I Have Unlimited Magic Skills

Chapter 572 Medication without knowing the cause of bleeding? Do it yourself

However, due to physical reasons, Professor Liu from Wheel Hospital could no longer lead the team to participate in the competition. Without Professor Liu's sea-fixing needle, there is no young doctor in Huier Hospital who can resist the flag for the time being.

None of them, including Li Quan, had reached that state yet.

It's just that Li Quan has the potential to become the next leading figure in the obstetrics and gynecology department of Wheel Hospital.

"Thank you Zhou Dabao from Jingcheng Women's and Children's Hospital for the diagnostic opinion! The pregnant woman is 32 years old, and she is still very young. It would be best if she could keep her uterus."

The host's words were actually hinting at the doctors and experts present.

Zhou Dabao's treatment plan did not meet the patient's wishes.

"I am Long Chang, Director of the Obstetrics Department of Modu Ocean Hospital. I have different treatment options. I think we can first find out the cause of the bleeding, and then apply electric forceps to stop the bleeding, ligation to stop the bleeding, and drugs to stop the bleeding."

The level of obstetrics and gynecology in Yuanyang Hospital is really not weak.

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It's just that they have been suppressed to death by Huier Hospital all these years, and everyone is crowded in Shanghai.

Therefore, the obstetrics and gynecology department of Yuanyang Hospital has been living a miserable life these years.

This time, Professor Liu of Wheel Hospital fell down, and the mountain that was pressing on the top of Yuanyang Hospital disappeared.

The National Medical Skills Competition is a very good opportunity.

As long as you show your face in the competition and compare Huier Hospital, the No. 1 Obstetrics and Gynecology Hospital in Shanghai will be changed to Yuanyang Hospital in the future.

"The cause of the bleeding is temporarily unknown. The conventional hemostasis methods mentioned by Professor Long Chang may not be effective. Because they have already been used in the operating room, the bleeding volume of the parturient is still very scary."

The host didn't hide it, but said it directly.

In fact, after answering so many questions, everyone understands that there is a real patient behind each question.

"To be honest, I have cured at least 50 people with postpartum hemorrhage. I have accumulated a wealth of practical experience. The most important thing at present is to find out the cause of the bleeding, and then treat the symptoms."

Professor Longchang's medical advice was choked by the host,

He was obviously dissatisfied.

He even moved out his own historical achievements.

"Well, thank you Professor Longchang from Yuanyang Hospital for your valuable advice. Does any doctor have a better treatment plan?"

As long as the host has no arrears in IQ, he will definitely not quarrel with these contestants.

Unless he doesn't want to do it.

For a while, no one rushed to answer.

Postpartum hemorrhage is very dangerous.

If you are not careful, you may die.

In the case of uncertainty, most of the doctors cherish their feathers and are unwilling to express their opinions easily.

Of course, this is also a manifestation of being responsible to the patient.

Domestic laws are relatively good. Like foreign laws on medical treatment, it is equivalent to putting at least three shackles on doctors. Sometimes, doctors can only watch patients die.

It's not that doctors don't want to save people, but that they dare not.

For example, the patient must be operated immediately to save his life, but the patient did not sign the consent form for the operation. Then the hospital can only watch the patient die.

No one dares to risk operating on a patient.

"The obstetrics and gynecology department of Wheeler Hospital is one of the best in China. Why is there no one who says anything today? Could it be that Professor Liu Jinshu of Wheeler Hospital has fallen, so there is no one who can beat him?"

The speaker was Professor Xu Tiangao from Yuanyang Hospital.

This is a deep feud with Wheel Hospital.

Whenever I have a chance, I want to step on Wheel Hospital.

"Hmph, Professor Xu is less eccentric here. You have tormented the brain department of your Yuanyang Hospital. You don't have a B number in your heart? How is the obstetrics and gynecology department of my Huier Hospital? I don't need you, an outsider, to comment. .”

Professor Deng was originally a very talkative person.

At this moment, Xu Tiangao uttered wild words, slandered the obstetrics and gynecology department of Huier Hospital, and laughed at the obstetrics and gynecology department of Huier Hospital.

This made Professor Deng very angry.

It is also rare to get angry.

But Professor Deng's temper has always been like this.

Usually smiling, if he really angered him, then he would turn his face on the spot and turn the table over.

"You still have a big temper. If you have the ability, then rush to answer! It's not that there are three missing one, but we, Yuanyang Hospital and Jingcheng Women's and Children's Hospital are the only ones rushing to answer? Hurry up."

Xu Tiangao harbored evil intentions.

It is to deliberately use aggressive methods to make Wheel Hospital look ugly and deduct points.

