Sent to the countryside, I turned the health center into a top-tier hospital.
Chapter 191 Embolism
The man's expression froze as soon as he heard that the doctor was male.
He glanced at Chen Ping, then at his wife who was trembling with pain on the bed. He gripped the seams of his trousers with both hands, his Adam's apple bobbing up and down several times, but he didn't say anything.
He felt uneasy about letting a man see his wife's most private parts and even touch her.
In the ward, the woman cried out in pain again, the sound sharp and long, as if it would tear the roof off.
She reached out and grabbed the edge of the bed, her fingernails scraping against the iron bed with a harsh sound.
Upon hearing this shout, the hesitation on the man's face vanished instantly.
He grabbed Chen Ping's arm, his eyes red, "Doctor, please, don't worry about whether she's a man or a woman, save her, please save her!"
Chen Ping didn't speak, but nodded and turned to Zhou Jie and Sun Xiaoyan, saying, "You two come in with me. Sun Xiaoyan, go prepare the sterilization kit and delivery kit. Zhou Jie, go and call Cui Ying over, and have her wait outside the ward in case anything happens."
He paused, then added, "Wang Tao and Liu Wei should also go and bring over the monitor from the operating room, and prepare emergency medications."
Without waiting for his instructions, Li Fang turned and ran towards the pharmacy.
Chen Ping entered the ward and closed the door.
The curtains were drawn, and the fluorescent light shone brightly.
The woman lay on the bed, her legs spread apart and bent, sweating profusely from the pain.
Zhou Jie wiped her sweat from the side; the sheets were already soaked with amniotic fluid and blood.
Chen Ping washed his hands, put on sterile gloves, walked to the foot of the bed, took a deep breath, and lowered his head.
"Big sister, listen to me. Only push when I tell you to. Now, take a deep breath: inhale—exhale—inhale—exhale—okay, stop, push!"
The delivery lasted for almost an hour.
Chen Ping's hands remained as steady as two rocks, his commands clear and forceful, adjusting everything from breathing rhythm to uterine contractions step by step, without haste or panic.
Zhou Jie and Sun Xiaoyan went from being nervous at first to gradually getting the hang of it, handing over equipment, wiping sweat, and cleaning up dirt, and their teamwork became smoother and smoother.
Finally, the suppressed silence of the ward was broken by the cry of a baby.
Zhou Jie held the crumpled little thing, wrapped it in a sterile towel, and laughed until tears almost streamed down her face.
Sun Xiaoyan smiled slightly, a rare occurrence, and turned around to get the umbilical cord clamps, her hands clattering as she flipped through the plate.
Chen Ping clamped the umbilical cord with hemostats, cut it, and checked the placenta again to confirm that it had been delivered intact, that uterine contractions were normal, that bleeding was normal, and that blood pressure and heart rate were stable.
He straightened up, took off his gloves, and his white coat was soaked through.
As soon as the ward door opened, the man rushed in, his mouth trembling and unable to speak. Looking at the crumpled little thing in Zhou Jie's arms, and seeing the child waving its little fists and crying loudly, tears immediately streamed down his face.
He turned around, grabbed Chen Ping's hand, his lips trembling several times, and managed to squeeze out two words, "Thank you, thank you, doctor."
Chen Ping patted him on the shoulder, "Congratulations, it's a son, both mother and child are safe."
In the courtyard, everyone gathered at the door of the ward and breathed a sigh of relief upon hearing the child's cries.
Wang Tao leaned against the wall, wiped the sweat from his brow, and grinned at Liu Wei beside him.
Li Fang stood at the door with a tray of medicine in her hand. None of the emergency injections in the tray had been used, but her hand holding the tray was still trembling slightly.
Just then, the woman on the delivery bed coughed softly.
The sound was very soft, like someone choking on saliva.
Nobody paid any attention.
The man was squatting by the bedside, holding his wife's hand and talking to her. Zhou Jie was holding the baby and laughing beside her. Sun Xiaoyan was tidying up the used medical equipment tray.
Chen Ping was about to leave when he heard this cough and stopped abruptly.
He turned around, his gaze falling on the woman's face, and his brows furrowed.
The woman's lips were fading, changing from pale to an unnatural grayish-white.
Her eyes were half-open, her gaze somewhat unfocused, and her breathing was much shallower than before; the rise and fall of her chest was almost imperceptible.
Chen Ping took two more steps forward, bent down and stared at her face for two seconds. The thoughts in his mind surged up faster and more urgently than ever before.
His expression suddenly changed.
"Zhou Jie, connect the monitor immediately! Set up blood pressure, heart rate, and blood oxygen saturation! Sun Xiaoyan, open the side rails on both sides of the bed and prepare to push the trolley!"
His voice suddenly grew louder, so loud that everyone in the courtyard could hear it.
Zhou Jie was so startled by his shout that she almost dropped the swaddled baby in her hands. She quickly handed the baby to the man next to her and turned to push the monitor.
Sun Xiaoyan paused for a second, then reacted, pushed the instrument panel aside, took two steps to the bedside, and unlocked the brakes on the bed wheels.
"What's wrong? Dr. Chen, what's wrong?"
Zhao Guosheng poked his head in from outside the ward, his face still bearing the lingering joy from earlier.
"There's no time to explain."
Chen Ping had already taken off his white coat and tossed it aside. He walked around to the head of the bed, pushing the bed out, veins bulging on his forehead. "Dean Zhao, have Li Fang go back to the pharmacy immediately and prepare hemostatic drugs, vasopressors, and plasma substitutes. Turn on the operating room lights!"
Seeing this, everyone busied themselves and pushed the pregnant woman into the operating room.
The operating room lights came on, and the harsh white light of the operating lamps shone on the operating table.
The monitor's wires extended from the woman's chest, arms, and fingertips, and several sets of numbers flashed on the screen.
My blood pressure was dropping, my blood oxygen saturation had fallen from the 90s to 82, and my heart rate was pounding like a drum, 130, 140, 150, each beat felt like my heart was desperately making its last struggle.
The woman's face had turned ashen, her lips were cyanotic, and her fingernails were bluish-purple.
Her mouth was half-open, her breathing was shallow and rapid, and a muffled gurgling sound came from her throat, as if something was blocking her airway, unable to go up or down.
The man who had just been laughing while holding his child was stopped by Liu Wei in the corridor, squatted against the wall, his hands covering his head, and his whole body was trembling.
Chen Ping washed his hands twice as fast as usual, and the cold water didn't even make him flinch.
My mind was racing, and I had an amniotic fluid embolism.
A few words jumped out from that surging pile of information, as precise as a knife.
Amniotic fluid components entered the mother's bloodstream, blocking the pulmonary artery and completely disrupting the body's coagulation system, leading to hypercoagulability, hyperfibrinolysis, and finally massive hemorrhage.
The mortality rate of this disease is frighteningly high, and the window of opportunity left for him may be less than half an hour.
When he put on his gloves and turned around, the expression on his face was completely different from that of the amiable Dr. Chen in the clinic.
His eyebrows were drawn low, his eyes were cold and sharp, and his voice was not loud, but every word carried a firmness that left no room for argument.
"Zhou Jie, give her oxygen. Mask, high flow, 10 liters per minute." Chen Ping said as he picked up a needle pack from the instrument tray, unfolded it, and a row of silver needles gleamed coldly under the operating light.
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