Chapter 271 Supernatural Events
Yang Ping put away the microscopic instruments and the amniotic band syndrome surgery was completed.
"Let me take a look, little guy, be good, don't be afraid, the operation is done."
Director Mei reached out to feel the fetal heart. After a few minutes, he said disappointedly: "No, why is it still so slow?"
"The blood vessels in the neck have just been liberated, so there should be improvement." Director Mei frowned.
This kind of surgery should have immediate results, especially if the fetal heart rate slows down and the fetal movement slows down within a short period of time, so the surgery is timely.
Either there are still problems or the operation failed?
"Wait a minute and observe. The anesthesiologist will report the vital signs, and the circulating nurse will report the blood loss and urine output." Director Ke said to be patient.
This operation is like replanting a severed finger. After the operation, the finger is still white and has not turned red. If you want to find the reason, you can't get off the operating table easily, otherwise it is likely to be reworked.
Surgery rework is an extremely troublesome matter for surgeons.
"Let me explore again." Director Mei gently held the fetus with one hand and began to explore with the other hand.
The head, neck, chest, abdomen, waist, back, and limbs were all explored very carefully. Director Mei planned to explore the umbilical cord as well. Sometimes the umbilical cord was strangled by the amniotic cord, which would cause blood and oxygen supply disorders.
The little guy was very interesting. He held the umbilical cord in his hand. He was afraid that others would take it away. Director Mei carefully pushed away the baby's little hand.
The entire length of the umbilical cord was explored, and no problems were found with the umbilical cord.
"Is everything okay?" Director Mei was confident that the investigation was quite careful.
Director Ke couldn't think of the reason at the moment. It didn't make sense. He had just seen with his own eyes that the blood vessels in the neck were released 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 cervical vasospasm? Wait a minute! Give the patient an intramuscular injection of 30 mg of papaverine."
Director Mei asked the nurse to use a sterile electronic thermometer to measure the temperature of the amniotic fluid, which was normal.
Everyone had to wait and observe, and after another ten minutes of observation, there was still no improvement. Waiting like this was not an option. Although double-click electrocoagulation was used to stop the bleeding more thoroughly, there was still some bleeding. The fetus was so open, and it would not be good for a long time.
Director Ke plans to talk to the pregnant woman’s husband about the risks involved in closing the uterus, but he can’t find the reason now.
In the family waiting area, the pregnant woman's husband Zhong Mingfang was waiting anxiously. He was restless. Although the time had only passed for more than an hour, to him, it seemed like a year had passed.
Director Ke took off his surgical gown, left the operating room, opened the door to the operating room, and shouted toward the family waiting area: "He Liru's husband!"
Zhong Ming jumped up like a spring and ran over: "Doctor, what's wrong? Mr. Bao, I don't want the child anymore!"
Director Ke was dumbfounded by his extreme reaction: "The operation is completed, and the pregnant woman is now very stable."
"Thank you!" Zhong Mingfang's forehead was covered with sweat.
I was so scared just now that I thought there was something dangerous about the operation.
"Now there is a situation. Your child has completed the operation. It is very good. However, after the operation, the fetal heart rate is still slow. We have also checked and found no other problems. We are going to close the abdomen. If it cannot be relieved for a long time after the operation, I’m afraid the fetus can’t be saved.”
"Understood, doctor, keep your stomach closed and put adults first." Zhong Mingfang was relieved.
My wife is fine. If something happens to her, she will live with guilt for the rest of her life. As for children, this thing is really fate, don’t force it.
"Okay, that's it."
Director Ke returned to the operating room, washed his hands again and went on stage: "Close the abdomen!"
Director Mei adjusted the position of the fetus so that he would be naturally comfortable in the womb and conform to the normal posture.
After adjusting, he took the needle and thread from the nurse and began to close the uterus. As soon as the needle was inserted, the fetus suddenly became restless. Director Mei immediately stopped the needle and thread in his hand.
"Anesthesiologist, what's going on? The fetus is restless!"
The anesthesiologist also couldn't figure it out: "The dosage of anesthesia is normal and cannot be increased. The depth of anesthesia for pregnant women is just right and the vital signs are normal."
Director Mei stopped and the fetus stopped moving again. After observing for a while, Director Mei felt that everything was fine and started to suture the uterus again.
My dear, this little guy is agitated again and doesn’t give me any face.
Director Mei was puzzled. If he didn't let me sew, wouldn't it be so magical?
He stopped the needlework 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 there anymore? Is he giving up on himself?"
"That's not possible. It's too early. You have to be patient. Don't let down your mother's expectations and don't let down our efforts. Keep at it. I will personally pick you up when the time comes. How about giving me some face?" Mei The director spoke to the fetus in a tone that seemed like the fetus could really understand.
"Turn it off! Lao Mei!" Director Ke urged.
But when the needle pricked, the fetus started to stir again. Director Mei tried to stop, but he stopped moving again.
Could it be that if the needle tip pierced the uterus, it would cause him pain? Or what kind of neurological reflex is caused? Then he didn’t respond even when we started to cut open the uterus?
