?" Xue Chunhe asked.

　　 "According to the normal Caesarean section procedure, first general anesthesia + continuous epidural anesthesia...anesthesia..." Wu Mian sat on the chair, placed his right hand on the desk, and gently tapped the table top.

　　 He seems to be telling Xue Chunhe about the procedure, but it is more like talking to himself.

　　 "Maternal fetal protection does not cause uterine contractions. Nitroglycerine, inhalation anesthetics, beta2 receptor agonists, etc.. There are also maternal anesthesia and surgery. It is best not to antagonize residual muscle relaxation after surgery."

　　 Bits of fragmented information came out of Wu Mian's mouth, and Xue Chunhe was dumbfounded.

　　" Inhalation anesthesia, intravenous anesthetics, the fetus/maternal ratio is as high as 70%, and most of them are easier to pass through the placenta.

It is not necessary to use muscle relaxants. If necessary, a single dose can be injected through the umbilical vein. Whether it is vecuronium, atracurium, or rocuronium, there are reports of safe use.

　　 In vitro studies of cis-atracurium have found that it can induce apoptosis of umbilical cord vascular endothelial cells, which may not be good. Remifentanil is also easy to pass through the placenta, and the fetus has a strong metabolic capacity. "

　　 Xue Chunhe knew he was wrong.

　　 I was so naive just now, I actually had a glimmer of hope.

　　 Listening to Mr. Wu, there are a lot of problems with anesthesia before we talk about surgery.

　　The source of all problems is that the patient is a pregnant woman.

　　 That's a pregnant woman!

　　 That's a pregnant woman! !

　　 That's a pregnant woman! ! !

　　 Xue Chunhe has a headache when he thinks of operating on a pregnant woman.

　　 "Let's talk about anesthesia, the operation process is nothing, the uterus is opened, the fetus is taken out, and the cystadenoma of the upper lobe of the left lung is cut out according to the normal procedure of thoracic surgery."

　　 "……"

　　 If it weren't for Wu Mian who was talking, Xue Chunhe would already start cursing people, screaming at people who are not ashamed of speaking.

　　 A 26-week-old fetus will undergo surgery in accordance with the normal thoracic surgery procedure? Nonsense!

I will endure! Xue Chunhe forcibly endured the irritability and anxiety in his heart. His mood hasn't stabilized yet, and another big thunder falls on his head.

　　 "Then return the fetus to the uterus, stitch it up, and let the fetus continue to be pregnant."

　　 Xue Chunhe and Director Lei were all caught outside Lei Jiao and Lin Nian.

　　 Everyone thinks that the order of surgery is to have a C-section first, take the fetus out for the operation, and put it in an incubator after the operation. I asked Teacher Shen from the Imperial Women's and Children's Hospital to perform the operation before, and that was the step.

　　 After the operation, the child was in the incubator. Although it was a week old, he died nine times. Under the care of the medical staff day and night, the fetus has a silver lining.

　　 But Mr. Wu actually said to send the fetus back to the womb...

　　 That's a fetus, not the intestine, or normal physiological tissue. If you say it is plugged back, then plug it back? How can this be!

　　 There was silence in the office.

　　 Wu Mian tapped his fingers on the desktop silently~www.wuxiaspot.com~ He just described the operation process and straightened out his thoughts by the way, but did not want Xue Chunhe or Director Guo to understand.

　　 Wu Mian has never done a similar operation, but he has watched relevant operation videos. As for the difficulty, it exists, and it's not small. But Wu Mian didn't want to do it, and left professional people to do the professional things, so he had greater confidence.

　　 "Nine deaths and a lifetime." Wu Mian said affirmatively at last, "It is still recommended to induce labor."

　　 Upon hearing the final conclusion, Xue Chunhe let out a sigh of relief.

　　 Just after hearing Wu Mian talk about the operation process, he remembered the cold joke on that spring evening-put the elephants in the refrigerator and put them together in a few steps.

　　 Mr. Wu Mian Wu’s statement is like a joke. The process of a C-section is to open the uterus and take out the fetus; perform thoracic surgery to cut off the congenital cystadenoma; and then put the fetus back into the uterus.

　　 is also three steps, but...

　　 Xue Chunhe wants to cry without tears.

　　 This really three-step walk sounds simple, but like what Mr. Wu said just now, anesthesia is a difficult point before the operation has started.

　　 The anesthesia is deep, and the fetus has absorbed a lot. It is possible that the fetal heart rate has stopped before the cesarean section. But if you give less, it won't work.

　　 Everything has to be just right, no more or less.

　　 This kind of god-level difficulty is just...just...just...a beginning.

　　 Even after the anesthesia, more difficult things are still waiting.