Recently, I have more contact with Mr. Wu. Xue Chunhe has a general understanding of the level of Wu Mian. The anesthesia, surgery and treatment of old Zhou''s disease, as well as the diagnosis and surgery of the old leader''s little grandson, are examples.


    But even Mr. Wu didn''t speak at this time.


    If you want to have a glimmer of hope, take the pregnant woman... Alas, Xue Chunhe also knows that taking the pregnant woman to imperial capital and magic capital is just an excuse.


    As long as pregnant women don''t have an accident in the second hospital of Medical University, they can''t manage so much.


    "Xue Yuan, where are you?" a female doctor, dressed in isolation clothes inside and white clothes outside, hurried in and saw that she had just had an operation.


    "Director Guo." President Xue nodded.


    "I just stepped down." director Guo said, "I know this pregnant woman. I''ve seen it."


    "Can you cure it?" Xue Chunhe asked.


    "Both husband and wife do business. When they were young, they delayed having children because of making money and fell into the problem of habitual abortion." director Guo said, "the operation can''t be done. The pregnancy period is too short. Even without chest surgery after caesarean section, the child can''t live."


    Xue Chunhe nodded. Everyone had the same view. That could only be explained to the patient''s family.


    To tell the truth, although it''s hard to beat people, dragging is just a blunt knife to cut meat, which is not good for patients and their families.


    Gave a hope, and soon pierced the soap bubble of hope. To some extent, this is more cruel.


    "Director Guo, let me introduce you to Mr. Wu Mian." Xue Chunhe stood up and introduced.


    "Wu Mian... Miss Wu? New diagnostics..." director Guo said in surprise, and then stretched out his hand, "Miss Wu, I''ve heard a lot about it."


    Wu Mian shook hands with him and looked very serious.


    "Miss Wu, what do you suggest?" director Guo asked.


    This is out of respect for the superior doctor. In fact, director Guo doesn''t want to get any answer here.


    "Although the operation is near death, it can still be done," Wu Mian said in a deep voice.


    Just about to loosen Wu Mian''s hand, director Guo subconsciously clenched it again after hearing Wu Mian''s words. Then she realized that she had lost her manners and quickly loosened it.


    "Director Guo, has fetal surgery been carried out in our hospital?" Wu Mian asked.


    "Mr. Shen of the imperial women''s and children''s hospital has been invited to perform two fetal operations over 33 weeks." director Guo said, "this... Only 26 weeks, can''t do it."


    "You can do it, but the success rate is not high." Wu Mian said, "director Guo, sit and talk."


    Director Guo helplessly looked at Wu Mian and thought for a few seconds before he sat down full of worries.


    "Miss Wu? How to do the operation?" Xue Chunhe asked.


    "According to the process of normal caesarean section, first general anesthesia + continuous epidural anesthesia... Anesthesia..." Wu Mian sat on the chair, put his right hand on the desk and gently tap the desktop.


    He seems to be telling Xue Chunhe about the operation process, but it''s more like talking to himself.


    "Maternal fetal protection does not cause uterine contraction. Nitroglycerin, inhaled anesthetics, beta2 receptor agonists, etc. in addition, maternal anesthesia and surgery, it is best not to antagonize residual muscle relaxation after operation."


    Bits and pieces of fragmented information came out of Wu Mian''s mouth, and Xue Chunhe was silly.


    "Inhalation anesthesia and intravenous anesthesia account for about 70% of the fetus and mother, and most of them are easy to pass through the placenta.


    Muscle relaxants do not have to be used. If necessary, a single dose can be injected through umbilical vein. There are reports of safe use of vecuronium, atracurium and rocuronium.


    CIS atracurium has been found to induce apoptosis of umbilical cord vascular endothelial cells in vitro, which may not be good. Remifentanil is also easy to penetrate the placenta and has strong fetal metabolic ability. "


    Xue Chunhe knew he was wrong.


    Just now I was so naive that I had a glimmer of hope.


    Listen to Mr. Wu. Before surgery, anesthesia alone is a lot of problems.


    The source of all problems is that the patient is a pregnant woman.


    That''s pregnant!


    That''s pregnant!!


    That''s pregnant!!!


    Xue Chunhe had a headache when he thought of operating on pregnant women.


    "Not to mention anesthesia, the operation process is nothing. Open the uterus, take out the fetus, and cut off the pulmonary cystadenoma in the upper lobe of the left lung according to the process of normal thoracic surgery."


    “……”


    If Wu Mian and Xue Chunhe hadn''t been talking, they would have started swearing and scolded the people who talked shamelessly.


    A 26 week fetus is operated according to the normal thoracic operation process? Bullshit!


    I can''t bear it! Xue Chunhe forced himself to endure the irritability and uneasiness in his heart. His mood was not stable, and another big thunder fell on his head.


    "Then send the fetus back to the uterus, suture and let the fetus continue pregnancy."


    Xue Chunhe and director Lei are all by Lei''s outer Jiao and inner Nen.


    We all think that the order of operation is to have a caesarean section first, take out the fetus for operation, and put it in the incubator after operation. It was this step to ask Mr. Shen of DIDU women''s and children''s hospital to have an operation.


    Although the child had been in the incubator for 33 or 34 weeks, he was almost dead. Under the care of medical staff day and night, the fetus has a glimmer of vitality.


    But teacher Wu said he would send the fetus back to the uterus


    That''s the fetus, not the intestine, nor the normal physiological tissue. If you say to plug it back, just plug it back? How is that possible!


    The office was silent.


    Wu Mian''s fingers silently knocked on the table. He just described the operation process and straightened out his ideas by the way, but he didn''t want Xue Chunhe or director Guo to understand.


    Wu Mian has never had a similar operation, but he has seen relevant operation videos. As for the difficulty, it exists and is not small. But Wu Mian didn''t want to do it. Professional people can do professional things and have a greater grasp.


    "A narrow escape." Wu Mian finally affirmed, "it is recommended to induce labor."


    Hearing the final conclusion, Xue Chunhe breathed a sigh.


    Just after Wu Mian said about the operation, he remembered the cold joke at the Spring Festival Gala - putting elephants in the refrigerator, which was divided into several steps.


    Mr. Wu Mian''s statement is like a joke. The process of caesarean section is to open the uterus and take out the fetus; Do chest surgery and cut off congenital pulmonary cystadenoma; Then put the fetus back into the uterus.


    It''s also three steps, but


    Xue Chunhe wants to cry without tears.


    This special three-step walk sounds simple, but as Mr. Wu just said, anesthesia is a difficulty before the operation.


    The anesthesia is deep, the fetus absorbs more, and the fetal heart may have stopped before cesarean section. But if you give less, it won''t work.


    Everything should be just right, not more or less.


    But this kind of divine difficulty is just... Just... Just... A beginning.


    Even after anesthesia, more difficult things are still waiting.