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Chapter 413 Uterine Rupture, the King of Hell Reaches Out, Walking Alone in the Blizzard! [Seeking M
Chapter 413 Uterine Rupture, the King of Hell Reaches Out, Walking Alone in the Blizzard! [Seeking Monthly Tickets]
"It hurts, it hurts so much—"
Lajin lay on the bed, her face pale. Despite it being winter, her hair was completely soaked with sweat.
And his whole body was trembling with pain.
If the maximum level of pain is ten, then Lajin is currently experiencing level eleven!
And she had been in this pain for over an hour!
I was completely exhausted.
“Jane!”
Zaxi rushed over quickly and tightly grasped his wife's soaked hands.
My heart was in so much pain that I could hardly breathe.
A grown man's eyes instantly welled up with tears.
After all, his beloved wife was in so much pain, and he was helpless!
"Zaxi, I can't take it anymore."
Lazhen gripped her husband Zaxi's hand tightly.
"No, Jane! You can pull through! You definitely can! The county ambulance is on its way! I even got Zhang Mamba to come! Zhang Mamba is a very good doctor! Jane, just hang in there, just hang in there!"
Tashi excitedly grabbed his wife's hand!
She was fighting back tears.
That phrase, "I can't take it anymore," felt like it was tearing pieces of Zaxi's heart apart, causing him unbearable pain.
"Oh my god, I can't listen to this anymore!"
"I'm having so hard to breathe! When will this damn ambulance arrive?!"
"Veterinarian Zhang is skilled at diagnosis and can deliver calves, but he doesn't even have a medical practitioner's license, so he can't perform surgery independently!"
……
The film crew has also arrived.
But they did not film the mother.
Instead, it directly blocked the camera lens.
So viewers in the live stream could only hear the audio.
But that sound completely shattered them, leaving them feeling so heartbroken they couldn't breathe.
"doctor!"
In an instant, both Zaxi's mother and the village doctor looked at Zhang Lingchuan.
"Zhang Manba! Please, please save my daughter-in-law! She has suffered so much! Please help her!!"
The woman wearing traditional local clothing, with a face deeply lined with wrinkles, is Tashi's mother.
She ran over quickly, grabbed Zhang Lingchuan's hand, and pleaded with tears streaming down her face.
She is also a woman.
I know just how painful childbirth really is.
And as for difficult childbirth, that goes without saying.
Ordinary people can't even bear to watch it; it's an extreme form of pain that's different from what normal people experience.
Just looking at you is like opening a pain-sharing loop; I simply don't dare stay here any longer.
But this is also his own daughter-in-law.
She had to stay here as a mother.
Indeed, Zaxi's mother quickly found her distant cousin, who happened to be a village doctor.
They originally thought that with the other party's arrival, their daughter-in-law could give birth smoothly.
Unexpectedly, after watching for a while, she directly dialed the county hospital and said that she might not be able to help.
Just as Ram said.
She tried every method available to assist with childbirth, but none of them could deliver the baby successfully.
Even Rajin was weakening at a visible rate.
The main problem was that too much blood was lost.
In addition, this pain was constantly taking a toll on the daughter-in-law, Lazhen.
In an instant, a painful memory surged from the depths of Zaxi's mother's mind.
Her older sister also died in childbirth.
This is exactly the same feeling of relief!
So when Zaxi's mother saw Zhang Lingchuan, she felt like she had grasped a lifeline.
"Zhang Manba! Please save my wife! Help her adjust the baby's position!!"
Zaxi immediately knelt down!
on site.
People from outside the area, such as Ou Lingling, Chen Ci, Song Wanqing, and even the media convergence team, held their breath.
Because no one expected that things would turn out this way!
I don't know if adjusting the baby's position will help!
After all, there is a fundamental difference between human reproduction and cow reproduction.
“It’s not that I don’t want to help, but she’s probably having twins, and it’s her first time giving birth. She has cephalopelvic disproportion, weak uterine contractions, and a narrow pelvis. The chances of her having a vaginal delivery are zero, so no matter how much you turn her, it won’t help. Didn’t you have her checked at the hospital before?”
