The most enlightened doctor

First, they parked on the side of the road and let Xiaoxue and Zeng Yan take the business minibus that was following behind. Then, Yu Zhiming drove Qing Ning in the bed and accelerated the speed.

The two rushed to Huashan Hospital at nearly 9:30 pm.

After parking the car in front of the gynecology building, Yu Zhiming got out of the car and saw Ding Ye running towards him.

"Doctor Yu, regular contractions have occurred."

Yu Zhiming didn't waste any time and trotted directly into the gynecology building following Ding Ye.

Qing Ning slowly followed behind.

After a while, a security guard ran over.

He saw through the car window that there was no one in the driver's seat and shouted loudly.

"Whose car is this?"

"Drive away quickly, don't you know parking is not allowed here?"

This area is where pregnant women and patients get off the bus.

Only stop-and-go is allowed. If you park for more than ten minutes, management personnel will come and drive you away.

The security guard didn't shout twice before a young nurse rushed out from the gynecology building.

"Stop shouting! Stop shouting!"

The little nurse stopped the security guard and criticized, "Have you just come to work? Don't you know whose car this is?"

"This is Dr. Yu Zhiming's car from our hospital."

The little nurse spoke very quickly, "His car has special privileges and he can park wherever he wants in the hospital."

"Because wherever Dr. Yu appears, there must be a medical incident that urgently needs his attention."

"If you don't believe it, you can ask your leader."

The serious security personnel actually confirmed it to the superior leaders through the intercom.

After confirming the authenticity, the young security guard stayed in the area and diverted the traffic.

In fact, Yu Zhiming consciously parked the car in the corner, and the impact on other vehicles was very small...

At this moment, Yu Zhiming had followed Ding Ye to a delivery room on the third floor, and pushed up the pregnant belly of a pregnant woman with a round face and moaning from time to time.

Fetal position massage and adjustment were Yu Zhiming's specialty, which allowed him to establish himself in the county hospital and gradually make a name for himself.

Therefore, it only took Yu Zhiming more than 20 minutes to change the fetus in the girl's belly from a transverse position with a high rate of dystocia to a head-down position that several experienced gynecological seniors at Huashan Hospital could not handle. birth position.

Just when Yu Zhiming finished the massage and took back his hands, he heard the sound of water splashing on the ground.

This is when the amniotic water breaks.

Two nurses quickly helped the pregnant girl onto the gurney and pushed her to the delivery room.

Yu Zhiming also left the delivery room accompanied by Ding Ye.

"Dr. Yu, I don't know how to thank you, plus a sumptuous meal?"

Yu Zhiming walked towards Qing Ning who was waiting in the corridor and chuckled: "Dr. Ding, you're welcome. It's all for the patients."

Speaking of this, Yu Zhiming suddenly stopped and turned to look at a delivery room not far away.

"Someone coughed twice."

"Coughed twice?"

Ding Ye's expression immediately became nervous, "Dr. Yu, which delivery room is this?"

"Shall we go over together and take a look?"

There are a total of twelve maternity rooms here.

Each delivery room houses one to three pregnant women in labor who have experienced uterine contractions and dilated uterine openings.

The reason why Ding Ye is sensitive and nervous about the sound of coughing is because it may represent the most terrifying nightmare of a mother who has given birth.

Amniotic fluid embolism.

This is the disease most likely to cause death in pregnant women during childbirth. According to data, if it is not discovered and treated in time, the mortality rate can be as high as 80%.

One of the direct manifestations of this disease is cough.

The cause of this disease, simply put, is that muscle movements such as contraction during childbirth will produce certain pressure changes. It may be because of this change that the amniotic fluid enters the mother's blood circulation through the blood vessels.

It may also be caused by cervical laceration, placenta previa, placental abruption, etc. during childbirth.

In addition, there is a chance that sinus opening may occur during caesarean section, causing amniotic fluid embolism.

This amniotic fluid embolism does not mean that the amniotic fluid blocks the blood vessels in the literal sense, causing an embolism.

It's because the amniotic fluid contains fetal products, such as meconium, sebum and other substances, as well as procoagulant substances and so on.

These substances will enter the maternal blood circulation and cause systemic allergic reactions, leading to a series of pathophysiological changes such as pulmonary hypertension, disseminated intravascular coagulation, inflammatory injury, shock and renal failure.

Based on the clinical characteristics of this condition, amniotic fluid embolism is more appropriately called anaphylactoid pregnancy-like syndrome.

Amniotic fluid embolism mostly occurs between 2 hours before delivery and 30 minutes after delivery.

The clinical characteristics of this disease are sudden onset, dangerous and unpredictable condition, and high mortality rate.

Sometimes the onset of the disease is so severe and violent that a pregnant woman may die before the examination is completed.

Therefore, Ding Ye felt like he was facing a powerful enemy for a moment, which was the most normal behavior for a gynecologist.

Yu Zhiming didn't waste any time. When Ding Ye asked, he strode into the third delivery room on the left.

In each of the three beds in the delivery room, there was a pregnant woman with a pregnant belly lying there, and there were family members around her to take care of her.

"Who coughed twice just now?" Yu Zhi asked clearly.

As soon as he finished speaking, the pregnant woman sitting on the innermost bed timidly raised her hand.

"This is me, the doctor. The food I ate at home was a bit salty, and I couldn't hold it back just now..."

Before the pregnant woman could finish her explanation, she saw the leader come in, a tall and dazzlingly good-looking young man, and put his hand on her chest.

The pregnant woman was a little stunned, then saw the young man withdraw his hand, and then heard the man speak again.

