Chapter 297: : Emergency consultation in gynecology

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After the girl spoke, everyone around her looked sideways.
Teacher Chen?
That teacher Chen?
Even Shi Qi was very curious: "Ms. Chen? Which expert are you talking about?"
The girl shook her head awkwardly: "Mr. Shi, no, Mr. Chen is Chen Cang who told us yesterday."
Shi Qi stunned!
Chen Cang?
So familiar name ...
Suddenly, Shi Qi remembered the Chen Cang who had competed with Li Shijian.
Is that the doctor in the emergency room?
Thinking of this, Shi Qi couldn't help but smile: "Well, yes, Dr. Chen is very reasonable. This is a kind of clinical thinking ability. Everyone should read more literature and think more."
"Of course, thoracentesis is an operation. You can't just read the book knowledge, but also strengthen the clinical exercise. Everyone will practice it next."
Shi Qi doesn't take Chen Cang seriously. The theory belongs to the theory and the reality goes to reality.
Clinical work is not just talking on paper. No matter how he is different, he is not an emergency doctor.
So to be honest, Shi Qi did not take Chen Cang seriously.
...
...
Everyone started to practice.
At about eleven o'clock, Shi Qi's phone rang.
"Hey? Director Shi? I'm Zhang Yan from Gynecology." Opposite the phone, a female voice rang.
Shi Qi paused for a while, and the relationship between gynecology and breast was also okay. After all, there are also patients who have no milk after birth, or it is breast palate ... or something, often consulted.
So Shi Qi smiled: "Oh! Doctor Zhang? What's wrong?"
Zhang Yan was anxious: "It's a doctor, our department just received a new patient."
"The patient was a 28-year-old woman. She was eight months pregnant. Suddenly, the fetal movement weakened in the third trimester. After the consultation with Director Zhang and several experts, it was discovered that Ms. Chen's fetus should be suffering from the rare" spontaneous chylochest ". About 250 ml of viscous pleural fluid was collected in the fetal chest by B-mode ultrasound measurement. Now it is necessary to puncture under B-mode ultrasound. The situation is very dangerous. You need to come down for consultation and help to see! "
Shi Qi suddenly hesitated, spontaneous chylothorax?
"I ... look down."
To be honest, Shi Qi didn't want to go because where did he know what is called spontaneous chylothorax?
But if you do n’t go, you ca n’t do it. They called you down.
Director of Gynecology Director Zhang's name ... but it was so loud in the hospital, let's talk about it.
...
...
At this time, in the gynaecology ward, the bedside ultrasound was nearby, and the three directors of gynecology gathered together, looking at the results on the B-ultrasound, looking dignified.
Zhang Yan hurried in: "Director, I called Director Shi Qi."
Zhang Jinfeng said suddenly: "Shi Qi ... Can he do it? Or you can call the provincial people or the experts of the Department of Thoracic Surgery of Dongda Hospital for a consultation."
The other two directors: "Let him come down and talk about it, the situation is not very anxious now, we can't contact the other side."
Zhang Jinfeng also nodded, but still said, "Xiao Zhang, go and call the Department of Thoracic Surgery, First Academies of Dongda University, come closer and arrange for an expert to come for a consultation as soon as possible."
Zhang Yan nodded quickly.
At this time, the patient Yang Siqi was panicked, almost collapsed, her voice was choked, and she cried a little: "Doctor ... Doctor, the child must be saved! It is not easy for me to have a child!"
Yang Siqi's husband, Wei Junming, sighed and paced back and forth in the ward, restless.
It can be said that the two of them struggled for this child!
After four years of marriage, I have been unable to conceive. I have tried various methods and thought of various techniques, but I cannot conceive after all.
Finally, with the help of the gynecology department of the Second Provincial Hospital, she successfully conceived through manual methods after several setbacks.
After pregnancy, the family can be said to be happy, after all, his wife is finally pregnant, who can be upset?
It can be said that this little baby did not come easily, so the couple cherish this little life that is about to come out.
However, watching the days of Linpen getting closer, Yang Siqi has suddenly felt the fetal movement significantly weakened.
This frightened Yang Siqi and quickly went to the local hospital for a B-ultrasound.
As a result, B-ultrasound revealed a large amount of fluid in the right thorax of the fetus.
The local doctor has never seen this situation, and suspected that it might be a congenital teratosis. Therefore, she suggested that Ms. Chen should either give up the induction of the fetus immediately or go to the large hospital of Ammonium City for treatment!
Such bad news is a serious bad news for the family!
It was so hard to wait for the child, just before he was born, he encountered such a situation!