Three lives!
How could he not want to!
But now the success rate of using a primary cesarean section is only one percent!
The probability is really too low!
Moreover, I do not yet have a medical practitioner's license.
If no one dies while you're practicing medicine, it's fine, but if someone dies, it's considered practicing medicine illegally and you'll go to jail!
"Yes, Rajin is carrying twins. She has weak contractions, a narrow pelvis, and an asymmetrical cephalopelvic structure, so the twins haven't engaged yet. It will be very difficult for her to give birth smoothly, and she will have to undergo a cesarean section."
Ram's voice was also filled with despair.
Their village clinics were not equipped to perform cesarean sections.
They also lack the ability.
As a midwife.
All she could do was assist with the delivery.
If someone is not qualified to perform a cesarean section and has never performed such a surgery before, they can only be sent to the county hospital.
"Zhang Mamba, aren't you good at performing C-sections on cows? Please do one for my wife! I beg you! She's my beloved wife!!"
Tashi pleaded earnestly.
“Dr. Zaxi, animals are different from humans. I am better at diagnosis but lack surgical skills. I am not very familiar with cesarean sections, and I am still just an intern.”
When an animal dies, it dies.
But this is a person.
After acquiring basic cesarean section skills, he also gained some fundamental abilities in cesarean section surgery.
Although both animals and humans undergo cesarean sections.
However, cesarean sections are performed with great care.
Because if you're not careful, it could result in two deaths, but now it's three deaths.
He is under a lot of psychological pressure right now.
If he had a medical practitioner's license, he would dare to go and take action directly.
It doesn't constitute practicing medicine illegally.
However, he did not have a certificate.
The earliest I can get the certificate is when I register in February.
After all, he had never thought about taking the medical qualification exam before, let alone had the opportunity or ability to do so.
His connection with the medical profession only began with his binding to this bugged system.
"Veterinarian Zhang really can't do it."
"That's right, twins, and she's a first-time mother. Her uterine contractions are weak, and she can't engage in the pelvis normally. No cesarean section can help, so a cesarean section is the only option!"
"I'm in a real hurry! What should I do! Can't Veterinarian Zhang just try to do it?!"
"Veterinarian Zhang can do it, but are you going to jail for him? This kind of surgery is classified as a level two or three operation in clinical practice! One wrong move and three lives could be lost!!"
"But if we don't do anything, it's still three lives at stake! Can the woman in labor hold on until the ambulance arrives? Even if she does, it takes seven hours to get to the county hospital, and fourteen hours to drive back. Can she endure that long? So from the moment the labor started, it was a dead end!"
"Dude! Just because you can do it for animals doesn't mean you can do it for humans! You're basically asking Dr. Ogawa to kill someone! This kind of helplessness is already enough to torment a doctor. He's an emergency room doctor, not an obstetrician. He's never studied cesarean sections; he's only read some theory. How can you expect him to do it? This requires practical experience!!"
"Practicing medicine without a license and causing death can result in a prison sentence of more than ten years. Even if Dr. Ogawa had a legitimate reason for his actions, he cannot escape imprisonment!"
"But isn't this considered emergency treatment? It's the same as seeing someone collapse on the street, having a heart attack, and then bravely performing CPR to help!"
"Theoretically, it's the same, but in reality, if you're sued, you'll win every time! Honestly, even if I had evidence, I wouldn't dare to act rashly. If it really resulted in the deaths of three people, not only would their family be ruined, but mine would be ruined too!"
……
The number of viewers in the live stream surged to nine million.
It also quickly climbed to the top of Douyin's daily rankings.
Viewers in the live stream engaged in a heated debate about whether or not to save the person.
Hopefully, the rescuers believe...
This was, after all, a woman in critical condition during childbirth.
Zhang, the veterinarian, is a doctor.
Even interns should lend a hand.
Some people also cited some factors in society that are detrimental to doctors, such as requiring a certificate to perform first aid.
Even simple first aid can turn out like this, and when you post it online, people say your CPR wasn't up to standard, your technique wasn't correct, and some even blame you for the patient's failed resuscitation.
