Chapter 593 Acute Uterine Inversion
At this time, the mother is screaming in pain and hysterical. This symptom is already very serious. If it is more serious, the mother will have painful shock at any time. This kind of pain is continuous.
This is the first time that Zhao Xiaojing has encountered such a serious situation. The patients she has encountered before have not been so serious.
Zhao Xiaojing knows the seriousness of this situation. Acute uterine inversion bleeding is related to placental detachment. If the placenta is not detached, there will be no bleeding. If the placenta is partially or completely detached, there will be heavy bleeding. If this situation is not controlled or corrected in time,
Hemorrhagic shock may occur, and if pain and blood loss interact, shock symptoms may be aggravated.
The amount of bleeding now is very fierce, very large.
Liu Chen first checked the mother.
The protruding uterine body appears as a spherical purple-blue or dark red or gray mass. On the surface of the bulging endometrium, the opening of the fallopian tube can be seen or the placenta is attached to it. The cervical ring is surrounded by the mass and is difficult to touch.
Liu Chen saw that the situation was very dangerous and must be dealt with immediately.
I saw Liu Chen resisting the shock first, opening the intravenous channel, and immediately asked him to prepare blood and quickly infuse.
At this time, Liu Chen was seen covering the protruded endometrium with wet saline gauze. Liu Chen waited for a while and saw that the situation had improved, so he reset it as soon as possible.
At this time, Liu Chen asked the anesthesiologist to provide good anesthesia for cervical contracture, and used uterine relaxants ritodrine hydrochloride, terbutaline, 1:1000 epinephrine, etc.
Liu Chen started to reset with his bare hands again.
I saw Liu Chen first expand the fundus of the uterus, push the uterus upward along the pelvic axis, hold the inverted uterus in the palm of his hand, gently expand the contracted part of the cervix with his fingers, slowly push the fundus of the uterus upward along the pelvic axis with his palm, and finally turn it out
The first part is pushed forward first, and the other hand is used to support the sunken fundus of the uterus on the abdomen to assist in its reset.
Then leave your fist in the uterus and wait for uterine contractions. During the reset process, gradually turn your palm into a fist and press it against the fundus of the uterus. After the reset is successful, keep your fist in the uterus for a few minutes. At the same time, inject uterotonics intravenously and wait for the uterus to contract.
Exit after shrinking.
Liu Chen also prevented inversion again. After waiting for the reset, Liu Chen filled the mother's uterine cavity with gauze for 12 or 24 hours.
Liu Chen was sweating profusely during the operation, but he finally got better.
Fortunately, the mother's placenta was not peeled off. After it was reset, Liu Chen peeled it off with his bare hands to reduce bleeding.
Fortunately, the maternal uterine inversion does not last very long. If it lasts too long and there is obvious infection or necrosis, even if it is reset, inflammation and adhesion may occur in the pelvic cavity, peritoneum, and around the uterus after surgery, so the infection must be actively controlled first.
, then perform hysterectomy.
What's more serious is that, although the recuperation is successful, the uterus becomes weak and weak after the operation, and the bleeding continues, then the uterus must be removed decisively.
Fortunately, the mother's condition was not that bad.
After everything was done, everyone breathed a sigh of relief.
Tang Xiaoan was shocked. The reason why today's situation was so serious was entirely due to her negligence. It was caused by her improper handling when delivering the baby just now.
Such a situation is quite dangerous and will cause serious harm to the patient and seriously threaten the patient's health. Especially if there is massive bleeding, the consequences will be quite serious.
Fortunately, Liu Chen was here and handled it in time, otherwise the consequences would be disastrous.
After the mother was transferred to the general ward, Liu Chen breathed a sigh of relief.
Liu Chen took a short rest in the lounge and saw that Tang Xiaoan's face was full of tears. Zhao Xiaojing must have scolded her just now. This situation could have been avoided. Because of her inattention just now, it almost led to a big mistake.
Fortunately, Liu Chen managed to turn things around, otherwise the consequences would have been really serious.
"Dr. Liu, thank you. If it weren't for you, I'm afraid I would really hate myself to death." Tang Xiaoan shed tears as he spoke.
The beauty sheds tears, and Liu Chen couldn't bear to see this the most.
As a doctor, this kind of omission really cannot be allowed. After all, the patient's life is in the hands of the doctor. If you make a mistake, it may lead to a catastrophe at any time.
"Okay, you must be careful next time, and you can't do this again. After all, these are living lives." Liu Chen looked at Tang Xiaoan and said.
"Thank you Dr. Liu. It was my fault this morning. I was too conceited. You are really amazing and your medical skills are really high." Tang Xiaoan shed tears as he spoke.
"Okay, don't cry. It's okay. I'm not a stingy person with a big belly." Liu Chen said with a smile.
At this time, Zhao Xiaojing arrived after making arrangements. She walked to Liu Chen and said with a smile: "Dr. Liu, I am so lucky to have you today. I almost fainted from fright. I couldn't stop the bleeding. The varus was too severe. I
I’m really at a loss, your method is very good, I really benefited a lot today.”
Liu Chen thought to himself, what a low-key person he was. He kept praising himself, which made him feel a little embarrassed. It was such a trivial matter that he didn't care about it.
Besides, I haven't eaten yet, and my stomach has already protested. I don't want to say any more compliments. I still have to eat.
