Chapter 571: Using medicine without knowing the cause of bleeding?
However, due to health reasons, Professor Liu of Huier Hospital is no longer able to lead the team to participate in the competition. Without Professor Liu, the young doctors of Huier Hospital have not yet found anyone who can carry the flag.
No one, including Li Quan, has reached that level yet.
It’s just that Li Quan has the potential to become the next leader in the Department of Obstetrics and Gynecology at Huier Hospital.
"Thank you to Dr. Zhou Dabao from Beijing Women and Children's Hospital for your diagnosis! The mother is 32 years old this year, still very young. If the uterus can be preserved, that would be the best."
The host's words were actually a hint to the doctors and experts present.
Expert Zhou Dabao's treatment plan did not meet the patient's wishes.
"I'm Long Chang, the director of the obstetrics department of Shanghai Yuanyang Hospital. I have a different treatment plan. I think we can first find out the cause of the bleeding, and then use electric forceps, ligation, and medication to stop the bleeding."
The level of obstetrics and gynecology medical skills in Yuanyang Hospital is really not weak.
It’s just that I have been suppressed by Huier Hospital over the years, and everyone is crowded in Shanghai.
Therefore, the obstetrics and gynecology department of Yuanyang Hospital has been having a miserable time in recent years.
This time, Professor Liu of Huier Hospital fell, and a huge mountain pressing on the head of Yuanyang Hospital was removed. Yuanyang Hospital naturally put all its efforts into it, trying to take advantage of the situation and rise.
The National Medical Skills Competition is a very good opportunity.
As long as they can show off their skills in the competition and beat Huier Hospital, the No. 1 Obstetrics and Gynecology Hospital in Shanghai will be changed to Ocean Hospital in the future.
"The cause of the bleeding is currently unknown. The conventional hemostasis methods that Professor Longchang mentioned are unlikely to work. They have already been used in the operating room, and the amount of bleeding from the parturient is still very scary."
The host did not hide anything and 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 fifty cases of postpartum hemorrhage. I think I have accumulated a lot of practical experience. The most important thing now is to find out the cause of the bleeding and then treat it accordingly."
Professor Longchang's medical advice was choked by the host, and he was obviously dissatisfied.
He even brought out his own historical achievements.
"Well, thank you Professor Longchang of Yuanyang Hospital for your valuable advice. Is there any other doctor who has a better treatment plan?"
As long as the host's IQ is not low, he will definitely not argue with the contestants.
Unless he doesn't want to do it anymore.
No one rushed to answer for a while.
Postpartum hemorrhage is very dangerous.
If you are not careful, someone may die.
When they are not sure, most doctors are reluctant to express their opinions because they are afraid of losing face.
Of course, this is also a manifestation of responsibility to patients.
Domestic laws are relatively good, but foreign laws on medical treatment are equivalent to putting at least three layers of 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, if a patient needs surgery immediately to save his life, but the patient does not sign a consent form, the hospital can only watch the patient die.
No one dared to take the risk of operating on the patient.
"The obstetrics and gynecology department of Huier Hospital is one of the best in the country. How come there is no one here today? Could it be that Professor Liu Jinshu of Huier Hospital has fallen ill, so there is no one left who can fight?"
The person who spoke was Professor Xu Tiangao from Yuanyang Hospital.
This man has a deep grudge against Wheeler Hospital.
Whenever I get the chance, I want to step on Huier Hospital.
"Hmph, Professor Xu, stop being so sarcastic. You've messed up the brain department of your Yuanyang Hospital. Don't you have any idea what's going on? I don't need an outsider like you to comment on the obstetrics and gynecology department of my Huier Hospital."
Professor Deng is actually a very easy-going person.
At this moment, Xu Tiangao spoke wildly and slandered the Obstetrics and Gynecology Department of Huier Hospital, and mocked the fact that there was no one to follow up the Obstetrics and Gynecology Department of Huier Hospital.
This made Professor Deng extremely angry.
It was rare that he got angry.
But Professor Deng's temper has always been like this.
He usually has a smiling face, but if you really make him angry, he will turn his face against you and even turn the table over.
"You have a bad temper. If you have the guts, then answer it first! There are three people short of one, and only our Yuanyang Hospital and Beijing Women and Children's Hospital are answering? Hurry up."
Xu Tiangao has evil intentions.
They were deliberately using provocation to embarrass Huier Hospital and deduct points.
"I'll answer!"
Professor Sun Limin is young after all, and there is a hint of anger on her face.