It's so weird, really, as magical as a paranormal event.
"What's going on?" Old Han looked a little weird here and came over to ask.
Director Mei smiled bitterly: "This guy won't let me close the uterus. He gets restless as soon as the needle and thread are stitched. Is this a protest?" Everyone who studies medicine is a materialist. Everything is explained and explained with scientific knowledge. If it doesn't work, we will come to the conclusion that the mechanism is not clear.
Forced to wait for a while, Director Mei lowered his head: "I still don't believe it!"
He started to suture again. Every time he sutured, the fetus would definitely be restless, and sometimes it would kick its feet. When he stopped suturing, he would become quiet. This happened several times after Director Mei tried.
"Strange thing!"
He has been a doctor 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 obviously a sequential connection in time. Stitches and fetal movements must be related, not necessarily causal.
"Seam!"
Director Mei decided to forcefully suture the patient. He still didn't believe it was evil, so he took a needle holder and toothed tweezers and started suturing.
The fetus was unambiguous at all and immediately became agitated. He forced the sutures, ignored the little guy, and stitched three consecutive stitches. The little guy became more and more restless, as if he was about to run away.
Possibly due to increased oxygen consumption and insufficient blood and oxygen supply, the color of the fetus's face turns blue and purple, which is very dangerous.
Director Mei still dared to suture, so he immediately stopped and was forced to surrender. He placed the needle holder on the center steering wheel: "Forget it, observe for a while, don't suture yet."
But just observing like this is not a problem. You can't keep observing. You have to find the reason. Director Mei thought of calling for reinforcements: "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 returned to the outpatient department. Her age means rich experience. Let’s see if she can find out the cause.
The circulating nurse helped call the outpatient clinic to find Director Deng. Director Deng is a female, a thin old lady in her sixties.
After she came up, she washed her hands and dressed herself, removed the stitches, and checked the fetus in her womb. No abnormalities were found. She shook her head and didn't know.
I've never encountered anything like this before, it's a bit strange, but I don't know where the problem lies.
What to do? Is there no other way?
Just waiting on the operating table, I have to find a solution. Old Han has been beside me and can't figure it out. He came up with an idea: "Call Professor Zhang Zongshun to come and have a look."
Professor Zhang, he is an orthopedic surgeon. What is the use of asking him for obstetrics, gynecology and pediatric surgery? However, Director Han’s recommendation cannot be refuted.
"Okay, then please trouble Director Han and ask Professor Zhang to make a trip."
It’s not that Professor Zhang is proficient in obstetrics and gynecology and pediatric surgery, but that Professor Zhang always likes to research problems in depth and has a wide range of knowledge, and he often elevates research problems to a philosophical level.
For example, in orthopedics and plastic surgery, he has published a book on the correction of some congenital deformities, starting from the evolution of human beings and clarifying the theoretical basis. He has a very solid grasp of some basic sciences, not to mention anatomy, an inflammatory reaction , he explained it better than in the pathology book.
Everyone was waiting on the stage. Professor Zhang had many outpatients, so he had to settle the patients. The pregnant woman’s blood pressure was fine. Director Han told Professor Zhang a simple situation. In more than ten minutes, he arrived at the operating room.
"Professor Zhang——"
Everywhere he passed, as long as there was someone there, he would respectfully call Professor Zhang. Mr. Zhang just responded with a gesture. When he entered the operating room, he asked: 'What kind of surgery? ’
"Amniotic band syndrome, there are constriction rings on the neck and limbs. Now that the operation is completed, the uterus cannot be closed. As soon as it is sutured, the fetus becomes restless. The number of fetal movements is still reduced, and there are symptoms of hypoxia." Director Mei introduced the condition .
"It moves as soon as it is stitched, and stops when it is not stitched. I just got three stitches, and I was very restless. I almost got punched and kicked, and my face turned blue." Director Ke added.
"Can you give me a stitch?" Professor Zhang was near the operating bed. The circulating nurse moved a pedal and he stepped on it.
Because you can't get too close to the operating table, put a footrest on it and stand high to have a good view and see more clearly.
Director Mei demonstrated again, and sure enough, he would move as long as the stitches were sutured, and stop if not sutured. However, the movements were not so violent now, and he probably didn't have the strength anymore.
"The blood vessels in the neck have been clearly detected and are not blocked?" Professor Zhang asked.
Regarding Yang Ping’s surgery, he replied: “The constriction ring was removed and it became unobstructed. After careful exploration, there was no problem.”
"Fetal heart rate slowed down before surgery?"
"Yes, slow down!"
"Has the fetal heart rate improved after surgery?"
"No!"
He just asked without answering. He walked around the operating table, looked at the monitoring data of the pregnant woman, and asked the anesthesiologist some questions. Director Han moved a stool for him to sit on.
He didn't want to sit down: "I'll go on stage and have a look."
Professor Zhang came to the stage and told everyone not to move. Director Mei and Director Ke helped to reveal the hook.
Professor Zhang stretched out his hand to explore. His serious eyes seemed to relax. Did he find the problem?
(End of chapter)