Chapter 2343

"Pregnant women are giving birth." Obstetric inpatients always whisper when preparing things.

"It can last 52 minutes. Seize the time to prepare things!" Zheng Ren's voice was cold and deep.

The obstetric inpatient was stunned. She didn't know how to evaluate the 52 minutes boss Zheng said.

Is it so advanced now? I don't know.

Zheng Ren didn't notice that he slipped his tongue and continued to command the rescue.

"Inform the operating room. After everything is ready, seize the time to disinfect and give them 30 minutes." Zheng Ren continued.

"OK." Ringer just arrived and didn't know what had happened, but boss Zheng's instructions must be implemented without hesitation.

The gear wheel for rescuing the patient turned, and there was a click sound in the inexplicable space. The huge machine immediately turned, and many doctors and nurses were busy for it.

"Anesthesiologist, can our hospital anesthetize the newborn?" Zheng Ren looked at the pregnant woman and stressed this again.

"I'll call the women's and children's hospital."

"Hold on!"

After 5 minutes, the patient's family agreed to live broadcast the operation.

12 minutes, take the insulated quilt to the operating room.

After 14 minutes, two forced inflatable thermal blankets were sent to the operating room.

After 19 minutes, the sterile infrared radiation table was moved to the operating room.

The operating room is disinfected and sterilized for the last time.

23 minutes later, people from the legal department of xinglinyuan came to the obstetrics department and signed legal documents with the patients' families together with the lawyers of the medical office.

In 34 minutes, director Wang, anesthesiologist and professional newborn nurse of women's and children's hospital came to 912 in an ambulance.

45 minutes later, the pregnant woman was sent to the operating room and the preoperative preparation was completed.

47 minutes later, Lao he began to give general anesthesia to pregnant women with a serious face. Anesthesiologists in women's and children's hospital are busy preparing various equipment they need to anesthetize the fetus.

"The operating room temperature increased, 26... 28 degrees Celsius." Zheng Rendao.

"OK." In the melodious song of good luck, the itinerant nurse answered.

The temperature of the operating room is generally adjusted according to the habits of the operator, but the temperature required by most operators in the operating room is about 24-25 ℃.

This temperature is the best. It is neither hot nor cold. If the operator is in good condition, the operation will be smooth.

And 28 degrees Celsius, this temperature is too high for the medical staff in the operating room.

But the itinerant nurse didn't ask boss Zheng why he wanted to raise the temperature. There were all kinds of thermal insulation items next to him, which explained everything in silence.

The temperature in the operating room must be higher.

Compared with routine obstetric surgery, the risk of maternal and neonatal hypothermia in intrapartum fetal surgery is greater. Maternal anesthesia and operation time are prolonged, the amount of intraoperative infusion is increased, and a large amount of heat is taken away from the mother after fetal delivery, which is easy to lead to maternal hypothermia.

The operation also needs to be performed on the fetus with the placenta. The abdominal cavity is opened and the operation process is prolonged, which further increases the risk of hypothermia in pregnant women.

Not only pregnant women, but also fetuses need higher temperatures.

The development of fetal or neonatal thermoregulation center is imperfect, and the ability to maintain body temperature is low. Hypothermia leads to respiratory complications such as respiratory depression and delayed postoperative recovery.

Therefore, the vital signs of pregnant women and newborns should be closely observed during operation, and effective thermal insulation measures should be taken to care of pregnant women and newborns.

It's just a detail. Every detail is a part of that huge machine. Only when all parts are perfect can we achieve the results Zheng Ren wants.

"The radiation heater starts to warm up." Zheng Ren continues to command.

Xie Yi came to the operating room with a sterilized sterile operating box, brushed his hands on the stage and lightened the instruments.

Both operators and anesthesiologists, instrument nurses and itinerant nurses are two sets of people.

Nevertheless, the two itinerant nurses were busy and were about to fly. The doctors of Pediatrics and obstetrics who were not on the stage were busy together.

The radiation heater is pre heated, the maternal upper body is covered with a quilt, and the abducted arm is wrapped with an operation sheet.

Two sets of forced inflatable thermal insulation blankets are used to cover the lower body of pregnant women at the same time. One set of exhaust face up is used for the thermal insulation of pregnant women, and the other set of exhaust face down is used for the thermal insulation of newborns when their umbilicus is not broken. The temperature is controlled at 45 ℃.

The liquid heating instruments have been turned on for a long time, and the liquid at 37 ℃ is in a row. Neat and solemn.

When the anesthesia was finished, Lao he stretched out his hand and gave boss Zheng a thumbs up to signal that the anesthesia was finished.

The airtight door closed and the operation officially began.

The obstetrician performed the operation first. The pregnant woman cut a 12cm long incision on the abdominal wall and began the caesarean section.

The first and second fetuses were successfully removed.

At 28 degrees Celsius, he was wearing sterile surgical clothes for surgery. In addition, he was facing a small child with congenital giant omphalocele. Under the effect of tension, director Wang of the women's and children's hospital who had a caesarean section more than ten minutes later had his back soaked with sweat.

Zheng Ren finished brushing his hands, put on his clothes and watched the whole operation without moving.

He stood in front of the thermostatic table under the pregnant woman's legs and stared at the third child with huge omphalocele.

The abdominal visceral organs with omphalocele are exposed outside the abdominal cavity through the open umbilical ring, which is different from ordinary hernia. Although all organs are not covered by skin, they are wrapped together by a translucent and non vascular membrane.

This membrane is composed of inner peritoneum and outer amniotic membrane, with gelatinous connective tissue in the middle.

After taking out the two fetuses, director Wang did not immediately dispose of the third child in the uterus, but wiped sweat on his side head.

A sterile gauze is wrapped around the head, and the disposable sterile cap has been soaked.

In the operating room, no one spoke except the lucky song.

Until now, the operation is officially started and exposed to the most critical surgical steps.

Director Wang looked up at Zheng Ren after wiping his sweat. Zheng Ren nodded slightly and indicated that he was ready.

"Body temperature." Zheng Ren asked.

"The preoperative temperature of pregnant women was 36.7 degrees Celsius, and the current temperature was 37.1 degrees Celsius." Old he said in a deep voice.

Director Wang then carefully avoided opening the abdominal visceral organs wrapped by translucent membranes and gently took out the child's left arm.

Zheng Ren stretched out his hand and patted a syringe in his hand.

For triplets, the heaviest weight of newborns is only 2.6kg, and the lightest weight of children is about 2.3kg by visual inspection.

The arms are thin and the blood vessels are almost invisible.

To get to the point, the difficulty is not generally high. In the face of neonatal surgery, director Wang has done many cases, which is the most time-consuming step.

Invisible blood vessels, but also to the point. Sometimes the operation will delay 5-10 minutes at this step until the child's arm is pierced with more than 10 needles, and the vein that can enter the needle has not been found.

Looking at the internal organs wrapped by the translucent membrane in the pregnant woman's uterus, director Wang sighed.

Strictly speaking, the children in front of us are no longer omphalocele. To be exact, it should be - no belly.

This seriously affects the growth of the fetus.

The blood vessel condition is worse. Can boss Zheng do it?