Chapter 1732： 【1732】Inspiration

Chapter 1732 [1732] An inspiration

However, the patient's blood pressure dropped a little.

The latest value of systolic blood pressure was 86 o'clock, so Geng hurriedly checked the patient's blood pressure again to avoid wrong measurement.

There were two bangs in the car.

Geng Yongzhe turned his head and saw Xie bent over and dragged the first aid kit. He couldn't help but say, "Yingying, be careful."

I was afraid that she would hurt her hand. The space in the car is limited, and if you do any operation accidentally, you will hurt yourself.

"It's okay." Xie Wanying didn't lift her head, she pulled out the first aid kit under the seat of the ambulance, and quickly opened the lid.

There are several bags of sugar and salt in it, take out all the liquid, pick up the bandage and pull out the head of the bandage to bind these bags of rehydration bags. . . Obviously, this is to make a pressure device similar to a hot water bottle.

Geng Yongzhe saw this and quickly removed the quilt covering the patient's abdomen.

The gauze covering the wounded incision did not ooze much blood, it was not bleeding from the incision. Instead, the water-proof cloth under the patient's body was magnified by the stained blood. Yes (homonym "yin") "due to" bleeding.

Normal puerperae will have lochia discharge after childbirth, either naturally or after cesarean section, which is a normal postpartum vaginal bleeding. Normal lochia discharges very little blood, like the size of menstrual flow. If it exceeds the normal amount of bleeding, it is postpartum hemorrhage.

There are many causes of postpartum hemorrhage. Since this is a patient after cesarean section, the operation performed by the third director of Beidu is unlikely to be due to the factors such as the residual blastoderm of the uterus and insufficient hemostasis to close the abdominal cavity. The only possibility is that the most common cause of postpartum hemorrhage is uterine atony. As for the very rare amniotic fluid embolism, no clinician is willing to think about it, of course, it has to be taken into account.

If the amount of bleeding is not excessive, caused by uterine fatigue, intravenous oxytocin can be used clinically.

Beijing tertiary obstetrician is an expert in doing things carefully and will not use these measures in excess. The role of oxytocin is good and bad, not the more the better. The famous amniotic fluid embolism may be partly caused by contractions that are too strong. It's okay to take oxytocin for prevention, maybe it's just creating new risk points.

Now I can take oxytocin, but I can't give a doctor's order when the teacher is away. The two classmates and the nurse could not use the medicine without a prescription. If they did not have the medicine, they could only take other measures to stop the bleeding. Another common measure for non-drug treatment of postpartum hemorrhage in clinical practice is to press sandbags in the abdomen. In the same way as prescribing oxytocin, there is no clinical data to support the benefit of sandbags for puerperae without positive symptoms or predisposition. Therefore, there is no need to press sandbags for this woman after surgery.

The clinical teachers are very experienced, thinking that half an hour on the road is not a problem, and Fang Ze can deal with it if there is anything. Unexpectedly, it took not only half an hour but forty minutes on the road. Maybe because of the bumps on the road and the weather, the patient had a bit of postpartum hemorrhage.

What happened to the road ahead, why is it jammed beyond the teachers’ expectations today?

The nurse sitting in the passenger seat hurriedly opened the door and got out of the car, ran to the front to ask what happened, and ran back to the car to tell everyone the situation: "There is a car accident and then another car accident, so the road is blocked. died."

Don't complain about the traffic police comrades. A comrade of the traffic police was seriously injured by the vehicle involved in the second traffic accident while directing the evacuation of traffic. Now his life is in critical condition, and the medical staff who came to rescue the injured at the scene.

(end of this chapter)