You may not be able to imagine that according to statistics, for every hundred pregnancies in humans, there is a child who is both a cheater and a cheater. He is conceived outside the uterus, which is an ectopic pregnancy, and its scientific name is ectopic pregnancy.
Of course, this child cannot be born normally and usually does not survive 50 days. Some people with extraordinary talents can survive for two to three months, or even five to six months. Those are rare.
Among them, the location of the fallopian tube has the highest probability, with 11% in the fimbria, 12% in the isthmus, and 70% in the ampulla.
The remaining parts, such as the ovary, only 3%, the stroma and uterine horns 2-3%, the abdominal cavity 1%, the uterine scar <1%, and the cervix <1%.
The ampulla is where fallopian tube pregnancy most often occurs. This is the case for this female patient.
Once a fallopian tube pregnancy occurs, the closer the gestational sac is to the uterus, the easier it is for the embryo to survive and develop, but it is also more likely to cause serious complications!
In an ectopic pregnancy, you usually don't feel anything. A small number of people may experience pain, abnormal bleeding, and abdominal and pelvic tenderness. However, this tenderness is not present before rupture.
Once it ruptures, blood pressure decreases and heart rate increases, which are the two most significant indicators!
With the changes in modern people's lifestyles, the incidence of ectopic pregnancy is increasing year by year.
Everyone who is pregnant wants to give birth to the child safely, and everyone wants to protect the fetus, but you must not close your eyes to protect the fetus. You must first know where the fetus is and whether it is in the right position!
However, this woman is probably an accident because she is not married yet.
When she heard that it was most likely an ectopic pregnancy, the woman was very frightened and quickly begged Zhou Qiao to perform surgery to remove it immediately because she did not want to give birth.
Zhou Qiao put the samples away and sent Ava to a testing company for blood hCG testing. At the same time, he comforted her that the fetus was gone now, and ectopic pregnancy could not be said to be safe or miscarriage, because it could not be saved at all. Now, the key is to save her life!
"Do you have any family members? Can you notify them to come over?" Zhou Qiao asked.
The woman shook her head and said, "I only have one father. He is in Illinois and I probably won't be able to make it. Besides, I haven't contacted him for many years."
Illinois is in the eastern United States, and San Francisco is on the west coast. The two are nearly 3,000 kilometers apart.
Zhou Qiao said: "Then you sign the consent form for the surgery."
The woman endured the pain, picked up the pen, and quickly signed her name on the document prepared by Zhou Qiao, calling her Sandrine Blanc.
Zhou Qiao carried the woman up to the second floor and placed her on the bed in the ward. Elena had already prepared according to the doctor's instructions. At this moment, she quickly established an intravenous channel, hung up the medicine bottle, and started infusion.
After finishing the infusion, I went to prepare the operating room.
Establishing a venous channel means puncturing the superficial veins of the human body, or even deep veins or central veins, and leaving needles and hoses in place, not just for infusion, but also to facilitate subsequent blood transfusions. Especially for critically ill patients or patients with acute blood loss, after establishing intravenous access, a large amount of fluids and blood volume can be replenished quickly.
Ava has already contacted the community hospital, and the other party happened to have an anesthesiologist available and said he would arrive in about half an hour.
Ava took the sample and hurried to the testing company. Within a few minutes, an imaging doctor from the testing company arrived at the Iris Clinic carrying a portable B-ultrasound machine.
Of course, door-to-door service charges will be more expensive, but this is also necessary. Based on the patient's current situation, he is neither capable nor suitable for traveling back and forth, which will aggravate the condition!
This situation is very common, so commercial testing institutions have corresponding supporting mobile services. It is very convenient for B-ultrasound to come to your door. For other tests such as CT, DR, MR, etc., due to their larger size, you usually have to drive here. Park directly in front of the clinic to provide services.
Such mobile medical services are quite common in the United States.
In China, this kind of "jewel in the crown" of medical services is also gradually emerging, but it is still in its infancy. Generally, what the general public sees most is the health examination vehicle. Some units arrange physical examinations without going to the hospital. They will come to their doorsteps. Come and do it!
For example, some factories are located in relatively remote locations and do not want workers to waste too much time on physical examinations and affect production, so they will organize such physical examinations in the factory. The health examination vehicle will come to your door.
Soon, transvaginal ultrasound showed that the patient's endometrium was thickened, there was no obvious gestational sac reflex in the uterus, mixed echo near the left ovary, and pelvic effusion.
The blood test report was quickly faxed, and the blood HCG was >50,000U/L, indicating a ruptured ectopic pregnancy.
Due to the rupture and massive bleeding, there was no way to undergo conservative treatment and surgery was necessary.
Preparing blood for transfusion.
Preoperative preparation.
Iris Clinic has been connected to the California Blood Center a long time ago and enjoys the other party’s telemedicine technology called ConnectMD, which is actually a blood distribution system.
Specially trained medical staff simply enter the patient's information into the blood delivery device, and a suitable blood source is obtained, delivered quickly. Even rare blood can be prepared across North America and delivered to the patient's bedside within 24 hours.
Of course, the further away it is, the rarer it is, the more difficult the deployment process is, and the more expensive the charge is. This is also what it should be. It’s the same everywhere!
This patient did not need special blood, so when the anesthesiologist from the community hospital arrived with the nurse, the blood source was also delivered at the same time!
Zhou Qiao immediately performed emergency surgery on the patient!
It is a laparoscopic fallopian tube resection under general anesthesia.
In this case of the patient, Zhou Qiao could only choose this surgery because he needed to stop the bleeding as soon as possible and ensure his life safety.
If the fallopian tube fenestration and suturing surgery is forcibly performed, even if it is cured, it will be difficult to achieve better fallopian tube function after the operation, and there will be a risk of another ectopic pregnancy. It is better to remove it directly, and the consequences will be smaller.
Fortunately, there are two fallopian tubes in the human body. If one side is removed and one side is left, you can still get pregnant normally in the future.
This time, Zhou Qiao exchanged for a master-level laparoscopic salpingectomy, which consumed a full 10 medical points! There is no perfect level, mainly because the balance of his medical point account is only 15 points!
"It's so useless!" Zhou Qiao sighed.
After exchanging his master-level medical skills, Zhou Qiao once again had only 5 pitiful points left on his account. If another seriously ill patient came in the afternoon, he would not be able to treat him. Elena just keeps fighting and fighting!
If it is serious and requires emergency surgery, you can only be referred to a community hospital or the University of California Medical Center! That is undoubtedly sending money out! I feel bad!
Zhou Qiao couldn't help but feel anxious. The phobia of insufficient medical knowledge was rising again!
He secretly vowed to save more when he had time! There are some medical mysteries in my account, so I won’t panic!
