Director Li of the Department of Obstetrics and Gynecology said his advice to Director Liang with a solemn face: "Lao Liang, your daughter's membranes have broken prematurely in the afternoon, and there is a lot of amniotic fluid, so we have to consider a cesarean section." ”Although it is a suggestion, what is contained in the words cannot be refused, and Director Liang can still understand it."
Alas!"
Director Liang sighed.This old girl was born at the wrong time.Everything has not been going well since birth.It was only a full moon, and he got the order to decentralize, and he did everything possible to delay it for a month, and finally he had to leave the provincial capital.Her mother got angry and returned to milk after confinement, and the east family begged for a meal and the west family begged for a mouthful, so it was easy to fool her to fill her.When I was a child, I got sick twice in three days, and I had an accident when I was studying.Either you break your knee or break your arm, and if you don't have a good stomach, you can have a fever or have an early period.It's easy to get married and start a family, but it's like this to have a child.Director Liang's hesitation fell into Director Li's eyes, and Director Li thought that he was reluctant to give his daughter a cesarean section.continued to persuade him: "Lao Liang, there is little point in us waiting any longer.Anyway, the child's due date is these days.If you wait, the likelihood of intrauterine infection will increase exponentially. ”Director Li continued to persuade: "There is a lot of amniotic fluid flowing this afternoon, not the kind last night.If you still hesitate, I'll do a check-up on your child's upper speculum.Or ask Lao Guo to do a B-ultrasound for the child, and then measure the depth of the amniotic fluid. ”In fact, when Director Li learned that Liang Hui's amniotic fluid flow suddenly increased in the afternoon, he reminded Director Liang that it was very likely that the membrane had broken early.Just because I don't go to the speculum examination is to reduce the possibility of retrograde infection.Both of them held out a one-in-10,000 hope that through continuous intravenous oxytocin, the uterus would have enough contractions to enter labor.But the two of them stayed for more than two hours, and the progress of the contractions was still not ideal."
Let's cut it."
Director Liang made up his mind: "I'll go and tell my old girl." ”"That's good.Are you two going to power?
I arranged for the doctor on duty to prepare for the operation. ”Director Liang paused for a moment, and then made up his mind: "I'll go up, Xiaojin will forget it."
But my old girl has only eaten a little, so let's wait a little longer for surgery. ”"Okay.Then wait another hour or two.I'll go home and get a bite to eat and I'll be back. ”"What are you going back for?
My wife brought me food, but she didn't move.Let's pad it a little bit. ”"Okay."
Director Li was not polite to Director Liang.The two have been comrades for many years, and the Department of Obstetrics and Gynecology has often asked Director Liang to save the table.Director Liang always helped without complaints, and at the same time never said any "jokes" that belittled others and exalted himself in obstetrics and gynecology.Liang Hui was lying on the temporary extra bed in the obstetric director's office, and Director Li didn't come home when he should have gotten off work, so he called his father out to discuss for a while, and then came back to eat with his father and Xiaojin.But Liang Hui waited for them to finish eating before she spoke: "Aunt Li, do I have to have a caesarean section?"
”Director Li smiled and said to Director Liang: "Old Liang, you don't need to say it, your old girl will guess it." ”Director Liang grinned.I've been a surgeon all my life, but I can't open my mouth to talk to my daughter.Liang Hui looked at her father's expression and understood that she had to have surgery.Her face turned pale, but she didn't give up and asked, "Aunt Li, can't you wait any longer?"
”"It's useless to wait.Oxytocin has been used for almost 24 hours, and there has been no significant progress in labor.Now it's not just that I'm afraid of intrauterine infection, but you have a lot of amniotic fluid flowing out in the afternoon, and at this rate, it will drain before midnight, and you still have to have an emergency autopsy. ”Director Li whispered the necessity of a caesarean section to Liang Hui."
Your due date is just a few days away, and the baby is developing well, so you don't have to worry about the baby.In this case, take the child out in time, it is good for you and there is no harm to the child. ”Liang Hui was stunned for a while, and finally understood that she had to have a cesarean section.She sat up from the bed at once, and said very simply, "Then I won't lie down anymore."