If a veterinarian who is not skilled, or even completely incapable of performing cesarean sections on cattle, is tricked into performing a cesarean section on a woman giving birth to twins, the mortality rate in such a situation is estimated to be over 50%, and one wrong move could result in the deaths of three lives.
This is tantamount to ruining Dr. Ogawa's life.
Because if everyone in a group keeps quiet, they're guaranteed to be caught if they're reported.
Therefore, neither medical students nor doctors recommend performing this surgery under these circumstances.
All we can say is that this woman is lucky and will survive until the professional doctors from the county hospital arrive.
"What! Why is my sister-in-law's stomach sunken in?!"
Zaxi also has a younger sister.
I'm sixteen or seventeen years old this year.
She stared in shock at her sister-in-law's belly.
"Oh no! This is a pathological contraction ring!"
Ram's pupils constricted!
As a midwife, she knew this stuff all too well.
If this happens in a hospital, surgery should be performed immediately.
In such remote areas, encountering this means death is already reaching out to take away the young mother and the unborn child.
This is because it is a sign of uterine rupture, and the uterus is the home of the baby.
A ruptured uterus is like the baby's home being torn apart; for example, it's like being in a submarine where the baby will be sucked out.
In the event of a breakage.
The mortality rate for mothers during childbirth is approximately 5%, while the mortality rate for infants is approximately 60-70%.
This is in the case of performing surgery quickly.
If surgery cannot be performed.
Without a doubt, it will result in one unborn child and three deaths.
Generally, the process of uterine rupture is divided into threatened uterine rupture, incomplete uterine rupture, and complete uterine rupture, with pathological contraction rings. This is one of the characteristics of threatened uterine rupture.
Surgery is needed immediately!
"Pathological retraction ring? What, what does that mean?"
This unfamiliar term left everyone present completely bewildered.
This includes Tashi, who was a barefoot doctor.
“Oh no!”
"We're doomed!"
"A pathological retraction ring! A warning sign of uterine rupture!"
"Huh? I don't understand! Is this some kind of obstetrics and gynecology professional knowledge?"
"Almost. You can understand it as the fetus being unable to descend into the pelvis normally, the descent process being obstructed, the uterine contractions being too strong, the muscles in the uterine body becoming thicker and shorter, and the muscles in the lower uterine segment becoming thinner and longer, forming a ring-shaped depression between the two. This is called a pathological retraction ring."
"Simply put, this condition requires immediate surgery; if the uterus ruptures, one out of three patients will not be able to be saved."
"Oh my god—I've got goosebumps all over!!"
"Please help Rajin! She's only 22 years old, and she's pregnant with twins, which is extremely rare!"
Repressed.
The atmosphere in the live stream was extremely oppressive.
And I also felt extremely helpless!
on site.
"A warning sign of uterine rupture."
Zhang Lingchuan slowly uttered seven words.
It was as if two opposing forces were fighting within him.
"Oh no! A ruptured uterus! What, what are we going to do?!"
Everyone at the scene was stunned!
Although not doctors, most people have heard the word "uterus" and know how serious a rupture is!
"what--"
A groan of extreme pain escaped from Lajin's throat.
Keep in mind that she was already completely exhausted at that moment.
But it still hurts so much!
She clutched her stomach.
"My stomach hurts, my stomach hurts—ah—"
The screams were heart-wrenching.
"Blood! Hematuria!!"
At that very moment, Rajin couldn't control herself and started urinating blood.
"This—this is about to break!"
Pathological retraction ring, severe lower abdominal pain, difficulty urinating and hematuria, and abnormal fetal heart rate.
These are four signs of a ruptured uterus!
In other words, there is a possibility of uterine rupture at any time in the following period, or at least a few minutes later if you are lucky.
Bad luck immediately!!
"Cousin Lamu! Please save Lazhen!!"
"Veterinarian Zhang, please, please perform a C-section on my wife! You just said you're not familiar with it, but that doesn't mean you can't do it, right? Please help her!"
Tashi is devastated!
He knelt down and looked at the two of them.
