0071 cut or not cut
When they arrived at the first floor of the emergency building, Director Pan was already waiting for Zheng Ren.
The two rushed to the ICU, put on hats and masks in the locker room at the door, put on dark green sterile clothes, changed into slippers, and then walked in.
The ICU is like a secret room used to store treasures in movies. In addition to changing clothes, it also requires access control twice.
This is to avoid bacteria being brought as much as possible, because most patients in the ICU have tracheotomy and use ventilators to assist breathing. The bacteria with extremely weak immunity and no problems in normal people may be a deadly bacteria in these severe patients.
When I entered the ICU, many directors of departments have arrived early and are checking their bodies.
The diagnosis has been given on the system panel in the upper right side of Zheng Ren's field of vision - placental abruption and hemorrhagic shock.
The patient is a young female, 20 weeks pregnant. Due to pregnancy-induced premature hyperemia, the placenta is abrupt, and the placenta is disintegrated to 1/2 of the placenta area.
Because of severe blood loss, the patient has symptoms of hemorrhagic shock such as pale complexion, sweating, rapid pulse, and decreased blood pressure.
The fetus has died due to hypoxia and the fetal heart rate cannot be detected.
This is a very difficult patient...
Because it is the first child, that is, if the uterus is removed, the patient will not be able to have children in the future. This is a very cruel thing for a woman who desires to become a mother.
However, if the uterus is not removed in the emergency room, the bleeding area will continue to bleed. The obstetrics department has already done the treatment, but the filling and hemostatic drugs are not effective.
This is a dilemma.
Several directors who came to the consultation obviously felt that the condition was very difficult, and frowned and looked at the shocking numbers on the monitor, hesitating.
The condition is simple and clear, but the uterus is still not cut off, which is the biggest problem.
Su Yun stood beside the patient's bed, her white clothes were as white as snow. She was holding a blue medical record clip in her hand, and a stethoscope was hung on her shoulder, looking at the many directors with expressionless face.
"I suggest that I go to the office to discuss. The time... should be only ten minutes. Xiao Su, make pre-operative preparations." said the ICU director.
Many directors came out one after another, and Su Yun noticed Zheng Ren who was standing at the end of the crowd and was not careful about it.
He made an oral medical advice, and the nurses rushed to execute it.
After leaving the custody room, I came to the second room in the corridor. The windows were bright and clean, and several desks were put together to form a large square table, with more than a dozen chairs around it.
"Now we have nine minutes." The ICU director glanced at the watch and said.
"I don't think there is anything to discuss." Director Su of the Obstetrics Department held up black-framed glasses and said firmly, "We have tried all kinds of hemostasis methods, but all of them are ineffective. If we drag on it, the patient's symptoms of hemorrhagic shock worsens, and there is no way to do it if we want to do the surgery."
"Oh." The director of the Department of Anesthesiology sighed, and he wanted to speak but stopped.
"Old Wang, what do you have to say? Hurry up and say, don't sigh here." The ICU director was in an impatient period and couldn't rub half a grain of sand in his eyes.
"It would be great if there were interventional doctors." Director Wang of the Department of Anesthesiology expressed the pain in everyone's hearts.
"Ask the Circulation Department, can you come and help."
The ICU director's expression was indifferent, "Today, the three departments of circulation have taken 18 patients with myocardial infarction, all on the operating table."
Once a myocardial infarction occurs and if the surgery is not performed in time, the only way to death is waiting for the patient, and there is no choice at all.
Unlike pregnant women in the ICU, at least they can choose to retain or remove the uterus.
In the hospital, this kind of sharp contradiction occurs almost every day. Who has a nobler life? No. In the face of life and death, everyone is equal. What is inequality is just social differences.
Even if the circulatory doctor has time and asks them to emboli the uterine artery, who will be considered if something happens? The scope of practice is written on the doctor's certificate, which is the law. Only the emergency department is more extensive in all departments.
Everyone was silent.
Zheng Ren stood in a corner, such as this large emergency emergency treatment, and there was no part of the hospitalization. He was not even involved in the hospitalization.
If Director Old Pan hadn't insisted, others would have given Director Old Pan face, Zheng Ren would not even be able to get in the house.
He knew what everyone was worried about - to preserve the uterus and stop bleeding, he could only be done through interventional treatment.
However, the interventional department has to withstand a lot of radiation, so after an interventional doctor in the First Hospital of the City basically stopped normal slow-diagnosis interventional surgery after an interventional doctor suffered from large B lymphoma. Later, the doctor either transferred or went to the circulation for cardiac stent surgery. Anyway, there is no doctor at all in the interventional department.
Director Wang of the Department of Anesthesiology sighed for this.
When it comes to intervention, Zheng Ren suddenly remembered that the system had "tempted" him and asked him to choose the treatment of interventional surgery.
Maybe you can try it yourself? Zheng Ren has some activities in his mind.
It's only a few minutes, so hurry up.
He immediately entered the system space and opened the system mall. When he saw the entry for the purchase of interventional surgery training time, he hesitated for a moment.
Zheng Ren is not hesitating whether to learn. If he can save a person or let a woman retain her fertility function, what does a little experience value count?
What hesitated was whether he could learn it.
Since the system was established, Zheng Ren's memory has been comprehensively improved. With the rise of the general technology energy tree, he has a more thorough understanding of the anatomy structure than before.
I recalled that the interventional treatment of placental abruption seems to be enough to only embolize one uterine artery, which is the easiest in interventional surgery.
Then...that's it.
Once Zheng Ren made a decision, he did not hesitate at all and pointed his fingers up.
In an instant, the operating room climbed up on the ground, and Zheng Ren's body suddenly sank, and a lead suit was already on his body. The experimental subject was placed in front of him, and Zheng Ren was holding a puncture kit in his hand.
What should be done?
Zheng Ren was in a trance.
[If you choose to learn interventional surgery, please increase the interventional skill points first.]
The cold appearance of the system mechanical female voice reminds Zheng Ren - you idiot, if you want to undergo interventional surgery, is it good to first click on the skill tree? The shirtless layman wants to learn interventional surgery?
Zheng Ren Dahan immediately used a skill book to upgrade interventional surgery to the peak of advanced skills, that is, 1,000 skill points. Then he invested another skill point to reach the expert level.
He was very fast, and then he felt a thunder falling from the sky, falling on his body, his whole body numb.
Soon, my mind was clear and many strange memories appeared naturally.
When he was a student of Pupu Surgery, Zheng Ren did not feel that there was a qualitative difference in any change. That was because he was a general surgeon and he usually had the most contact with various general surgery diagnosis and treatment projects. He was improved at a certain point, and even his skills were improved to more than 2,000 points. Zheng Ren just thought it was very powerful.
Interventional surgery is different. This is a skill from scratch, which makes Zheng Ren feel more and more systematic and magical.
The expert-level interventional skills have been prepared, and there are a total of 189,920 experience points, totaling more than 52 hours. Zheng Ren directly exchanged 50 hours of surgical training time, and the remaining experience points... let's act as self-defense.
Chapter completed!