Chapter 139

Li Liang left, ready to go back to refuel and read, and strive to take another examination of the establishment of the municipal hospital. Li Liang's luck is bad. It is estimated that there is little hope, because the expanded graduate students are about to graduate!

The work of Obstetrics and gynecology is repeated day by day. Natural birth and caesarean section are a little better during the day, because most pregnant women who give birth naturally have done pregnancy examination in advance, the fetal position and fetal size are appropriate, and there are many midwives.

The doctor's main job is Caesarean section. Although Zhang Fan, who has been systematically trained, has not opened gynecology yet, he has this bowl of wine at the bottom of general foreign studies, and has nothing to fear about caesarean section.

Generally, Xiao Hong is the main knife and Zhang Fan is the assistant. The operations are almost the same. Zhang Fan's assistance makes Xiao Hong particularly comfortable. After a few days of surgery, Zhang Fan has no expectations for obstetric surgery.

Although gynecology has not undergone systematic experience, now Zhang Fan has his own experience in surgery. The real thing is to accumulate a lot. In the past, under the systematic experience, although he was familiar with and skilled in surgery, he had almost nothing to feel.

In two years, finally in obstetrics and Gynecology, Zhang Fan had his own surgical perception, which can be regarded as a breakthrough! Looking at the gynecological operation, a three-dimensional internal section can clearly appear in his mind.

From all angles! This is the improvement after the operation reaches a certain level. It is impossible for an average surgeon to construct such an image in his mind in less than 20 years. Although gynecology is a separate department, many doctors of general surgery were part-time obstetrics and gynecology as early as more than ten years ago. Obstetrics and gynecology are also divided from general surgery.

Xiao Hong is a female doctor. She has a quick operation. After Zhang Fan followed the stage several times, he felt that he could take down this caesarean section.

He thought that the possibility of the main knife was not high. The responsibility was too great, and the risk was high. If an adult or child didn't pay attention, there might be an accident. So as long as you don't decide on obstetrics and Gynecology, if you want to perform obstetric surgery, wash and sleep, don't think too much.

LV Shuyan is in gynecology because she has a graduate degree. In addition to the director, other doctors in the Department are embarrassed to take her. In fact, there is nothing to take. The three-year graduate student mainly studies gynecological tumors. Although she has done less obstetric surgery in the provincial hospital, she has a good foundation.

That is, just entering the hospital, we both don't understand. Although we enter the Department, we have to have a process of mutual understanding. The director also wants to take LV Shuyan for half a year, and then let her be on duty independently.

Gynecology and obstetrics are connected to the operating room. LV Shuyan sometimes comes to see Zhang Fan. Zhang Fan should not be so prominent in the field of Gynecology, so she will come to the obstetric operating room as long as she has time. Every time I find that Zhang Fan is an assistant! I can't see why!

Thursday morning, in the obstetric operating room. Zhang Fan didn't have a table to go on. Xiao Hong went back from the night shift. Zhang Fan was taken to the operating room to help. As a result, he didn't need it. Since he came to the operating room and changed his hand washing clothes, Zhang Fan planned to go with another operation, otherwise it would be too bad!

LV Shuyan is also wandering, "why is Mr. LV so idle today, without surgery?" Zhang Fan asked jokingly.

"Fuck you, today the boss went to give birth to the leader's daughter-in-law, and I'll herd sheep! What about you? Why didn't you have an operation? "

"There is no operation. There are people in each group. There is no lack of retractor!" Zhang Fan said.

When they watched the caesarean section, they heard the phone ring in the operating room. The itinerant nurse answered the phone: "OK, let me ask."

"Here comes an ectopic pregnancy with massive bleeding. Who's on it?"

"Call Xiao Hong quickly! We are all on the operating table, and there are no free people! " Deputy director Rouzi Guli said. She directly ignored Zhang Fan and LV Shuyan. After all, both of them have just entered the Department. This kind of operation will kill people, so they dare not let them go.

"It's too late. People are in shock."

"Director, let me go. I've had surgery for massive bleeding of ectopic pregnancy in the provincial doctor." LV Shuyan said.

"Are you sure?"

"I'm sure!"

"Who will be your assistant?"

"I'll come!" Zhang Fan said.

There are many people in gynecology. Usually, the deputy director doesn't understand Zhang Fan. Now everyone is on the operating table. There's no way“ You do it first. I'll come to your table after I take out the child. "

There's no way! You can't throw a pregnant woman on the operating table for a massive bleeding operation!

The patient with ectopic pregnancy was a little girl. She was 16 years old and had puppy love. She ate forbidden fruit with her classmates because she was too young to understand anything. As a result, ectopic pregnancy was caused. With the extension of time, it caused massive bleeding.

The little girl is in shock. I can't even touch my pulse in the operating room. Everyone in the operating room looked at LV Shuyan and waited for her medical advice. LV Shuyan did have an ectopic pregnancy when she was a provincial doctor, but there was a teaching platform at that time, and now she has an operation independently. Moreover, the patient's situation is so critical that everyone is waiting for her. She is too nervous, which makes her a little overwhelmed.

The situation was so urgent that LV Shuyan was a little confused. The operation nurse was an old nurse. As soon as she saw the situation, she shouted, "go and call the director of gynecology!"

