"Take blood quietly, send it to the laboratory, and use a smear to check for amniotic fluid embolism." When Fang Pingzhu saw the patient, he immediately asked the nurse to send him to check for amniotic fluid embolism.

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

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

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

In the first obstetrics department of Yun Medical, Fang Pingzhu's policy is to collect venous blood immediately for rapid diagnosis when symptoms such as heavy bleeding are seen.

With such a policy, the capture rate is naturally not very high, but from Fang Pingzhu's point of view, if amniotic fluid embolism can be diagnosed a few minutes in advance, the patient's survival rate will be greatly improved.

However, this policy, which was originally applicable to obstetrics departments, is now only effective in obstetrics departments.

The directors of the second and third obstetrics departments currently have their own priorities and are not willing to spend a lot of manpower, time and money on amniotic fluid embolism screening. This is why doctors must reach a higher level after they reach a higher level.

One of the reasons why if you want to find a way to be a director, you would rather break up and fight until both sides lose, but still want to become a powerful director.

Only when you become a powerful director can you decide the direction of the department. In other words, you can make all the people in the department and the money of the whole department revolve around you, and they can all go towards the fields that you are interested in, good at or studied. That is.

In addition to obstetrics and amniotic fluid embolism, there are also areas such as high-risk pregnancy, prenatal diagnosis, premature placenta, etc. that you can get involved in.

Ling Ran had no experience in obstetrics and did not judge the probability of amniotic fluid embolism.

He followed the cart for a while, and first let Fang Pingzhu give the orders. After entering the operating room, he asked: "How much bleeding?"

"Vaginal bleeding 400 ml." 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. They look at the patient who has just been put on the bed and are very unprepared. As a woman, thinking about the fact that she has just given birth to a baby, she is very worried.

She was about to die... She didn't know how to behave except for a serious expression.

Director Hong did not follow, but turned to console his brother and sister-in-law who were also coming outside the operating room.

He is a physician and cannot perform surgery. Even if he could do it, Director Hong would probably not do it. If the director of the obstetrics department were on the same stage as Ling Ran, he would not be able to save her, and it would be difficult for other surgeons to make a difference.

"Abdominal exploration?" Ling Ran's tone seemed to be asking Fang Pingzhu, but he was actually quite sure.

The anesthesiologist couldn't help but look at Fang Pingzhu.

This is the operating room of the obstetrics department. Ling Ran didn't bring anyone here. It really depends on Fang Pingzhu whether he can perform the surgery.

Fang Pingzhu nodded lightly. From the moment she allowed Ling Ran to come over, she had no room to refuse.

General anesthesia was prepared. After a while, Ling Ran pressed the patient's skin twice and said, "Open the abdomen and explore the abdomen."

After saying that, he asked for the scalpel, holding a bow, and made a long incision in one breath.

Fang Pingzhu and the other doctors in the obstetrics department all took a deep breath.

The most common operation performed by obstetricians is caesarean section, which involves a horizontal incision. If it is cut too little, the patient will definitely not be happy. When some women choose a doctor for caesarean section, the length of the incision will be discussed.

However, no matter how careless the obstetrician is, he would not dare to make a long incision like Ling Ran. If this is not done well, it will lead to a doctor-patient dispute.

"Doctor Ling's abdominal exploration is a bit bold." Fang Pingzhu said in a "tactful" manner.

The female doctor who was the third assistant thought that the director wanted to order Ling Ran a little, so she quickly followed: "Dr. Ling, if you make such a long incision, be careful of people blocking the office and scolding you."

Ling Ran stared at the surgical area in front of him and said calmly: "If the patient can block the office and curse, the incision will not be in vain."

The female doctor who was working as an escort couldn't help but be stunned.

"Pull the hook," Ling Ran reminded.

