第四百六十九节 抢救
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艾贝贝一边刷手,一边注视着助产士的刷手消毒程序是否严格的按照标准,一边还听着护士在念产妇的病历
六个产妇中有五个问题不大,产检胎位正,胎心跳动正常,各方面指数都很合格,应该能够顺产,但是有一个孕妇骨盘狭小,不知是否能够顺产。更多小说ltxs520.com
让她头疼的是女仆产妇全是初产妇,和经产妇相比难产的概率大不少,而且第一批女仆因为地域人种的关系,往往个头娇小,骨盘狭小的比例很高。
已经洗刷好,穿好外衣,消了毒,她已经热得流汗了,跟着助产士们走进了产房。举着手监视着助产士们进入产房。除非遇到难产,否则她自己是不亲自动手的――她要随时预备着做剖宫产手术,同时还要监视助产士们的操作流程是否准确到位。
“既然土著一时半会不懂为什么要这么干,那就只要教会他们必须这么干就好。”时院长在卫生部的培训会议上如是说,艾贝贝也只能采用这样的手段。
孕妇们被一个个的推了进来,艾贝贝有些怜悯的看着这些只能算是“少女”的孕妇,要在旧时空,这些女孩子应该在念书呢。
她随口问了一声:“家属来了吗?”按照惯例,生产前都要通知到家属,这里也不例外――特别是涉及到元老的眷属生育的时候。
“有三位首长来了,另三位说生下来他们就过来。还有办公厅的代表也来了。”
办公厅的代表是来登记“户口”的。一旦孩子顺利出生,就会被登记到办公厅的元老户籍表册上。
来了个三个元老,总算待她们还不错!艾贝贝稍有宽慰。不过。推进来的时候虽然都已经开到了十指,但是至少也得一二个小时之后才能接生完毕。她正打算逐个检查一遍,忽然有个护士跑了进来:
“那个归化民产妇有难产征兆!胎心不稳!”
“别着急,是几床?”艾贝贝无可奈何的说道,这些起码的规矩到现在还是教不会。虽然她很清楚是那一床的孕妇。
这是个归化民的老婆,男人是造船厂的工人,女人在服装厂上班。因为女人年龄较大。又是初产妇,在孕检中又发觉胎位不正,所以打算择日采取剖宫产。
没想到这会出现胎心不稳了。艾贝贝赶紧吩咐一个归化民女医士在场监督。自己赶紧吩咐马上把孕妇推进手术室做好手术准备。
“请张大夫来做麻醉!”艾贝贝一面吩咐一面匆匆朝着手术室走去。
“腰麻,注入盐酸丁卡因12mg――这是常规剂量。然后转为仰卧体位。”张土木边说边干净利落的做完了穿刺-麻醉。身后的一个归化民麻醉医士紧张的注视着他的一举一动,似乎要把这一切完全吞下肚一样。
麻醉做得很是顺利,艾贝贝仔细的看了看病人。等待麻醉药奇效。正在测试阻滞平面之际。病人突然不答问话了,艾贝贝意识到不妙,她注意到病人的意识消失了。
“心跳骤停!”正在监视仪器的归化民护士尖叫起来,她被训练的对这台示波器上的一切数据无比敏感,“呼吸骤停!”
“快,准备喉镜!口腔插管!”张土木――他干过急诊,反应很快,大声喊了起来。“准备心肺复苏术!正肾上腺素1ml心内注射!”
艾贝贝被吓了一跳,这是“全脊髓麻醉”啊!手术麻醉的时候最怕遇到。她赶紧帮忙做胸外心脏挤压,终于,心电图上的线条又开始跳动了,但是心率快速不齐。
“请时大夫来会诊!”艾贝贝只好祭出这一法宝了。她本质上是个研究医生,急诊这块涉猎极其有限,而当大夫主要就是要靠经验的积累。
时大夫赶来的时候,在施行人工呼吸等抢救了约一刻钟的情况下,张土木汇报说病人神智和呼吸毫无恢复迹象,全身紫绀,血压180/90mmhg,体温38.5c,无尿,心电图示室上速伴频繁多源性室性早搏,同时频发全身抽搐,胎儿心跳听诊尚正常。
伴随着有些慌乱的抢救,百仞总医院的元老医生将病人一致诊断为“心跳骤停复苏后脑缺氧后遗症”。
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