This day and night, lying on my back tired.Xiaojin, you can help me get some hot water, and I'll wipe it.If you sweat for a day, don't stun the anesthesiologist for a while. ”Seeing Liang Hui's attitude, Xiao Jin looked at Director Li, and then looked at his father-in-law.With their nod of approval, he immediately fetched water and washed and bathed his wife.After the two of them had cleaned up, the things they ate were probably almost digested.Director Li and Director Liang coordinated all the things related to the emergency cesarean section, asked Xiao Jin to push the cart, and several people helped move Liang Hui to the car.Xiao Jin took the intern to push Liang Hui into the door of the operating room, and the patrol nurse came to pick up people.Liang Hui saw that Xiao Jin was about to withdraw, and she felt scared, so she called out to Xiao Jin and held his hand without letting go.Xiao Jin comforted Liang Hui and said, "I changed my clothes, and I will go into the operating room to accompany you." ”Liang Hui took Xiaojin's hand and burst into tears.The patrol nurse had no choice but to say, "Doctor Jin, hurry up and change your clothes and come in." ”"Good.Xiaohui, I went into the operating room from that side, changed into my hand clothes, and it would only take two minutes at most to accompany you in the operating room. ”Liang Hui let go, and tears fell.Xiao Jin wiped two handfuls of tears from her eyes, and at the urging of the nurse on the patrol, she turned around and exited step by step.He had to take the other doctor into the changing passage of the operating room.Director Liang quickly changed into his hand-washing clothes and came out, but when he saw his old daughter wiping her tears on the flat car, he didn't care that his mask was not wearing well, so he rushed over in three steps and two steps, and hurriedly coaxed his daughter and said, "What are you crying about?"
Dad changed his clothes and came over. ”The patrol nurse also said, "Yes, Xiaoliang, what are you crying about."
If you don't have a few cesarean sections one day, no one can have a father and a partner come in to accompany you. ”Director Liang and the car sent her daughter to the operating room, and Director Zhou of the anesthesiology department was already on standby in the operating room.When he saw Liang Hui's crying appearance, he said, "Old Liang, have you forgotten to buy candy balls for your child?"
”Director Liang understood what Director Zhou meant, and immediately said with annoyance: "It's not that I forgot how.I'm thinking about my grandson. ”Director Zhou laughed: "Xiaohui, when the operation is over, let your father buy you candy to eat."
Buy everything.Yes!
Let's stop crying, don't be afraid.Come on, get out of bed first, and then I'll anesthetize you, and you'll be all right after a good night's sleep. ”Liang Hui was embarrassed, she wiped a handful of tears and said, "Uncle Zhou, you're off work, and I've brought you here to make trouble for you." ”"No hassle.My eldest niece is going to give birth, don't talk about this, it's the third watch in the middle of the night, and your father beckons me, and I have to run over quickly.Come on, Kim, let's get over the bed. ”Director Zhou greeted Xiao Jin, who kicked in the door.Three big men, two interns, plus the patrol nurse, carried Liang Hui from the flat car to the operating table together.* After dinner, Pan Zhi and his family wanted to take the child downstairs and walk, and Li Min wanted to go home.Yan Hong said that he would drag Li Min down and walk together."
Minmin, you've been locked up in the hospital for a day, go downstairs and take a breath."
Li Min was not as enthusiastic as Yan Hong, so he had to change his clothes and shoes, and went downstairs with the couple.The sun had set, but most of the orange was still left in the western sky.Cascading light blue and dark gray began to seep into the last color of the western sky.The extremely vivid fiery clouds, covered in blue-gray and penetrating magnificence, are even more striking than a single intense color."
Rainbow, look how beautiful that sunset is!"
Li Min looked at the western sky and sighed."
I don't think I've been out to see the sunset for a long time."
Yan Hong, who was holding her arm, also sighed: "This year has changed too much.The days when I used to run every day seemed to be in my last life. ”The evening breeze is blowing, and the heat wave around me is no longer as scorching as at noon.But after a summer of scorching, there is not much water left in the willow branches, those leaves that are about to dry up, and the rough grinding sound is made by the breeze.Willow seemed to want to use such an ugly voice to vent his dissatisfaction with being unwillingly manipulated by the wind.But the Japanese breeze didn't care about the resistance of the willow leaves, it blew through the willow branches to its heart's content, spreading the fragrance mixed in the kitchens to every corner of the dormitory area of the provincial courtyard.The two basketball courts in the dormitory area gathered some bachelors and interns who ate in the cafeteria.A basketball court is occupied by interns, who are playing small fields of football; Another basketball court has more than a dozen young people, playing two halves of basketball.There are still a lot of spectators, although they are sparse, and most of the basketball court is enclosed."
