Chapter 71： Cut or not cut
Arrived on the first floor of the emergency building, Director Lao Pan is already waiting for Zheng Ren.
The two went all the way to the ICU. In the locker room at the door, they put on a hat mask, put on a dark green sterile suit, and changed the slippers. Then they went in.
The ICU is like a secret room used in the movie to collect treasures. In addition to changing clothes, it is necessary to brush the door twice.
This is to avoid bringing in bacteria as much as possible, because most of the patients in the ICU are tracheotomy and use a ventilator to assist breathing. The body's immunity is extremely weak, and bacteria that have no problem for normal people may be a deadly bacteria in these critically ill patients.
Entering the ICU, many directors of the department have already arrived early and are checking the body.
Zheng Ren has given a diagnosis on the upper right system panel - placental abruption, hemorrhagic shock.
The patient is a young woman with a 20-week pregnancy. Because of pregnancy-induced hypertension, the placenta is stripped, and the placenta is detached from the uterus to 1/2 of the placenta area.
Because of severe blood loss, the patient has symptoms of hemorrhagic shock such as pale, sweating, rapid pulse, and decreased blood pressure.
The fetus has died due to lack of oxygen, and the fetal heart is not detected.
This is a good patient...
Because it is the first child, that is to say, if the way to remove the uterus is taken, the patient will not be able to give birth later. This is a very cruel thing for a woman who is eager to be a mother.
However, if the uterus is not removed in an emergency, the blood loss will continue to bleed, and the obstetrics has been disposed of, but the stuffing and hemostasis drugs have not had much effect.
This is a dilemma.
Several directors who came to the clinic obviously felt that the condition was very tricky. They frowned and looked at the shocking numbers on the monitor, hesitating.
The condition is simple and clear, but in the end, the uterus is still not cut, this is the biggest problem.
Su Yun stood by the patient's bed, his white clothes were white as snow, holding a blue medical record clip in his hand, a stethoscope on his shoulder, and looked at the directors with no expression.
"I suggest, go to the office to discuss. Time ... should be only ten minutes. Xiao Su, do pre-operative preparation." ICU director said.
Many directors sneaked out, Su Yun noticed standing at the end of the crowd, not paying attention to Zheng Ren, who could not be detected at all.
He gave a verbal order and the nurses were busy with the execution.
Out of the intensive care unit, came to the second room of the corridor, where the windows were clear, and several desks were combined into a large square table with dozens of chairs around.
"Now we have nine minutes." The ICU director looked at the watch and said.
"I don't think there is anything to discuss." Director of the Department of Obstetrics helped the black-rimmed glasses, and firmly said, "We have tried all kinds of hemostasis methods, all of them are invalid. Then drag on, patients with hemorrhagic shock worse, want surgery There is no way to do it."
"Hey." The director of the anesthesiology sighed and tried to stop.
"Pharaoh, what do you have to say, hurry and say, don't sigh in this sigh." The director of the ICU is in an impetuous period, and he can't afford half a grain of sand in his eyes.
"If there is an interventionalian, it would be fine." Director Wang of Anesthesiology said the pain in everyone's heart.
"Ask the circular department, can you help me?"
The director of the ICU was indifferent. "Today, three departments in the three departments have received 18 patients with myocardial infarction, all on the operating table."
Once the heart attack is attacked and surgery is not performed in time, there is only one way to wait for the patient to die. There is no choice at all.
Unlike pregnant women in the ICU, at least they can choose to keep the uterus or remove the uterus.
In the hospital, this sharp contradiction occurs almost every day. Whose life is higher? No. Everyone is equal in the face of life and death. Inequality is just a social difference.
Even if the circulators have time to let them urinate the uterine artery, who is it? The doctor's card has written the scope of practice, which is the law. All departments, only the emergency department is more extensive.
Everyone is silent.
Zheng Ren stood in a corner, like this large-scale emergency emergency hospital consultation, and he did not have a total hospitalization share.
If the director of the old Pan insisted, other people would give the face of the old Pan director, Zheng Renlian could not enter the house.
He knows where the tangles of the crowd are - to preserve the uterus, but also to stop bleeding, only through interventional treatment.
However, the interventional department was exposed to a large amount of radiation. Therefore, after an interventional doctor had a large B lymphoma, the first hospital stopped the normal slow intervention. Later, the doctors either transferred or went to the heart for a cardiac stent surgery. Anyway, there is no doctor at all in the intervention department.
Director Wang of the anesthesiology department sighed, for this.