"Dr. Ram, do you have pethidine? Let's have an intramuscular injection of 100mg of pethidine to relieve the pain and inhibit uterine contractions!"
Zhang Lingchuan looked at Lamu.
"it is good!"
Ram quickly took out pethidine.
This is a strong painkiller.
The more pain the uterus experiences, the more it contracts, and the faster it will rupture. Using painkillers can make things easier for the mother.
It lasts longer.
However, pethidine cannot prevent uterine rupture.
Because if it's going to break, it will break.
It only slows things down to make the mother more comfortable; internal changes are still occurring.
"Everyone, I'm really sorry, our live broadcast ends here today."
While Ram was receiving the injection, Zhang Lingchuan walked straight in front of the camera.
The camera is focused on Zhang Lingchuan, with a vast expanse of white snow behind him.
The camera definitely wouldn't be filming the woman giving birth inside the room.
The camera crew does have this sense of responsibility.
"what!"
"it's over?"
"No, how could it be so fast!"
"We want to see how Lazhen is doing! Veterinarian Zhang, can you please not end the live stream?!"
"Oh my god, it really breaks my heart to see this, but even though it breaks my heart, I just want to see if I can hold on until the ambulance arrives. I really hope I can!!"
"To be honest, people don't like to hear this, but of the four typical symptoms of threatened uterine rupture, only the fetal heart rate wasn't measured. However, I think the fetal heart rate is probably close enough. So, as an obstetrician and gynecologist, I can clearly tell everyone that she won't make it to the ambulance. I guess that's why Dr. Xiaochuan ended the live stream. The only thing is that Dr. Xiaochuan must take good care of herself and never be fooled into having surgery!"
"Yes, once this surgery is performed, you'll fall into an abyss. Others have ways to put you in jail at any time, because a veterinarian like you simply can't handle this situation. Humans are far more vulnerable than animals!"
"Although it sounds cruel, it is indeed the truth. The higher-ups have no confidence to protect doctors. When something goes wrong, they just want to push the doctor out to quell the situation. Dr. Ogawa is a rare medical genius. This kind of thing is tantamount to killing a rising star in the medical field, causing more people to lose the opportunity to be treated in the future."
"Dr. Xiaochuan! In a crisis, they might swear they won't sue you, but you need to know that human nature can't withstand the test. Once they know that suing you can result in compensation, even if Dr. Zaxi himself doesn't sue, what about his parents, relatives, the woman's parents and relatives? And what about those busybodies?!"
……
This was before the live stream ended.
Many netizens issued warnings to Zhang Lingchuan.
Some of them had even paid tuition fees.
"Lamu, that's great! Rajin isn't in so much pain anymore!!"
Seeing that her daughter-in-law's symptoms had significantly improved, Zaxi's mother said excitedly.
“It just doesn’t hurt. Zhang Mamba, I understand what you mean. I also know that there are huge risks involved in you performing surgery as an intern. But I just heard you say that you’re not completely familiar with cesarean sections, which means you know a little bit. How about this, you teach me! I’ll perform the cesarean section on my wife!”
Zaxi looked resolutely at Zhang Lingchuan.
"Zaxi, are you crazy! This could kill someone! You'll be arrested and thrown in jail, you know that?!"
Upon hearing Zaxi say those words, Lhamo in the village immediately shouted excitedly!
Barefoot doctors were already a gray area of society.
If it's a normal treatment, turning a blind eye will usually suffice.
He performed a cesarean section on his own wife!
In a situation like this, the probability of death is very high!
At that time, Tashi will definitely go to jail!
Even if it was his wife who underwent the surgery.
"I know! But I can't watch Rajin die! She's my wife, the wife who's carrying my twins. I've gotten used to her scent by my bedside. I don't want to wake up in the middle of the night to find that familiar figure gone! I want her! I want to save her!!"
Zaxi roared hysterically.
Her entire neck turned red.
This is his beloved wife.
From dating to marriage to pregnancy, they experienced incredibly sweet times.
Moreover, his wife is very gentle and virtuous.
Zaxi felt as if he were being torn apart; he was in immense pain.