"There's nothing wrong with the heart and there's nothing wrong with the lungs."

The classic triad of amniotic fluid embolism manifests as sudden onset of hypoxemia, hypotension, and coagulopathy.

Internal manifestations of the organs include abnormal cardiopulmonary function, disseminated intravascular coagulation, etc.

Ding Ye couldn't help but breathed a sigh of relief when he heard Yu Zhiming's investigation results.

It was a false alarm.

Ding Ye chuckled and explained to the pregnant woman: "Don't worry, this is Dr. Yu Zhiming from our hospital. Hearing your cough just now, he gave you a temporary examination."

"Pneumonia and influenza occur frequently this season."

After a pause, Ding Ye comforted him again: "The examination just now showed that your cardiopulmonary function is normal."

"Just wait for the delivery with peace of mind." After saying this, Yu Zhiming and Ding Ye were about to exit the delivery room.

At this moment, a pregnant woman who looked to be in her thirties suddenly coughed on the hospital bed near the door.

"Doctor Yu, my throat is itchy and I keep wanting to cough. Can you please check me too?"

this……

Yu Zhiming resisted the urge to roll his eyelids.

He knew that he had been recognized, and the pregnant woman wanted to take advantage of a free examination.

It was a casual thing.

Besides, meeting each other can be considered fate.

When Yu Zhiming thought this, he replied "Okay" with a slight smile on his face, and put his hand on the pregnant woman's chest.

Although he did it casually, his professionalism did not allow Yu Zhiming to just show up and pass by.

He calmed down and felt the message conveyed on his hand.

Breathing, slightly dull, is normal.

But the sound of the heartbeat gave Yu Zhiming the feeling of an old ox trying to hold on while pulling a broken cart.

Considering that this is an older pregnant woman who is about to give birth and her body is overburdened, it is reasonable for her heart and lungs to behave like this.

However, Yu Zhiming felt vaguely uneasy in his heart.

He immediately calmed down and moved his probing hand directly to the pregnant woman's heart...

The sound of blood pumping from the heart echoed clearly in Yu Zhiming's mind.

He recognized it keenly.

The sound of blood flowing was not pure enough, and seemed to be mixed with a lot of random noises.

Yu Zhiming went further to identify...

The endlessly churning blood flow became clearer and almost transparent. Yu Zhiming seemed to "see" one after another flocculent particles dancing and flying in the blood.

Flocculent particles? !

Yu Zhiming immediately got excited and blurted out: "Ding Ye, DIC, rescue room."

Ding Ye naturally understood what DIC was, disseminated intravascular coagulation, the most feared symptom of amniotic fluid embolism.

Damn it, whatever you are afraid of, it will come to you.

"Nurse, inform Dr. Xu, amniotic fluid embolism (DIC)."

Ding Ye took another look at the information on the bracelet on the pregnant woman's wrist, and shouted again: "Prepare twenty units of type A blood."

While she was shouting, she and Yu Zhiming pushed the pregnant woman out of the delivery room with the gurney underneath her.

During this process, two nurses and two doctors rushed over from nowhere.

Seeing this, Yu Zhiming gave up his seat next to the gurney.

Then, he watched the frightened pregnant woman being hurriedly pushed into the operating area by a group of medical staff.

The rescue of amniotic fluid embolism is not his specialty, so he will not join in and interfere with their work.

The next moment, Yu Zhiming noticed that his hand was held by a soft little hand.

"Zhi Ming, is the situation serious?"

"Amniotic fluid embolism is very dangerous. However, it was discovered very early, and the medical team has similar experience. There should not be a big problem with successful rescue."

Yu Zhiming introduced, took Qing Ning's little hand, and walked slowly towards the stairs.

"Let's go, I have nothing to do here, let's go home."

While going downstairs, Yu Zhiming briefly explained the process of discovering the pregnant woman's amniotic fluid embolism.

Then, he sighed with emotion: "It is said that after a doctor has been practicing for a long time, he will believe in fate and the fate in the world."

"I discovered that you really have to believe in fate. If you don't believe in it, you can't do it."

Yu Zhiming sighed and said: "Qing Ning, you see, I was tricked by Ding Ye, the guy with evil intentions, to adjust the fetal position of pregnant women."

"Then I happened to hear a cough as I was leaving."

"The pregnant woman who coughed had no problem, but the pregnant woman who called me to stop had a big problem."

"During this period, if there is a problem in any link, the pregnant woman will be in danger. Disseminated intravascular coagulation is discovered in the middle and late stages, and there is basically no solution."

Qing Ning gently shook Yu Zhiming's hand and said, "This shows that the pregnant woman should not die. God doesn't want her to die."

She giggled again and said: "Zhi Ming, it should be God's arrangement that we are together now."

"God has arranged the best, you are not allowed to bully me."

Yu Zhiming grinned and said, "Looking at what you said, it seems like I dare to bully you."

While talking, the two boarded the bed cart parked in front of the gynecology building.

Just as Yu Zhiming started the car, a security guard came to the car window.

"Doctor Yu, Doctor Yu..."

Yu Zhiming lowered the window and looked at the young security guard, who was in his early twenties.

"Is something wrong?"

The young security guard said with an embarrassed look: "Doctor Yu, I know you are very good at treating patients. My mother has not been in good health. Can you please take a look at her?"

"I can afford the 10,000 yuan fee."

Yu Zhiming wanted to refuse, but suddenly thought of the so-called fate and pulling in the dark, so he changed his mind.

"On Monday, come to the clinic on the 15th to find me..."

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