life is sweet

Chapter 6 [006] Placenta previa
The two relatives who accompanied the patient, one was the husband of a pregnant woman, sweated profusely. Seeing the doctor as if grasping at a straw, he grabbed Su Qingchun's arm and begged:
"Doctor, you must save my wife! You must save her! I can't live without her!"

Another woman followed behind, sobbing in fright, apparently crying along the way.

Su Qingchun was in pain from being dragged, he ignored the family's intentions, and asked while pushing the cart:
"When did you bleed?"

"This afternoon."

"When is the afternoon?"

"Probably... about... around four o'clock."

"Did you bring the notebook for filing?"

"What book?" The mother's husband looked puzzled.

"It's the brochure in which hospital your wife plans to produce and establish production records."

Su Qingchun saw that his husband still didn't understand, so he continued to explain: "It's the medical record for your wife's usual checkups."

Seeing that the other party didn't speak, Su Qingchun asked again: "Then your wife always brings the report of the prenatal checkup?"

"No...no..." the family member stammered, "I...my wife is having a second child, and nothing happened when she gave birth to the first child, so I didn't do any checkups."

"No inspection at all?"

The pregnant woman's husband bowed his head and remained silent.

Although it was not the first time for Su Qingchun to see such a patient, every time he encountered such a thing, he was speechless, wishing to teach the family and the mother a lesson, and then tell them that this was simply a joke about the lives of the child and the mother.

But in the end he could only reply: "You guys are really too big!"

Then he quickened his pace.

The emergency room at night was not as "lively" as it was during the day. Su Qingchun and several doctors successfully pushed the pregnant woman into the emergency room.

After Xiaoqin, the nurse on duty, asked about the medical history of the family members again, she didn't get any more information and put the family members outside the emergency room.

At the same time, Su Qingchun in the emergency room conducted a preliminary physical examination on the pregnant woman, and Li Sihai at the side calmly and calmly arranged for the medical staff to start the rescue.

"Establish the intravenous access." Su Qingchun commanded the nurse.

The nurse immediately established intravenous access.

"Blood pressure?" Su Qingchun asked.

"80/50." A nurse returns.

"Heart rate?"

"130."

"Check the first four items of blood transfusion, blood routine, coagulation function, cross-matching..."

"Check the first four items of blood transfusion, blood routine, coagulation function, cross-matching..." the nurse repeated.

……

"Run color Doppler ultrasound immediately, and consider central placenta previa." Su Qingchun judged based on current symptoms.

Immediately, Su Qingchun and nurse Xiaoqin pushed the pregnant woman out of the emergency room, and took the pregnant woman to the green channel of the emergency department for corresponding examinations.

"Doctor, how is my wife?" Maternity husband Zhang Zhicheng saw that the woman was sent back, so he hurried over and pulled Su Qingchun to ask.

"Don't worry, we have to do an examination first." Su Qingchun said, "It's useless for so many of you to be here. You go to the nurse's station to go through the formalities first, and let a family member follow us."

"well."

Zhang Zhicheng hurriedly made arrangements: "Mom, you go for the checkup with Mengmeng, and I'll go through the formalities."

The woman nodded quickly, and then followed the mother along the way to go for the checkup.

The green channel examination in the emergency department is very fast, and the ultrasound is used for color ultrasound exploration. After a while, the ultrasound returns:
"Central placenta previa, placental abruption."

"Central placenta previa is too dangerous. If there is no urgent operation, the mother's life will be in danger." After receiving the report, Su Qingchun made a decisive decision, "Xiaoqin, this is an urgent situation. You should call the operating room immediately. The mother must have an autopsy immediately." Maternity operation!"

"it is good!"

"Just say that the skin will be sent over immediately after skin preparation." Su Qingchun finished speaking and checked the patient's condition, and added, "Forget it, just say that the patient will be sent over within 20 minutes."

"well!"

Xiaoqin hurriedly called the operating room.

"The Department of Science should inform the anesthesiologist and Jiang Kuang, a doctor in the first-line class of our department, to tell them to talk to their families immediately, and then let them rush to the operating room as quickly as possible."

"Okay." The nurse returned.

After a moment of hustle and bustle, the emergency hall returned to tranquility.

In the operating room, relevant departments were quickly in place and began to rescue.

As the clock in the operating room "tick...tick...", Su Qingchun and other doctors were busy in an orderly and nervous manner.

When the pointer stopped at 19:06, there was a faint cry of a baby. The mother gave birth to a live baby girl by Caesarean section. The nurse recorded the premature newborn, 1700 grams.

It took less than 10 minutes from anesthesia to delivery of the newborn, but the doctors did not dare to relax, because the mother during the operation was not out of danger, and all the medical staff's efforts were concentrated on the mother.

Then the nurse responded that the newborn's muscle tone was weak, scoring 3 points, and the newborn's condition was not good.

The nurse in the operating room dragged the baby's head with one hand and the baby's buttocks with the other, and put the baby in front of the mother.

"It's a girl."

"Look, the child weighs 1.7 kilograms."

At this time, Sun Meng, the mother who had experienced the pain, was already very weak, and the effect of the anesthetic had not faded. She squinted at the baby with weak eyes.

"The child is not doing well, and we are now sending her to the neonatal unit for observation."

Sun Meng weakly could only blink her eyes to express her agreement, and then she closed her eyes again, a line of tears streaming down her face.

"The child's condition is not too bad, so don't be too sad." The nurse comforted.

"Dr. Qin from the neonatology department is in the operating room No. 10. You can show him the baby's condition first, and then show the family members, and then directly arrange the bed in the neonatology department." Su Qingchun made arrangements.

"it is good!"

So the nurse wrapped the baby and took it out.

　Placenta previa is when the placenta attaches to the lower segment of the uterus after 28 weeks of pregnancy, and even the lower edge of the placenta reaches or covers the internal os of the cervix, and its position is lower than the fetal presentation, which is called placenta previa.

　　Placenta previa is one of the main causes of bleeding in late pregnancy and a serious complication during pregnancy.It is more common in multiparous women, especially multiparous women.Clinically, placenta previa is divided into three types according to the relationship between the placenta and the internal os of the cervix: complete placenta previa or central placenta previa: the internal os of the cervix is ​​completely covered by placenta tissue; partial placenta previa: the internal os of the cervix The mouth part is covered by placental tissue; marginal placenta previa: the placenta attaches to the lower uterine segment, reaches the edge of the internal os of the cervix, and does not go beyond the internal os of the cervix.

　　
　
(End of this chapter)