He couldn't imagine it.
Originally, one bed was meant for two people, but when I woke up at night, I found myself alone on the other bed, with a cold blanket on the other side.
What does it feel like when the person you could just turn over and hug disappears?
“Zaxi, even if I teach you, you can’t be saved.”
Zhang Lingchuan didn't look at these comments.
He spoke in a low voice.
Humans and animals are different.
The reason why Tashi was able to learn so quickly before was because he had accumulated a lot of experience while treating animals.
With the support of these experiences.
That's why he grasped it so quickly.
But a cesarean section is different.
He had never done it before, so he only mentioned the simplest method of cutting and exposing.
Veterinarians are basically just cutting meat, using rough techniques, but humans are completely different.
One must be very meticulous and have a good grasp of the nuances of weight.
"Zhang Mamba! Just teach me! You know, seeing my wife in so much pain and being powerless to help as a doctor, my heart feels like it's being torn apart. Even if it means death or going to jail, I will still do it!"
Zaxi knelt on the ground.
The person was utterly devastated, in pain, suffocated, and helpless!
You can only understand this feeling by experiencing it yourself!
aside.
Seeing this, Ou Lingling already regretted it.
She originally thought it was just a simple difficult labor, and that with the help of veterinarian Xiao Zhang's external and internal cephalic version, she should be able to give birth naturally.
But the current situation is completely different from what she predicted.
Ogawa even found himself in a dilemma.
No surgery required.
To watch someone die helplessly.
To undergo surgery.
He does not have a medical practitioner's license.
If someone gets into an accident, it's considered practicing medicine illegally, and they'll go to jail!
Zaxi was desperate to save his wife and hoped that the veterinarian, Xiao Zhang, would teach him how to perform a cesarean section.
"Dr. Tashi, do you have any tea here? I'd like a cup of tea!"
Zhang Lingchuan inquired.
"Yes! Yes! Zhang Mamba, let me get you some tea!" At that moment, Zaxi immediately got up to get tea for Zhang Lingchuan!
The warm tea was steaming.
"I'll go out for a cup of tea, it'll only take a minute or two... By the way, Dr. Ram, how many antibiotics do you have here?"
Holding the tea, Zhang Lingchuan walked out of the bedroom and turned to face Ram.
"Six or seven bottles of antibiotics, what's wrong?"
Ram asked with a puzzled expression.
"Oh... six or seven bottles of antibiotics."
Zhang Lingchuan held the teacup in both hands and left, murmuring to himself.
Almost everyone watched Zhang Lingchuan's departing figure.
Why is Zhang Mamba drinking tea?
Zaxi was puzzled.
"There's no other reason. The simplest one is that he doesn't want to participate in the surgery or teach you, because even if he did, he would still get into trouble. So he must have gone into hiding!"
Ram answered directly.
"I...I know this is selfish! But I really want to save my wife!!"
Zaxi felt as if his heart had shattered in an instant!
"Actually, he was trying to save you. If you really have the surgery, Lajin's death will be related to you! Accept your fate, Tashi. This is Lajin's fate."
The villager, Lamu, shook her head helplessly.
"Cousin Ram! I want to ask, if this were your sister, could you give up? I'm sure you would have surgery! You would definitely have a C-section, right? You just wouldn't dare to! But these are three lives!!"
Zaxi's expression was somewhat ferocious.
"I'm sorry, Zaxi."
The village doctor, Lamu, shook her head.
She wouldn't try it if it were her own sister.
Because I couldn't save him myself.
There will be imprisonment at that time.
It can't be said that she's selfish; it's just that the law stipulates it this way.
"Ugh--"
Zaxi held his wife's hand.
If there were a god at this moment, he would really be willing to give up half of his life to bring Lajin back!
Why is it half?
Because the remaining half is needed to take care of them, as well as three children!
Song Wanqing looked outside.
He found Teacher Zhang alone in the blizzard.
He must be going through immense inner turmoil right now!
She has been working with Dr. Zhang on house calls for quite some time.
The first time I saw him, he was walking alone in a blizzard, holding a cup of tea.
But this was indeed a last resort.
