"Ram, please take another look and save my daughter," the woman holding a prayer wheel begged with a frown on her face.
"I've tried everything I can, but she still can't wake up."
Ram was explaining with great effort when he saw Tao Le and others coming in. She immediately found her backbone and said:
"With these Angelas here, your daughter will be fine. I'm just a midwife, not Mamba."
After saying this, Ram almost rushed out of the door.
"Angela!" As if seeing a life-saving straw, the mother bowed deeply to the three of them and said:
"Please, save my daughter, she is only twenty years old!"
Tao Le quickly comforted her and said, "We will definitely do our best."
Chang Shengnan quickly pulled the mother aside: "Family members, please go out first, don't delay our rescue."
This sentence was more useful than anything else. The mother hurriedly left the house and kept looking back when she came to the door.
Tao Le had already seen the condition of the pregnant woman during the day and made some guesses on the way here.
Sudden abdominal pain and fainting all pointed in one direction, which was also the situation she was most worried about: uterine rupture.
Opening the golden finger, the facts turned out to be exactly what she feared:
Age: 20 years old. Health value: 32 (Fetal health value: 85)
Cause: Uterine rupture 80% Cervical erosion second degree 15% Anemia (mild) 5%
Hemoglobin 105g/L, blood pressure 80/50, heart rate 119 beats/min
Complications: threatened abortion, hemorrhagic shock, oligohydramnios.
In the holographic picture below the interface, a fetus weighing approximately 2,800 grams can be seen. The amniotic fluid is only in the lower right area of the uterus, and the amount is only one-third of that of a normal mother.
The most critical thing is that at the right uterine horn, a 3.0CM*2.5CM breach can be seen, from which a 7.0CM*6.0CM large horn-shaped membrane sac bulged out.
Blood was flowing out continuously along the bottom of the breach, forming about 1000ML of fluid in the abdominal cavity.
While Tao Le frowned and checked, he saw that the health of the fetus began to decline rapidly, from 85 to 78 in just a few minutes.
This is because insufficient amniotic fluid causes the fetus to be hypoxic. If left untreated, he will die of suffocation.
This is the reason why uterine rupture, even if treated in time, has a maternal mortality rate of 5% and a fetal mortality rate of over 50%.
"Perform a caesarean section immediately!" Tao Le ordered directly without having time to explain.
Without saying anything, Xiao Chen immediately began to prepare for the surgery. Chang Shengnan glanced at the two of them, feeling doubtful in his heart, but when the words came to his lips, he still didn't say them out.
Tao Le first performed acupuncture to stop the bleeding, then placed two deep vein catheters in succession. He quickly prepared crystalloids and colloids and started rehydration.
Five minutes later, everything is ready.
The health value of the fetus has dropped to 65, showing an accelerating downward trend, which makes Tao Le anxious.
"After testing, the current conditions support lower uterine segment cesarean section + uterine tear repair. Is simulation guidance practice required? Yes/No."
"yes."
The next moment, Tao Le's expression became calm and calm, and there was no trace of worry anymore.
She raised her fingers, inserted a few filiform needles into the mother's belly, and then took the scalpel handed over by Xiao Chen.
Chang Shengnan couldn't bear it any longer: "Teacher Tao, we brought the subdural puncture needle and catheter. Do you think we need to do spinal anesthesia?"
"No need. I've just done acupuncture and anesthesia." Tao Le said as he determined the location of the incision and prepared to perform the operation.
Acupuncture and anesthesia are things that Chang Shengnan has a hard time understanding. She glanced at Xiao Chen and saw that she was nodding desperately at her, and she knew that this was reliable.
This technology sounds even more advanced than acupuncture, anesthesia and hemostasis!
But even if acupuncture can stop bleeding and anesthetize, it cannot replace surgery!
"Teacher Tao, have you ever had a cesarean section? How about we wait for Dr. Shi?" she asked again.
"Can't wait." Tao Le made a 10cm long transverse incision directly in the lower segment of the uterus without even raising his eyes.
There was no bleeding at the incision. It was obvious that the acupuncture was effective in stopping the bleeding, which made Chang Shengnan's eyes brighten.
The abdominal cavity was opened in layers, and a large amount of blood flowed out.
While using a simple negative pressure suction device to suction, Tao Le expanded the uterine slit, pierced the amniotic membrane, and sucked out the amniotic fluid.
She put her right hand into the womb, took out the baby who was so suffocated that his face was purple, cut off the navel, held it in her hand, and patted the baby's back several times.
A little baby girl made a very weak cry under Tao Le's hands.
This crying sound dispelled the solemn atmosphere in the room, and a look of joy appeared on the faces of Tao Le and the other three people.
Tao Le handed her to Xiao Chen. The latter immediately wiped the baby girl with the warm water prepared, wrapped the baby girl tightly with a clean cloth, and placed it on the corner of the bed.
The surgery continues. The blood in the abdominal cavity has been aspirated cleanly.
"Oxytocin 20U, for injection."
Xiao Chen quickly prepared the medicine and handed the syringe to her hand.
Oxytocin is injected into the abdominal muscle of the uterus to clean the surgical area.
Tao Le gently massaged the uterus. After the placenta peeled off, she carefully checked that the placenta and fetal membranes were intact. Then she sutured the uterus with No. 1-0 sutures and closed the abdomen in layers.
The entire subsequent process took a total of five minutes.
In her opinion, this operation was normal, but in the eyes of Chang Shengnan and Xiao Chen, it was really different.
Are Doctor Tao's hands different from those of all of us?
Why is both efficiency and accuracy so much higher than normal people?
Not to mention the pleasing stitching at the back, which is like an art show.
Fortunately for Xiao Chen, although he has never seen it with his own eyes, he has heard about Tao Le's master-level suturing skills. People in the same hospital spread rumors about them, but only after seeing them in person can he know how well they can express themselves. Not specific and comprehensive enough.
Chang Shengnan was stunned. Is this really the standard of a resident doctor in a third-tier city? How is it that he is so much better than the experts from the famous academies in Beijing that she followed before?
I decided to add a set of major suturing techniques to my list of things I wanted to learn. Chang Shengnan's heart was heavy and very fulfilling.
“Completed the lower uterine segment cesarean section + uterine tear repair surgery under acupuncture anesthesia, which took 9 minutes and 12 seconds and increased the health value by 23 points. Evaluation: Excellent.
Reward a cesarean section surgery simulation guidance practice opportunity. Are you using it now? whether"
"No." Tao Le made his choice without hesitation.
In the middle of the night, I had no choice but to be pulled into a small dark room and underwent three to four hundred cesarean sections.
If anyone thinks that she still wants to go in and enjoy a large collection of cesarean sections, then they really think highly of her.
Of course her rejection would dissatisfy a certain masked man with a bad mouth and a bad mouth, but only because of this did she feel a little bit happy.
Human happiness is indeed based on some existential pain.
(End of chapter)
