Ai Beibei was brushing her hands while watching whether the midwife's hand brushing and disinfection procedures were strictly in accordance with the standards. At the same time, she was listening to the nurse reading the mother's medical record.
Five of the six women had no serious problems. The prenatal examination showed that the fetus was in the correct position, the fetal heartbeat was normal, and all indicators were very good. They should be able to give birth naturally. However, one pregnant woman had a narrow pelvis, and it was unknown whether she could give birth naturally. 【Read the latest chapter】
What troubled her was that the maids were all primiparous women, and the probability of dystocia was much higher than that of multiparous women. Moreover, due to the regional race, the first batch of maids were often petite and had a high proportion of narrow pelvises.
Already washed, dressed, and disinfected, she was already sweating from the heat and followed the midwives into the delivery room. Watching the midwives enter the delivery room with their hands raised. Unless she encounters a difficult delivery, she doesn't do it herself - she has to be ready to perform a cesarean section at any time, and at the same time, she has to monitor whether the midwives' operating procedures are accurate and in place.
"Since the indigenous people will not understand why they do this for a while, then just teach them that they must do this." Director Shi said at the training meeting of the Ministry of Health, and Aibei could only use this method.
Pregnant women were pushed in one by one. Ai Beibei looked at these pregnant women who could only be regarded as "girls" with some pity. In the old time and space, these girls should be studying.
She asked casually: "Are the family members here?" According to convention, the family members must be notified before giving birth, and this is no exception - especially when it comes to the birth of a family member of a veteran.
"Three chiefs came, and the other three said they would come over after the birth. Representatives from the general office also came."
Representatives from the general office are here to register for "hukou". Once the child is born successfully, it will be registered in the family register of elders in the general office.
Three elders came and treated them well after all! Aibei was slightly relieved. but. Although it was already dilated to the tenth finger when it was pushed in, it would take at least an hour or two before the delivery could be completed. She was about to check them one by one when a nurse suddenly ran in:
"That naturalized civilian woman is showing signs of dystocia! The fetal heart rate is unstable!"
"Don't worry, which bed is it?" Ai Beibei said helplessly. She still can't teach these basic rules. Although she knew very well that she was a pregnant woman in that bed.
This is the wife of a naturalized citizen. The man is a worker in a shipyard and the woman works in a garment factory. Because women are older. She was a first-time mother again, and during the pregnancy check-up she discovered that the fetus was not in the correct position, so she planned to have a cesarean section at a later date.
I didn't expect that the fetal heart rate would become unstable. Ai Beibei quickly ordered a naturalized female doctor to be on hand to supervise. He quickly ordered the pregnant woman to be pushed into the operating room to prepare for the operation.
"Ask Dr. Zhang to do the anesthesia!" Aibei ordered as he hurried towards the operating room.
"Spinal anesthesia, inject 12mg of tetracaine hydrochloride - this is the normal dose. Then turn to the supine position." Zhang Tumu finished the puncture and anesthesia neatly as he spoke. A naturalized anesthesiologist behind him watched his every move nervously, as if he wanted to swallow it all.
The anesthesia went smoothly, and Aibei looked at the patient carefully. Waiting for the anesthetic to work. On the occasion of testing the blocking plane. The patient suddenly stopped answering questions, and Abeibei realized something was wrong. She noticed that the patient's consciousness had disappeared.
"Cardiac arrest!" screamed the naturalized nurse who was monitoring the equipment. She was trained to be extremely sensitive to all the data on this oscilloscope, "Respiratory arrest!"
"Quick, prepare the laryngoscope! Oral intubation!" Zhang Tumu, who had worked in emergency departments and responded quickly, shouted loudly. "Prepare CPR! Norepinephrine 1ml intracardiac injection!"
Ai Beibei was shocked. This was "total spinal anesthesia"! I am most afraid of encountering it during surgery and anesthesia. She quickly helped with external chest heart compression. Finally, the lines on the electrocardiogram began to beat again, but the heart rate was rapid and uneven.
"Invite Dr. Shi to come for consultation!" Ai Beibei had no choice but to use this magic weapon. She is essentially a research doctor, and her experience in emergency medicine is extremely limited. Being a doctor mainly relies on the accumulation of experience.
When Doctor Shi arrived, after performing artificial respiration and other rescue operations for about a quarter of an hour, Zhang Tumu reported that the patient's consciousness and breathing showed no signs of recovery, the whole body was cyanotic, blood pressure was 180/90mmhg, body temperature was 38.5c, anuria, and electrocardiogram. It showed supraventricular tachycardia accompanied by frequent multisource premature ventricular contractions and frequent systemic convulsions. Fetal heartbeat auscultation was normal.
Following some panicked rescue efforts, veteran doctors from Bairen General Hospital unanimously diagnosed the patient with "sequelae of cerebral hypoxia after cardiac arrest resuscitation."
"Start brain resuscitation! The sooner the better!" Shi Niaoren said, "Prepare ice caps and ice bags!"
The nurses hurriedly began to take out ice caps and ice packs from the refrigerator. Because the medical conditions in this plane were so poor, some early medical methods were picked up again, so Bairen General Hospital made homemade ice caps early in the morning.
