Qing Ning accompanied Yu Zhiming and sat in the speeding Phantom driven by Zhang Hai.
Qing Ning had learned from the conversation between Yu Zhiming and Qi Yue that Yin Wenzhu had been staying in her hometown to take care of her pregnancy, and with about half a month left until her due date, she rushed to Binhai to prepare for the birth.
Unexpectedly, her amniotic fluid broke just after she returned to Binhai today. After giving birth in the hospital with great difficulty, she suffered a suffocating amniotic fluid embolism.
Qing Ning knew that Yu Zhiming had a good relationship with Director Qi's niece, so she held his hand tightly and comforted him softly.
"With Director Qi in charge, the discovery was made in a timely manner, and so many medical experts on duty, everything will be fine."
As a doctor, Yu Zhiming naturally knew the danger of amniotic fluid embolism. It has the clinical characteristics of rapid onset, severe condition, unpredictability and high mortality rate.
If its treatment fails to achieve effective relief in the early stages of the disease and is delayed to the middle and late stages, it will be a matter of doing one's best and leaving the rest to fate.
In addition, there is currently no specific treatment for amniotic fluid embolism, and the main treatment is supportive and symptomatic treatment to maintain vital signs and protect organ functions.
Practice has shown that the more effective treatment method is respiratory support, which uses oxygen masks or positive pressure oxygen delivery through endotracheal intubation to relieve the body's hypoxia.
The second is circulatory support. To put it simply, it is blood transfusion, large-scale blood transfusion.
In the treatment of amniotic fluid embolism, it is routine to transfuse two to three times the patient's total blood volume or even more.
As a professional, Yu Zhiming was comforted by Qingning, knowing that his overly serious expression made her worried.
He shook Qing Ning's hand, made his expression more clear, and said, "The teacher is here, and the relevant experts are definitely present. The possibility of anything going wrong is unlikely."
"I am a little worried and confused."
Yu Zhiming took a few deep breaths and said, "This is why, no matter how skilled a doctor I am, I must avoid major medical treatments like surgeries for my family members."
"Caring too much, especially at critical moments, makes it difficult to make objective and correct decisions in a timely manner."
Qing Ning couldn't help but ask, "So Director Qi is also going to recuse himself?"
this……
Yu Zhiming pondered for a moment and said, "The treatment of amniotic fluid embolism is not the teacher's forte. He would not give random medical advice."
"However, out of concern, the teacher will probably stay by the side and pay close attention to the treatment process."
Qing Ning let out a soft "oh".
Yu Zhiming whispered again, "Qingning, don't be afraid. The probability of amniotic fluid embolism is very low, less than one in ten thousand people, and most of them are older mothers and those who have given birth multiple times."
Qing Ning smiled and said, "Don't worry about me. I'm not scared at all. I'm looking forward to giving birth to your baby."
"I'm also sure of one thing: if something bad happens, you won't let anything happen to me and the child."
Yu Zhiming nodded vigorously and said, "That's for sure. I won't let anything happen to you."
"But it's better not to say such unlucky words."
Yu Zhiming whispered to himself again, "When I have time in the future, I'll need to advance the research on artificial uteruses. Pregnancy and childbirth are not easy for women..."
With Qing Ning's company, Yu Zhiming spent the nearly thirty-minute drive quite easily.
With Zhang Hai's superb driving skills, the Phantom sped along at lightning speed with sirens blaring, even running red lights, and completed the journey that originally took more than 50 minutes in less than half an hour.
It was also the first time that Yu Zhiming knew that the Phantom car was equipped with police lights and sirens.
Zhang Hai told him that the police lights and sirens were installed to deal with emergency situations like the one at hand.
The Phantom car was parked directly in front of the gynecology building of Huashan Hospital.
Before Yu Zhiming got out of the car, Shen Yiyi, who was waiting in front of the building, came over quickly.
As soon as Yu Zhiming got out of the car, he heard Shen Yiyi's urgent voice in his ears, "Doctor Yu, please follow me, the emergency room on the third floor, Doctor Liu and Doctor Dong Ping are in charge of the treatment..."
