Start From Emergency Doctor

Chapter 93

“Doctor… I want to see my baby…”

No one can refuse such a request from a mother.

The doctor who walked to the door immediately stopped and looked back at Wei Lili with an inquiring look.

Wei Lili nodded gently.

Soon, the child was taken to the side of Sun Lele.

Seeing the child with the trachea in his mouth shaking his arms from time to time, Sun Lele smiled contentedly.

In her opinion, her mission seems to have been completed…

She is an introvert. She hasn’t read any books, and because she is born with a disease, she has few people in her life.

It can be said that apart from her parents, her husband is her whole world.

Sun Lele is uneducated, but she is not stupid, her heart failure is in grade three, she knows that her life span is only five or six years left, and she also knows that this pregnancy is undoubtedly accelerating her death.

Leaving a flesh and blood is her only wish.

At this moment, this wish was fulfilled, and Sun Lele’s mood suddenly relaxed.

“Pulmonary artery pressure rises again! It is about to exceed the systemic circulation!” the anesthesiologist hurriedly shouted.

Sun Lele began to roll her eyes, her breathing was a little bit unable to keep up, and she started to cough.

“Pulmonary hypertension!” Zhou Yuan’s expression changed.

On the other side, He Jing had also stripped the placenta, took out all the gauze used to pack the uterus, and was about to start suture the uterus.

But…everyone stopped.

Sun Lele’s situation is extremely critical.

Pulmonary crisis and breathing difficulties occurred during the operation, which means that every stitch is sutured. Once Sun Lele’s body is accidentally stimulated, the pulmonary artery may swell and exceed the systemic circulation!

At that time, the lungs will start to be ischemic and breathing will stop!

Zhou Yuan rushed directly and took the needle holder in He Jing’s hand.

Among the people present, he is the most suitable for stitching and the most stable stitching.

Zhou Yuan took a deep breath and began to stitch together.

He was extremely careful with every stitch that was dropped, and he raised his head every time the stitches were completed to see the changes in pulmonary artery pressure and systemic circulation pressure.

He Jing was dumbfounded.

This stitching is too delicate…

Accurately seized the timing of the caesarean section, and underwent the pacemaker placement operation…

This doctor seems to be a little bit open!

Wei Lili and others were also staring at the side, deeply moved.

Lu Chenxi took the place of He Jing’s first assistant-she had cooperated with Zhou Yuan in an operation, so she had a tacit understanding and knew the rhythm of Zhou Yuan’s surgery.(Read more @ wuxiax.com)

Suture the uterus, suture the abdominal cavity…

Step by step, Zhou Yuan did it step by step, while being nervous but not panicking.

On the other side, Wei Lili also squatted next to Sun Lele, and said quickly: “Think about this beautiful little guy going to school in the future and getting a family in the future. It must be very beautiful~ˇ!”

The psychological counselor also chatted with Sun Lele about the future of the child.

Only in this way can Sun Lele have the desire to survive.

At this time, the doctor could no longer help her. It was Sun Lele’s desire to survive that could pull herself back from the ghost gate.

Soon, the last layer of skin was sutured, leaving only a beautiful scar.

“call.”

Zhou Yuan let out a long sigh, only to realize that his body was soaked in cold sweat.

The situation just now is equivalent to Sun Lele stepping into the ghost gate with half of his foot, and how difficult it is to stitch such a person can be imagined.

“The pulmonary artery pressure has dropped and returned to the previous high-pressure level…” The anesthesiologist’s sweat was also frightened, but he finally breathed a sigh of relief.

“Next, perform pacemaker placement surgery.”

“Anesthesia again.” Zhou Yuan said.

After the fetus is taken out, the pressure on Sun Lele’s heart will be reduced a lot, but she still cannot maintain her normal life activities and must be equipped with a pacemaker.

“The essential medicines are 2% lidocaine, gentamicin, 5% dextrose, physiological saline, and then prepare atropine, respiratory stimulants, cardiotonics, blood pressure drugs…” Zhou Yuan quickly said a series of medicines.

“Director Wei, establish an intravenous infusion channel in the lower extremities!”

Wei Lili was taken aback, and asked, “Why?” while doing so.

“The patient is in a critical condition, and accidents may occur during the process. Establish an intravenous infusion channel in advance to give medicine at any time during rescue!”

Zhou Yuan finished speaking and began to disinfect the pacemaker again.

Pacemaker placement surgery must be strictly aseptic. Infection is one of the common complications of pacemaker placement.

Once infected, not only the therapeutic effect of the pacemaker will be affected, but it will also cause sepsis and other threats to the patient’s life in severe cases.

Even if a minor infection occurs, the wound is difficult to heal because the pacemaker is buried in the body, and it is life threatening.

What’s more, the condition of Sun Lele’s heart itself is not optimistic, coupled with the infection, it is equivalent to sentenced to death.

“let’s start.”

Zhou Yuan completed the disinfection.

Wei Lili took the initiative to retreat to the second position, and He Jing was in the third position.

Lu Chenxi assisted because she worked closely with Zhou Yuan, and Lu Chenxi herself was in thoracic surgery, which is what she is good at.

There are four steps in pacemaker placement surgery.

First, choose the intravenous route.

Second, set up wires and test parameters.

Third, the pacemaker is embedded.

Fourth, postoperative treatment.

After starting the operation, Lu Chenxi asked quickly: “¨ˇWhich venous channel to choose?”

The cephalic vein, the subclavian vein, and the internal and external jugular veins are three options.

Zhou Yuan picked up the scalpel and asked, “What do you think?”

“The cephalic vein! The operation of the cephalic vein is safe, with almost no complications, and there is no need to worry about long-term wire breakage…”

Before he finished speaking, Lu Chenxi stopped in surprise.

The incision Zhou Yuan chose was not the cephalic vein, but the subclavian vein.

“Why…” He Jing asked this question instead of Lu Chenxi. She is similar to Lu Chenxi’s (money) idea.

The cephalic vein route has almost no shortcomings, but the subclavian vein requires skilled technology on the one hand, the wire is easily broken, and on the other hand, there are complications.

Zhou Yuan smiled: “You think the subclavian vein is difficult to do, so you don’t choose it? But look at the patient’s condition first.”

Lu Chenxi, He Jing, and Wei Lili all turned to look at the instrument.

The heart rate is only about 40, and the pulmonary artery pressure rises again after falling.

Zhou Yuan said: “Dare to move the cephalic vein at this time?”

“What I am after is the speed of the subclavian vein. For those skilled in the art, the lead can be inserted easily and quickly by opening the subclavian vein. As for the remote lead you are worried about will break during insertion… That is still a technical problem. consider.”

He Jing and others understood it.

Zhou Yuan’s words mean that as long as it can be compensated by technology, it is not a problem. .