Chapter 601： diagnosis

"Deeply take blood, send to the laboratory, smear for amniotic fluid embolism." Fang Pingzhu saw the patient and sent the nurse for amniotic fluid embolism as soon as possible.

For obstetrics, the highest mortality rate is amniotic fluid embolism.

Amniotic fluid embolism refers to the severe complications of a series of diseases such as acute pulmonary embolism, anaphylactic shock, renal failure, and sudden death during the delivery of amniotic fluid into the mother's blood circulation.

Because amniotic fluid contains a large amount of fetal hair, keratinized epithelium, fetal fat, and meconium, once it enters the blood circulation, it will immediately cause balance damage.

In Yunyi Obstetrics and Gynecology, Fang Pingzhu's policy is to see symptoms such as major bleeding and immediately take venous blood for rapid diagnosis.

With such a policy, the capture rate is naturally not too high, but from the perspective of Fang Pingzhu, if amniotic fluid embolism can be diagnosed a few minutes in advance, the survival rate of patients will be greatly improved.

However, this policy, which was originally adopted in obstetrics, is currently only effective in obstetrics.

The directors of the obstetrics department and the obstetrics department have their own priorities and are unwilling to spend a lot of manpower, time and money in the screening of amniotic fluid embolism. This is also one of the reasons that after the doctor has achieved a high level, he must find a way to be a director, preferring to tear his face, and becoming a director in power when he loses the battle.

Only by being the chief director in power can the direction of the department be determined. In other words, the people in the general department and the money in the entire department can be turned around and rush to the fields that they are interested in, are good at or have studied. In addition to obstetrics, amniotic fluid embolism, there are also high-risk pregnancy, prenatal diagnosis, placenta and placenta and other fields can be involved.

Ling Ran has no obstetric experience and does not judge the probability of amniotic fluid embolism.

He followed the flat car for a while, and first asked Fang Pingzhu to give orders and entered the operating room before asking: "How much bleeding?"

"400 ml of bleeding on the Yin Road." The nurse reported seriously.

After working in the hospital for a long time, the nurses are also familiar with the main diseases and manifestations in the department. Looking at the patients who have just been lifted to bed, they are very pessimistic. As a woman, think that she had just given birth to a baby and was about to die ... except for her serious expression, she didn't know how to behave.

Director Hong did not follow up, turned around and comforted his brother-in-law in the operating room.

He is a physician and cannot perform surgery. Even if it can be done, most of Director Hong will not do it. If the director of obstetrics and Ling Ran are on the same stage, they will not be able to save it, and other surgeons may not be able to make contributions.

"Exploring the abdomen?" Ling Ran's tone seemed to be asking Fang Pingzhu, but it was quite certain.

The anesthesiologist could not help looking at Fang Pingzhu.

This is the operating room of the obstetrics department. Ling Ran didn't bring anyone. Can I use a knife? I really have to see Fang Pingzhu.

Fang Pingzhu nodded gently. From allowing Ling Ran to come over, she has no room to refuse.

General anesthesia was ready. Only a few moments, Ling Ran pressed the patient's skin twice, and said, "Open the abdomen and explore the abdomen."

After that, he asked for a scalpel, and took a long sigh with a bow.

Fang Pingzhu and the other obstetric doctors looked down and took a breath.

The most common operations performed in obstetrics are caesarean sections. One cut across the side, less cuts, more cuts, and the patient is definitely not happy. When some women choose a doctor for caesarean section, they must discuss the length of the knife.

However, even a carefree obstetrician would not dare to draw a long sigh like Ling Ran. This is not good, but it is a doctor-patient dispute.

"Doctor Ling is a bit bold to do abdominal exploration." Fang Pingzhu spoke very "euphemistically".

The female doctor who was a helper thought that the director wanted a little bit of Ling Ran, and followed quickly: "Dr. Ling, you draw such a long knife edge, and be careful to be blocked in the office and scolded."

Ling Ran stared at the operation area in front of him, calmly said: "If the patient can stop the office and scold, this knife edge will not be cut in vain."

