Chapter 1732 【1732】A Brainstorm

However, the patient's blood pressure dropped a bit.

When the latest value of the systolic blood pressure was 86, Geng hurriedly checked the patient's blood pressure again to avoid a wrong measurement.

There were two bangs and bangs in the car.

Geng Yongzhe turned his head and saw classmate Xie bending over to grab the first-aid kit. He couldn't help saying, "Yingying, be careful."

It was because she was afraid that she might injure her hands. The space in the car was limited, and she would hurt herself if she accidentally did any operation.

"It's okay." Without raising her head, Xie Wanying pulled out the first-aid kit placed under the seat of the ambulance, and quickly opened the lid.

There are several bags of sugar and salt in it, take out all the liquid, pick up the bandage and pull out the bandage head to bind these bags of rehydration fluid. Obviously, this is to make a pressure device similar to a hot water bottle.

Geng Yongzhe reacted when he saw this, and hurriedly removed the quilt covering the patient's abdomen.

There was not much bleeding from the gauze covering the wounded man's incision, not bleeding from the knife edge. On the contrary, the water-proof cloth under the patient's body was enlarged by the stained blood. It is (homophonic "Yin") "because of" bleeding.

Normal puerpera will have lochia discharge after childbirth, whether it is natural or after cesarean section, which is normal postpartum vaginal bleeding. Normal lochia discharges very little blood, like menstrual flow. If the amount of bleeding exceeds normal, it is postpartum hemorrhage.

There are many causes of postpartum hemorrhage. Since this is a patient after cesarean section, the third director of Beidu performed the operation himself, so it is unlikely that the residual blastodisc uterus did not fully stop bleeding and close the abdominal cavity. The only possible reason is uterine atony, the most common cause of postpartum hemorrhage. As for the rare amniotic fluid embolism, no clinician is willing to think about it. Of course, it has to be taken into account.

If the amount of bleeding is not excessive and is caused by uterine fatigue, oxytocin can be intravenously administered clinically.

Obstetricians in Beidu are experts in doing things cautiously and will not use these measures in excess. The effects of oxytocin are both good and bad, not that the more you take, the better. The famous amniotic fluid embolism may be caused in part by too strong contractions. It's okay to take oxytocin for prevention, maybe it's just creating new risk points.

Now I can take oxytocin, but I can't prescribe the doctor's order when the teacher is away. The two classmates and the nurse did not have the right to use medicines without prescriptions. If they did not use medicines, they could only take other measures to stop bleeding. Another common non-drug treatment for postpartum hemorrhage is to press sandbags on the abdomen. Similar to prescribing oxytocin, there is no clinical data to support that sandbag pressing is beneficial to the parturient when the parturient has no positive symptoms or tendencies to the disease. Therefore, it is not necessary for the third doctor of Beidu to put sandbags on the parturient for the time being.

Clinically, the teachers have rich experience, thinking that half an hour on the road will not be a big problem, and Fang Ze can deal with things later. Unexpectedly, the journey would not only take half an hour, but forty minutes. It may be due to the bumps on the road and the weather, the patient had a little bleeding after delivery.

What happened to the road ahead? Why was it packed beyond the expectations of the teachers today?

The nurse sitting in the passenger seat hurriedly opened the door and got out of the car, ran to the front to ask what happened, and ran back to the car to tell everyone the situation: "There was a car accident and another accident, so Lu Ze died."

Don't complain about the traffic police comrades. A traffic police comrade was seriously injured when he was hit by the vehicle responsible for the second traffic accident while directing the evacuation of the traffic.