"I'll answer it!"

Professor Sun Limin was young after all, and there was a trace of sullenness on her face.

She is now the director of the Department of Obstetrics and Gynecology at Wheeler Hospital. Some people ridiculed that there is no one in the Department of Obstetrics and Gynecology at Wheeler Hospital. She has suffered the most serious injuries. In itself, her self-esteem has always been strong.

"Postpartum hemorrhage can be divided into various situations. If the bleeding is caused by residual placenta and fetal membranes, the residue must be removed surgically. If the bleeding is caused by weak uterine contractions, then drugs such as oxytocin should be used for treatment. If the parturient has a coagulation disorder, it can also be administered to increase the coagulation ability."

Professor Sun Limin's medical foundation is very solid.

According to different bleeding causes, different hemostasis schemes are given.

Of course, most of the people present are experts, professors, or at least director level.

Everyone is an expert.

In their opinion, Sun Limin's answer was more like a panacea-style answer.

No practical value.

Because everyone knows and understands these methods.

"Okay! Thanks to Professor Sun Limin from Huier Hospital for participating in the quick answer. The bad news came from the operating room just now. This woman is still bleeding profusely and needs to be rescued immediately. Experts Zhou Dabao, Professor Long Chang, and Professor Sun Limin Immediately take assistants to the No. 4 operating room to participate in the rescue."

There was a trace of anxiety in the host's voice.

In the previous rush to answer, each question will only allow at most two contestants to enter the operating room.

This time, the three of them went in together for rescue.

It is rare.

It also indirectly shows that the situation of the mother is very critical.

"Director Sun, let me be your assistant!" Li Quan knew Professor Sun Limin's abilities.

She may be very good at fiddling with those high-tech instruments, or doing minimally invasive or endoscopic surgery.

But when it comes to the rescue of maternal hemorrhage, her ability can only be said to be very average.

"Thank you Dean!"

Professor Sun Limin felt a trace of concern from Li Quan's gaze, and she showed a smile on her face.

Thank you from the bottom of my heart.

At the beginning, when Li Quan was just an intern, she was very helpful to Li Quan.

Now that Li Quan is the dean, his medical skills are getting better and better. He has never forgotten her previous kindness. Not only was she promoted to be the chief director of obstetrics and gynecology, but also in the treatment of critically ill and difficult patients in the obstetrics and gynecology department.

At this moment, he took the initiative to be her assistant.

This is absolutely condescending.

You know, hospitals are divided into levels.

The position of the dean is the most honorable, equivalent to the emperor of a country.

How can there be any reason for the emperor to be an assistant to his courtiers?

...

In the No. 4 operating room, all the clothes on the mother's body should be removed, and the body is covered with surgical drapes. Can see face and shoulders.

Her face was as pale as paper, very frightening.

The whole person has fallen into a state of coma and shock.

The amount of bleeding from her uterus was alarming.

The amount of bleeding in one minute exceeds 200 ml.

In the plate next to it, you can see twenty or thirty blood transfusion bags piled up.

The blood on the ground has flowed everywhere.

The patient's blood pressure has dropped to 60, his heart rate has reached 150, and the life monitoring instrument is beeping frantically.

"I think the hysterectomy must be done immediately. This is the only way." After the on-site inspection by the expert Zhou Dabao, his expression was extremely serious.

You can even feel a trace of heaviness in him.

Not to mention him, which medical staff in the operating room is not in a heavy heart?

Right now, the mother is in danger.

May die at any time.

"Inject oxytocin infusion immediately!" Professor Long Chang from Yuanyang Hospital was also downcast.

"Oxytocin has already been used, and the effect is not obvious." The nurse next to me replied softly.

"Well, sometimes oxytocin is ineffective. It's better to use misoprostol instead." Professor Longchang is an old man, and he is probably the calmest of them all.

"It's already been used."

The nurse still kept her brows down and her voice soft.

The nurses who can be selected to the operating room are generally the elite among nurses. First of all, one must have a solid foundation in medicine and excellent skills, and then one must have a good heart.

If you are flustered when encountering a small matter, you must not be selected.

"Have you found out the cause of the bleeding?" Professor Long Chang was a little confused.

"Don't you even know the cause of the bleeding, so you just use medicine indiscriminately?" The nurse might not be able to stand him, so she choked back.

"Uh... What is the reason for the profuse bleeding?" Professor Long Chang had a thick skin.

Coupled with the fact that he has a mask to hide his shame, he can still resist.

"There are two reasons for maternal bleeding, the uterine contraction is weak, there is damage in the uterus, and the artery is injured."