When it comes to intervention, Zheng Ren suddenly remembers that the system once "tempted" himself and asked himself to choose interventional surgery.
Maybe you can try it yourself? Zheng Ren has some activities in his heart.
Only a few minutes, we must hurry.
He immediately entered the system space and opened the system store. Hesitated when he saw the items purchased during the interventional training time.
Zheng Ren is not hesitant to learn. If you can save a person or let a woman retain fertility, what is the point of experience?
He hesitated whether he could learn.
Since the system was in place, Zheng Ren’s memory has been comprehensively improved. Coupled with the rise of the general surgical skill tree, the anatomical structure is also more thoroughly understood than before.
Recall that the interventional treatment of placental abruption seems to only embolize a uterine artery is the simplest interventional surgery.
Then... just like this.
Once Zheng Ren made a decision, he did not hesitate and pointed his finger up.
For a moment, the operating room climbed up on the ground, and Zheng Ren’s body suddenly sank, and a lead coat was already worn on the body. The experimental body was placed in front of him, and Zheng Ren had a set of puncture kits in his hand.
What should I do?
Zheng Ren is awkward.
[If you choose to study interventional surgery, please increase the number of intervention skills. 】
System mechanical female voice indifference, reminding Zheng Ren - you are a stupid, to do interventional surgery, first put the skill tree on it? The shirtless layman wants to learn interventional surgery?
Zheng Ren Khan, immediately used a skill book to upgrade the interventional surgery to the high peak, which is 1000 skill level. Then he invested 1 skill to reach the expert level.
His speed is very fast, and even if he feels that a thunder is falling from the sky, he falls on his body and is full of numbness.
Soon, my mind was clear, and many strange memories appeared in a logical way.
When climbing the surgical skills tree, Zheng Ren did not feel that there was a qualitative difference in the change. That is because he is a general surgeon, and the most common exposure is the various medical treatment programs of general surgery. A certain point has been upgraded, and even the skill has increased to more than 2,000 points. Zheng Ren just feels very good.
Interventional surgery is not the same. This is a skill from scratch, which makes Zheng Ren feel the magic of the system.
Expert-level intervention skills are ready, with a total of 189,920 experience points, more than 52 hours. Zheng Ren directly exchanged 50 hours of surgery training time, the remaining experience value... Just be self-defense.
Interventional surgery training, officially started!
The two went all the way to the ICU. In the locker room at the door, they put on a hat mask, put on a dark green sterile suit, and changed the slippers. Then they went in.
The ICU is like a secret room used in the movie to collect treasures. In addition to changing clothes, it is necessary to brush the door twice.
This is to avoid bringing in bacteria as much as possible, because most of the patients in the ICU are tracheotomy and use a ventilator to assist breathing. The body's immunity is extremely weak, and bacteria that have no problem for normal people may be a deadly bacteria in these critically ill patients.
Entering the ICU, many directors of the department have already arrived early and are checking the body.
Zheng Ren has given a diagnosis on the upper right system panel - placental abruption, hemorrhagic shock.
The patient is a young woman with a 20-week pregnancy. Because of pregnancy-induced hypertension, the placenta is stripped, and the placenta is detached from the uterus to 1/2 of the placenta area.
Because of severe blood loss, the patient has symptoms of hemorrhagic shock such as pale, sweating, rapid pulse, and decreased blood pressure.
The fetus has died due to lack of oxygen, and the fetal heart is not detected.
This is a good patient...
Because it is the first child, that is to say, if the way to remove the uterus is taken, the patient will not be able to give birth later. This is a very cruel thing for a woman who is eager to be a mother.
However, if the uterus is not removed in an emergency, the blood loss will continue to bleed, and the obstetrics has been disposed of, but the stuffing and hemostasis drugs have not had much effect.
This is a dilemma.
Several directors who came to the clinic obviously felt that the condition was very tricky. They frowned and looked at the shocking numbers on the monitor, hesitating.
The condition is simple and clear, but in the end, the uterus is still not cut, this is the biggest problem.
Su Yun stood by the patient's bed, his white clothes were white as snow, holding a blue medical record clip in his hand, a stethoscope on his shoulder, and looked at the directors with no expression.
"I suggest, go to the office to discuss. Time ... should be only ten minutes. Xiao Su, do pre-operative preparation." ICU director said.
Many directors sneaked out, Su Yun noticed standing at the end of the crowd, not paying attention to Zheng Ren, who could not be detected at all.
He gave a verbal order and the nurses were busy with the execution.
