Catecholamines mainly stimulate vascular alpha receptors, thereby causing vasoconstriction.

When placed on blood pressure, the diastolic pressure will increase even more.

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

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

According to Xu Qiu's judgment, Yuan Yu's performance at this moment is perfectly consistent with the precursor period of shock, and it is one step away from shock, which is very critical.

"0.1% epinephrine 0.5 ml intravenous injection."

"One milligram of nortride is dissolved in 500 ml of solution and drops in intravenously."

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

Xu Qiu issued an order in an orderly manner.

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

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

After Xu Qiu was rescued by the doctor, his eyes also fell on Yuan Yu's lower body.

The bright red blood stained her skirt red, and most of the bed sheets were also stained. Yunmei had taken preliminary filling and stopping measures, 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 withdrew his gaze and asked quickly while Yuan Yu was not in a coma, "What's going on?"

"Abortion, miscarriage..." Yuan Yu had just said a little while, tears flashed in his eyes and almost burst into tears.

Seeing this, Yunmei quickly stopped her: "Don't cry."

Wei Ding was just walking on the front foot, and Yuan Yu was the one who could cross the shock line at any time. If it caused respiratory alkalosis, or emotional instability, it would faint in minutes.

Xu Qiu looked stunned.

Calculate the time, Yuan Yu has only been away from the hospital for about a month. She has divorced her ex-husband and has a child with her. In such a short time, she got pregnant again?

Is it the man who cheated on him before?

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

Xu Qiu recalled Yuan Yu's inspection report.

When he was admitted to the hospital, although Yuan Yu did not show any pregnancy, she and her ex-husband were preparing for pregnancy and complained that they were abdominal pain and could not rule out ectopic pregnancy. Therefore, he still had an HCG to be on the safe side.

There was no problem with the indicators at that time.

It was confirmed that there was no pregnancy.

In just one month, she not only became pregnant, but also had a miscarriage?

"Put your position and prepare for inspection." Xu Qiu said while pulling up the screen.

Although there are no other patients in the emergency room, privacy protection has been engraved into his consciousness.

Yunmei and others quickly stepped forward to help.

After lifting up his skirt and taking a few simple glances, Xu Qiu's face sank.

This is - artificial abortion.

The operator conducted a thorough uterine clearance on Yuan Yu, and the negative pressure attraction was taken, and the endometrium was seriously damaged.

However, based on time, Yuan Yu's pregnancy cannot last more than one month.

It is clinically stipulated that drug abortion is generally used within 49 days, and artificial abortion can only be performed until three months later, and inducible surgery can only be performed in the late stage.

The three surgeries, the degree of pain, the harm to the mother, and the degree of cruelty, have been gradually improved.

Early miscarriage only requires medication, and only some tissues are leaked out. Occasionally, a few need to be a simple uterine clearance to remove the residuals of the drug without clearing it.

But in the late stage, the fetus that is induced is a fetus with a precursor, and you can even clearly see the fetus's hands, feet, head, etc....

Yuan Yuman can't take more than 49 days. A regular hospital will not agree to abortion, let alone the Qing Palace cannot be so rough and violent!

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

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

Xu Qiu and others were silent, not sure what to say.

But Yuan Yu couldn't save this money, and he had to spend a lot of money.

"Did you have a drug abortion?"

"Yes, then I said it was not clean and asked me to make a chalk..."

Xu Qiu glanced into the vaginal gaze and found that the cervix was damaged very seriously, which shows how rough the operator's movements were.

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

"Preparing for laparoscopic surgery." Xu Qiu said.

If you want to completely stop the bleeding, just using drugs to contract the uterus like patients with routine miscarriage and major bleeding will definitely not work.

Laparoscopic surgery is also required to repair the uterine perforation wound, and the remaining embryonic tissue clearance surgery is also required.

"And, the patient has problems with coagulation."

The blood routine examination has not been released, but Xu Qiu remembers the record of Yuan Yu's last admission.

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

Xu Qiu could not really put his hands in and directly used bare hands to stop bleeding on the uterus.

...

Laparoscopic surgery is over.

Yuan Yu is out of danger.

"After the operation, the phenol sulfoethylamine injection is given, and the vitamin K1 injection stops the bleeding." Xu Qiu gave the corresponding medical advice for the patient's abnormal coagulation function.

Of course, medicines to shrink the uterus must also be used.

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

"Received." Hua Lixue, the obstetrics and gynecology department who came to the surgery, whispered.

Yunmei said without showing her sharpness: "Don't worry, we are taking care of our emergency department."

Li Xue glanced at her: "I can also go over and take a look. There are also many acute patients in our obstetrics department in your emergency department. Director Kong often takes us here for a walk."

Xu Qiu ignored the two of them’s struggles openly and secretly. His realm was beyond the department. Looking at the entire Lin Medical Department, what obstetrics and gynecology emergency departments are not all from Linhai Hospital?

He looked at Mo Wan and said, "The patient's skin is slightly yellow. I'll check my liver function later. When the patient wakes up, go over and check it."

After this temporary minor operation, he still has two more operations to be busy with.

Mo Wan nodded: "Okay."

...

In the afternoon, Yuan Yu's condition improved and his vital signs completely stabilized.

The cause of her shock was blood loss. After Xu Qiu's laparoscopic repair and perforation, a thorough uterine clearance operation, and combined with fluid and blood transfusion to supplement blood volume, her condition immediately improved.

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

But she found that Mo Wan and several female doctors came, and she lay back on the hospital bed, her expression not very happy.

Mo Wan, Liu Susu and others twitched.
Chapter completed!