Chapter 930 Mom is here with you
Around three o'clock in the afternoon, Liu Yun's daughter-in-law was transferred from the Jiaotong University Affiliated Hospital to Zhizhen Building.
Yu Zhiming paused his physical examination work and examined his daughter-in-law Liu Yun and the fetus in her womb.
After a careful examination, Yu Zhiming discovered the problem that caused the previous intrauterine intervention surgery to fail.
Although the puncture was successful in one attempt, there was a deviation in the angle at which the puncture needle entered the right ventricle of the heart, which caused difficulties during the guidewire intervention process. It was probably because the expansion balloon was not delivered to the precise position within the limited time.
Yu Zhiming guessed that it was most likely that the fetus's position moved slightly during the puncture process, causing Dr. Sun Qi to be unable to react in time.
This is one of the reasons why intrauterine interventional surgery is difficult, as there are many uncontrollable factors.
"Doctor Yu, I know I was wrong. Please save my child, please!"
Yu Zhiming looked at the pale-faced young woman in her early twenties on the gurney and said, "Since I've agreed, I'll naturally do my best."
"But I can't make any guarantees about the outcome."
After a pause, Yu Zhiming reminded her, "I heard that mother and child are connected by heart. You must not only be strong yourself, but also tell your children to be strong."
"If your child wants to survive, he has to rely on himself."
At this time, Duan Yi followed Yu Zhiming's instructions and brought back a 17-centimeter-long puncture needle from outside.
Yu Zhiming explained: "There's too much blood in the fetus's pericardial cavity, which is pressing on the heart. Some of it needs to be drained out."
"You, bear with it."
As he spoke, Yu Zhiming began to adjust the fetal position.
Because the belly, uterus, and the puncture holes on the fetus's body need to be connected in a straight line, the difficulty of adjusting the fetal position increases many times.
It took Yu Zhiming nearly twenty minutes to finish it.
Then he peeled off the medical tape on the pregnant woman's lower abdomen, held the puncture needle connected to the syringe, and inserted it into the old puncture wound again, inserting it nearly twelve centimeters in one go.
Then, he quickly drew out about eleven milliliters of blood with a syringe and quickly pulled out the puncture needle.
"Sent to the ward for monitoring, surgery at 6:20 pm."
After the pregnant woman was pushed out of the soundproof examination room, Yu Zhiming continued to conduct physical examinations on the personnel assigned by the Health Bureau...
Around five o'clock in the afternoon, Yu Zhiming received a call from Gu Qingran and was told that Xia Linge, the traditional Chinese medicine expert who was most proficient in using ginseng, was kicked out of the research and development team.
"Alas, this is the drawback of traditional Chinese medicine. People guard those few things like heirlooms, cherishing them for themselves!"
Gu Qingran sighed and advised, "Zhiming, don't lose confidence. As the saying goes, good things take time. It's normal for such an important matter to have some twists and turns."
"Also, after Old Man Xia left, the Poison King introduced a replacement, an old Chinese medicine doctor from the Northeast."
"The good news is that the old Chinese doctor is still alive, and Ning An's staff in the Northeast have already rushed over. If all goes well, they can take him to Binhai tomorrow."
Yu Zhiming said "oh" in a somewhat dejected tone.
Gu Qingran continued on the call, "One more thing. I've seen that Jingcheng Hospital has posted an apology on their website, apologizing for a certain Chu family member who instigated a nurse to sabotage your treatment trial."
"This must be because they knew they couldn't hide the truth anymore, so they took the initiative to expose their own shortcomings and save their reputation."
Yu Zhiming snorted softly, "An apology statement is nothing serious. It's not a big deal for Jingcheng Hospital."
He then asked, "The one selling ginseng?"
Gu Qingran smiled and replied, "We're going back and forth to negotiate the price. I can feel that he's stalling for time. The other party knows that I'm stalling for time too."
"He and I are both waiting for news from the expert team."
Yu Zhiming said hopefully, "Although good things take time, I still hope that there will be as few twists and turns as possible..."
The sudden setbacks in the development of alternative drugs made Yu Zhiming feel depressed.
But he could only pray that no matter what the process was, the result would be good. After all, he was a layman in drug research and development, and it was useless to worry because he could not help.
However, as the medical examination continued, Yu Zhiming gradually immersed himself in it, and his worries disappeared...
Around six o'clock in the afternoon, Yu Zhiming finished the physical examination and taught Zhou Luo, Shen Qi and others how to distinguish lung sounds, and waited for Dr. Wang Chunyuan who had finished his work for the day.
"Doctor Wang, I'm sorry to bother you again."
Yu Zhiming first said a polite word, and then gave Dr. Wang detailed instructions on the expansion of the airbag during the operation.
There are still three expansions, with intervals of one second and two seconds respectively, but the expansion pressure is slightly increased.
The main reason is that this fetus is already 27 weeks old and its heart is slightly larger than that of the previous fetus.
In addition, the biggest difference compared to the last intrauterine interventional surgery is that Yu Zhiming requires the expansion balloon to expand to the size of a sesame seed after leaving the puncture needle and entering the right ventricle.