Out of the intensive care unit, came to the second room of the corridor, where the windows were clear, and several desks were combined into a large square table with dozens of chairs around.
"Now we have nine minutes." The ICU director looked at the watch and said.
"I don't think there is anything to discuss." Director of the Department of Obstetrics helped the black-rimmed glasses, and firmly said, "We have tried all kinds of hemostasis methods, all of them are invalid. Then drag on, patients with hemorrhagic shock worse, want surgery There is no way to do it."
"Hey." The director of the anesthesiology sighed and tried to stop.
"Pharaoh, what do you have to say, hurry and say, don't sigh in this sigh." The director of the ICU is in an impetuous period, and he can't afford half a grain of sand in his eyes.
"If there is an interventionalian, it would be fine." Director Wang of Anesthesiology said the pain in everyone's heart.
"Ask the circular department, can you help me?"
The director of the ICU was indifferent. "Today, three departments in the three departments have received 18 patients with myocardial infarction, all on the operating table."
Once the heart attack is attacked and surgery is not performed in time, there is only one way to wait for the patient to die. There is no choice at all.
Unlike pregnant women in the ICU, at least they can choose to keep the uterus or remove the uterus.
In the hospital, this sharp contradiction occurs almost every day. Whose life is higher? No. Everyone is equal in the face of life and death. Inequality is just a social difference.
Even if the circulators have time to let them urinate the uterine artery, who is it? The doctor's card has written the scope of practice, which is the law. All departments, only the emergency department is more extensive.
Everyone is silent.
Zheng Ren stood in a corner, like this large-scale emergency emergency hospital consultation, and he did not have a total hospitalization share.
If the director of the old Pan insisted, other people would give the face of the old Pan director, Zheng Renlian could not enter the house.
He knows where the tangles of the crowd are - to preserve the uterus, but also to stop bleeding, only through interventional treatment.
However, the interventional department was exposed to a large amount of radiation. Therefore, after an interventional doctor had a large B lymphoma, the first hospital stopped the normal slow intervention. Later, the doctors either transferred or went to the heart for a cardiac stent surgery. Anyway, there is no doctor at all in the intervention department.
Director Wang of the anesthesiology department sighed, for this.
When it comes to intervention, Zheng Ren suddenly remembers that the system once "tempted" himself and asked himself to choose interventional surgery.
Maybe you can try it yourself? Zheng Ren has some activities in his heart.
Only a few minutes, we must hurry.
He immediately entered the system space and opened the system store. Hesitated when he saw the items purchased during the interventional training time.
Zheng Ren is not hesitant to learn. If you can save a person or let a woman retain fertility, what is the point of experience?
He hesitated whether he could learn.
Since the system was in place, Zheng Ren’s memory has been comprehensively improved. Coupled with the rise of the general surgical skill tree, the anatomical structure is also more thoroughly understood than before.
Recall that the interventional treatment of placental abruption seems to only embolize a uterine artery is the simplest interventional surgery.
Then... just like this.
Once Zheng Ren made a decision, he did not hesitate and pointed his finger up.
For a moment, the operating room climbed up on the ground, and Zheng Ren’s body suddenly sank, and a lead coat was already worn on the body. The experimental body was placed in front of him, and Zheng Ren had a set of puncture kits in his hand.
What should I do?
Zheng Ren is awkward.
[If you choose to study interventional surgery, please increase the number of intervention skills. 】
System mechanical female voice indifference, reminding Zheng Ren - you are a stupid, to do interventional surgery, first put the skill tree on it? The shirtless layman wants to learn interventional surgery?
Zheng Ren Khan, immediately used a skill book to upgrade the interventional surgery to the high peak, which is 1000 skill level. Then he invested 1 skill to reach the expert level.
His speed is very fast, and even if he feels that a thunder is falling from the sky, he falls on his body and is full of numbness.
Soon, my mind was clear, and many strange memories appeared in a logical way.
When climbing the surgical skills tree, Zheng Ren did not feel that there was a qualitative difference in the change. That is because he is a general surgeon, and the most common exposure is the various medical treatment programs of general surgery. A certain point has been upgraded, and even the skill has increased to more than 2,000 points. Zheng Ren just feels very good.
Interventional surgery is not the same. This is a skill from scratch, which makes Zheng Ren feel the magic of the system.
Expert-level intervention skills are ready, with a total of 189,920 experience points, more than 52 hours. Zheng Ren directly exchanged 50 hours of surgery training time, the remaining experience value... Just be self-defense.
Interventional surgery training, officially started!
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