Time, 9:35 pm!
Chen Cang looked at the pregnant woman and frowned, because he found that pregnant women may have other factors!
What do you mean?
In fact, the process of delivery is not difficult!
The most difficult thing is all kinds of accidents encountered in the delivery process!
At this time, there were no drugs similar to oxytocin to help induce labor on Chen Cang''s car.
Therefore, Chen Cang''s whole delivery process is very dangerous.
At this time, the alarm of the ECG monitor sounded. Chen Cang''s face changed and scolded secretly. What are you afraid of!
"Dr. Chen, the blood pressure is only 9050mmhg!"
"Heart rate slows down!"
"The patient has shortness of breath, dyspnea, and blood oxygen saturation is only 85%!"
Chen cangmei''s heart was locked, and sweat was seeping on his head.
Obstetrics, in fact, is also one of the most dangerous departments. The degree of danger is not inferior to emergency. Even considering the doctor-patient disputes and the personal safety of medical staff, obstetricians are really a high-risk industry!
Bad luck will not only kill one corpse, but even take your own life!
At this time, the pregnant woman suddenly began to cough, shortness of breath and irritability.
Then there was dyspnea, cyanosis, convulsions, coma, weak pulse and decreased blood pressure. After seeing this moment, Chen Cang suddenly changed his face. If this goes on, he will fall into shock sooner or later.
Suddenly, Chen Cang''s face changed, and a noun appeared in Chen Cang''s mind!
"Amniotic fluid embolism?!"
Thinking of this, Chen Cang felt terrible. The more he thought about it, the more he felt wrong. Seeing the patient fall into shock, Chen Cang kept thinking!
Just then, Chen Cang looked up at the time:
9:40!
We can''t wait any longer. Once amniotic fluid embolism is formed, the patient will not have children, but himself... May not be able to live!
Chen Cang looked at the mother and son in danger at this time. Chen Cang looked down and suddenly saw a lot of uterine bleeding. The bleeding was not solidified!
Chen Cang suddenly thought of a possibility!
Early DIC signs!
Time is really like an hourglass at this time. Chen Cang can''t catch it!
Another minute has passed!
Chen Cang took a deep breath and calmed himself down. He knew he couldn''t hesitate. If he dragged on, there would be no hope!
"Kobayashi prepares heparin, 30mg plus normal saline, intravenous injection!"
At this time, there was no instrument on the rescue vehicle to provide too many diagnostic means for the two people, blood test could not be carried out, and auxiliary instruments were not in place.
After Kobayashi slowly injected heparin, Chen Cang''s brain kept thinking about how to fight shock!
At this time, the patient spit out sputum.
Chen Cang looks at it: Pink foam sputum!
Pulmonary edema?!
Thinking of this, Chen Cang hurriedly said, "Xiao Lin, prepare for endotracheal intubation!"
Kobayashi''s face changed and began to look for the intubation device.
Chen Cang and Xiao Lin fell into a busy panic.
"Rehydration! Replenish blood volume!"
"Atropine!"
At this time, the woman suddenly woke up and cried out, "it hurts so much! It hurts me!"
Chen Cang turned and asked, "what''s the pain relief?"
Kobayashi quickly found it: "pethidine, morphine..."
Chen Cang looked happy: "pethidine 50-100mg intramuscular injection!"
……
……
In this way, five minutes have passed again!
At this time, focus on 9:46!
Chen Cang quickly began to prepare for childbirth.
Without the help of oxytocin, plus the fact that the woman herself is an accidental delivery, the risk is great.
So the whole process is very difficult.
The fetal position is not correct. If you want to deliver the baby at this time, the difficulty increases again!
With such a difficult and complicated delivery task, Kobayashi''s scalp is numb.
She never thought that one day she would help the patient have children in the ambulance.
At this time, Chen Cang dragged the child''s feet with his left hand and said in his heart, fortunately, his feet are facing down. If his hips are facing down, it will be a big trouble.
Generally speaking, which part of the fetus comes out first depends on the fetal position at that time.
Chen Cang''s elbow is supported at the iliac crest, the fingers of his right hand are close together, and hold the meeting sound upward and forward during uterine contraction!
Through the gap between contractions, his right hand relaxed slightly, and suddenly Chen Cang touched the other leg!
pleasantly surprised!
At this time, catching the other foot is more happy and surprising than drawing Maserati in the lottery!
However, even under the action of pethidine, pregnant women still show their teeth in great pain.
But she seemed to know what kind of situation she was facing at this time, and she didn''t dare to move. Her teeth were closed, her hands held the iron bed, and her green tendons burst up.
When Chen Cang saw the pregnant woman waking up, his face immediately rejoiced: "breathe! Breathe hard!"
At this time, the child''s buttocks must be given a force!
When the left hand assisted the fetus in straightening and external rotation, and assisted the abdominal delivery of about 13, the umbilical cord suddenly appeared.
Chen Cang suddenly became more careful!
The right hand continues to protect the perineum until both shoulders are delivered, and the left hand rotates along the fetal neck
The whole process looked at Xiao Lin with horror. It was too... Too exciting.
It is estimated that this is also the first time in my life, and it may only be so once!
At this time, the child finally came out!
Chen Cang couldn''t help feeling excited!
"Kobayashi prepares a very fast square towel!"
Kobayashi was also overjoyed when he saw the child. This feeling is really magical. It''s even more surprising than the operation!
It''s like
It''s like winning a big prize.
Chen Cang Hugou held the fetal neck, his right hand picked up the lower limbs from the hip, lifted his ankle, and carefully put the fetal head down and flat on the towel above.
The whole process was surprisingly smooth. Chen Cang didn''t expect that his hands could one day deliver the child!
This is an unimaginable thing.
However, this sense of achievement of giving birth to a child is far better than the operation of connecting a bone!
It''s amazing.
At this time, Chen Cang suddenly felt that he had a good mind. He felt that the obstetrician was too suitable for him.
The more Chen Cang thought, the more excited he was!
However, at this time, Chen Cang suddenly found a very serious problem.
Babies don''t breathe!
Sputum suction!
"Kobayashi, do you have a sputum aspirator?"
Kobayashi shook his head: "no!"
What about this time?
A sputum suction tube must be inserted into the throat to wash out the fluid from the child''s respiratory tract.
What should I do?
At this time, Kobayashi suddenly picked up an infusion bag, simply handled it directly and cut off both ends!
"Dr. Chen, is this OK?"
Chen Cang nodded: "yes!"
At this moment, Chen Cang suddenly realized that things are not so simple.
The child cannot breathe during delivery!
If you induce neonatal asphyxia, it''s terrible.
It must be dealt with urgently.
But the syringe can''t be inserted at all. There''s no way to suck sputum. What should I do?
At this tense moment!
Kobayashi stuffed his simple "sputum aspirator" into his mouth.