Teacher Zhang has never studied cesarean section.
What do you expect him to do now?
Every profession has its own specialization!
It's like asking a neurosurgeon to do orthopedic work; the neurosurgeon wouldn't know how!
After all, they're all vocational colleges now!
If it were a case of epiglottis causing suffocation and death, Teacher Zhang could provide immediate resuscitation.
outside.
The snow is getting heavier.
"Drop, drop anchor..."
Zaxi called the ambulance again.
Ask them where they are.
Then I heard some suffocating news.
The ambulance broke down on its way.
These words struck Tashi like a thunderbolt, making him want to cry but unable to utter a sound!
"It's fate taking away the person I love most!!!"
He roared in fury!
“Zaxi…no, don’t…do…do something foolish for me.”
Right now.
He felt as if his hand was being gripped by a force.
It was that previously limp hand that had been infused with a renewed strength.
Lazhen lay on the bed, gently shaking her head.
He spoke with almost all his might.
Ou Lingling turned around.
I'm over forty years old myself.
But this kind of scene is unbearable to watch.
My eyes were completely wet.
What a tragedy! It's truly a tragedy! Why is God so cruel, forcing the King of Hell to harm such a loving young couple?
For an instant.
She also wanted to go out into the snow.
Go and freeze your heart with a blizzard, just like Little Zhang the veterinarian did!
In the snow.
[The current host possesses 2 System Simulation Space Single-Use Training Cards. Would you like to conduct a single-use system space simulation training session?]
There are no skill upgrade certificates.
He currently only has a single-use simulation training card in the system space.
The basic skills are too poor.
He wants to improve.
Let's see if we can increase the success rate of the surgery.
"use!"
Zhang Lingchuan used it directly.
[Note: The system's spatial training is a panoramic simulation training, which can help the host improve single surgical skills, or simulate a hospital environment in a comprehensive manner. Currently, a strong desire for 'cesarean section' training has been detected in the host. Do you want to start the training?]
[Required time: One year in system space; minimum setting is one minute in the real world.]
[Expected Outcome: Guaranteed expert level.]
Lines of blue text appeared in front of Zhang Lingchuan.
"Only experts?"
Zhang Lingchuan frowned slightly.
I remember training tirelessly for a year before.
Then I obtained a master-level guaranteed skill!
And now you're telling him he's only an expert!
Is it because a cesarean section is too complicated?
It is true.
Cesarean section is a surgical procedure that covers all levels from Level 1 to Level 4.
In other words, the simplest procedure the other party could perform is a level one surgery.
For women who are in good health, have good health indicators, and are giving birth for the first time, this is a Level 1 surgery.
If there is a problem with the uterus, such bleeding may escalate to a level four surgery.
At this moment.
Two large prompts, one red and one green, appeared in front of Zhang Lingchuan.
There is also a time setting.
"Set one minute, enter!"
Without the slightest hesitation, he directly entered the system space.
Because the woman over there is about to have her uterus rupture, I want to improve myself in the shortest amount of time possible.
[Prompt: The current host has selected a one-minute countdown in the real world. System-wide panoramic simulation training is now initiating.]
The moment he chose to activate it, the surrounding environment changed rapidly.
[System countdown in the real world: 00:00:59.]
Soon.
A real-world countdown has appeared.
Zhang Lingchuan, on the other hand, entered the system space.
The environment is different from that in the hospital.
The environment here is like a training room.
In other words.
These single-use training cards are essentially for intensive training of a specific skill.
You can view videos, replay them, and learn from top experts in this skill.
fair enough.
"Dr. Zhang, this is a very young patient undergoing a cesarean section, her first surgery. Let's begin!"
The assistant next to him said.
In the blink of an eye, he was back on the operating table.
The operating lights were blindingly white.
The air was thick with the smell of disinfectant and a tense atmosphere.
The woman was lying flat on the operating table, her hands weakly gripping the bed.
And he himself had become the chief surgeon!
Scalpels, hemostatic forceps, sutures, gauze, suction devices... anesthesia, antibiotics, uterine contraction drugs, painkillers—a quick glance reveals that all kinds of instruments and medicines are ready.
