Chapter 601： diagnosis (1/2)

”Deeply take blood, send to the laboratory, smear for amniotic fluid embolism.” Fang Pingzhu saw the patient and sent the nurse for amniotic fluid embolism as soon as possible.

For obstetrics, the highest mortality rate is amniotic fluid embolism.

Amniotic fluid embolism refers to the severe complications of a series of diseases such as acute pulmonary embolism, anaphylactic shock, renal failure, and sudden death during the delivery of amniotic fluid into the mother's blood circulation.

Because amniotic fluid contains a large amount of fetal hair, keratinized epithelium, fetal fat, and meconium, once it enters the blood circulation, it will immediately cause balance damage.

In Yunyi Obstetrics and Gynecology, Fang Pingzhu's policy is to see symptoms such as major bleeding and immediately take venous blood for rapid diagnosis.

With such a policy, the capture rate is naturally not too high, but from the perspective of Fang Pingzhu, if amniotic fluid embolism can be diagnosed a few minutes in advance, the survival rate of patients will be greatly improved.

However, this policy, which was originally adopted in obstetrics, is currently only effective in obstetrics.

The directors of the obstetrics department and the obstetrics department have their own priorities and are unwilling to spend a lot of manpower, time and money in the screening of amniotic fluid embolism. This is also one of the reasons that after the doctor has achieved a high level, he must find a way to be a director, preferring to tear his face, and becoming a director in power when he loses the battle.

Only by being the chief director in power can the direction of the department be determined. In other words, the people in the general department and the money in the entire department can be turned around and rush to the fields that they are interested in, are good at or have studied. In addition to obstetrics, amniotic fluid embolism, there are also high-risk pregnancy, prenatal diagnosis, placenta and placenta and other fields can be involved.

Ling Ran has no obstetric experience and does not judge the probability of amniotic fluid embolism.

He followed the flat car for a while, and first asked Fang Pingzhu to give orders and entered the operating room before asking: ”How much bleeding?”

”400 ml of bleeding on the Yin Road.” The nurse reported seriously.

After working in the hospital for a long time, the nurses are also familiar with the main diseases and manifestations in the department. Looking at the patients who have just been lifted to bed, they are very pessimistic. As a woman, think that she had just given birth to a baby and was about to die ... except for her serious expression, she didn't know how to behave.

Director Hong did not follow up, turned around and comforted his brother-in-law in the operating room.

He is a physician and cannot perform surgery. Even if it can be done, most of Director Hong will not do it. If the director of obstetrics and Ling Ran are on the same stage, they will not be able to save it, and other surgeons may not be able to make contributions.

”Exploring the abdomen?” Ling Ran's tone seemed to be asking Fang Pingzhu, but it was quite certain.

The anesthesiologist could not help looking at Fang Pingzhu.

This is the operating room of the obstetrics department. Ling Ran didn't bring anyone. Can I use a knife? I really have to see Fang Pingzhu.

Fang Pingzhu nodded gently. From allowing Ling Ran to come over, she has no room to refuse.

General anesthesia was ready. Only a few moments, Ling Ran pressed the patient's skin twice, and said, ”Open the abdomen and explore the abdomen.”

After that, he asked for a scalpel, and took a long sigh with a bow.

Fang Pingzhu and the other obstetric doctors looked down and took a breath.

The most common operations performed in obstetrics are caesarean sections. One cut across the side, less cuts, more cuts, and the patient is definitely not happy. When some women choose a doctor for caesarean section, they must discuss the length of the knife.

However, even a carefree obstetrician would not dare to draw a long sigh like Ling Ran. This is not good, but it is a doctor-patient dispute.

”Doctor Ling is a bit bold to do abdominal exploration.” Fang Pingzhu spoke very ”euphemistically”.

The female doctor who was a helper thought that the director wanted a little bit of Ling Ran, and followed quickly: ”Dr. Ling, you draw such a long knife edge, and be careful to be blocked in the office and scolded.”

Ling Ran stared at the operation area in front of him, calmly said: ”If the patient can stop the office and scold, this knife edge will not be cut in vain.”

The female doctor who was a helper could not help but stun.