346 Black Pot?
The next surgery room was a pregnant woman who had a caesarean section. She just heard the crisp and loud crying sounds of the child when he was born.
Only obstetrics and gynecology departments are the most festive in all departments, but once something happens to the obstetrics department, it will be like the sky collapses.
The mother was healthy in the past and had a myocardial infarction during the caesarean section? Zhou Congwen already had an idea.
"Ding Dong~"
The system task came immediately, and the guy never forgot to fetch the wool, and Zhou Congwen was also quite convinced.
For Zhou Congwen, he would rather systematically issue a long-term main task to himself, such as [Transcendence of History], the thoracic surgery department of the Third Hospital surpasses the thoracic surgery department of the People's Hospital.
There are many rewards, and it is not difficult to do.
But after the system was reborn, it seemed that there was not enough AI. It only knew that it would pull up some scattered small wool, but it could not sense the big wool at all.
Alas, Zhou Congwen sighed and walked quickly to the nearby art room.
"The low blood oxygen saturation of the mother is a problem with anesthesia. Let the anesthesia department take a good look at the machine. Xiao Zhou even needs to join in such a fun?" Chen Houkun stared at the TV screen, watching whether there was fresh blood in the rinsed salt water.
"If you want to watch Congwen, go and watch it. It probably isn't a fun thing." Although Li Qinghua couldn't understand what Zhou Congwen was going to do, he said understandingly, "Many times, when Congwen does things, you have to look back to understand it."
Chen Houkun nodded and continued to have the surgery. He just said casually and didn't think so.
All his attention was on the operation. As for what Zhou Congwen was doing, Chen Houkun just asked casually.
...
...
Zhou Congwen came to the next door surgery room, and the monitor was calling the police, beeping, not very sharp.
The mother's blood oxygen saturation was 82%, which was very low. Zhou Congwen squinted his eyes and scanned the electrocardiogram monitoring, and finally walked to the anesthesia truck on the head of the mother, picked up the medical record and anesthesia sheet.
The patient was 36 years old, 36 weeks gestation, g2p1, and underwent induction surgery due to suspected placental abnormalities. He had a history of weight loss surgery; had a history of gestational diabetes and was treated with insulin; there were no other cardiovascular risk factors.
The medical records are well written, and there are no serious past diseases.
Zhou Congwen continued to quickly review the medical records and anesthesia sheet. This operation was a cesarean section. The patient underwent surgery after lumbar anesthesia, and there were no complications during the operation.
Ten minutes after the operation began, the fetus was delivered smoothly, and the patient's cardiovascular system responded well without any abnormalities.
After the placenta is delivered, 30μg of carbetoxin is given intravenous injection.
Five minutes ago, the patient developed bradycardia and hypotension, and at the same time complained of severe headaches, poststernum compression pain and near-death feeling.
The anesthesiologist did not write the following, and it was probably because he had no time to participate in the rescue.
"What medicine have you used?" Zhou Congwen did not auscultate or check his body, but asked at the anesthesiologist.
"Atropine 0.5 mg, ephedrine 9 mg and midazolam 2 mg intravenous injection."
"I suspect it was myocardial infarction caused by oxytocin, prepare..." Before Zhou Congwen finished speaking, the alarm sound of electrocardiogram monitoring suddenly became sharp.
"Zhou Congwen, the thoracic surgery department can just take care of your own illness. Why does the blood oxygen saturation decrease?"
"I came to you because I asked for consultation in the anesthesiology department. I didn't teach me how to do things. Who are you? You said it was a problem of oxytocin in front of me?"
"Do you know the drug ingredients and the dosage? Scared and said, get back! Call your director here!"
The middle-aged woman standing on the operating table scolded her dissatisfiedly.
She is Lei Chunyu, the director of obstetrics.
When Director Lei immediately became unhappy when he heard the newly mentioned doctor of the Chest Department come in and put the "black blame" on his head.
"Xiao Zhou." The anesthesiologist was very unhappy when he saw Director Lei. He leaned slightly and leaned over Zhou Congwen and pulled his isolation suit and pants to remind Zhou Congwen to have an argument with Director Lei.
But Zhou Congwen didn't seem to feel the abnormality. Whether it was the director of obstetrics or the anaesthesiologist's kind reminder, his eyes were always staring at the ECG monitoring.
The patient's electrocardiogram just now was a little messy, but there was no big problem, it was just sinus bradycardia.
But now the electrocardiogram has abnormalities, from sinus bradycardia to supraventricular tachycardia. The alarm sounds of the monitor are shrill, and people are listening to the backs.
"Prepare norepinephrine." Zhou Congwen said coldly.
"Zhou Congwen, I warn you!" The obstetrics director shouted sharply like a cat with a trampled tail, "This is my surgery. Get out of here, don't you point fingers, let your director come!"
"Xiao Zhou, wait." The anesthesiologist looked at the messy electrocardiogram and his hands began to numb. He whispered with an idea.
Then the anesthesiologist ran out quickly and ran back in just over a dozen seconds.
Liu Wei followed him, slightly tilted his head to listen to the anesthesiologist telling what had just happened.
Since the thoracic surgery business has been launched, although it has been a qualitative change for the Third Hospital, the specific quantity is not high.
Who is Liu Wei? The first anesthesiologist in the Third Hospital to learn single-cavity ventilation! He was clever and saw the future of thoracic surgery early on. He was alive and kept giving thoracic surgery tables.
He has a long experience and shows signs of being a deputy director. He has a high prestige among anesthesiologists, so the emergency anesthesiologist cannot solve the problem and goes to the next door to pull Liu Wei over.
"Supraventricular tachycardia?" Liu Wei glanced at the ECG monitoring, "Call the director!"
"good."
"Zhou, what do you think?" Liu Wei walked over and asked.
"Prepare norepinephrine, now," Zhou Congwen said.
"Liu Wei!" Director Lei yelled sharply, "I want you anesthesiologists to see anesthetic drugs, you..."
"Director Lei, I'm doing it. How do I need your consent to apply medicine? How can you not go to heaven then?"
Liu Wei looked good, but the supraventricular tachycardia on the electrocardiogram monitoring seemed to be "contagious" to him. He did not hesitate to retort Director Lei's words.
"..." Director Lei was speechless.
"Norepinephrine, what else?" Liu Wei immediately asked his assistant to prepare the medicine.
"Oxygen mask, 40% oxygen is given, and CPR is prepared for cardiopulmonary resuscitation." Zhou Congwen said.
"..." Liu Wei was also stunned. He knew that the patient had some problems with his condition, but cardiopulmonary resuscitation did not seem to be.
Although I think so, Zhou Congwen still has to listen to what he said. The last person who fought against Zhou Congwen had already gone to the outpatient clinic and counted the registration tickets every day.
"This is my surgery. Your thoracic department sent a bullshit doctor over here. What about the problem of oxytocin. The director, he died..."
Before Director Lei's scolding could be finished, he saw Liu Wei rushing to the patient's side with a footstool appearing under him.
She was stunned for a moment, but immediately saw that Liu Wei had already started to undergo external heart compression.
The qrs-t wave on the patient's electrocardiogram completely disappeared.
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Chapter completed!