Start From Emergency Doctor

Chapter 89

“Teacher, I can try.”

He also has four intermediate treasure chests, which can be exchanged for any surgery.

Compared with He Jing and others, who were surprised by Zhou Yuan’s youth, everyone in the emergency department looked much plainer, except that there were some different colors in the eyes.

He Jing looked at Zhou Yuan a few more times, feeling a little weird.

The First Obstetrics and Emergency Department quickly reached a deadlock, and no one answered the call.

After all, Zhou Yuan’s age is really unconvincing.

He Jian smiled and said, “I didn’t expect your kid to be secretly proficient in obstetrics?…Take Zhou Yuan over, I believe him.”

The director spoke, and even the first obstetrics department had no choice but to hold back even if they were suspicious.

“Thank you Director He!”

As he said, He Jing blinked at Zhou Yuan, “Quickly, Doctor Zhou, come with me!”

With that said, the group will take Zhou Yuan to the obstetrics and gynecology department.

“Wait… I’ll go with you too!”

At this time, Lu Chenxi also walked out.

Zhou Yuan’s eyes lit up.

Lu Chenxi is a good hand in thoracic surgery, and the level of surgery is not good. It happens that the current situation of pregnant women is a familiar field in thoracic surgery.

“Okay, you go with me.” Zhou Yuan said.

Lu Chenxi quickly caught up with Zhou Yuan.

A group of people hurriedly left.

The ocean in the crowd moved its voice, wanting to say that he was also involved.

He didn’t want to let go of the opportunity to undergo surgery with Zhou Yuan.

However, after thinking about it, I finally held back the words.

The injury on his hand is not healed, with Zhou Yuan’s stitches. Haiyang is not worried about the recovery, but now he cannot overuse his left hand, otherwise it will still have sequelae.

At the same time, he held back some things about Brother Sharp.

Last night Zhou Yuan was anxious to save his hand, and did not care about Brother Sharp. In the end, people from the Security Division took him away and sent him to the police station.

Ocean finally did not mention this matter. He was worried that Zhou Yuan’s mood would be affected, which would definitely affect the operation.

“Some people seem to be masters of surgery, but secretly they are also proficient in obstetrics…” After thinking for a while, Haiyang said in a low tone.

The nervous emergency department all froze for a moment, and then smiled involuntarily, and their mood suddenly relaxed.

He Jianyi patted the shoulder of the ocean, and said with a smile: “Just your kid talks a lot!”(Read more @ wuxiax.com)

Then, he said to everyone in the emergency department: “Okay, the excitement is over. Everyone, get back to work and get busy!”

…

On the other side, Zhou Yuan and others got on the elevator quickly.

“Show me the heart color Doppler ultrasound report!” Zhou Yuan said quickly.

Patients with heart failure are generally treated by drugs. Basically, they need to strengthen the heart, diuresis, and expand their blood vessels. In addition, pregnant women have had mitral valve replacement before and need to take anticoagulants. At this time, all drugs should be stopped. Blame it if something goes wrong!

He Jing directly reported the results of the cardiac color Doppler ultrasound report, saying: “The left ventricle, left atrium, and right atrium are large, and the ejection fraction of the heart is lower than normal! Her heart failure has been treated before and has improved, but she was forced to become pregnant. Lead to recurrence of heart failure!”

Zhou Yuan nodded, his face serious.

This is a combined operation.

After judging the timing of the caesarean section, the valve must be replaced to solve the stuck valve problem.

On the other hand, it is also necessary to relieve the heart failure of pregnant women.

Although it is said that patients with heart failure should be treated with drugs in the mainstream cognition of society and academia, there are still three kinds of surgery that can play a better role.

First, three-chamber pacemaker therapy. CRT is used to reduce the asynchronous contraction of the left and right ventricles, improve the overall function of the left ventricle, increase the filling time of the left ventricle, reduce the contradictory movement of the ventricular septum and the phenomenon of mitral valve regurgitation, and finally improve hemodynamics.

The second is the most direct and rude way. Since the power of the heart is insufficient, the strength of the myocardium is not enough, and the pumping function cannot keep up, cardioplasty is used to wrap the strong muscles of the back or abdomen near the heart.

At the same time, install a pacemaker that is the same as the heartbeat to help the heart supply blood.

The third method is relatively rare and is suitable for patients with severe heart failure. That is to assist the artificial heart.

The assisted artificial heart is a mechanical pacing pumping device that is embedded in the chest to help the heart pump more blood, which can partially or directly replace the heart function.

Soon, I arrived at the conference room of the First Obstetrics Department.

Everyone is waiting for doctors in the emergency department to participate in the discussion of the surgical plan.

When He Jing walked in with Zhou Yuan and Lu Chenxi, the faces of everyone in the conference room changed.

“What’s the situation, so young?”

“Interns?”

“Are you Zhou Yuan?” Wei Lili, deputy director of obstetrics and gynecology, stood up and said questioningly.

Zhou Yuan nodded.

“Sit down.” Wei Lili’s eyes lit up, suppressing everyone’s discussion.

“Let me talk about the current maternal situation.”

Wei Lili stood up, motioned everyone to look at the information at hand, and said: “The mother has been pregnant for 29 weeks, but our inspection results show that the fetus is only 25 weeks old and the actual development level of the fetus is one month less.

“In other words, heart failure not only affects the health of the mother, but because of insufficient oxygen supply, it is unable to bring sufficient nutrients to the fetus. The development of the fetus has now completely stopped!”

“The maternal situation is very critical now, and there is a dilemma. If the pregnancy is terminated now, it is likely to cause a large increase in blood, and the maternal will die for a lifetime. However, if the child in the belly is not taken care of, the valve that has been stuck may be completely obstructed at any time. At that time, the lives of both mother and child will be seriously threatened!”

Zhou Yuan looked at the pregnant woman’s diagnosis results, CT, abdominal color Doppler ultrasound, etc., and his expression gradually became serious.

The pregnant woman suffers from congenital heart disease, which leads to the lack of a diaphragm between the left and right ventricles in her heart, which leads to pulmonary hypertension, heart failure, and year-round lack of oxygen and inability to work.

At this time, in patients who are already hypoxic, the fetus in the abdomen is still increasing the pressure on the heart, and the life of mother and child is tied together.

Everyone in the conference room was silent at this time.

Soon, the nurse invited the family members in again to discuss.

It was a middle-aged woman who rushed in first. She turned pale when she saw the doctor in the operating room. She cried, “Doctor, I must save my daughter! She has always loved children since she was a child. , Telling us that we must have a child in death, we can’t persuade, who knows that this kind of thing really happened…Doctor, save my daughter!”

The patient’s father, husband, and grandmother also walked in.

The patient’s husband didn’t say a word at this time, a burly man who was a little over eighteen meters tall, shrank in the corner of the conference room, his eyes were red and he didn’t say a word.

Deputy Director Wei Lili and others were embarrassed.

In this situation, it is really too difficult to choose a surgical plan!

Don’t talk about protecting the big and the small. The big one has stuck in the valve and the pulmonary artery continues to be hypertensive. The small one is premature once the caesarean section is performed. It is less than seven months and the probability of survival is very small.

Now it’s hard to guarantee the big and the small!

The family members seem to be aware of the seriousness of the problem. The patient’s mother and grandmother have already started to cry, regretting that they had not been cruel to stop the patient from becoming pregnant.

There was only crying and sighing in the operating room. At this moment, a sound suddenly rang.

“Deputy Director, I have a surgical plan, maybe I can try it.”

Zhou Yuan stared at the patient’s film and said slowly. .