"Make a horizontal incision in the lower abdomen, and enter in layers!"
After all, there's something in his head.
Zhang Lingchuan immediately performed a cesarean section on the woman in labor.
The blade sliced through the skin, and blood gushed out. The assistant nurse immediately applied gauze to compress the wound.
The tense breathing sounds were particularly clear behind the sterile cloth.
"Fascia exposed... Continue dissection... Enter the peritoneum."
The surgery is ongoing.
Finally, the uterus became visible.
"Uterine incision, transverse incision of the lower segment."
Following his memory, he continued the surgery.
His assistant worked closely with him.
The incision widened, and blood gushed out again.
Zhang Lingchuan reached in, his movements swift and decisive.
After a brief silence, a clear baby cry broke the stillness.
Placental delivery... uterine contraction drug injection... fundal massage.
Zhang Lingchuan quickly sutures the uterus.
Double-layer suture...close layer by layer.
The needle and thread made a soft rubbing sound as they passed through the tissue.
By the time the last stitch was finished, I was soaked in sweat.
And his first cesarean section was completed.
[Master-level standard mission summary and rating are currently available. Would you like to enable it?]
"Note: This rating can quickly help the host improve themselves and fully understand the problem. It is exclusive to doctors at the resident physician level and above."
Just as he finished, a new prompt suddenly appeared in front of Zhang Lingchuan.
"Summary and rating?"
He frowned.
"Turn on!"
But I still chose to turn it on.
After all, it would be good for him to have a summary and rating.
[Current Cesarean Section Training Summary and Rating]
Task Summary:
1. Improper operating techniques.
1. Inappropriate incision location and direction can lead to poor intraoperative field of vision, excessive bleeding, or poor postoperative healing.
2. Poor control of bleeding points in the uterus, blood vessels, or incision.
3. Excessive traction or improper operation can cause uterine lacerations or bladder damage.
4. Incorrect uterine incision and abdominal wall suturing methods may lead to infection.
II. Improper anesthesia management.
1. Incorrect dosage.
2. Improper methods may lead to maternal circulatory complications.
III. Postoperative management deficiencies.
1. Improper use of antibiotics, analgesics, and uterine contraction drugs can lead to infection, bleeding, and poor uterine involution.
In summary: This cesarean section was performed very poorly.
[Task Rating: D "Very Poor"]
Lines of text appeared before Zhang Lingchuan.
He was completely dumbfounded.
The baby was indeed removed, and I stitched it up myself, but I never expected to get such a poor rating.
But there's still time.
After all, it's something that can be done without sleep or rest for a whole year.
【00:00:30.】
Thirty seconds have passed outside.
Zhang Lingchuan studied inside for a whole year.
[Summary: This cesarean section was performed only moderately well.]
[Task rating: C "Barely acceptable"]
……
【00:00:01.】
A minute passed in the blink of an eye.
in system space.
Zhang Lingchuan is performing the last surgery of this series.
[Current situation: Summary and rating of cesarean section training for women at risk of uterine rupture.]
Task Summary:
First, thorough preoperative preparations were made to achieve accurate assessment, clarify the indications for cesarean section and the risk of uterine rupture, avoid blind surgery, and complete blood routine, coagulation function, imaging and fetal monitoring.
Second, regarding anesthesia and aseptic technique, epidural anesthesia was chosen, with an appropriate depth of anesthesia to ensure the safety of the mother and the wakefulness of the fetus. The disinfection area was also sufficiently large, and instruments, gloves, gauze, etc. were all strictly sterile, which greatly reduced the probability of postoperative infection.
Third, the surgical procedure was performed skillfully and according to standardized procedures. The transverse skin incision balanced aesthetics with adequate exposure, and the lower segment transverse incision of the uterus reduced the risk of bleeding and postoperative rupture. Damage to the mother's bladder and intestines was avoided. The baby's head and shoulders were protected during delivery. The baby was removed within 60 seconds to minimize intrauterine distress. The uterine incision and vascular branches were properly sutured to prevent massive bleeding.
