Chapter 124 Ectopic Pregnancy Urgent Surgery
The next morning, Lin Sanqi arrived at Qinghai Provincial People's Hospital early.
The size of the hospital is not large. In later generations, it would at most be the size of a second-grade small hospital. But in the northwest, this is already considered a high-end large hospital.
There were not many patients in the hospital. When Lin Sanqi walked in, she found that many employees were whispering to each other and seemed absent-minded.
Lin Sanqi thought: Is it so easy to work in Qinghai Hospital? If any medical staff in future generations dared to do this, they would be beaten alive by the director.
However, it didn't matter what happened to Lin Sanqi regardless of the hospital's conduct, as long as he could complete his purchasing task as soon as possible.
"Comrade, how can I get to the Department of Traditional Chinese Medicine?"
"Department of Traditional Chinese Medicine, go to the corridor on the right and look at the department nameplate above."
"Thank you very much."
Lin Sanqi was just about to follow the water signs to find someone, but who knew that as soon as she turned a corner, she saw Qi Jiping running out in a hurry.
"Hello, Dr. Qi, I..."
Before Lin Sanqi could finish speaking, he was caught by Qi Jiping:
"Xiao Lin, you are a doctor from the Capital Hospital of Traditional Chinese Medicine. Can you perform surgery?"
Lin Sanqi blinked, thinking whether I should answer whether I can operate or not? To be honest, he is a five-year undergraduate intern, so he can definitely perform minor operations, but he may not be able to perform multiple surgeries.
"This, this, simple surgery is okay."
Qi Jiping looked very anxious: "It doesn't matter if you know how to do simple surgery. Come with me quickly and save people."
Lin Sanqi was pulled away and was so frightened that he quickly begged for mercy. With his three sword skills, should he save someone or kill someone?
"No, Doctor Qi, what happened? I can't do it even if it's a complicated surgery."
"It's up to you, okay? Let me tell you, our director's daughter-in-law has an ectopic pregnancy and needs emergency surgery. However, Dr. Wang, who can perform surgeries in our hospital, took family leave and went back to his hometown. Dr. Jia, who is left behind, is basically alone. I can’t bear the surgery.”
Ectopic pregnancy, which falls within the scope of emergency surgery, has a very high mortality rate. Without surgery, patients often die from massive bleeding.
The difficulty of the operation is quite high. If it is a small hospital, the whole hospital is often mobilized when an ectopic pregnancy is encountered. It was not until the era of hysteroscopy that the difficulty of the operation was reduced.
Lin Sanqi almost cried when he heard that he was asked to have an ectopic pregnancy. He knew the steps of the operation. He had studied it in the textbook, and he had encountered several cases during his previous one-year internship.
But he used to be an assistant as a trainee doctor. When did he become the chief surgeon? It's not his turn.
If you perform an operation now and the patient dies by your own hands, not only will your conscience be condemned, but your parents will also beat him to death on the Qinghai-Tibet Plateau, right?
"Doctor Qi, I, I can't do it. I study Chinese medicine. I..."
Qi Jiping didn't listen at all and dragged Lin Sanqi to the door of the operating room. By this time, there was already a sea of people, and everyone looked anxious.
"Dean Fang, Dr. Lin from the capital has arrived, please give way~~~"
Lin Sanqi thought to herself, Qi Jiping, you sold me long ago? I treat you like a brother, and you stab me in the back?
Dean Fang saw Lin Sanqi and thought, why is he so young? Is this operation possible?
Later, I felt relieved and comforted myself: How could an older person have the opportunity to go to a medical university? Only young people should have this opportunity.
So he came up and held Lin Sanqi's hand tightly:
"Comrade Lin, hello, I am Fang Wenbin, the director of Qinghai People's Hospital. The situation is urgent and I won't be polite. The patient is my daughter-in-law. She suffered from abdominal pain and bleeding from her lower body this morning. The initial diagnosis was ectopic pregnancy, but our chief surgeon returned to his hometown. , so I have to ask you to get started.”
Lin Sanqi was about to cry: "It's not President Fang. Why does a provincial hospital as big as yours only have two surgeons?"
Qinghai Hospital is said to be a provincial hospital, but in fact, both in terms of equipment and medical staffing, it is quite backward and even primitive.
In 1959, the population of Xining city was more than 700,000, but Xining was made up of 7 counties, and the urban population was only about 200,000, which was exactly the standard of a county hospital.
For example, there are only two surgeons, both of whom are foreign aid doctors.
In fact, even if we look at the whole country, how many surgeons are there who can perform surgeries?
You must know that before liberation, the domestic medical market was still dominated by traditional Chinese medicine, and surgical procedures were concentrated in some church hospitals or foreign private hospitals.
After liberation, there was a severe shortage of surgeons, surgical equipment, medical devices, drugs, etc., which further restricted the development of surgery.
Qi Jiping next to him also helped to say good things:
"Xiao Lin, there is nothing we can do now. No one else knows surgery. You are currently the only doctor in Qinghai who knows how to operate, so you must help with today's work." Dean Fang also raised his hands. He put his hands together and begged:
"Yes, Dr. Lin, I am begging you not as a director, but as a parent. If I don't do this surgery, my daughter-in-law will definitely die. Alas."
