The Godfather of Surgery

Yang Ping put away the microscopic instruments, and the amniotic band syndrome operation was completed.

Let me take a look, little guy, be good, don't be afraid, the operation is over.

Director Mei reached out to feel the fetal heart, and after a few minutes said disappointedly, No, why is it still slow.

Just liberating the blood vessels in the neck, there should be improvement. Director Mei frowned.

This kind of operation should be immediate, especially if the fetal heart rate slows down and fetal movement decreases for a short time, and the operation is very timely.

Either there is still a problem, or the surgery failed?

Wait a minute, observe, the anesthesiologist reports the vital signs, and the itinerant nurse reports the amount of blood and urine. Director Ke said to be calm.

This operation is like replantation of a severed finger. After the operation, the finger is still white and has not turned red. To find the reason, you cannot easily get off the operating table, otherwise it is likely to rework.

Rework for surgery, for surgeons, is an extremely troublesome thing.

I'll investigate again. Director Mei gently supported the fetus with one hand, and began to explore with the other.

The head, neck, chest, abdomen, back, and limbs were all probed, very carefully. Director Mei planned to probe the umbilical cord. Sometimes the umbilical cord was strangled by the amniotic membrane, which would cause blood supply and oxygen supply obstacles.

The little guy is interesting. He holds the umbilical cord in his hand, because he is afraid that others will take it. Director Mei carefully pushes away the baby's small hand.

The entire length of the umbilical cord was probed, and no problem was found with the umbilical cord.

It's all right? Director Mei confidently probed carefully.

Director Ke couldn't think of the reason for a while. It didn't make sense. He just saw with his own eyes that the blood vessels in the neck were loosened, and the tubes were well filled, so there would be no problem.

He was worried and checked again, but there was still no problem: Is it a spasm of the neck blood vessels? Wait a minute! Give the patient an intramuscular injection of 30mg papaverine.

Director Mei asked the nurse to open a sterile electronic thermometer to measure the temperature of the amniotic fluid, which was also normal.

Everyone had to wait and observe for ten minutes, but there was still no improvement. Waiting like this is not the way to go. Although the double-click electrocoagulation is more thorough to stop the bleeding, there is still some bleeding. The fetus is so open, and it is not good for a long time.

Director Ke intends to communicate with the husband of the pregnant woman. There is a certain risk in closing the uterus, but the reason cannot be found now.

In the waiting area for family members, the pregnant woman's husband, Zhong Mingfang, was anxiously waiting. He was restless. Although it had only been over an hour, it felt like a year had passed for him.

Director Ke took off his surgical gown, walked out of the operating room, opened the door of the operating room, and yelled at the family waiting area, He Liru's husband!

Zhong Ming jumped up like a spring and ran over: Doctor, what's the matter, Lord Bao, don't want the child!

Director Ke was dumbfounded by his excessive reaction: The operation is over, and the pregnant woman is now stable.

Thank you! Zhong Ming put sweat on his forehead.

I was so frightened just now that I thought the operation was dangerous.

Now there is such a situation. Your child's operation is completed, which is very good, but after the operation, the fetal heart rate is still slow. We also explored and found no other problems. We are going to close the abdomen. I'm afraid the fetus can't be saved.

Understood, doctor, close your belly and focus on adults. Zhong Ming was relieved.

The wife is fine, but if there are three long and two short, I will live in guilt in my life. As for children, this thing is really fate, not forced.

Okay, that's it.

Director Ke returned to the operating room, washed his hands again, and went on the stage: Close your abdomen!

Director Mei adjusted the position of the fetus so that he was naturally comfortable in the uterus and conformed to the normal posture.

After adjusting, he took the needle and thread from the nurse and began to close the uterus. Just as the needle was pierced, the fetus suddenly became restless, and Director Mei immediately stopped the needle and thread in his hand.

Anesthesiologist, what's the matter, the fetus is restless!

The anesthesiologist also couldn't understand: The dose of anesthesia is normal and cannot be added. The depth of anesthesia for pregnant women is just right, and the vital signs are also normal.

Director Mei stopped, and the fetus stopped moving again. After observing for a while, Director Mei felt that it was all right, and began to suture the uterus again.

My darling, this little guy is restless again, giving no face at all.

Director Mei wondered, this is not to let me sew, is it not so magical?

He stopped the needle and thread in his hand, and the fetus stopped moving again. Director Mei and Director Ke looked at each other: What's going on? This kid doesn't want to stay in it anymore? Abandoned himself?

That won't work, it's too early, you have to be patient, don't let your mother's expectations down, and don't let down our efforts, just stick to it, then I'll pick you up in person, how about you, give me some face? Mei The director told the fetus in a tone that the fetus could really understand.

Close it! Old Mei! Director Ke urged.

But when the needle was pricked, the fetus became restless again. Director Mei tried to stop, but he didn't move again.

Could the needle stick to the uterus and cause him pain? Or what nerve reflexes are evoked? Then he started to cut the uterus and he didn't respond?

So weird, really, as miraculous as a paranormal event.

What's going on? Old Han looked a little weird here and came over and asked.

