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    Pulmonary arterial hypertension is a disease that is just afraid of this hypercoagulable state.  Hypercoagulability is prone to pulmonary embolism and will further aggravate right heart failure.

    Sometimes in clinical practice, anticoagulation injections are required to deal with this disease. The most common method is belly injection of low molecular weight heparin sodium.

    Pregnant women should be treated specially.  For this surgical patient, it was the hypercoagulable state during pregnancy that caused the original mechanical valve to have thrombus and required cardiac surgery as soon as possible.

    How to deal with these conflicts.  It is best to avoid maternal intraoperative bleeding.  As Dr. Do said, on the one hand, obstetricians should shorten the time of cesarean section as much as possible and let them take over from the outside.  On the other hand, the anesthesiologist must play a role in escorting the mother during the operation and work hard to help the mother survive the cesarean section.

    After receiving a call from Du Yeqing, the anesthesiologist Dr. Mo arrived.

    Dr. Mo first introduced to the obstetrician and gynecologist: "The anesthesia plan should be planned for patients according to the mature and effective plan. General anesthesia is used for cardiac surgery, and continuous epidural anesthesia or continuous epidural anesthesia is used for cesarean section."  .¡±

    Why is general anesthesia not required for cesarean section?

    In the past, anesthesiology has always believed that general anesthesia has many disadvantages for cesarean section. The biggest disadvantage is that many general anesthetic drugs can easily enter the fetus and cause fetal respiratory depression.  Unfortunately, these drugs are the most commonly used and familiar drugs used by anesthesiologists in general anesthesia. If these commonly used drugs are not used and replaced with rarely used special drugs, they will be afraid of causing other troubles.

    ¡°Like this patient who risks her own life just to have a child, she and her family will not be willing to risk the child¡¯s life at this critical moment.  Children with fetal respiratory depression will suffocate, and may become children with cerebral palsy when they die.  For this reason, the patient and his family, who had obtained medical information from various places, were unwilling to undergo general anesthesia.

    Instead of general anesthesia, can I use continuous epidural anesthesia?

    In this regard, anesthesiologists and cardiac surgeons dare not give a 100% guarantee. They may switch to general anesthesia during the operation depending on the situation.  The main reason is that the patient's cardiac function is not good now, and other circulatory support may be needed during the operation.

    Du Yeqing said: "If the patient's condition becomes more critical, we may provide support for her to do iabp in advance."

    (What iabp is has been mentioned in previous chapters and will not be reiterated.)

    In this case, how to ensure that the current plan is feasible.

    "Director Zhang presided over the ward round discussion this morning. Today, she will be given a different combination of drugs. It is expected that the patient's condition will improve tomorrow." Du Yeqing said.

    It turns out the big boss has taken action.

    "Of course, according to our director Zhang's prediction, this medicine can only be used until about the day after tomorrow." Du Yeqing added, not that it was not used before, but that the medicine should be used until the critical period.  Some medicines seem to work very quickly, but to put it bluntly, they do not cure the root cause, and they soon appear to have poor effects after use.

    After hearing this, Du Haiwei knew that the surgeons and interventional cardiologists in the cesarean section center would be watching over him, so their obstetricians and gynecologists would not be too worried.

    While the meeting was going on, someone quietly came and sat next to Zhang Huayao, waving to classmate Xie secretly.

    Xie Wanying turned around and saw the handsome eyebrows of Senior Brother Shen who was smiling so brightly.

    At the scene, all doctors from the surgical team except the neonatologist are basically present, and any questions can be discussed.

    Du Haiwei turned around and asked the young doctors in the group, wanting to brainstorm: "Talk about your thoughts on this surgery, and if you have any good suggestions, let's discuss them together." (Remember the website address: www.hlnovel.com
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