Yang Siqi could hardly bear it!
Quickly called her husband who was away on a business trip and drove directly from the county to the Second Provincial Hospital.
Such bad news caught the young Yang Siqi and Wei Junming off guard, and the couple who were eager to have children was unwilling to give up.
...
...
The gynecology department of the Second Provincial Hospital is still very good. It is very famous in Dongyang Province. Zhang Jinfeng, the director of the Gynecological University, is respected as the "Gunzi Guanyin".
Zhang Jinfeng is a gynecologist in the Second Provincial Hospital. He attached great importance to gynecology and obstetrics at the beginning. As early as 2006, he became a national key department. After the 21st century, he noticed that more and more infertility patients are now!
Opening up half a floor directly in the department to build a reproductive center, this wise move has solved the problem of infertility for countless families.
Until now, countless pennants hanging in the director's office, doctor's office, and even the ward!
Zhang Jinfeng's name of "Giving Son Guanyin" was also passed on all of a sudden.
When Yang Siqi and her husband Wei Junming arrived at the hospital, Zhang Yan's receiving partner quickly gave Yang Siqi a B-ultrasound again. As a result, she still found a large amount of fluid in the right chest cavity of the fetus, and the fetal heartbeat became weaker.
Zhang Yan had never seen this situation, and was totally undecided. She let the other party go to the hospital and let the director decide.
After being admitted to the ward, several gynecologists quickly organized an emergency general consultation. After the discussion was over.
Zhang Jinfeng knows it!
This is a rare disease!
Spontaneous chylothorax, a case can be seen for a long time.
Yang Siqi choked with a voice and said in a crying voice, "Director Zhang ... why is this happening so well? Child ... is the child still rescued?"
"We really really want children! Please, Director Zhang!"
While talking, Yang Siqi was going to kneel and scratch his head on the bed!
Zhang Jinfeng stood there with great style, and his words were calm and calm.
This is really a fat old lady with aura!
There is a kind of domineering between Meiyu!
"This, Xiao Yang, don't worry about it, let me tell you something! The fetus should be suffering from the rare" spontaneous chylochest "rather than congenital malformations. So you can rest assured."
Congenital malformations are more troublesome, and if it is a disease, there is still a possibility of cure.
After all ... congenital malformed children, after coming out, are also an irresponsible performance to the children, and it is a heavy blow to the family.
Therefore, it is very difficult for general gynecologists to meet such children with congenital deformities!
Whether it is out of humanitarian spirit or humanistic care, it is difficult to make a choice.
Zhang Jinfeng continued: "What does spontaneous chylothorax mean? Let me explain."
"About 250 milliliters of viscous pleural fluid is now accumulated in the fetal chest cavity. The strong pressure generated by these pleural fluids compresses the fetal lung tissues very small, the alveoli can't even develop, and the heart is pushed to one side. This situation, that is, because of these pleural fluids, the child is now facing such a danger! "
At this time, the doctor who suddenly did the B-ultrasound found: "Director, the situation is not good, now the fetus ... the heartbeat is becoming less and less obvious. I am worried that if this continues, heart failure will not take long. It must be timely. Processed! "
After hearing this, everyone's face changed!
In the face of such a high-risk situation, if the pleural effusion is not removed in time, there will be more and more fluid, and the fetus may have heart failure and death in the uterus.
Once the baby is born naturally, the child is likely to have a stillbirth because the heart cannot tolerate the contraction of the contractions.
And even if the birth is successful, the newborn's lungs cannot expand after birth and hypoxia will cause death.
All in all, the situation is critical!
ps: Since the book was published ~ EbookFREE.me ~ for more than two months, it has been on the shelves for a month, updated 550,000 words, an average of 20,000 words per day, after updating the chapters every day, I like to read everyone's comments in bed, saying To be honest, this is very happy.
But ... I often stay up late late last night, especially last night, I wrote about 3 o'clock, but I felt flustered after getting up this morning, and my back was a little uncomfortable. I went to the hospital to do an electrocardiogram. Fortunately, there was no problem. It may be transient myocardial ischemia, took some medicine, and rested for a day.
So ... I wrote it at 11:45 today, and I just finished writing three chapters. I really do n’t dare to stay up late. I will write it again during the day. Finally, thank you for your support.
The veteran is really afraid ...
Don't stay up all night!
Never stay up late!
Don't sleep more than 12 o'clock!
ps: Finally, thank the lords: do nothing, do good, protect the law: fire dance, love; the host 21 a resident V, three of the 10,000 rewards, get up tomorrow morning, thank you.