Let's not go over and look at it, in case that football flies over, it's not good to smash and scare."
Yan Hong dragged Pan Zhi and walked to the empty building with three big and one small.didn't go far, but met Leng Xiaofeng and Wu Dong, who also came out for a stroll."
Where's your son?"
Yan Hong asked Leng Xiaofeng."
His grandfather is holding it."
Leng Xiaofeng replied with a smile: "Grandpa is tired of hugging grandma."
Before ten o'clock in the evening, non-breastfeeding will not look for me, and it will not be Wu Dong's turn to hug. ”Wu Dong smiled and reached out to hug Pan Baobao.Leng Xiaofeng crossed his feet and pulled Pan Baobao's bib back from his shoulder, and then straightened the bib."
Baby, do you remember Auntie?"
Pan Baobao spits bubbles at her."
Look how you look like a goldfish.Rainbow, did his teeth come out?
”"Come out with a white spot.""
That's fast.Maybe it's completely out tomorrow morning.Be careful that he will have a slight fever or diarrhea in the past two days. ”Leng Xiaofeng reminded Yan Hong and Pan Zhi, "Many children will have such a reaction when teething.Two or three days passed. ”"Hmm."
Yan Hong nodded.Pan Zhi smiled and thanked Leng Xiaofeng.Wu Dong hugged Pan Baobao, turned his head sideways and said to Pan Zhi, who was walking side by side with him: "This child is three months older, which is a lot worse."
My son is strong enough, but his neck can't hold his head. ”"It will take two months to support it.Don't worry. ”"It's useless for me to be in a hurry.I wanted to hug my dad but didn't give me a hug, for fear of flashing his grandson.He and my mother came over at six o'clock in the morning, and ......
"Your parents like their grandson so much, and when your son is weaned, they have to carry the child over." ”"You're right.My dad said early that when the child is weaned, he will hug him, and let me and Xiaofeng go over to eat and read every day. ”Wu Dong imitated his father's tone of voice: "Save our old arms and legs, no matter how windy or rainy it is, we will run to your house three times a day." ”The show-off in these words pierced Pan Zhi's heart.Since Pan Jia was born, the grandfather only came to see his grandson once, and never came to the door again.The same goes for his mother.His baby son was so neglected by his parents, and he had a feeling of sympathy and sympathy with Leng Xiaofeng.Leng Xiaofeng, who was walking in front of them at this time, held Li Min's arm and complained: "Minmin, I really have practice."
The fingers are strangled and bleeding, you see!
But I still can't even make 20 square knots in a minute. ”Leng Xiaofeng stretched out his finger to Li Min."
Then keep practicing.If you want to go outside to make money, but the basic operation is not up to par, Director Liu will definitely not dare to let you go as an operator.If you go to pull the hook, you might as well stay in the pediatric department. ”Li Min patted Leng Xiaofeng's hand and said, "You've seen how Caihong'er and I practice."
I'll tell you that I'll practice knotting when I have time, so I should close my eyes and rest. ”"Then I'll try again."
Leng Xiaofeng was barely strong.She didn't expect Li Min to give herself room to turn around.Yan Hong saw Leng Xiaofeng's thoughts, she asked with a smile: "Xiaofeng, you don't have to spend money on food and clothing now, what are you thinking about going out for?"
Pediatric surgery is more difficult than adult surgery.You're a good surgeon. ”Leng Xiaofeng sneered: "I'm not envious of how much Min Min earns."
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It just so happened that Director Liu came to find Zhuangzhuang's grandfather that day, and I was tempted to talk about the undergraduates who were assigned to the pediatric department this year to rotate outside the child. ”"Regret it?"
Yan Hong paved the steps for Leng Xiaofeng."
Hmm.Maybe I'm not the material to go to the operating table.Alas!
I don't have any of my fingers. ”Leng Xiaofeng's intention to retreat was too obvious.Li Min dragged her to hold her hand and said, "You have given up now, how dare you promise that you will not regret today's decision in the future?"
I think you should do your best for three months, and then say if you're a dry surgical material. ”"If it's not appropriate for me to practice for three months, won't I be working in vain?!""
Then you, you never thought that you couldn't get into college and would go to high school in vain?"
