Chapter 530 Rough curettage, damaged uterus!

Catecholamines mainly stimulate vascular α receptors, causing vasoconstriction.

In terms of blood pressure, the increase in diastolic pressure is greater.

Systolic pressure will be less affected. Although the overall blood pressure may be high, the systolic pressure can be low or close to normal.

When the diastolic pressure increases and the systolic pressure decreases or remains unchanged, the patient's pulse pressure difference will decrease.

In Xu Qiu's judgment, Yuan Yu's performance at this moment fully meets the symptoms of the pre-shock period, and he is just one step away from shock, which is very critical.

"0.1% epinephrine 0.5 ml intravenous injection."

"One milligram of norepinephrine dissolved in 500 ml of solution intravenous drip."

"Dexamethasone 20 mg plus 5% glucose 100 ml intravenous drip..."

Xu Qiu gave orders in an orderly manner.

The process of shock rescue is not unfamiliar to any emergency doctor.

Yuan Yu asked Xu Qiu to deal with a small shock, which was simply a sledgehammer to kill a chicken in the eyes of others.

After Xu Qiu gave the medical instructions for rescue, his eyes also fell on Yuan Yu's lower body.

The bright red blood stained her skirt red, and most of the sheets were also stained. Yunmei had taken preliminary measures to stop the bleeding, but this could only treat the symptoms and work in a short period of time, but it could not eradicate the cause of the bleeding.

Xu Qiu retracted his gaze and asked Yuan Yu while she was still unconscious: "What's the matter?"

"Abortion..." Yuan Yu had just said half a sentence, tears flashed in her eyes, and she almost cried.

Yunmei saw this and hurriedly stopped her: "Don't cry."

Wei Ding had just passed away, and Yuan Yu was a person who could cross the shock line at any time. If this caused respiratory alkalosis, or emotional instability caused shortness of breath, etc., she could faint in a minute.

Xu Qiu was stunned.

Calculating the time, Yuan Yu had only been out of the hospital for about a month, and she had divorced her ex-husband, and she had a child. In such a short time, she was pregnant again?

Was it with the man who cheated before?

No... The doctor shouldn't care who the man is.

Xu Qiu recalled Yuan Yu's examination report.

When she was admitted to the hospital, although Yuan Yu did not show any signs of pregnancy, she and her ex-husband had been preparing for pregnancy, and the main complaint was abdominal pain, and ectopic pregnancy could not be ruled out, so for the sake of insurance, he still did an HCG.

The indicators at that time were fine.

It confirmed that she was not pregnant.

In just one month, she not only got pregnant during this period, but also had a miscarriage?

"Position your body and prepare for the examination." Xu Qiu said while pulling up the screen.

Although there were no other patients in the emergency room, privacy protection had been engraved in his consciousness.

Yunmei and others quickly stepped forward to assist.

Lifting up the skirt and taking a few simple glances, Xu Qiu's face sank.

This is - artificial abortion.

The operator performed a thorough uterine cleaning and negative pressure suction on Yuan Yu, and the endometrium was severely damaged.

However, from the time calculation, Yuan Yu's pregnancy could not have exceeded one month.

Clinically, medication is generally used for abortion within 49 days, and artificial abortion can only be performed after 3 months. In the later stage, only induced abortion can be performed.

The three surgeries have increasing levels of pain, harm to the mother, and cruelty.

Early abortion only requires medication, and only some tissues are discharged. Occasionally, a few need a simple uterine cleaning to remove the residues that the medication has not been discharged.

But in the late stage, the induced abortion is a rudimentary fetus, and even the fetus's hands, feet, head, etc. can be clearly seen...

And Yuan Yu can't exceed 49 days. Regular hospitals will not agree to artificial abortion, not to mention that it is impossible to do uterine cleaning so roughly and violently!

"Where did you do the surgery?" Xu Qiu's voice was cold.

Yuan Yu's lips turned white with pain, and she said: "A small clinic, I... I want to save some money, milk powder is so expensive, I can't afford it anymore..."

Xu Qiu and others were silent, and didn't know what to say.

But Yuan Yu couldn't save this money, and it would cost a lot of money.

"Did you get a medical abortion?"

"Yes, and then they said it wasn't clean, and asked me to do a curettage..."

Xu Qiu glanced into the speculum, and the cervix was severely damaged, which showed how rough the operator's actions were.

The key is that the endometrium was scraped so hard, a lot of normal endometrium was scraped off, and the embryonic tissue was still not cleaned up...

"Prepare for laparoscopic surgery." Xu Qiu said.

If you want to stop the bleeding completely, like a regular abortion patient with heavy bleeding, just using drugs that electrically contract the uterus will definitely not work.

You have to do laparoscopic surgery to repair the uterine perforation wound, and complete the remaining embryonic tissue curettage.

"Also, the patient's coagulation function is also problematic."

The blood routine test has not come out yet, but Xu Qiu remembers the record of Yuan Yu's last hospitalization.

The other party has idiopathic hypertension during pregnancy, and her heart is also somewhat affected. She has a poor physical condition and abnormal coagulation function. It is still a bit difficult to stop the bleeding in a short period of time.

Xu Qiu can't really reach in and stop the bleeding directly on the uterus with his bare hands.

…

Laparoscopic surgery is over.

Yuan Yu is out of danger.

"Give ethylsulfonamide injection and vitamin K1 injection to stop bleeding after surgery." Xu Qiu gave corresponding medical advice based on the patient's abnormal coagulation function.

Of course, drugs to contract the uterus must also be used.

"After the operation, pay close attention to vaginal bleeding, the duration and amount of bleeding, abdominal pain, dizziness, black vision, etc., and report any problems at any time." Xu Qiu said.

"Got it." Hua Lixue, who came to the obstetrics and gynecology department to participate in the operation, said softly.

Yunmei said calmly: "Don't worry, the patient is being cared for in our emergency department."

Lixue glanced at her: "I can also go over and take a look. Your emergency department also has many emergency patients from our obstetrics department. Director Kong often takes us here to take a look."

Xu Qiu ignored the open and covert struggle between the two. His realm has transcended the department. Looking at the entire Linyi, what obstetrics and gynecology emergency department, aren't they all in Linhai First Hospital?

He looked at Mo Wan and said: "The patient's skin is slightly yellow. Check the liver function later. Wait for the patient to wake up and go over to check."

After this temporary minor operation, he still has two operations to do.

Mo Wan nodded: "Okay."

...

In the afternoon, Yuan Yu's condition improved, and all vital signs were completely stable.

The cause of her shock was blood loss. After Xu Qiu's laparoscopic repair of perforation, complete curettage, and blood transfusion to replenish blood volume, her condition immediately improved.

Seeing someone coming in, a trace of joy flashed across her face.

But when she found that it was Mo Wan and a few female doctors, she lay back on the bed, not looking very happy.

Mo Wan, Liu Susu and others twitched their mouths.

Although my doctor Xu is very charming, can you not be too blunt about your dislike for us...