The more anxious, the more blank Lv Shu's brain! Even now, I can't call anyone. Maybe it will interfere with other operations. Zhang Fan immediately said, "listen to me and start blood transfusion. Dexamethasone into the pot. Open the double channel, prepare for the operation, I'm the main knife! " As long as the doctor gives the doctor's advice, the nurse will not be anxious. No matter how urgent it is, she can go step by step. After all, she has undergone countless times of training.

Although Zhang Fan has not undergone systematic gynecological training, he has been solidly trained several times, and he can even write an anatomy book. There's nothing to worry about.

Zhang Fan has a certificate and is now in gynecology, so the nurse has to listen to Zhang Fan“ It's okay. Let's go. Practice makes perfect. You are my assistant today. " Zhang Fan pulled a gray LV Shuyan.

Three years of graduate students and five years of undergraduate students have made such mistakes at a critical moment. LV Shuyan can't forgive herself. In fact, she can't blame her for this. In fact, the teacher brought all the things in her eight years of student career. There was a teacher as a backer. Suddenly, she became independent, just like a bird flying out of a bird's nest. It's impossible not to panic.

At the beginning of the operation, LV Shuyan held back her tears and helped Zhang Fan, "how much blood pressure?"

“8050mmhg！”

"Adrenaline combined with dopamine. Open two channels to expand colloid capacity! "

Open abdomen, suck blood, Zhang Fan quickly find the fallopian tube, clamp the bleeding part with oval forceps to control the bleeding. When holding the bleeding, LV Shuyan also took a sigh of relief. If she can't quickly find the bleeding point today, the little girl may have to put it on the stage.

Bleeding from an ectopic pregnancy is too dangerous. Every minute is fatal.

"This side of the fallopian tube can't be preserved! Ah, at such a young age, you say ~ "Zhang fan can't go on.

"Doctor Zhang, the blood pressure is stable and you can continue the operation."

Zhang Fan was about to continue. The deputy director of gynecology came in, "how about going into the abdomen? How about the patient." She was also worried. As soon as the child next door took it out, she had an operation. She ran here without even taking off her gloves.

"The bleeding point has been clamped." Zhang Fan replied. Deputy director Rouzi Guli didn't believe it. She stood behind Zhang Fan with her hands raised and looked at him. She was a little shocked“ Good! " Then he went to disinfect, changed his surgical clothes and was ready to go on stage.

Zhang Fan is very fast. Rouzi Guli didn't expect it at all. According to her estimation, ordinary novices should still enter the abdomen at this moment. As a result, they were clamped at a glance!

LV Shuyan's tears are about to flow down, but this is an operation. Zhang fan can't comfort her and persuade her. She can only rely on herself“ I hope not to become her heart knot! " Zhang Fan thought.

Rouzi Guli didn't do the main knife on the stage, so she stood in the position of the second assistant, "Hmm! not bad It's really good. I didn't expect you two to do this! As soon as the child next door came out, I hurried over for fear of wasting time. " She was also afraid. She was really afraid that two novices would have problems.

After the operation, Zhang Fan changed his clothes and wanted to comfort LV Shuyan. As a result, no one saw anyone and no one answered the phone!

LV Shuyan hid in the corner of the dressing room and wept silently. This operation can be done clearly. Why is the brain blank at the critical moment! Why not give oral medical orders as quickly as Zhang Fan! Why? Why?

She was upset, angry and sad! It's not that she is upset and angry because she feels inferior to Zhang Fan, but that she feels sorry for eight years of hard study and eight years of day and night.

Mainly she compared with Zhang Fan. Generally, xinnen graduate students still have to work with their teachers for half a year. This is the difference between going to school and going to work. No matter how you were in school, there was a teacher!

Rouzi Guli changed her clothes and left. As a result, she found LV Shuyan in the corner. Fat aunt looked at LV Shuyan with red and swollen eyes, walked over and sat next to LV Shuyan, hugged her shoulder and said, "it's good. It's good to stand out and take responsibility. When I was studying in the bird market, many doctors couldn't even recognize the surgical instruments. "

"But I think I'm really useless today! And almost something big! "

"Hehe! Who doesn't have a first time! It will be better later. Go wash your face, clean up the lily, stand up and be a strong woman! Zhang Fan is a little sharp at hand. His foundation is eighteen thousand miles worse than yours. Don't be discouraged! Trust me, in six months, you can definitely dump him eight blocks! "

Rouzi Guli patted LV Shuyan on the shoulder and took the little girl out of the dressing room. It's all over. She understands LV Shuyan very much!

Parents outside the operating room are angry, worried and ashamed! This thing happened at a young age. What should I do in the future! China, once this kind of thing happens, it can really make you realize what is awesome.

"What do you think! It's like this at a young age. What will I do in the future! You know how to play mahjong and mahjong in one day. If she doesn't learn it well, you'll bring it down! " The angry father is accusing the child's mother.

"How did I bring it? You mean, you go out for months. What can I do! You still have a reason. I serve your parents when they are sick. Where are you? Where are you when the child is sick! Did you take care of her! Blame me for playing mahjong. Don't marry me if you can! Divorce later! "

"What's the noise? Go out and make a noise. This is the operating room! No quality at all! " They were cleaned up by a passing little nurse and settled down.

Father grabbed his hair and squatted in the corner. He didn't know what he was thinking. Mother kept wiping her tears!

There are many factors for this ectopic pregnancy, among which the probability of ectopic pregnancy after underage women are pregnant is absolutely high, so please girls must protect themselves! Please be kind to yourself!