The person who answered this question was Li Quan.

After entering the operating room, the first thing he did was to observe the skin color and appearance of the parturient, and then give the parturient a pulse diagnosis.

By cutting the pulse, he has basically found out the cause of the bleeding.

"You, you also just entered the operating room, how do you know the cause of maternal bleeding?" Professor Long Chang's face was full of distrust.

"The cause of the bleeding that the doctor said is very accurate, consistent with the results of our examination." A middle-aged female doctor behind the nurse said coldly.

"Doctor Meizhennazi, I didn't expect you to be in the operating room." Expert Zhou Dabao recognized the middle-aged female doctor wearing a mask and surgical gown at this time.

Judging by the name, it doesn't look like a Chinese.

However, some top foreign experts also like to work in Huaguo.

"Professor Zhou, nice to meet you!"

The female doctor named Meizhen Nazi bent down to salute Zhou Dabao.

Such etiquette immediately reminded Li Quan of an island country.

"The mother is in shock, her blood pressure is too low, she is in danger!"

The anesthesiologist shouted from the side.

"We must find a way to stop the bleeding immediately, otherwise, the mother will die." Mei Zhenna frowned tightly.

"Cough... I choose to give up!"

Professor Longchang found that the situation was not good, so he chose to leave directly.

I would rather deduct a point than risk a life.

Right now, this woman is in danger.

If he wanted to leave, he didn't need anyone's approval, so he left with his assistant.

Mizhenako cast a contemptuous look at him.

Maybe she was thinking, how did such a person become a doctor?

"Doctor Meizhennazi, life-saving is the most important thing, remove the patient's uterus immediately." Expert Zhou Dabao's medical ethics are much higher, and he did not escape from the operating room.

"Before the patient fell into a coma, she cried and begged us to find a way to keep her uterus. I promised her that she would not remove her uterus unless it was absolutely necessary. Now it seems that the uterus cannot be kept."

There was helplessness in Meizhennazi's tone, as well as a trace of pity for being a woman.

Losing a uterus is a huge blow to a woman.

Maybe it will be painful for the rest of my life.

"Please give us about eight minutes to try the operation. If it fails, can we remove the uterus?" Li Quan hesitated for a moment before he said.

For a woman to lose her life and keep her womb, there must be her reasons.

At this moment, Li Quan was moved with compassion.

He wanted to take some risks and tried his best to help the woman stop the bleeding.

It's a pity that I didn't learn Sun Simiao's blood collapse treatment.

Otherwise, you should be able to have greater confidence.

However, one should not deify Sun Simiao's medical skills too much. After all, the medical skills of other ancient miracle doctors are not far behind.

Li Quan has now learned a lot of obstetrics and gynecology from Chen Ziming, including some methods of dealing with arrhythmia.

It's just that there is no way to fully use it.

"Seven or eight minutes should be fine. Contact the blood bank immediately and ask them to find a way to bring another 20 generations of blood." Mei Zhennazi's status should not be low, and the medical staff listened to her when she gave orders.

She didn't underestimate Li Quan just because he was young.

He seemed to trust Li Quan very much.

"You really have a way to stop the bleeding?" Expert Zhou Dabao looked at Li Quan seriously for the first time.

"Professor Sun Limin and I are willing to try our best." Li Quan's expression was serious. Time is life. After speaking, he looked at Sun Limin. "Director Sun, let's get started!"

It was originally agreed that Li Quan would be Sun Limin's assistant.

But now the situation is more critical than imagined, and the condition is more complicated.

Professor Sun Limin's surgical ability is not as good as Li Quan's.

This time to stop the bleeding of the parturient, it is safest to use Li Quan as the surgeon.

The maternal abdominal cavity is open.

"The wound is expanded, and the instrument nurse prepares tools for suturing without removing the stitches. At the same time, a monopolar electric knife is also prepared."

Li Quan could see blood gushing out from the wound.

The amount of bleeding was greater than imagined.

After Sun Limin dilated the wound, he used gauze to suck out the blood in the uterine cavity.

It's just that the patient's bleeding is very scary, and it will be sucked off quickly.

"There are fetal membranes left, I'll clean them first." Li Quan found the fetal membranes and immediately cleaned them with tools.

When taking the patient's pulse just now, he found the biggest pulse leak.

That is, when I checked the pulse, I found that there was a gap in the pulse qi.

If you guessed right, that's the biggest bleeding point.

It's just that the location is in the narrow part of the uterus, which is very hidden.

Now Li Quan had the bottom line in his heart. After sucking up the blood in the uterus, he quickly released the bleeding point.

He carefully sutured and repaired to stop the bleeding.

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