"Doctor Shi, according to the latest international medical journal articles, there is no practical significance in focusing on cooling the head in this case..." Aibei said cautiously.
"It makes sense or not, we can only try it and see." Shi Niaoren said, "Focus on cooling the head, and use ice packs all over the body! Diuresis and dehydration!"
However, these methods did not achieve obvious results. The patient remained comatose, unable to breathe spontaneously, had anuria, flushed skin, frequent premature ventricular contractions of multiple sources, and convulsions became more and more frequent. How to proceed further? At this time, Bairen General Hospital was at a loss and confused.
In the old time and space, there were naturally a number of methods that could be used, but regardless of those methods, if the cause of the disease was not found, targeted treatment would not be implemented.
In the flash of lightning, Shi Xiaoren recalled seeing similar cases in medical journals, and immediately proposed: At this time, the maternal abdominal muscle tension and diaphragm muscle tension have completely disappeared, and the huge uterus presses the diaphragm against the chest cavity, and the chest cavity volume Sudden weight loss, heart position variation, pulmonary insufficiency, twisted hilar large vessels, and insufficient ventilation function. Therefore, although the patient does not suffer from severe hypoxia under artificial respiration, his coma and convulsions continue unabated, his blood pressure continues to rise, ventricular arrhythmia persists, his body temperature rises, and his skin becomes red and hot, indicating that carbon dioxide in the body cannot Drain. Based on the above signs, he judged that the patient was not only suffering from "sequelae of cerebral hypoxia" but also in a state of "carbon dioxide anesthesia". Coma, frequent convulsions and multiple sources of premature ventricular contractions were all caused by the serious accumulation of carbon dioxide in the body caused by the disorder of carbon dioxide discharge. If the problem of carbon dioxide accumulation is not resolved in time, the result will be another cardiac arrest with no hope of rescue. Based on this, Shi Xiaoren believed that a cesarean section should be performed immediately and decisively to remove the fetus to relieve the diaphragm from lifting up and pressing against the chest cavity and improve the breathing and ventilation function.
"You can't stand an operation under such circumstances!" Although Ai Beibei agreed with Shi Niaoren's diagnosis, she thought that the patient would probably die on the operating table - one body and two lives! The circles under his eyes were a bit red. She is not like other veteran doctors who have been engaged in clinical work for a long time in the old time and space, and her heart has been hardened enough.
"If you don't do this, you won't be able to survive!" Zhang Tumu also supported Shi Niaoren's plan, "At least it will save the child!"
"I also know that proposing a cesarean section in such a clinically near-death state does take huge risks." Shi Xiaoren admitted that according to routine, it is simply illegal to perform major surgery in such a critical condition. Incredible. "But this is the only measure to save the patient's life. We have no other choice."
"Should we ask the family members to sign..." Zhang Tumu reminded. Although the other party is a naturalized citizen, he still has to respect the necessary rights.
"Where are the family members?"
"When I'm at work, according to the regulations, I can't take maternity leave before the baby is born. I said I would come after get off work." The nurse replied.
Aibei couldn't help but cursed: "What the hell! There's no humanity at all! People are dying!" She could hardly control her tears as she spoke.
"Okay, there's no need for the family members to sign," Shi Niaoren said, "I'll sign it. The operation will begin immediately!"
A healthy baby boy was delivered during cesarean section. The patient's complexion immediately returned to normal, his dilated pupils gradually recovered, the sweating stopped, and the premature ventricular contractions basically disappeared. His condition improved significantly, but he was still in coma, anuria, and general symptoms. convulsive state. Shi Niaoren ordered to continue to actively carry out post-processing such as brain resuscitation.
More than an hour after the operation, the patient's spontaneous breathing finally recovered, and Shi Niaoren finally breathed a sigh of relief.
"You go to the delivery room." Shi Niaoren said to Ai Beibei, "There are also people there. Let the child have a good physical check-up, so as not to suffer any sequelae!"
"Okay, I'll go right away." Aibei hurriedly left again.
Shi Niaoren told Zhang Tumu to keep an eye on it, then he walked out of the operating room, took off his gloves, soaked them in the disinfection and cleaning tank, and walked to the rest room. The nurse wiped his sweat and lit a cigar for him. This incident is a bit strange, because similar incidents rarely happened in the old time and space, and the anesthetics used were also brought from the old time and space, not imitations made by the pharmaceutical factory. To be honest, they can't make butyl hydrochloride at the moment. Cainlai - He wouldn't be surprised at all if there are fatal cases of allergic reactions to antibiotics or vaccines. At the current level of pharmaceutical manufacturers, this is simply inevitable. But this tetracaine hydrochloride is an authentic product - a first-level controlled material that is not allowed to be used unless it is a major surgery...
Shi Niaoren suddenly shuddered, remembering the notice the Planning Institute gave them last time: Because the shelf life is approaching, first-level control of many drugs has been revoked.
Isn't this tetracaine hydrochloride an expired commodity? Shi Niaoren thought that although he could basically do whatever he wanted in this plane, this was really a very bad signal. It would be terrible if it was used to cause such a big incident for the elders! (To be continued...)