"Oh, oh... ok." The female doctor glanced at Ling Ran secretly, and couldn't help but think resentfully in her heart: Not only were the men I dated on a blind date not as handsome as Dr. Ling, but their spiritual beauty was not even one-tenth as good as other people's. No,

One percent, no, one ten thousandth...

Fang Pingzhu also softly praised Ling Ran's words: "Regardless of the level of the doctors taught by Director Huo, their medical ethics are still good. First save lives and then cure diseases, right?"

Huo Congjun has been at Yunyi Medicine for so many years, and his famous sayings have long been remembered by others.

Ling Ran smiled.

Fang Pingzhu continued: "The current environment is different from what you, Director Huo, used to do back then. I think back then, when we encountered emergencies, we sometimes didn't even wait for the family members to sign, and just pulled them over and did it. The women and children who were saved were

I don’t know how many there are. Who dares to do it now? Some doctors are not at ease when they see a signature. They must have someone from both the man and the woman sign. Tell me, how do you choose to treat diseases and save people?"

Ling Ran still just smiled, showing no interest in discussing such a topic.

Ling Ran was serious about performing the surgery.

"Speed ​​up the suction." As Ling Ran spoke, his hand inserted into the patient's abdominal cavity.

The abdominal cavity is full of blood, so you can only touch it with your hands. This is a time-saving strategy that ordinary doctors can't use. Just looking at the amount of blood drawn out, you can tell that it must be a mess inside. I think

It's really incredible to feel out the tissue status with your hands.

However, because we don’t know what is going on inside the abdominal cavity, we need to open the abdominal cavity now and explore it as soon as possible after the pressure is relieved.

Just like two armies confronting each other, the scouts sent out will definitely suffer losses, but if they are not sent out, the losses may be even greater.

Fang Pingzhu just watched, feeling nervous. She now knew why Director Hong asked Ling Ran to take action.

She had heard that Ling Ran was very strong before, but she didn't know how strong he was until she actually met him.

Although the human body is just a small thing, no matter how many doctors try to change its tissues and organs, they may not be able to recognize it clearly. How difficult it is to find the bleeding point in a pool of blood.

Fang Pingzhu couldn't help but think that if anyone could save this patient in this state, it might be the young and outrageous Dr. Ling in front of him.

Ling Ran's moving arms paused for a moment.

Fang Pingzhu couldn't help but look expectant.

Ling Ran slowly raised his head, looked at Fang Pingzhu and then at the others: "There is no bleeding point."

Fang Pingzhu was stunned for a moment, helpless for a moment, there was no bleeding point, why are you so serious?

Ling Ran looked solemn: "It means it's not bleeding from an exposed organ."

"Maybe not found." Fang Pingzhu retorted.

"Impossible." Ling Ran shook his head decisively. If he could not touch the bleeding point even with perfect bare-handed hemostasis, there would be no way that much blood would accumulate in the patient's abdominal cavity.

At this point, his bare-handed exploration just now has eliminated many possibilities.

"What do you think?" Fang Pingzhu was not unhappy because of Ling Ran's attitude. The Department of Obstetrics and Gynecology in hospitals is known for its rough work, let alone the complex hepatobiliary surgery, compared with general surgery.

Obstetrics and gynecology surgeries are not very difficult. There is nothing wrong with the saying that old people do not rely on their muscles and bones for their strength, and obstetrics does not rely on their skills.

Ling Ran didn't care about the psychological activities of his assistants. He just thought briefly and said: "There are no bleeding points outside the organs. Considering the patient's condition...the bleeding in the uterus caused by disseminated vascular coagulation."

"Then we have to remove the second uterus." Fang Pingzhu did not comment on Ling Ran's diagnosis. A simple diagnosis is meaningless. The key lies in how to confirm the diagnosis and how to give correct treatment.

Ling Ran shook his head slightly. He had never had a tertiary hysterectomy. Therefore, unlike the obstetrics and gynecology doctors who always want to remove the uterus, Ling Ran stretched out his hand and said: "Absorbable
Chapter completed!