Start From Emergency Doctor

Chapter 92

Zhou Yuan did not answer, but instead asked, “Is the baby medicine ready?”

Caesarean section is not comparable to natural childbirth, and there are many adverse effects. Because the newborn fetus is not squeezed through the birth canal, one-third of the fetal lung fluid is not discharged from the baby’s lungs, so some newborns cannot breathe spontaneously after birth.

Moreover, Sun Lele’s situation is extremely special. Her fetal development is only less than seven months old. At this time, her weight is only about one kilogram, while the normal newborn weight is between 2,500 grams and 4 kilograms…

This means that a series of complications of premature babies may occur, such as intracranial hemorrhage, retinopathy, and even babies with underdeveloped limbs.

Therefore, it is necessary to prepare baby medicines at the time of caesarean section to deal with various situations at any time

“The lung active substances are ready, and other medicines are in place,” He Jing replied.

“Are you planning to… have a C-section first?” Wei Lili guessed.

Zhou Yuan nodded: “The burden on the heart 26 is too great. Pacemaker placement surgery will once again increase the burden on the patient, and the fetus must be taken out first.”

Wei Lili nodded.

“It must be fast!”

Wei Lili nodded: “The principle of short, flat and quick, I know.”

The time is short, the process must be stable, and the maternal body indicators should not fluctuate, and the speed should be fast. This is the most important principle of this operation.

Everyone quietly waited for the opportunity.

To be more precise, wait for Zhou Yuan to give the next order.

Zhou Yuan was silent, staring at the various values ​​on the instrument with a serious face, and finally, when the pulmonary artery pressure dropped again, he said in a deep voice, “Start a cesarean section!”

Wei Lili immediately picked up the scalpel, and everyone in the First Obstetrics Department immediately moved.

Wei Lili has been an obstetrician and gynecologist for decades, and is very experienced in doing C-sections. Although He Jing came from the county hospital, because there were few doctors there, she had many opportunities to go to the operating table, so she was very experienced.

After the disinfection, Wei Lili dropped a scalpel about three centimeters above the pubic bone.

Then, cut the abdomen layer by layer, opening a cut about ten centimeters.

Wei Lili chose a transverse incision to make the scar less conspicuous.

After making a ten-centimeter opening, He Jing stepped forward and opened the abdominal wall to both sides, while Wei Lili cut open the uterine wall that wrapped the fetus.

The choice is still a transverse incision. The transversely cut uterus has better resistance to pressure than the longitudinally cut uterus after healing, and it will not easily cause the uterus to rupture due to the next pregnancy.

Of course, for Sun Lele, there is basically no possibility of a second pregnancy.

“Tissue shears.”

After revealing the fetus, Wei Lili cut open the amniotic membrane that wrapped the fetus.

Then, she reached in and confirmed the position of the fetal head.(Read more @ wuxiax.com)

This time the cesarean section was very smooth. Wei Lili found the head of the fetus once, grabbed it carefully, and began to slowly drag it out.

After the fetus’s head was exposed, Wei Lili, He Jing and others immediately began to remove foreign bodies from the fetus’s mouth and airway to clear the airway.

However, the fetus just came out of the womb, except for a cry at the beginning, there was no sound anymore, but kept moving.

The expressions of Wei Lili and others changed drastically.

“Quick! Take out the fetus!” Zhou Yuan couldn’t help but urged.

Wei Lili nodded seriously and pulled the fetus’s shoulders out. Then, when the fetus’s entire body had left the mother’s body, He Jing cut the umbilical cord.

“I’ll go for percussion resuscitation, you continue to deal with the placenta!” Wei Lili said quickly.

He Jing nodded: “Understood!”

Speaking of it, this is He Jingjing’s first operation in the operating room of Yanjing International Hospital, and the first is such a difficult operation.

However, He Jing is not stage fright, she quickly entered the state.

Zhou Yuan walked next to Wei Lili and paid attention to the condition of the newborn baby.

The condition of the newborn baby is very bad. It is only a little bigger than a slap and weighs 900 grams.

“The lungs are not fully developed!”

The baby who was placed on the heat preservation platform shook his hands and feet, his palm was only the size of an adult’s thumb, his body was full of mucus, and he was extremely quiet.

This is undoubtedly fatal-the newborn does not cry, indicating that the lungs are not exchanging gas!

Wei Lili immediately slapped the baby’s feet and Zhou Yuan stepped forward to help rub the baby’s back.

The two intend to stimulate the newborn’s breathing with touch.

However, the cry of anticipation did not sound.

“Use tracheal intubation!”

Wei Lili immediately looked at Zhou Yuan: “You perform tracheal intubation, I’ll come to press on the chest!”

Zhou Yuan quickly inserted the trachea into the newborn’s body carefully, and began to slowly squeeze the air into the newborn’s respiratory tract, trying to wake up the lungs.

On the other side, Wei Lili also began to perform chest compressions.

Because it is a premature baby and is small in size, mouth-to-mouth breathing and ordinary chest compressions are not feasible. Wei Lili bent her index finger and regularly tapped the newborn’s chest for resuscitation.

“Do you want to have an intracardiac injection of adrenaline?” a doctor asked anxiously as he walked over.

“No! Newborns still have a heartbeat!”

Wei Lili’s expression was eager, but the speed in her hands was gentle and gentle.

Rescued by Zhou Yuan and Wei Lili, a loud cry spread throughout the operating table shortly afterwards.

Zhou Yuan slowly pulled out the trachea, and smiled at each other with Wei Lili, both of which were relieved.

“Easy ventilator!”

Wei Lili quickly put the simple ventilator on the newborn.

“The baby’s lungs are not fully developed and must rely on a simple ventilator to maintain his breathing. Once it stops, he will suffocate and die.” Wei Lili explained.

The medical staff brought the blanket again and carefully wrapped the slap-sized baby in it-newborns must take measures to keep warm and reduce the emission.

Wei Lili is holding a ventilator to help the baby breathe regularly according to the human breathing rate.

This premature baby cannot use an autonomous ventilator, and can only use a simple ventilator to supply oxygen through artificial control. In other words, someone must press the ventilator all the time.

“Send the baby to the neonatal intensive care unit for constant monitoring!”

Wei Lili’s voice is very small, “Several organs of the baby are immature, especially the lungs…”

After that, the newborn’s condition may get better, and the organs will gradually mature, but it is also possible that the breathing difficulties will get worse again, or even die.

Zhou Yuan nodded silently. He noticed that Sun Lele’s pulmonary artery pressure had risen again, and his systemic circulation pressure was approaching soon!

Sun Lele, who seemed to be feeling his own physical condition, turned her head away and looked at the newborn who was about to be sent to the intensive care unit.

“Doctor, I…want to see my baby…”

Sun Lele’s faint voice rang. .