He climbed up the stairs to the third floor, and the nurse waiting in the corridor handed him a disposable sterile first aid suit.
As Yu Zhiming was walking quickly and putting on sterile clothing, he immediately saw Teacher Qi's sister in the corridor, looking nervous and worried.
The main thing is that she is quite eye-catching with her white hair.
Yu Zhiming also met her once.
Beside her were Shi Xinyan, who was pregnant, Qi Xiaopang and others.
Yu Zhiming didn't have time to talk to them. He just nodded to them and strode into the emergency room.
As soon as he entered the emergency room, the entire scene of the emergency room was constructed in Yu Zhiming's mind.
Yin Wenzhu was wearing an oxygen mask and lying motionless on the emergency bed with three intravenous blood transfusion channels opened on her body.
Dr. Liu Yun and Dr. Dong Ping, who was about the same age as her, stood on both sides of the emergency bed.
Beside them, there was an emergency nurse.
Just as Yu Zhiming had guessed, Teacher Qi Yue was standing in the corner of the emergency room with a serious face.
Yu Zhiming walked a few steps to the emergency bed, stood in the position vacated by Dr. Liu Yun, and stretched out his hands to press on Yin Wenzhu's head, lungs and heart respectively.
The typical symptom of amniotic fluid embolism is pulmonary embolism, which in turn causes pulmonary hypertension, pulmonary edema, respiratory failure, etc.
During this process, the heart is also greatly affected, and it is extremely easy to cause failure and arrest.
Therefore, the key to treating amniotic fluid embolism is to maintain unobstructed breathing and blood circulation.
Yu Zhiming discovered the problem during the inspection.
Although Yin Wenzhu's lungs were obviously damaged, Yu Zhiming found that with the help of oxygen, she could barely meet her breathing needs.
But here’s the thing…
"The blood pressure is low, and the heart's pumping capacity is insufficient..."
Low blood pressure, coupled with low blood oxygen, can lead to permanent brain damage or brain death, as well as chain damage to organ function.
Just as Yu Zhiming finished speaking, Dong Ping's voice rang in his ears, "He's already had two cardiac arrests, and we finally managed to restore his heartbeat. Now his heart rate is nearly 110, which is considered tachycardia. We're still trying to lower his heart rate to prevent further damage to the heart."
this……
The heart's ability to pump blood, in addition to being related to heart rate, is also determined by the amount of blood pumped with each heartbeat.
According to Yu Zhiming's investigation, Yin Xinzhu's heart rate was over 100, but it was beating weakly.
Insufficient blood pumping capacity is the main cause of low blood pressure.
But given Yin Wenzhu's heart condition, it is not advisable to use the power of drugs to stimulate it.
Then we can only use external force...
Yu Zhiming did what he thought, and the next moment, he started to perform chest compression on Yin Wenzhu.
Performing chest compression on someone with a beating heart is not something you can do casually.
If the patient's heart sounds are weak and the pumping capacity is insufficient due to diseases such as myocardial ischemia and myocarditis, you can use chest compressions as prescribed by the doctor to relieve the symptoms, restore the heart's blood circulation to normal, and thus relieve the patient's symptoms of weak heart sounds.
However, in most cases, performing chest compressions while the heart is beating may worsen the patient's condition or even endanger the patient's life.
Yu Zhiming performed chest compressions on Yin Wenzhu in a very particular way, completely synchronizing them with her heartbeat.
When the ventricles contracted, Yu Zhiming pressed hard to allow the ventricles to pump more blood to supply the whole body.
The ventricles relax, and Yu Zhiming contracts synchronously.
In this way, Yu Zhiming reduces the burden and damage to the heart as much as possible while improving the body's blood circulation and supply.
Now Yu Zhiming can always control the precise synchronized chest compressions.
Moreover, after every two or three minutes of chest compressions, Yu Zhiming would pause and perform a quick check on Yin Wenzhu's lungs, kidneys, and other internal organs, detecting subtle changes that would provide a basis for Liu Yun and Dong Ping to prescribe targeted medication...
(End of this chapter)
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