The relatives of the Fang family around him also started to say nice things and begged for mercy.
Now that everything has been said, what else can Lin Sanqi do?
Again, it is the bounden duty of medical students to treat illnesses and save lives, not to mention the other party's family members are so sincere.
"Okay, then I'll give it a try, but I'll say something ugly first. Surgery for ectopic pregnancy is still relatively dangerous. Now you hurry up and prepare blood, a large amount of the same type of blood. Whether the surgery can be successful depends on whether the blood supply can keep up. Very important.”
Dean Fang nodded quickly: "I will immediately organize all the hospital staff to help donate blood."
Lin Sanqi shook her head: "Your hospital alone is not enough. It's best to find more people. Generally speaking, the minimum bleeding volume is 1000cc. The maximum amount is three, four thousand or even tens of thousands."
Several family members nearby were so frightened that their legs weakened after hearing this. There is only so much blood in the human body, so this is almost like replacing the patient's whole body with blood.
"In addition, I will do my best during the operation, but I cannot guarantee whether the operation will be successful. I hope Director Fang can understand me."
Dean Fang nodded heavily: "Doctor Lin, no matter how bold the operation is, you will be our family's benefactor if it succeeds, and if it doesn't, you will also be our Fang family's benefactor."
After talking about this, Lin Sanqi also realized what was going on. Otherwise, he would be toasting instead of eating and being fined. Do you still want to complete the drug acquisition task?
So Lin Sanqi recited the anatomy knowledge in her mind, recalled the key points of surgery taught by the teacher, and walked to the operating room.
If Dean Fang knew that this guy was just an intern, I wonder if he would dare to let him perform surgery on the stage.
After disinfection and changing clothes, Lin Sanqi was still lamenting the rudimentary surgical facilities in this era and the sudden occurrence of emergencies.
Originally, Lin Sanqi thought that since she had to take the stage, and there was a shortage of a surgeon, she would be the first assistant.
The first assistant is under less pressure. He just listens to the surgeon in charge. He stops the bleeding when asked to stop it and passes the knife to him when asked. He is an expert as a trainee doctor.
But when he walked into the operating room, he found a doctor standing at the assistant's position on the operating table, but the chief surgeon's position was empty.
Everyone in the operating room looked eagerly at him, a doctor from the capital, with expressions of curiosity, admiration, and even some flattery.
An older head nurse said with a smile: "You are Dr. Lin from the capital, everyone is waiting for you."
Lin Sanqi pointed at the surgical site and said in horror: "This, this, you want me to be the surgeon?"
The male doctor standing at the first aid position said politely:
"Hello, Dr. Lin, my name is Jia Renqing, and I am a surgeon at the People's Hospital. You are a great doctor from the capital, and it is my honor to be your assistant this time."
Lin Sanqi really wanted to turn around and leave.
He finally saw that the only surgeon in Qinghai Hospital was clearly a thief. He probably had no confidence in his medical skills, so he would rather be an assistant than the chief surgeon. He must be afraid that the patient would not be saved and he would have to bear the wrath of the dean.
So even without shame, a middle-aged doctor actually wanted to help a young doctor.
Just when Lin Sanqi was hesitating, suddenly the pregnant woman on the hospital bed cried:
"Doctors from the capital, please save me, save me~~~"
Lin Sanqi was also shocked. Wasn't it said that the patient had been anesthetized? Why are you still talking?
(Qinghai Hospital was unable to give general anesthesia at this time, so it only used semi-general anesthesia, and the patient’s mind was awake.)
The head nurse is a good person. She has already seen the clues, but now she has to take action, so she comforts her softly:
"Dr. Lin, you have also seen that our hospital has this strength, and now the patient is in critical condition. If this operation is not performed today, you, the doctor, know what the consequences will be. For the safety of people's lives, let's give it a try together."
Lin Sanqi wailed in her heart.
He understood that the head nurse was right. Without surgery, the patient would definitely die. If he gave it a try, he might still have a chance to survive. This multiple-choice question was not difficult to answer.
But Lin Sanqi's family knew about his family affairs, so he really lacked confidence.
If an intern is asked to treat ectopic pregnancy right away, not everyone is Dr. Ling Ran.
The expectant looks in the eyes of everyone in the operating room, the trust of family members outside the door, and the patient's desire to live on the operating bed made Lin Sanqi know that she had no way out.
Then give it a try. Thinking of this, Lin Sanqi’s eyes became firm:
"Okay, let's give it a try together, head nurse. You should immediately arrange the blood for the operation. Once the abdominal cavity is opened, the amount of bleeding will be huge. Therefore, at least three venous channels must be opened, and rapid infusion must be performed at the same time. At the same time, focus on monitoring life. Signs.
Doctor Jia, right? As the first assistant, the key is to quickly suck out the blood in the abdominal cavity. Only by cleaning the abdominal cavity can I find the bleeding point immediately. This is the key to the operation, so you must move carefully in a while. quick. ”
Jia Renqing reminded a little embarrassedly: "Dr. Lin, we don't have an electric aspirator, we can only use a syringe to suck blood."
Lin Sanqi almost fainted after hearing this...
(End of chapter)