2341 Abdominal organs not in the abdominal cavity
[They said to quickly write a love song …]
“Hello, director Lin.”
“Red? Alright, I’ll be there immediately. “
Zheng Ren hung up the phone and stood up abruptly.
“Yiren, get ready for the surgery.” Zheng Ren said in a deep voice.
“What patient?” Su Yun raised her head and asked.
“Triplets. The pregnant woman has seen red. One of the children has a large congenital umbilical cord swelling.” After Zheng Ren explained the main points, he hurriedly changed his shoes.”Yiren, slow down. There’s no hurry on your side.”
Xie Yiren threw the cushion on the sofa and was about to go back to her room to change. She didn’t say anything else in a hurry.
“You can drink it yourself.” Su Yun said to Chang Yue with some regret.
“You’re drunk, you can’t go on stage. Don’t go. ” Zheng Ren said.
“You’re too busy. ” Su Yun touched hei Zi’s head in disappointment. She got up and changed her shoes together.”The placenta supports prenatal fetal surgery. Do you know how to position it?”
Zheng Ren could not be bothered with Su Yun. The two of them changed their shoes and ran to the hospital.
On the way, Lin Ge called again and said that he had sent the relevant information to WeChat.
Zheng Ren did not go to the emergency department. Instead, he went to the inpatient department and took out his phone to take a look.
The pregnant woman was sent to the obstetrics department. The directors of the obstetrics and pediatrics departments were rushing over from home. Director Wang of the Women’s and Children’s Hospital and related people were also coming over from home.
Upon entering the inpatient department, Zheng Ren heard a crisp ‘ding dong’ sound.
Did big pig trotter issue a mission?
He took a quick glance and ran up the fire escape before he could take a closer look.
“Boss, if it were anyone else, they’d be so tired that they wouldn’t even be able to perform the surgery.” Su Yunxing had the energy to spare and walked up the stairs three steps at a time as he spoke to Zheng Ren.
‘This guy is really talkative. If he doesn’t talk, he’ll suffocate,’ Zheng Ren thought to himself.
Do you want to buy an electric bike? An incident that had nothing to do with the emergency treatment appeared in Zheng Ren’s mind.
No need.
His electric bike had to be charged every day. He didn’t have the time, but he didn’t want Yiren to carry the battery upstairs. That was unrealistic.
If that was the case, he might as well run faster. Zheng Ren immediately dismissed the idea of buying an electric bike.
When they arrived at the obstetrics department, the chief resident was looking at the ultrasound in the ultrasound room.
“How is it?” Su Yun asked after entering the room.
Zheng Ren, on the other hand, stood behind the doctor in the B-scan room and looked at the B-scan image.
Those with a congenitally swollen umbilical cord with a defect of less than five centimeters would undergo a first-stage surgical treatment.
For fetuses larger than 5 cm, it was recommended to treat the right symptoms first. After the abdominal cavity slowly expanded, the second stage of the surgery would be carried out.
The ultrasound showed that the fetus ‘abdominal organs … Were almost all outside. Zheng Ren’s hands were a little numb after reading it.
This …
He glanced at the system mission and felt that it was better to start with the hint of the big pig trotter.
[Urgent mission: find an abdominal organ that is not in the abdominal cavity.
[Mission details: treat a fetus with a giant congenital umbilical cord protrusion]
[Mission time: 8 hours]
[Mission reward: 100000 experience points, 15000 skill points.]
Zheng Ren was almost moved to tears by the big pig’s trotter’s pettiness.
The pig trotter only gave such a small reward to a patient with such a large congenital umbilical cord swelling. Zheng Ren was also quite helpless, but this was not the time to be thinking about this. He immediately entered the system space and clicked to buy surgical training.
Zheng Ren did not know much about pediatric diseases and operations. But after all, his general surgery skills had already reached the peak, and the possibility of him successfully performing the surgery was quite high.
The system’s operating theater rose from the ground, and Zheng Ren went in directly.
He saw the experimentals on the operating table, but the strange thing was that there was a small bed between the experimentals ‘legs.
No wonder Su Yun said that he didn’t even know how to position himself. He had seen similar operations before.
The small bed in the middle was for the child to perform surgery.
Under normal circumstances, after the fetus leaves the mother’s womb, the womb will naturally contract, causing the placenta to separate. However, during this surgery, the blood and oxygen supply to the fetus depended on the umbilical cord. The placenta could not be separated. For this reason, the mother must be deeply anesthetized to inhibit uterine contraction.
The fetus usually starts to breathe on its own after leaving the womb, and the umbilical cord will stop working at the same time. In order to prevent the fetus from crying and breathing on its own during the operation, anesthesia must also be applied.
When anesthetizing the mother and the fetus, it was necessary to maintain the normal blood pressure of the mother while ensuring that the heart function of the fetus was not affected. The surgery was very difficult.
Throughout the entire surgery, the anesthetist was in a state of high tension. The pregnant woman needed to be paid close attention to and there couldn’t be any mistakes.
However, this was only a part of it, and it was a relatively unimportant part.
The umbilical cord of the fetus was shorter, only about 30 centimeters long, so there was a reason for the operating table to be placed in this way. Performing surgery on a fetus was the most difficult, and the fetus was connected to the pregnant woman through the umbilical cord.
Zheng Ren was not in a hurry to perform the surgery. Instead, he began to recall the relevant literature.
After about an hour, Zheng Ren finally figured out how to perform the relevant surgery. He needed at least two groups of people and two groups of anesthetists.
Especially for the newborns, the personnel in charge of anesthesia was very important.
However, the surgery couldn’t return all the organs, which would lead to increased pressure in the newborn’s abdominal cavity, which would lead to the upper diaphragm, and then there would be breathing difficulties or even suffocation.
“Let’s do the surgery first and see what happens later.” Zheng Ren began his surgery training.
……
……
“It’s that heavy?” Su Yun looked at the image on the ultrasound machine and muttered to herself.
“Our initial assumption is that the fetus ‘abdominal organs are all outside.” The doctor in the ultrasound room finished the ultrasound at the fastest speed and then hurriedly told the clinician the conclusion.
This conclusion practically declared that the fetus was difficult to treat and was almost certain to die.
“Boss, I’ll go to the operating room to prepare the things.” Su Yun’s Black hair fluttered in the wind, and she looked a little anxious.
Zheng Ren was a little slow to react. Su Yun nudged her boss with her shoulder and asked,”I’m talking to you!”
“No,” she said. Zheng Ren said,”go and tell the patient’s family about the live broadcast of the surgery.”
“Uh …”
“There will be a few more surgeries after the surgery. If we can stream the surgery, we don’t have to worry about the cost. He hasn’t gone for a prenatal examination. I guess the patient’s family is poor. If he doesn’t have money, his family will give him up easily. ” Zheng Ren said.
His voice was calm and deep, leaving no room for doubt.
“Obstetrics department and newborn babies, get a few people to follow me to the operating room.” Zheng Ren said.
The chief residents of the two departments who were standing by the side did not understand what boss Zheng meant, but they still responded.
“Give old he a call. Also, find an anesthetist who can perform intubation for a newborn baby.”
“Prepare a quilt.”
“Two inflatable insulation blankets.”
“Sterile infrared radiation Station.”
Orders were issued one after another, and Su Yun and the chief residents of the two departments immediately became busy.