The reason for doing this is that due to the puncture angle problem, it is difficult for the guide wire to quickly deliver the airbag to the designated position.
Yu Zhiming's idea was to use the force of blood flow to move the airbag to the pulmonary valve.
Without the guidance of a guidewire, this requires precise timing and positioning of the balloon.
Only Yu Zhiming can confidently do this.
"Doctor Wang, the coordination requirements this time are a bit more demanding than last time. Do you need to practice a few times?"
Wang Chunyuan looked at Yu Zhiming's bright eyes and said somewhat depressedly, "Doctor Yu, I have more than 20 years of experience in interventional surgery."
Yu Zhiming smiled awkwardly and said, "Doctor Wang, I'm sorry. I was too cautious."
"I just think that if I can cooperate more skillfully, I can save a second of delay, which means more hope for the fetus."
Yu Zhiming apologized and was about to say "Let's go" when Wang Chunyuan said, "This is a highly difficult operation, and it involves the life and death of Dr. Liu's grandchildren. We must be extremely careful."
"Doctor Yu, since you're so insistent, let's practice coordinating."
Yu Zhiming's mouth twitched, and he asked Zhou Mo to bring the spare interventional surgical equipment for the next operation. He and Wang Chunyuan cooperated with each other and practiced for a while.
These two practiced for eleven times...
It was a little after 6:30 in the evening, in the soundproof operating room, and the same staff were performing the operation as yesterday.
Dr. Wang Chunyuan assisted Yu Zhiming in the operation, while Dr. Liu Yun and Duan Yi took precautions just in case.
Yu Zhiming also asked the pregnant woman again.
"Would you like to get some sleep?"
Liu Yun's daughter-in-law shook her head and said, "I won't sleep this time. I want to be like that sister yesterday and be brave enough to accompany my baby."
The next moment, she suddenly shouted, "Baby, don't be afraid. This time, mommy is with you."
"You have to be strong, and Mom will be strong too."
"Baby, let's make a promise to meet in three months."
While this guy was talking, Yu Zhiming gave her belly and uterus an intramuscular injection of anesthesia.
Then he started to adjust the fetal position.
This time the fetal position adjustment was relatively smooth and was completed in sixteen minutes.
At the moment the fetal position was adjusted, Yu Zhiming's movements seemed to be suddenly doubled, and he performed the puncture at lightning speed.
The speed was so fast that Wang Chunyuan was unable to react. It was not until he heard Yu Zhiming say "right now" that he subconsciously tapped the pressure valve in his hand.
In the blink of an eye, Wang Chunyuan heard the prompt sound again and used the pressure valve to pressurize and expand the balloon again.
once.
A second later, again.
After two seconds, expand for the third time.
Immediately, Wang Chunyuan released the balloon pressure as quickly as possible. When he looked up again, he saw that Yu Zhiming had already pulled out the balloon and guide wire, followed by the puncture needle.
This scene made Wang Chunyuan breathe a sigh of relief.
No matter what the result was, these thrilling five or six seconds finally passed smoothly.
Ya Ting, he used to do interventional surgeries slowly rather than rushing, which required a lot of patience.
There has never been a single intrauterine interventional surgery like these two, which were like a race against time.
But it's really exciting...
As Dr. Wang Chunyuan was expressing his feelings and reminiscing, the monitoring equipment in the operating room was turned on one after another, and various sensors were connected to the pregnant woman.
"73, bradycardia."
Generally speaking, the normal fetal heart rate is between 110-160 beats/minute.
Heart rate 73, obviously too slow.
Yu Zhiming was not concerned about this value. He looked at the dynamic ultrasound image of the fetal heart rate displayed on the instrument screen.
It showed that the forward blood flow through the pulmonary valve had increased significantly, about four or five times as much as before.
Yu Zhiming looked at Dr. Liu Yun who came a few steps to the operating table, and Dr. Wang Chunyuan who was busy injecting medicine into the pregnant woman.
"Doctor Liu, Doctor Wang, my work is done. From now on, whether the child can be saved depends on you."
"I have a surgery scheduled in the oncology department, so I'm leaving now."
As he spoke, Yu Zhiming strode away from the operating table.
"Why……"
Liu Yun raised her hand and wanted to call Yu Zhiming, but stopped halfway after a sigh.
The next thing is to deal with complications during the operation and abnormal reactions of the fetus.
According to the prior work arrangements, these tasks were the responsibility of her and Dr. Wang.
But when Yu Zhiming left, Liu Yun felt as if her heart was missing and she felt a little empty.
She suppressed her uneasiness and looked at her daughter-in-law, whose face was as pale as paper, full of tension, and whose breathing had become rapid. She said in a deep voice, "Doctor Yu's operation was very successful, but the key is to survive this hour after the operation."
"You are your child's source of support and confidence. You must not panic. You must encourage your child to persevere."
Liu Yun's daughter-in-law nodded, took a deep breath, and said, "I'm not panicking. I can't panic."
But the next moment, she burst into tears, "Mom, I... I'm scared, I'm so scared, wuwu..."
Liu Yun held her slightly cold hand tightly.
"Don't be afraid, don't be afraid, Mom is here with you, Mom is here with you..."
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(End of this chapter)
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