Chapter 71 To Cut or Not to Cut

When they arrived on the first floor of the emergency building, Director Pan was already waiting for Zheng Ren.

The two rushed to the ICU all the way. In the locker room at the door, they put on a hat and mask, put on a dark green sterile suit, and changed their slippers before entering.

ICU is like a secret room used to hide treasures in movies. In addition to changing clothes, you have to check the access control twice.

This is to avoid bringing in bacteria as much as possible, because most of the patients in the ICU have tracheotomy and ventilator-assisted breathing. The body's immune system is extremely weak, and normal people have no problem with bacteria, but in these critically ill patients, it may be a deadly bacteria.

When entering the ICU, many directors of the departments have arrived early and are doing physical examinations.

The diagnosis has been given on the system panel on the upper right of Zheng Ren's field of vision - placental abruption, hemorrhagic shock.

The patient is a young female patient, 20 weeks of pregnancy, because of pregnancy-induced hypertension, resulting in placental abruption, the placental abruption of the uterus reaches 1/2 of the placenta area.

Due to severe blood loss, the patient has developed symptoms of hemorrhagic shock such as pale complexion, profuse sweating, rapid pulse, and drop in blood pressure.

The fetus has died due to hypoxia, and the fetal heart rate cannot be measured.

This is such a tricky patient...

Because it is the first child, that is to say, if the uterus is removed, the patient will not be able to have children in the future. This is a cruel thing for a woman who aspires to be a mother.

However, if the uterus is not removed in an emergency, the blood loss will continue to bleed. The obstetrics department has already done the treatment, but packing and hemostatic drugs have not had much effect.

This is a dilemma.

Several directors who came to the consultation obviously also felt that the condition was very difficult, frowning at the shocking numbers on the monitor, and hesitated.

The condition is simple and clear, but whether to cut the uterus or not is the biggest problem.

Su Yun stood beside the patient's bed, his white clothes were as white as snow, holding a blue medical record clip in his hand, with a stethoscope hanging on his shoulder, looking at the many directors with a blank expression.

"I suggest going to the office to discuss. The time... should only be ten minutes. Xiao Su, prepare for the operation." The ICU director said.

Many directors filed out, and Su Yun noticed that Zheng Ren, who was standing at the back of the crowd, did not pay attention to Zheng Ren, who could not be noticed at all.

He gave an oral doctor's order, and the nurses hurriedly implemented it.

After leaving the monitoring room, I came to the second room in the corridor. The windows were bright and clean, and several desks were put together into a large square table, surrounded by a dozen chairs.

"Now we have nine minutes." The ICU director glanced at his watch and said.

"I don't think there is anything to discuss." Director Su of the obstetrics department supported the black-rimmed glasses and said firmly, "We have tried various methods to stop bleeding, but all of them are ineffective. If we drag on, the patient's symptoms of hemorrhagic shock will worsen and he wants surgery. There is no way to do it.”

"Alas." The director of the anesthesiology department sighed, hesitating to speak.

"Pharaoh, if you have something to say, say it quickly, don't sigh here." The director of the ICU was in a period of impatience, and he couldn't rub half a grain of sand in his eyes.

"If only there was an interventionist." Director Wang of the Department of Anesthesiology expressed the pain in everyone's heart.

"Ask the Circulation Department if you can come and help."

The director of the ICU looked indifferent, "Today, 18 patients with myocardial infarction were received from three departments in the circulation, and they were all on the operating table."

Once a myocardial infarction occurs, if surgery is not performed in time, the only way to wait for the patient is death, and there is no choice at all.

Unlike pregnant women in the ICU, at least they can choose to keep the uterus or remove the uterus.

In the hospital, this kind of sharp contradiction happens almost every day. Whose life is more noble? No. In the face of life and death, everyone is equal. Inequality is just a social difference.

Even if the circulatory doctor has time and asks them to embolize the uterine artery, who cares if something goes wrong? The scope of practice is written on the doctor's certificate, which is the law. All departments, only the emergency department is more general.

Everyone was silent.

Zheng Ren stood in a corner, like this kind of large-scale emergency and emergency hospital consultation, he did not have any part in the hospital's total participation at all.

If it weren't for Director Pan's insistence, other people would give Director Pan's face, and Zheng Ren wouldn't even be able to enter the house.

He knows where the entanglement of everyone is - to preserve the uterus and stop the bleeding, only through interventional therapy.

However, interventional treatment requires a lot of radiation, so the first hospital in the city basically stopped the normal slow diagnosis interventional operation after an interventional doctor got big B lymphoma. Later, the doctor either changed it or went to Circulation for cardiac stenting. Anyway, there is no doctor in the interventional department.

The sigh of Director Wang of the Department of Anesthesiology was for this.

When it came to intervention, Zheng Ren suddenly remembered that the system had "tempted" him to choose interventional surgery.

Maybe try it yourself? Zheng Ren has some activity in his heart.

Only a few minutes left, hurry up.

He immediately entered the system space and opened the system mall. When I saw the entry for the purchase of interventional surgery training time, I hesitated.

Zheng Ren is not hesitating whether to study or not. If he can save a person or allow a woman to retain her reproductive function, what is a little bit of experience worth?

He hesitated whether he could learn.

Since the system is in place, Zheng Ren's memory has been comprehensively improved. Coupled with the climb up the general surgery skill tree, the anatomy is better understood than ever.

Recalling that the interventional treatment of placental abruption seems to only need to embolize one uterine artery, which is the simplest interventional operation.

So... so be it.

Once Zheng Ren made a decision, he did not hesitate at all and pointed his finger.

In an instant, the operating room climbed up on the ground, Zheng Ren's body sank suddenly, and he was already wearing a lead coat. The experimental body was in front of him, and Zheng Ren was holding a puncture kit in his hand.

What should be done?

Zheng Ren was in a trance.

[If you choose to learn interventional surgery, please increase the number of interventional skill points first. 】

The indifferent appearance of the system's mechanical female voice reminded Zheng Ren - you idiot, if you are going to have an interventional surgery, you need to click on the skill tree first, okay? Shirtless layman who wants to learn interventional surgery?

Zheng Ren sweated, and immediately used a skill book to upgrade the interventional surgery to a high-level peak, which is 1000 skill points. Then put in 1 point of skill to reach the expert level.

His speed was very fast, and he felt as if a blast of thunder fell from the sky, falling on him, and his whole body was numb.

Soon, my mind became clear, and many unfamiliar memories appeared logically.

When climbing the general surgery skill tree, Zheng Ren did not feel that any change was qualitatively different. That's because he is a general surgeon himself, and he usually has the most contact with various diagnosis and treatment items of general surgery. When a certain point was improved, and even the skill increased to more than 2,000 points, Zheng Ren just felt that it was very powerful.

Interventional surgery is different. This is a skill created from scratch, which makes Zheng Ren feel the magic of the system even more.

The expert-level intervention skills are ready, with a total of 189,920 experience points, which is more than 52 hours. Zheng Ren directly exchanged 50 hours of surgery training time, and the remaining experience points... just use it as self-defense.

Interventional surgery training has officially started!

Thanks to Xiaoguang Xiaoyu for the reward, Xingyu Sword, Bloody Knife, and book friend 131214012702401500 for the reward.