Director Tang's face turned pale instantly, and he looked at Li Zheng in shock, his eyes full of disbelief.
In the past, she had always used baking soda to wash the stomach in dichlorvos poisoning cases, but this was her first time treating a case of trichlorfon poisoning, so she had no idea such a reaction would occur. However, she had no doubt about Li Zheng's words, because they were so professional, they must be true.
Director Tang quickly regained his composure and shouted, "Pregnant women should use warm saline, and elderly women should use 1:5000 potassium permanganate solution for gastric lavage!"
After saying that, he turned to look at Li Zheng and said sincerely: "Li Zheng, thank you!"
Li Zheng just shook his head slightly, said nothing more, and quickly devoted himself to the rescue.
Chen Dayong also joined in.
As the gastric lavage fluid became completely clear, Director Tang immediately injected 800 ml of activated carbon solution into the pregnant woman's stomach to absorb the toxins.
Then she asked the nurse to give the pregnant woman an intravenous injection of 1.5g of pralidoxime chloride and 3mg of atropine.
My mother-in-law also took the same approach.
Thanks to the systematic efforts of all medical staff, the pregnant woman's symptoms gradually eased, and the mother-in-law's symptoms also began to improve.
Li Zheng used a small flashlight to look at the pregnant woman's pupils and found that she began to reflect light and her sweating had improved.
"Is the OB/GYN here yet?"
What Li Zheng is most worried about is the fetus. If it continues to stay in the mother's womb, it is likely to have a great impact on the nervous system.
When Director Tang heard this, his heart skipped a beat. He was so busy saving the adult that he forgot to ask for a consultation.
She quickly shouted, "Go get the director of obstetrics and gynecology." Then she ordered, "Bring the fetal heart monitor."
The nurse quickly brought a stethoscope-type Doppler fetal heart monitor.
Director Tang immediately applied coupling agent on it and carefully placed the receiver on the pregnant woman's belly, moving it back and forth many times. Her brows furrowed more and more, and everyone's heart sank to the bottom little by little with her movements.
No fetal heartbeat?
"Let me do it!"
Seeing this, Li Zheng reached out, took the fetal heart monitor, and carefully searched the pregnant woman's belly.
"Found it!" Li Zheng's voice broke the tense silence.
Everyone hurried closer and listened carefully, and indeed heard a faint heartbeat.
After listening for a while, Li Zheng's expression changed and he said in a deep voice: "Fetal heart rate is 70, the fetus is in distress!"
The normal fetal heart rate should be 120-160 beats per minute. If it is 70, there must be something wrong!
As soon as the words fell, the pregnant woman suddenly let out a shrill scream: "Ah!"
"Oh no, I'm having a contraction!" Li Zheng shouted.
"She's bleeding!" Lin Xiaomei pointed at the pregnant woman's crotch. She saw that the pregnant woman's light-colored floral cotton pants had been dyed reddish-brown with blood, which looked particularly glaring.
"The uterus is likely to rupture and a caesarean section must be performed immediately!" Li Zheng turned and said loudly to Director Tang.
"But the obstetrician and gynecologist hasn't come yet!" Director Tang was also very anxious.
"It's too late! If we delay any longer, both adults and children will be lost!" Li Zheng made a quick decision and shouted, "Dayong, Xiaomei, let's go to the operating room!"
Several people reacted instantly and quickly pushed the ambulance out.
The doctor on duty reacted faster and ran outside before them to call the operating room.
"Director Tang, please talk to the family and tell them that we will do our best to save the adult!" Li Zheng shouted without turning his head.
Director Tang took a deep breath, understood what Li Zheng meant, gritted his teeth, and went to talk to the family in person.
After arriving outside the emergency room, Director Tang explained the situation truthfully to the family.
After hearing this, the old man's body trembled, his eyes full of pleading, and he said, "Doctor, can you save the child?"
After hearing this, Director Tang could no longer suppress his anger and said angrily, "Only the children can be saved. We may not be able to save either the adults or the children!"
After hearing this, the old man wiped his tears and sighed, "What a sin!"
…
Operating room.
Operating Room No. 8.
The originally scheduled appendectomy surgery was urgently postponed and this life-threatening caesarean section was arranged instead.
Director Xiao had already prepared to give anesthesia to the patient with appendectomy, so now he could directly give anesthesia to the mother.
Soon, the anesthesia was completed.
Li Zheng and his colleagues washed their hands and dressed as quickly as possible to make preparations for the operation, while ensuring sterility as much as possible.
"Notify the obstetrics and gynecology department to prepare for neonatal rescue!" Li Zheng stood beside the operating bed and said to the circulating nurse with a serious expression.
Li Zheng stretched out his hand, and Lin Xiaomei understood what he meant and quickly slapped the big knife into his hand.
Li Zheng did not hesitate and made a 15-cm transverse incision above the pubic symphysis in the lower abdomen.
Originally, such a long incision was not necessary, but the mother was already bleeding heavily and might need a complete hysterectomy and appendectomy. In order to speed up the process, Li Zheng chose a safer incision.
The skin, subcutaneous tissue, and fascia were cut open, and then the rectus abdominis muscle was separated suddenly. The peritoneum was cut open and the abdominal cavity was entered. The abdominal cavity was full of blood and a strong smell of blood hit the face.
Chen Dayong was overwhelmed by the sight of this scene.
Cesarean section is a level II surgery and is not very difficult, but uterine rupture and bleeding increase the difficulty and risk of the surgery sharply, and the level of the surgery is raised by at least one level, or even directly to level four.
With so much blood accumulated, exposing the uterus became a big problem.
"Suction device, keep sucking!" Li Zheng did not panic. He calmly directed Chen Dayong to operate.
As the blood was sucked out bit by bit and a dynamic balance was reached, Li Zheng reached in with both hands and carefully pushed the intestines to one side.
"Tissue scissors!" Li Zheng stretched out his bloody hand, his voice firm and clear.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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