She is now the director of the Obstetrics and Gynecology Department of Huier Hospital. She was hurt the most by some people mocking Huier Hospital for having no one in the Obstetrics and Gynecology Department. She has always had a strong self-esteem.
"Postpartum hemorrhage can be classified into many situations. If the bleeding is caused by residual placenta or fetal membranes, surgery must be performed to remove the residues. If the bleeding does not stop due to weak uterine contractions, oxytocin and other drugs can be used for treatment. If the mother herself has a coagulation disorder, medication can also be used to increase the coagulation ability."
Professor Sun Limin has a very solid medical foundation.
Different hemostasis plans are given according to different causes of bleeding.
Of course, most of the people present were experts, professors, or at least directors.
Each of them is an expert.
In their view, Sun Limin's answer was more like a panacea.
It has no practical value.
Because everyone knows and understands these methods.
"Okay! Thank you Professor Sun Limin from Huier Hospital for joining the quiz. Bad news just came from the operating room. The woman is still bleeding and needs to be rescued immediately. Please ask expert Zhou Dabao, Professor Long Chang, and Professor Sun Limin to bring their assistants to operating room No. 4 to participate in the rescue."
There was a hint of anxiety in the host's voice.
In previous quick-answer competitions, only two contestants at most would be allowed into the operating room for each question.
This time, three people were sent in to rescue together.
It's really rare.
It also indirectly indicates that the condition of the mother is very critical.
"Director Sun, let me be your assistant!" Li Quan knew Professor Sun Limin's abilities.
She might be good at handling those high-tech instruments or performing minimally invasive or endoscopic surgeries.
But when it comes to rescuing women suffering from severe bleeding during childbirth, her skills can only be described as average.
"Thank you, Dean!"
Professor Sun Limin felt a hint of concern in Li Quan's eyes, and she smiled.
Gratitude from the bottom of my heart.
Back then, when Li Quan was just an intern, she helped Li Quan a lot.
Now Li Quan is the dean, and his medical skills are getting better and better. He has never forgotten her kindness. Not only did he promote her to be the director of the Department of Obstetrics and Gynecology, but he also asked Professor Liu to help with the treatment of critically ill and difficult patients in the department. The master and apprentice worked day and night for the department.
At this moment, he even took the initiative to be her assistant.
This is absolutely condescending.
You know, hospitals are clearly divided into different levels.
The dean has the most honorable status, equivalent to the emperor of a country.
How could it be reasonable for an emperor to serve as an assistant to his subjects?
…
In the No. 4 operating room, the mother had taken off all her clothes and was covered with a surgical drape. Her face and shoulders could be seen.
Her face was as pale as paper and very scary.
The whole person has fallen into a coma and shock.
She was having an alarming amount of uterine bleeding.
The amount of bleeding in one minute exceeds 200 ml.
On the plate next to it, you can see twenty or thirty blood transfusion bags piled up.
The blood on the ground was all over the place.
The patient's blood pressure has dropped to 60, his heart rate has reached 150, and the vital monitoring equipment is beeping like crazy.
"I think the uterus must be removed immediately. This is the only solution." After the on-site inspection, expert Zhou Dabao's expression was extremely serious.
One could even sense the heaviness he was carrying.
Not to mention him, which medical staff in the operating room didn't feel heavy-hearted?
The woman is now in critical condition.
Death may occur at any time.
"Inject oxytocin drip immediately!" Professor Long Chang of Yuanyang Hospital also had a gloomy face.
"We've used oxytocin, but it didn't work." The nurse next to her answered in a low voice.
"Well, sometimes oxytocin is ineffective. Try misoprostol instead." Professor Longchang was calm and composed. He was probably the calmest person among all the people.
“It has already been used.”
The nurse still kept her head down and her voice gentle.
Nurses who are selected to work in the operating room are generally the elite among nurses. First of all, they must have a solid medical foundation, strong skills, and a good character.
If you get panicky when encountering small things, you definitely shouldn’t be selected.
"Have you found out the cause of the bleeding?" Professor Longchang looked a little embarrassed.
"Don't you even know the cause of the bleeding? Are you just using medicine recklessly?" The nurse probably couldn't stand him, so she retorted.
"Uh...what is the reason why the woman is bleeding so much?" Fortunately, Professor Longchang is thick-skinned enough.
Plus, with the mask covering his shame, he can still bear it.
"There are two reasons why a woman may bleed continuously during labor: weak uterine contractions and damage to the uterus, which may injure the arteries."
