Chapter 479 A strange pregnant woman with fetal heartbeat but no image

Author: Jiangbian Yuweng

Chapter 479 A strange pregnant woman with fetal heartbeat but no image

"Dr. Zhou, does my brother need a thoracotomy?"

The patient's sister could only partially understand what was happening next to her. She was worried about her brother's treatment.

Her family background was not good. She had just graduated and was working as an intern in a company.

Even the inspection period has not passed yet, and the salary received in one month is pitifully small. Nowadays, most shady bosses set an internship period of more than three months. The longest one can even be more than one year.

Interns do not receive bonuses and only receive the minimum basic salary every month. This is basically a consensus.

Precisely because the labor cost is much lower than that of regular employees, hospitals and other units particularly like to have a long internship period.

The worst thing is probably the hospital, where you have to be an intern for a year and work for free.

They even need to give money back to the hospital.

For the next three years of regular training, there is only a minimum basic salary.

A large number of undergraduates and graduate students were used as cheap labor for more than four years.

"Judging from the patient's current postoperative performance, it should be relatively optimistic. However, no one can predict what the final result will be." The answer given by Zhou Can is basically a doctor's standard talk.

First give hope to patients and their families, and then tell their families and patients. We don’t know the final result.

…

After seeing the patient from the cardiothoracic surgery department, I returned to the emergency department. As soon as I arrived in the lobby, I was stopped by Dr. Xie at the triage desk.

"Doctor Zhou, Doctor Zhou, this pregnant woman was unfortunately involved in a car accident and was seriously injured. Please help me figure out what to do!"

Zhou Can raised his eyes and looked over, and found that during a visit to the cardiothoracic surgery department, several car accident victims had been sent to him. Doctors and nurses were constantly running in and out of the emergency room, and the seriously injured patients had probably been sent in first for rescue.

It is very difficult for pregnant women to get injured.

It looked like the pregnant woman was seriously injured, with blood all over her body and a bulging belly. She was at least eight or nine months old.

Zhou Can is not good at obstetrics.

Whether the baby needs to be cut out first must be evaluated by a specialist in obstetrics and gynecology.

"Have you checked your basic physical signs?"

"Temperature, blood pressure, heart rate, and respiration were all measured. The blood pressure was a little high, the heart rate was fast, and the breathing was short. Everything else was normal. After preliminary examination, it was found that her right leg was probably fractured, and there was bleeding in her lower body, and her back.

There are varying degrees of abrasions on the right shoulder and right arm. There are obvious bruises and hematoma on the forehead."

Dr. Xie only performed the most basic examination.

This is also a common problem among many novice doctors, who will only follow the procedures in the textbook.

Experienced doctors will ask patients questions and perform various examinations in a clearly targeted manner.

"Has the fetal heart rate been measured?"

"No! But I listened with a stethoscope and it seemed to be normal."

Doctor Xie hesitated for a few seconds and then said.

"Let's do an abdominal B-ultrasound first! Now give her a blood test! She definitely needs an X-ray on her right leg. If she has dizziness, headache, or loss of consciousness, it's best to do a head CT."

Zhou Can gave Dr. Xie some guidance.

"Her lower body is bleeding, why don't you ignore it for now?"

Doctor Xie asked this because he was worried about the baby in the pregnant woman's belly.

"We must first do a B-ultrasound to clarify the situation in the abdominal cavity before proceeding to the next step of diagnosis and treatment. We must hurry up with the blood test. When we receive this kind of patients in the future, the first thing to do is a blood test. If it is Xiaomei, we can do it in time.

Check it out. In addition, the injured person is bleeding, and if a blood transfusion is needed, her blood type can be known in time."

The Xiaomei Zhou Can was talking about was syphilis.

What front-line clinical nurses should be most afraid of are people infected with syphilis and HIV.

In front of patients, some words spoken by doctors and nurses are coded.

The main purpose is to avoid causing resentment among patients and avoid doctor-patient disputes.

"By the way, please quickly invite a specialist in obstetrics and gynecology to come over for consultation."

After finishing speaking, Zhou Can walked directly towards the operating room.

With his director-level hemostasis, when he observed the patient just now, he could basically conclude that the bleeding was not as serious as imagined. It should not be life-threatening in a short period of time.