As the saying goes, people are like iron rice or steel. If you don't eat one meal, you will feel hungry. People who work hard are the souls of people who work hard. Only those who work hard are the best.
"Okay, it's just a little thing. It's okay. I'm going home to cook. Will you guys come with me?"
It must be nice to have this beauty accompany me to dinner.
Zhao Xiaojing knew that Liu Chen had a house to live in the county, but she was really a little embarrassed about eating.
"You go ahead, I'll go and see the mother. If anything happens, I can notify you in time." Tang Xiaoan was too embarrassed to go to dinner. After all, he had made such a big mistake, and self-examination or something was definitely indispensable.
Liu Chen thought to himself that this era is still very humane. If he had made such a mistake in 2022, he would definitely have suffered more severe consequences than this, and even the obstetrician would not be able to do it.
"Dean Gao, you haven't eaten yet. Come on, let's go eat together."
Liu Chen and Zhao Xiaojing happened to see Dean Gao together.
"Okay then. It just so happens that I haven't eaten yet, so I'll join you."
Dean Gao was not polite. He had heard from Jia Guoxing that Liu Chen was also an excellent cook, and the food he cooked was even more delicious than in state-owned restaurants.
The three of them quickly arrived at Liu Chen's home. They looked at Liu Chen's home. Not to mention, it was quite big, but there were a lot of things and they were not very neatly arranged.
Down the corridor, there are many tables, chairs and stools, as well as bottles and cans. There are really quite a few.
Coming to the living room and sitting on the sofa, Liu Chen took out some candies, melon seeds and peach cakes. Zhao Xiaojing liked to eat them. After all, girls, no matter what age they are, like to eat snacks.
Liu Chen turned on the TV. When he saw that the characters inside were in color, Dean Gao and Zhao Xiaojing were so excited. They really couldn't believe that this TV was in color. This was the first time they had seen it.
Dean Gao and Zhao Xiaojing both have TV sets at home, which are only 12-inch black and white TV sets. This is a color TV set of more than 30 inches, which is too big.
The characters inside are still in color, which is much better looking than black and white.
"Dr. Liu, where did you get this color TV? Isn't it so beautiful?"
"This was sent to me by my friend in the capital. It's okay."
Liu Chen now lies without blushing and his heart does not beat, and he has reached the level of proficiency.
"Doctor Liu, what do you want to eat? Let me help you." Zhao Xiaojing looked a little embarrassed when she saw Liu Chen busying around alone.
"It's okay, you can go watch TV, I can do that."
After Zhao Xiaojing heard what Liu Chen said, she wanted to help and watch TV. This TV was in color and really beautiful.
At this time, Wang Xiong and Gu Wanjun were seen arriving, and Gu Wanjun's voice was heard from a distance: "Achen, let's see what delicious food I got for you?"
Seeing that there were guests on the sofa, Gu Wanjun immediately lowered her voice.
After several people introduced each other, Gu Wanjun said with a smile: "You watch TV, I will help."
Gu Wanjun put the sauced venison in the kitchen and said with a smile: "I was afraid that you would go back. I thought you would have no luck in eating it."
"Did your second uncle bring this again?"
"That's right, my mother asked me to get you some. See if I get it big enough for you?"
Liu Chen nodded and smiled.
Gu Wanjun tore off a piece of venison, put it in Liu Chen's mouth, and asked with a smile: "How is it? Is it delicious?"
"tasty."
Gu Wanjun tore off another piece and put it in Liu Chen's mouth again: "Here, it's delicious and have another piece."
Liu Chen curled his lips: "Oh, I don't want to eat it. You just scratched your fingers and used those scratched fingers to tear the meat for me. I can't eat it anymore."
"I washed my hands, eat quickly."
After Gu Wanjun finished speaking, she directly stuffed the venison in her hand into Liu Chen's mouth.
"Does it smell good?" After Gu Wanjun finished speaking, she twirled her fingers again.
"Can you go take a shower?" Liu Chen stared and curled his lips.
"What a pity it would be to wash it off. I'll keep saying it."
Wang Xiong looked at Liu Chen and Gu Wanjun and said, "Okay, it's unnecessary to help yourself. You'd better make rice by yourself."
Wang Xiong washed the rice, put it in the rice cooker, plugged it in, and started cooking.
Dean Gao and Zhao Xiaojing on the side looked at Wang Xiong's operation and were shocked. What is this? It can actually make rice.
Wang Xiong explained the rice cooker in detail, and his explanation was so emotional that in future generations, rice cooker manufacturers would have to ask Wang Xiong to endorse it. The introduction was quite good.
"Oh my gosh, this thing is great. It can make rice automatically. Isn't it really convenient?"
"What? You can also cook porridge? Make soup? This is too awesome."
The two of them were sitting on the sofa watching color TV just now. Now they got up and started watching around the rice cooker.
"Be careful, don't touch it, it's very hot."
"Okay, let's just take a look."
Dean Gao and Zhao Xiaojing looked at it for a long time and couldn't figure out the reason.
Here Gu Wanjun lights the fire and Liu Chen starts cooking.
A portion of pickled fish, spicy and sour, Gu Wanjun’s favorite.
One portion of fried cabbage with lard residue, one portion of radish vermicelli, one portion of fried peanuts, one portion of scrambled eggs with leeks, the pickled venison that Gu Wanjun brought, and a green vegetable and egg soup. Six vegetables and one soup.
Chapter completed!