The person who answered this was Li Quan.
After entering the operating room, the first thing he did was to observe the skin color, appearance, etc. of the mother, and then take her pulse.
By taking the pulse, he has basically found out the cause of the bleeding.
"You, you just entered the operating room, how do you know the cause of the woman's bleeding?" Professor Longchang's face was full of distrust.
"The cause of the bleeding this doctor mentioned is very accurate and consistent with the test results we did." A middle-aged female doctor behind the nurse said coldly.
"Dr. Mizhenako, I didn't expect you to be in the operating room." It was only then that expert Zhou Dabao recognized the middle-aged female doctor wearing a mask and surgical gown.
Judging from the name, he doesn't sound Chinese.
However, some top foreign experts also like to work in China.
"Professor Zhou, nice to meet you!"
The female doctor named Mizhennazi bowed to Zhou Dabao.
This kind of etiquette immediately reminded Li Quan of a certain island country.
"The mother is in shock, her blood pressure is too low, it's critical!"
The anesthesiologist shouted from the side.
"We must find a way to stop the bleeding immediately, otherwise the mother will die." Mizhenako frowned tightly.
"Ahem...I choose to give up!"
Professor Longchang realized that the situation was not good and chose to leave.
I would rather lose one point than lose a life.
At the moment, this woman is in great danger.
He wanted to leave, and he didn't need anyone's approval. He just left with his assistant.
Mizhenako looked at him with contempt.
Maybe she was wondering how someone like this could become a doctor?
"Dr. Mizhenako, saving her life is the most important thing. Remove the patient's uterus immediately." Expert Zhou Dabao's medical ethics were much higher, and he did not escape from the operating room.
"Before she fell into a coma, she begged us to find a way to save her uterus. I promised her that I would not remove her uterus unless it was absolutely necessary. Now it seems that her uterus cannot be saved."
There was helplessness in Mizhenako's tone, as well as a hint of pity as a fellow woman.
Losing your uterus is a huge blow to a woman.
Maybe you will suffer for the rest of your life.
"Please give us about eight minutes to attempt the operation. If it fails, can we remove the uterus?" Li Quan hesitated for a moment before speaking.
A woman must have her own reasons for wanting to give up her life and keep her uterus.
At this moment, Li Quan felt compassion.
He wanted to take some risks and try his best to stop the woman's bleeding.
It’s a pity that I didn’t learn Sun Simiao’s special treatment for hemorrhage.
Otherwise, there should be greater certainty.
However, we should not over-glorify Sun Simiao's medical skills. After all, the medical skills of other ancient miracle doctors were not much worse.
Li Quan has currently learned a lot of obstetrics and gynecology skills from Chen Ziming, including some methods for treating hemorrhage.
There's just no way to fully use it.
"Seven or eight minutes should be no problem. Contact the blood bank immediately and ask them to find a way to transport another twenty generations of blood." Mizhenazi's status should be quite high. She gives orders and the medical staff all listen to her.
She didn't look down on Li Quan just because he was young.
He seems to trust Li Quan very much.
"Do 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 saying this, he looked at Sun Limin. "Director Sun, let's start!"
It was originally agreed that Li Quan would be Sun Liming's assistant.
But now the situation is more critical and the condition is more complicated than imagined.
Professor Sun Limin's surgical skills are not as good as Li Quan's.
This time, it is safest to have Li Quan perform the operation to stop the bleeding for the mother.
The mother's abdominal cavity is open.
"Dilate the wound, and the medical nurse will prepare the suturing tools, so there is no need to remove the stitches. Also, prepare the monopolar electric knife."
Li Quan could see blood oozing out of the wound.
The amount of bleeding was greater than expected.
After Sun Limin dilated the wound, he used gauze to absorb the blood in the uterine cavity.
But the patient's bleeding was very scary, and the blood would come back quickly after it was sucked out.
"There are some remnants of fetal membrane. Let me clean them up first." Li Quan discovered the remnants of fetal membrane and immediately cleaned them up with tools.
When he was taking the patient's pulse just now, he discovered the biggest pulse leakage point.
When taking the pulse, you find that there is a gap in the pulse.
If I'm not mistaken, that's the biggest bleeding point.
It's just located in the narrow part of the uterus and is very hidden.
Now Li Quan had a clear idea in his mind. After sucking out the accumulated blood in the uterus, he quickly removed the bleeding spot.
He carefully sutured, repaired and stopped the bleeding.