Leng Xiaofeng took a deep breath and said, "I was admitted to high school because I was always at the top of my class in junior high school, and my parents agreed that I would not apply for the health school."
But I'm outside, I, I don't have any confidence at all. ”"If you're not afraid that you'll regret it when you think about it later, you won't practice."
Li Min raised the arm he was holding with Yan Hong, looked at the time and said, "I'm going back to read." ”Leng Xiaofeng's eyes were sharp, and she immediately found that Li Min had changed her watch, and she said casually: "Minmin, you and Caihong'er's watch are the same." ”"yes.Pretty, right?
You've got a piece too. ”Li Min joked with Leng Xiaofeng: "Go back and let Nana buy a piece too, the four of us will wear the same." ”"No, I bought this one before I got married last year."
Leng Xiaofeng showed Li Min the watch on his left wrist."
It's better than the two of us."
Li Min praised.Yan Hong asked, "It's got to be thousands, right?"
”"Hmm."
Leng Xiaofeng nodded reservedly.Li Min let go of their arms, turned around and turned back to Wu Dong and Pan Zhi and said, "You continue to walk, I still have some things to do when I go back." ”Yan Hong said, "I'll go back too."
There will be elective surgery tomorrow. ”Pan Zhi took the child from Wu Dong's hand, nodded goodbye to Wu Dong, followed Yan Hong and Li Min, and walked towards their fund-raising building."
Let's go see Nana."
Leng Xiaofeng proposed."
Okay."
Wu Dong followed Leng Xiaofeng and turned.Regarding Leng Xiaofeng's desire to change things outside of his childhood, Director Wu raised his hands in approval.Director Fan is not optimistic.Wu Dong saw that Leng Xiaofeng was reluctant to tie the knot on the first day, so he quietly told his mother."
She is willing to practice, don't talk about her.lest she regret that you hindered her in the future. ”"Hmm.""
That surgeon is not an easy worker.If everyone can, why should surgeons have more money than internal medicine doctors?
”Wu Dong thought so.With Sister Xu at home to help with housework and take care of the children, Leng Xiaofeng has too much free time.There is such a thing, and she doesn't have to worry that Li Min is going to graduate school.* Before the meeting the next morning, Li Min heard Chen Wenqiang tell him that Director Liang had a grandson last night, and he took it out of his old daughter's belly with his own hands.But before she could say that she wanted to congratulate Director Liang, Chen Wenqiang said with a gloomy face: "Liang Hui had postpartum bleeding and had her uterus removed. ”"Huh?"
Li Min was taken aback, and his mouth opened wide, enough to stuff an egg in."
She broke the water early the night before and went to the obstetrics department to get oxytocin, why is this the case?""
Uterine contractions are weak.After the cesarean section, I was observed in the operating room for more than an hour, and finally there was no way.Alas!
After the surgery in the morning, let's go over and have a look.Shift. ”Chen Wenqiang's mood was not good, and Li Min nodded silently.The night nurse quickly finished the shift and read the situation of the patient who was going to be operated on today.Seeing that Chen Wenqiang's mood was not good, Dr.
Ma only said: "The patient had no abnormalities last night." ”This is something that no one expected.When he arrived at the operating room, Li Min learned that Director Liang had stopped today's elective surgery.The head nurse of the operating room arranged today's work with a straight face with two big dark circles under her eyes.Whether it is a surgeon or an operating room nurse, everyone has added 12 points of caution to avoid hitting the muzzle of the head nurse's gun at this time.The brain tumor surgery that Chen Wenqiang and Li Min had to do today was a bit tricky.The tumor is located in the jugular foramen, the course of the disease is long, and the impact of tumor mass is also relatively large.The 52-year-old male patient insisted on going to work due to fear of being laid off, and insisted on going to work with symptoms such as tinnitus and dizziness, but was forcibly laid off because of hearing loss and inability to hear the work assigned by the team leader.He fainted on the spot in the workshop, and the factory had to send him to the hospital for a check-up.After waking up, he was hospitalized for a comprehensive examination because he spoke unclearly, his mouth was obviously deviated to the right side, his tongue was protruded to the right, and his hearing on the right side was significantly reduced.The second-class hospitals in county-level cities have not yet had CT, so the ambulance sent the person to the provincial hospital, and after brain CT, MRI and other systematic examinations, the preliminary diagnosis was jugular foramen schwannoma.I've been living in Corey for about ten days, and the patient is holding the diagnosis that I have a brain tumor and asked me to go out and wait in line for a month?