The female doctor who was a helper could not help but stun.

"Hook it up," Ling Ran reminded.

"Oh, oh ... okay." The female doctor secretly glanced at Ling Ran, thinking resentfully in her heart: The men in my blind date are not only handsome than Dr. Ling, but also less beautiful than one tenth of the soul. One percent, no, one in ten thousand ...

Fang Pingzhu also praised Ling Ran's words softly: "How about the doctors taught by Director Huo, how good is medical ethics. Save the life first, then cure the disease, right?"

Huo Congjun has been in Yunyi for so many years, his famous words have long been remembered.

Ling Ran smiled.

Fang Pingzhu continued: "The current environment is not the same as that of your director Huo. In that year, we encountered an emergency and sometimes did not wait for the family members to sign it. They were done when they came over. The rescued woman and child I do n’t know how many. Now who dares, some doctors do n’t feel relieved when they see a signature. They have to be signed by both the man and the woman. You talk about it, how to choose to save people?

Ling Ran still just smiled. He had no interest in discussing such a topic.

Ling Ran really did the surgery seriously.

"Suction is quicker." As Ling Ran spoke, his hand was inserted into the patient's abdominal cavity.

The abdominal cavity is full of blood, so you can only touch it with your hands. This is a strategy to grab time, and ordinary doctors can't use it at all. Just looking at the amount of blood pumped out by Gu Ruo, you know that there must be a mess in it. It is really incredible that you want to feel the state of the organization with your hands.

However, because I don't know what's going on in the abdominal cavity, I need to explore the abdominal cavity as soon as possible after opening the abdominal cavity to relieve the pressure.

It's like the two armies are facing each other. The scouts sent out must be lost, but if they are not sent out, the losses may be even greater.

Fang Pingzhu just looked around and felt nervous. She now knows a little why Director Hong asked Ling Ran to take a shot.

She had heard that Ling Ran was very strong before, but if she really met, she would be so strong.

Don't look at the human body just like this, but how many doctors can give him a change of tissues and organs, you may not be able to recognize it, and groping in a pool of blood to find the bleeding point, how difficult it is.

Fang Pingzhu couldn't help thinking, if someone could save the patient in this state, maybe it was the young and excessive Dr. Ling in front of him.

Ling Ran's active arm paused.

Fang Pingzhu could not help but look forward to look.

Ling Ran slowly looked up, looked at Fang Pingzhu and then looked at the others: "There is no bleeding point."

Fang Pingzhu stayed, helpless, no bleeding point, what are you doing so seriously?

Ling Ran had a dignified expression: "Indicating that it is not exposed organ bleeding."

"Maybe not found." Fang Pingzhu retorted ~ www.novelhall.com ~ impossible. "Ling Ran shook his head decisively. If the bleeding point of the perfect level of free-hand bleeding could not be touched, the patient's abdominal cavity would not have accumulated so much blood at all.

In this regard, the bare hand investigation he just conducted has ruled out many possibilities.

"What do you think?" Fang Pingzhu was not unhappy because of Ling Ran's attitude. Obstetrics and gynecology is famous for its rough living in the hospital sequence, let alone compared with complicated hepatobiliary surgery. Compared with general surgery, the operation of obstetrics and gynecology is not difficult. There is nothing wrong with technology as its power.

Ling Ran didn't even care about the psychological activities of the assistants. He only thought briefly, saying: "There is no bleeding point outside the organ. Considering the patient's situation ... osmotic bleeding in the 1st uterus caused by diffuse blood coagulation."

"Then the second house will be removed." Fang Pingzhu did not comment on Ling Ran's diagnosis. A simple diagnosis is meaningless. The key lies in how to confirm the diagnosis and how to give the right treatment.

Ling Ran shook her head slightly. He has never done a child's third house resection, so unlike doctors in obstetrics and gynecology, he always wants to cut the child's fourth house. Ling Ran stretched out his hand and said, "Absorbable line."