……
In summary, this surgery was performed at an expert level.
[Task Rating: A "Excellent Surgery"]
The last task is complete.
Upon seeing the pop-up message, Zhang Lingchuan felt dizzy and disoriented.
He shivered in the snow, as if his soul had returned.
Just like the last time he was tricked, his once bright eyes now carried an unprecedented sense of vicissitude and weariness, making him look as if he had aged more than ten years.
"I'm so tired! Damn it! Is this expert level even enough?!"
Zhang Lingchuan exhaled a breath of stale air.
He had spent a year working tirelessly in the system space, practicing cesarean section to an expert level.
[Skill tree is opening.]
A large tree appeared in front of him.
A nameplate that read "Cesarean Section" appeared at the tip of a tree branch.
It progresses from the initial beginner level, like a subway station arriving at a stop, to the intermediate, professional, and expert levels!
Let's go in first and do a scan. The sooner the surgery is performed, the less danger there will be for both the child and the adult!
Hands.
The once steaming hot water has now gone cold.
However, he still drank it all in one gulp.
Then I went inside.
"Village Doctor Lamu, could you help me prepare for the surgery and be my assistant? The chances of us working together are probably higher."
The new mother was extremely weak.
Zaxi was utterly devastated.
After all, the feeling of watching his wife leave is worse than being killed!
However, no one expected this.
Zhang Lingchuan said this as soon as he came in.
"What did you say? You're going to perform a C-section on her!"
Ram looked at Zhang Lingchuan in shock.
His eyes held an unprecedented look of disbelief!
They even thought this young man must be crazy!
Otherwise, how could such a crazy idea come about!
"Zhang Mamba! You've agreed to perform the surgery on my wife!?"
Zaxi burst into tears of joy!
"Teacher Zhang!"
Song Wanqing then went up and grabbed Zhang Lingchuan's sleeve.
The sleeves were covered in white snow, and felt inexplicably cold.
She also noticed a very special change in Teacher Zhang's eyes.
It's as if I've matured a lot in an instant.
He probably struggled for a long time in the snow before finally deciding to have the surgery.
But if this thing is actually used for surgery, it's illegal medical practice!!
There are many eyes watching online!
"Wanqing, as a doctor, these are three lives. I can't just watch them grow cold. So don't try to persuade me. Since I've already spoken, it means my mind is made up."
Zhang Lingchuan said to Song Wanqing.
[System's second precise scan begins.]
It also initiated a precise scan in an instant.
System scan complete.
Patient's name: Lajin.
[Patient's gender: Female.]
[Patient's age: 22 years old.]
[Patient's condition: Pale complexion, low blood pressure, rapid heart rate, signs of impending uterine rupture.]
Patient diagnosis: Dystocia (difficult labor).
[System notification: The mother's condition is critical, with signs of uterine rupture. The host currently possesses expert-level cesarean section skills. In a professional operating room, the success rate would be 50%. However, the current environment is rudimentary and does not meet sterile standards. After comprehensive evaluation, the host can immediately perform a cesarean section with a 20% chance of saving the mother and both babies, a 30% chance of saving both babies, and a 50% chance of saving one newborn.]
The probability has increased.
It increased from 1% to 20%.
There is a 30% chance of saving both children and a 50% chance of saving only one.
The village doctor, Lamu, had experience in midwifery.
If he helps, maybe we can give it a shot.
Because surgery is not a one-person job, an excellent assistant can often make things much easier.
"what!"
Suddenly, at this very moment.
Ram let out a scream.
"???"
In an instant, everyone looked in the direction of the village doctor, Lamu.
"I... I accidentally cut myself with the scalpel and I'm bleeding. Bleeding means I absolutely cannot participate in surgery! I can't be your assistant! I can't!"
The villager, Lamu, clutched her hand in pain.
Then he shook his head frantically.
As seasoned veterans, Ou Lingling and Chen Ci frowned slightly.
Although his acting was poor.
But the village doctor, Lamu, was determined not to get involved in this kind of surgery that could involve criminal offenses and ruin his entire future.
……
(End of this chapter)
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