He refused to be discharged from the hospital.Li Min didn't know how he finally got through Chen Wenqiang, so he arranged surgery for him in advance.Li Min guessed that it was because the provincial hospital had not done the disease of jugular foramen schwannoma that made an exception for this patient.Li Min said last night that she was going back to read the book, just to review the information given to her by Chen Wenqiang.Li Min took Lu Kaiwen to pose and draw a craniotomy approach.Chen Wenqiang asked Director Zhou of the anesthesiology department, who came to him, about yesterday's operation."
Alas!
Don't mention it. ”Director Zhou's face was also very bad."
Before the operation, Li Shuhui told me about it, and she was worried that there would be bad uterine contractions after the child was removed.""
Lao Liang can't do it, right?"
Chen Wenqiang asked."
Hmm.When it was decided to remove the uterus, he hesitated for a long time.Director Li used all the tricks he could, Xiao Jin called Xie Xun, and later Xie Xun and Su Ying came to replace Lao Liang and complete the operation with Lao Li. ”"How's it going?""
I just went over to see it, and the children and adults are fine.It's just that Lao Liang's spirit is a little bad.I persuaded the old man for a long time, but it didn't work. ”Director Zhou was quite helpless."
Everything that needs to be said has been said, but fortunately, the child has nothing else to do, what can't be thought of" "It's okay for adults and children to be fine."
When I had surgery, I went over and persuaded him. ”"When I came back, Lao Zhao passed.""
That's good.Lao Zhao is better than you and me, and I will definitely be able to persuade him. ”"I hope so."
Li Min seized the gap between the two of them and hurriedly asked, "Teacher, can you see this line?"
”"Yes.Disinfect it. ”Kevin Lu had been waiting for a while while with the disinfection curver.Chen Wenqiang spoke, and he immediately started to disinfect.Li Min went to brush his hands......
When Chen Wenqiang came back with his brush, Li Min and Lu Kaiwen had already completed the bone drilling."
You keep doing it.Take care to close the mastoid air chamber with bone wax. ”"Yes."
Li Min asked for bone wax and carefully applied it to the surface of the mastoid air chamber.After isolating the arachnoid membrane around the tumor, Chen Wenqiang took over the surgeon.The two of them took great care to peel off the cranial nerves around the tumor and the anterior inferior cerebellar artery.......
"That's the brainstem." ”Chen Wenqiang asked as he did it: "You two interns answer, the physiological function of the brain stem." ”"It is the center of human life activities, mainly playing the function of controlling movement, feeling, respiration, and cardiovascular functions.""
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What are the symptoms of brain stem damage?""
Damage to the brainstem can cause disturbances in breathing, heartbeat, blood pressure, etc.Severe brainstem damage can be life-threatening, causing respiratory and cardiac arrest. ”"Xiaolu, you add.""
The brainstem is also related to the body's physiological functions such as digestion, body temperature, and sleep.""
Xiao Li?""
The function of the brainstem is related to its composition.The brainstem consists of three parts: the medulla, the pons and the midbrain, and is an important part of the spinal cord that connects the spinal cord with the diencephalon and the brain.The function of the medulla oblongata ......"
Li Min smoothly recited: "Once damaged, these functions will be affected to varying degrees." ”While isolating the tumor on the side of the brainstem, Chen stopped."
Wipe your sweat."
He called out to the patrol nurse.After waiting for the patrol nurse to wipe his sweat, he pointed to the surgical field and said to Li Min and Lu Kaiwen: "The difficulty of today's operation is this part, and we must pay attention to protecting the posterior cranial nerve brainstem segment, especially not to damage the facial nerve." ”The two interns were asked again about the cranial nerves in the posterior group.Chen Wenqiang used a micro-drill to grind off the bone of the jugular foramen little by little, carefully enlarged the jugular foramen, and then removed the tumor in the hole through the enlargement opening.After the entire tumor was removed, Sister Feng, the nurse on the patrol, looked at the tumor in the specimen basin and said, "Dean Chen, why does your cut tumor look like a little dumbbell?"
”※※※※※※※※※※※※※※※※※※※※ jugular venous tumors have an intracranial and extracranial communication type, and the main body of the tumor is dumbbell-shaped, distributed in the intracranial and extracranial.() The distance is a bit far