There was another thing that particularly puzzled him.

When you look at the face of this pregnant woman, there is no pregnancy appearance. Usually, after pregnancy, a woman will be affected by estrogen in her body and her appearance will become ugly. As a result, she will have a unique appearance during pregnancy.

But this female patient did not have such characteristics.

Also, he asked Dr. Xie to check the blood routine of the pregnant woman first because with his director-level hemostasis and fifth-level pathological diagnosis, he always felt that the patient did not look like an ordinary patient.

In clinical practice, we often encounter various special patients.

Among them, syphilis and AIDS are the most common.

Even if such people receive professional medical care, sometimes it is difficult to tell from their appearance that they have infectious diseases.

…

In the operating room, Zhou Can had just completed three operations. Doctor Xie came over to send a message to Ma Xiaolan and asked her to tell Zhou Can that after examination, the pregnant woman was indeed a carrier of both syphilis and AIDS.

Three of the injured who were brought along with pregnant women were later found to be infected with the two viruses.

The medical staff in the emergency room were so frightened that they broke out in a cold sweat.

Because one of the injured people they rescued was one of these three people.

Blood-borne infection is one of the most dangerous routes of infection.

When rescuing patients, the doctors and nurses didn't think too much. Various first aid operations at that time inevitably came into contact with the patient's blood. They did not wear any protective equipment, not even the simplest pair of rubber gloves.

The other three infected people are all men, namely the pregnant woman’s boss, current boyfriend, and male colleague.

It is said that the pregnant woman's current boyfriend turned green when he learned the news.

What he was angry about was not that he was infected with syphilis and AIDS, but that his boss and his male colleagues were also infected. You know, whether it is syphilis or AIDS, the infection will not occur through ordinary physical contact.

Infections often occur only through contact with the patient's body fluids.

Moreover, when the surface skin such as hands comes into contact with the patient's body fluids, as long as the skin is not ulcerated, infection will not occur. The skin is the first line of defense in our human immune system, and it is much more powerful than imagined.

Almost 99.9% of bacteria and viruses can be blocked from the body by this barrier.

Therefore, it cannot be a coincidence that the pregnant woman’s boss and another male colleague were also infected with syphilis and AIDS. They must have been infected by the pregnant woman.

Anyone who is not a fool will understand how the infection is caused.

A few minutes later, a message came in from outside, asking Zhou Can to go out and help with a consultation.

Zhou Can quickly debrided the surgical patient on the table and stopped bleeding, and then handed it over to medical assistant Yang Zhi to suture the patient.

In many operations, he would deliberately leave some surgical training opportunities to Yang Zhi.

Sometimes he would also guide Yang Zhi on his shortcomings and operational errors during the operation. Of course, these words are usually said only after the patient leaves the operating room.

Yang Zhi lived up to his high expectations and grew very fast. Coupled with his good surgical skills, he can now help Zhou Can in many situations.

After Zhou Can handed the patient to Yang Zhi, he felt relieved and went outside to help consult the patient.

"Where is the patient? What is his condition?"

As he walked, he asked the nurse who came to see him.

"The pregnant woman who was infected by Xiaomei and Xiaoai has abnormalities in her abdominal B-ultrasound. Dr. Yang from the obstetrics and gynecology department would like to ask your help for consultation."

While they were talking, the two of them had already arrived at the emergency room.

Zhou Can saw a pretty figure standing there, it was none other than his college classmate Yang Chan.

Like Zhou Can, she is now a regular resident doctor.

"Hello, monitor!"

Zhou Can bravely stepped forward to say hello.

He was actually a little afraid to see Yang Chan now because her eyes were very fiery when she looked at Zhou Can.

This is not a good thing.

If Zhou Can doesn't have a girlfriend, that's okay.

Yang Chan has a beautiful appearance and outstanding medical skills. I heard that she has passed the postgraduate entrance examination and is currently a working graduate student.

She is already ahead of Zhou Can in improving her academic qualifications.

"Zhou Can, this pregnant woman's B-ultrasound is very strange. Could you please help me with this?"

She basically calls Zhou Can by his first name.
To be continued...