Director Mei smiled wryly: This guy won't let me close the uterus. As soon as the needle and thread are sewed, he becomes restless. Is this a protest?

Everyone who studies medicine is a materialist. Everything is explained by scientific knowledge. If it cannot be explained, it will come to the conclusion that the mechanism is unknown.

Forced to wait for a while, Director Mei bowed his head: I don't believe it anymore!

He started to sew again, and every time the fetus was sutured, the fetus must be restless, and sometimes he kicked his feet and stopped suturing, and he was quiet. Director Mei tried this several times.

Weird!

He has been in medicine for more than 20 years and has never seen such a thing. He asked Director Ke, How to solve it?

You ask me? Don't you deal with these little guys every day? Director Ke didn't understand either.

Although no logical connection can be found, there is an obvious sequential connection in time. Needle and fetal movement, the two must be related, not necessarily a causal relationship.

Sew!

Director Mei decided to forcibly suture, and he still didn't believe this evil. He took a needle holder and toothed forceps and began to suture.

The fetus was not ambiguous at all, and immediately became restless. He forced the stitches, ignored the little guy, and sutured three stitches in a row. The little guy became more and more restless, as if he was going to run wild.

It may be because of the increased oxygen consumption and insufficient blood supply and oxygen supply, the color of the fetus' face turns blue and purple, which is very dangerous.

Director Mei didn't dare to sew, so he stopped immediately, was forced to surrender, and put the needle holder in the middle turning plate: Forget it, observe for a while, and don't sew first.

But it's not a big thing to observe like this. You can't keep observing it. You have to find the reason. Director Mei recalled the rescue and said, Invite Director Deng.

Director Deng is not the director of the department, but she is the oldest in the obstetrics and gynecology department. After retirement, she was hired to sit in the outpatient clinic. Being older means she has rich experience. Let's see if she can find out the reason.

The itinerant nurse helped to call the outpatient clinic to find Director Deng. Director Deng is a woman, a thin old lady in her 60s.

After she came up, she also washed her hands and dressed, removed a few stitches, and probed the fetus in the womb. No abnormality was found. She shook her head and did not know.

I haven't encountered similar things before, it's a bit strange, but I don't know what the problem is.

what should I do now? No way?

Just waiting on the operating table, we have to find a solution. Lao Han has been by the side, and he can't understand it. He came up with an idea: Call Professor Zhang Zongshun to have a look.

Professor Zhang, he is engaged in orthopedics, obstetrics and gynecology and pediatric surgery, what's the use of looking for him, but Director Han's recommendation cannot be refuted.

Okay, then I'll trouble Director Han and ask Professor Zhang for a trip.

It is not that Professor Zhang is proficient in obstetrics and gynecology and pediatric surgery, but that Professor Zhang always likes to go deep into research issues, has a wide range of knowledge, and often elevates the research issues to the philosophical level.

For example, orthopaedic plastic surgery, for the correction of some congenital deformities, he published a book, starting from the evolution of human beings, to get a clear theoretical basis, he has a solid grasp of some basic science, not to mention anatomy, an inflammatory reaction , he speaks better than the pathology book.

Everyone was waiting on the stage. Professor Zhang had a lot of outpatient patients. He had to settle the patients well. The blood pressure of pregnant women was fine. Director Han told Professor Zhang about the simple situation. After more than ten minutes, he arrived at the operating room.

professor Zhang--

Every time he passed, as long as there was someone, he respectfully called Professor Zhang, and Mr. Zhang responded with a gesture, and when he entered the operating room, he asked: 'What surgery? ’

Amniotic band syndrome, there are constriction rings in the neck and limbs. Now that the operation is completed, the uterus cannot be closed. Once the suture is performed, the fetus is restless. The number of fetal movements is still reduced, and there are symptoms of hypoxia. Director Mei introduced the condition. .

I moved as soon as I sewed it, and stopped if I didn't sew it. I just finished three stitches, and I was very restless, and I was about to punch and kick, and my face turned blue. Director Ke added.

Would you like to sew a stitch? Professor Zhang was near the operating bed, and the itinerant nurse moved a foot, and he stepped on it.

Because you can't get too close to the operating table, put a foot on your feet, stand high, and have a good field of vision, so you can see more clearly.

Director Mei demonstrated it again, and sure enough, he moved as long as he was sutured, and stopped if he didn't, but the movement is not so violent now, and it is estimated that he has no strength.

The blood vessels in the neck have been clearly explored, and there is no occlusion? Professor Zhang asked.

Yang Ping's surgery, he replied: Remove the constriction ring and it is smooth. After careful exploration, there is no problem.

Preoperative fetal heart rate slowed down?

Yes, slow down!

Has the fetal heart rate improved after surgery?

No!

He just asked, but didn't answer. He walked around the operating table, looked at the monitoring data of pregnant women, and asked the anesthesiologist some questions. Director Han moved a stool to let him sit.

He didn't want to sit: I'll come to the stage to see.

Professor Zhang brushed his hands to the stage, he told everyone to stay still, and Director Mei and Director Ke helped pull the hook to reveal it.

Professor Zhang stretched out his hand to investigate, his serious eyes seemed to relax, did he find the problem?