¡°However, the patient¡¯s blood pressure dropped a bit.
When the latest value of systolic blood pressure was 86, Geng hurriedly measured the patient¡¯s blood pressure again to check to avoid an error in the measurement.
There were two clanging sounds in the car.
Geng Yongzhe turned around and saw classmate Xie bending down to pull the first aid kit. He couldn't help but say: "Yingying, be careful."
She was afraid that she would hurt her hand. The space in the car was limited, and she would hurt herself if she did anything accidentally.
"It's okay." Without raising her head, Xie Wanying pulled out the first aid box placed under the ambulance seat and quickly opened the lid.
There are usually several bags of sugar and salt inside. Take out all the liquids, pick up the bandage and pull out the bandage head to tie these bags of rehydration bags. . Obviously, this is to create 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.
The gauze covering the injured person¡¯s incision did not bleed much, and it was not bleeding from the incision. The water-proof cloth placed under the patient's body actually expanded the stained blood. It is (homophonous for "yin") "due to" the bleeding of Tao.
Normal mothers will discharge lochia after childbirth, whether it is natural or cesarean section, which is normal postpartum vaginal bleeding. Normally, lochia discharges a very small amount of blood, similar to menstrual flow. If the amount of bleeding exceeds normal, it is postpartum hemorrhage.
There are many causes of postpartum hemorrhage. Since this was a patient after a cesarean section and Director Beito San performed the surgery himself, it is unlikely to be due to factors such as residual blastoderm and insufficient uterine hemorrhage to close the abdominal cavity. The only possible cause is uterine atony, the most common cause of postpartum hemorrhage. As for the very rare case of amniotic fluid embolism, which no clinician wants to think about, of course, it must be taken into consideration.
If the amount of bleeding is not excessive and is caused by uterine weakness, intravenous oxytocin can be administered clinically.
The third obstetrician in Beidu is an expert and cautious in doing things, and will not use these measures excessively and beyond the scope. Oxytocin has good and bad effects, and more is not always better. The famous amniotic fluid embolism may be partly caused by strong uterine contractions. Taking oxytocin for prevention may just create new risk points.
Now you can give oxytocin, but the teacher is not here to prescribe it. The two classmates and the nurse did not have the right to prescribe the medicine, so they could only take other measures to stop the bleeding if they did not use medicine. Another common clinical non-drug treatment for postpartum hemorrhage is to apply sandbags on the abdomen. In the same way as prescribing oxytocin, there is no clinical data to support that sandbag pressing is beneficial to the mother when she has no positive symptoms or disease tendency. Therefore, Dr. Beito San does not need to sandbag the mother for the time being after the operation.
The clinical teachers are experienced and think that half an hour on the road will not be a big problem, and if anything happens, Fang Ze can deal with it later. Unexpectedly, the journey took not only half an hour, but forty minutes. Perhaps due to the bumps on the road and the weather, the patient suffered some postpartum bleeding.
What¡¯s going on on the road ahead? Why is it so crowded today that it exceeds teachers¡¯ expectations?
The nurse sitting in the passenger seat hurriedly opened the door and got out of the car. She ran to the front to ask what happened. She ran back to the car and told everyone about the situation: "After one car accident, there was another car accident, so the road was blocked." died."
Never complain about comrades in the traffic police. A traffic police comrade was seriously injured when he was hit by the vehicle causing the second car accident while directing traffic evacuation. His life is now in critical condition. Medical personnel who arrived at the scene rescued the injured. (Remember the website address: www.hlnovel.com