Ai Beibei brushed her hands and watched whether the midwife's hand brushing and disinfection procedures were strictly in accordance with the standards. At the same time, she listened 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 indexes were very good. They should be able to give birth naturally. However, one pregnant woman had a narrow pelvis, and I don't know whether she can give birth naturally.
What troubled her was that the maids were all primiparous women, who were much more likely to have dystocia than multiparous women. Moreover, the first batch of maids were often petite due to the region and race, with a high proportion of narrow pelvises.
She had been washed, put on her coat, and disinfected. She was so hot that she was sweating. She followed the midwives into the delivery room. She raised her hands to monitor the midwives entering the delivery room. Unless she encountered a difficult delivery, she would not do it herself.
——She has to be prepared for a cesarean section at any time, and at the same time, she has to monitor whether the midwives' operating procedures are accurate.
"Since the indigenous people will not understand why they do this for a while, then just teach them that they must do this." Dean Shi said at the training meeting of the Ministry of Health, and Aibei could only use this method.
The 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 casually asked: "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."
The representative of the general office is here to register the "household registration". Once the child is born successfully, it will be registered in the senior household registration list of the general office.
Three elders came and finally treated them well! Ai Beibei was a little relieved. However, although they were already dilated to the tenth finger when they were pushed in, it would take at least an hour or two before the delivery could be completed. She was planning to deliver them one by one.
After checking again, 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 knows very well which bed the pregnant woman is.
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 the woman is older and a first-time mother, the pregnancy test revealed that the fetus was not in the correct position, so she planned to have a cesarean section on a different date.
Unexpectedly, the fetal heart rate would become unstable. Ai Beibei quickly ordered a naturalized female doctor to be present to supervise. She 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 12 mg of tetracaine hydrochloride - this is the normal dose. Then turn to the supine position." Zhang Tumu said as he completed the puncture and anesthesia neatly. A naturalized anesthetist behind him watched nervously.
His every move seemed to swallow it all.
The anesthesia went smoothly. Aibei looked at the patient carefully. She was waiting for the anesthetic to take effect. While testing the block level, the patient suddenly stopped answering questions. Aibei realized something was wrong. She noticed that the patient
The consciousness disappeared.
"Cardiac arrest!" screamed the naturalized nurse who was monitoring the instrument. 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 cardiopulmonary resuscitation! Inject 1ml of norepinephrine intracardially!"
Ai Beibei was shocked. This was "total spinal anesthesia"! What she was most afraid of during surgery was anesthesia. She quickly helped with external chest compression of the heart. Finally, the lines on the electrocardiogram began to beat again, but the heart rate
Quick and uneven.
"Invite Dr. Shi to come for consultation!" Ai Beibei had no choice but to resort to 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 Dr. 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, his body was cyanotic, his blood pressure was 180/90mmhg, his body temperature was 38.5c, he had no urine, and his electrocardiogram
It showed supraventricular tachycardia accompanied by frequent polygenic premature ventricular contractions and frequent systemic convulsions. Fetal heartbeat auscultation was normal.
Along with 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 area 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! It is a diuretic and dehydrating!"
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 deal with it further? At this time, Bai Ren
The 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 that year, 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 decrease in heart position, incomplete lung expansion, twisted hilar blood vessels, and insufficient ventilation function. Therefore, although the patient does not suffer from severe hypoxia under artificial respiration, his coma, convulsions continue to increase, and his blood pressure continues to rise.
The symptoms continued, the ventricular arrhythmia continued, the body temperature increased, and the skin became red and hot, indicating that the carbon dioxide in the body could not be exhausted. 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 are all caused by severe accumulation of carbon dioxide in the body due to obstruction of carbon dioxide discharge. If the carbon dioxide accumulation problem is not solved in time, the result will be cardiac arrest again and rescue will be hopeless. Based on this, Shi Xiaoren believes that it should be
Immediately and decisively perform a cesarean section to remove the fetus to relieve the diaphragm from lifting up and pressing against the chest cavity and improve breathing and ventilation function problems.
"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 dead and two lives! Talk about eye circles.
They are all a little red. Unlike other veteran doctors who have been engaged in clinical work for a long time in the old time and space, 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. Even though 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 is no need for the family members to sign," Shi Niaoren said, "I will sign it. The operation will be performed 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 a coma, with anuria and systemic symptoms.
In a state of convulsion. 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 him, then he walked out of the operating room, took off his gloves and soaked them in the disinfection and cleaning tank, and walked to the lounge. The nurse wiped his sweat and lit a cigar for him. This thing was a bit
It's 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 tetracaine hydrochloride at the moment -
―He wouldn’t be surprised at all if there are fatal cases of allergic reactions to antibiotics or vaccines. With the current level of pharmaceutical factories, this is simply inevitable. But this tetracaine hydrochloride is an authentic product―
Level 1 control materials are 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, although he can basically do whatever he wants in this plane, this thing is really a very bad signal, if it is used on the elders to cause such a big mess