Today, Wang Yu had an operation. It was a 23-year-old girl named Qi Yaoyao, who was a patient with uterine fibroids. Such young girls often have difficulty in getting pregnant or miscarriage after pregnancy due to uterine fibroids on their uterus. In the end, they still need surgery to solve the problem.
.This is a minor operation. Gynecological uterine fibroid removal is like surgical appendectomy. It is a minor operation for practice, so Wang Yu asked Xiao Chu to partner with him.
Xiao Chu's basic skills are quite solid, and with these days of experience, he is basically familiar with the environment and procedures of the operating room. Therefore, although Wang Yu stands in the position of the surgeon, all he does is give Xiao Chu a start.
. Start to remove the tumor. Since the tumor between the uterine walls is often surrounded by a layer of fibrous capsule, it is relatively easy to remove. Sometimes it is like peeling an egg. It comes out as soon as you squeeze it. As long as the fibroids are properly dealt with
The blood supplying blood vessels were enough. The fibroid was peeled off quickly, but Xiao Chu clamped it with a hemostatic forceps several times, but it didn't stop the bleeding. The blood still oozed out in a small amount, and cold sweat broke out on Xiao Chu's forehead. Wang
Yu suddenly had a premonition that something was not going well, and signaled Xiao Chu to wipe the bleeding point with gauze. Wang Yu also saw no obvious bleeding blood vessels. Wang Yu's heart skipped a beat, and signaled the nurse to transfuse blood, while he and Xiao Chu continued to search for the bleeding point.
There is no relationship between large blood vessels and small blood vessels during the operation. Large blood vessels are easy to ligate, and small blood vessels can be compressed to stop the bleeding. The most fearful thing is this kind of moderate bleeding, because this kind of bleeding cannot be found
At the bleeding point, applying pressure to stop the bleeding was ineffective, and sometimes even fatal. The pound of blood was quickly transfused, but the blood still leaked out. Even the director came, and the pelvic cavity was still bloody. The nurse hung up the blood again.
He picked up another pound of blood and said softly: "Director, there is only this pound left!" Without raising his head, the director asked in a low voice: "Why are there so few preparations?" The nurse replied: "The patient has a rare blood type, type AB.
Rh negative, these two bags were transferred from the blood provincial station. Besides, who would have thought of such a simple operation..." Wang Yu couldn't help but shake his head after hearing this. Yes, small things often lead to big problems. How many veteran experts often end up...
Did he fail in a simple appendix surgery? The director raised his head and said seriously: "Wang Yu, go talk to your family. There is no other way now. If you want to save your life, you can only remove the uterus!" The words faded.
The patient Qi Yaoyao screamed: "Don't cut my uterus, I haven't given birth yet?" Since this kind of surgery only involves spinal anesthesia, the patient's consciousness is clear. When she heard that the uterus was going to be removed, Qi Yaoyao couldn't help but scream.
He got up, but the director ignored him and signaled Wang Yu to go quickly. Wang Yu left quickly, but he still heard Qi Yaoyao shouting at the top of her lungs: "Don't cut my uterus, don't cut my uterus!" Wang Yu quickly took off his clothes.
The surgical gown was thinking: Should we ask for the patient's own opinion when making decisions about a conscious patient like this, instead of asking for the opinion of the patient's family? After all, the body is one's own, and only the patient has the right to make the decision. For example, a
For a pregnant woman with dystocia, if her husband says to save the child, it means giving up the adult's life and putting her life in the hands of others. Isn't this ridiculous?
Wang Yu walked out of the operating room and shouted: "Who are the family members of the patient?" A group of people gathered around, and Wang Yu asked again: "Who has the right to decide?" A strong young man stood in front of Wang Yu and said: "I
He is Qi Yaoyao's husband!" Wang Yu nodded and said: "Due to the congenital mutation of the patient's blood vessels, the patient is bleeding heavily. If he wants to save his life, he can only remove the uterus. Please think about it and make a decision immediately!" The young man asked in surprise: "It must be done.
Removal of the uterus? But we don’t have a child yet, can’t I give him a blood transfusion?” Wang Yu shook his head and said, “Please believe us, this is a last resort. Your lover’s blood type is a rare blood type, and neither of you will be able to match it. Besides, now
It's too late!" Wang Yu could see that the young man was in a lot of trouble, but he still had to remind him that if the pound of blood was used up, he would not be able to save his life: "Please make a decision quickly, time waits for no one!" The young man finally trembled.
Started signing the consent form.
Wang Yu will never forget that moment. They were busy removing the patient's uterus, while the patient was crying with tears on her face and begging hoarsely, "Don't cut my uterus!" I don't know if the patient was aware that if her uterus was not cut, her uterus would be removed.
She will definitely die, but the helplessness of this kind of modern technology in the face of the laws of nature really makes Wang Yu shocked and guilty!
Wang Yu returned to the office feebly. Although he was very depressed, he knew that the one who needed comfort most now was Chu Yiming. He could be said to have experienced strong winds and waves, but this was the first time for Chu Yiming.
Wang Yu had personally experienced the helplessness and guilt in his heart. Sure enough, Xiao Chu was sitting in the office like a statue. Wang Yu went over and patted him on the shoulder and said: "Xiao Chu, don't be depressed, it's none of your business."
No one can avoid this!" Xiao Chu turned around and said: "Brother Wang, I'm not depressed, I just feel that I am useless. It is cruel to have no uterus at such a young age!
Wang Yu nodded and said, "That's true sometimes, but if you try to think about it this way, it's much better than dying on stage, right?" Xiao Chu nodded and said, "Don't worry, Brother Wang, I'm fine!"
Wang Yu nodded and left. It seemed that Xiao Chu was much stronger than he thought!
The next day, Wang Yu was reading a book when someone knocked on the door. Wang Yu shouted: "Come in!"
A man walked in, it was Qi Yaoyao's husband. The visitor came in and smiled slightly and said, "Doctor Wang, can I ask you a few questions?"
Wang Yu nodded and said, "Okay, please sit down!"
"My name is Duan Haitao. I would like to ask if my wife's hysterectomy was an accident or normal?"
Wang Yu knew that this was an attempt to investigate, but this Duan Haitao was more civilized. He smiled slightly and said: "It's normal. In our medical terms, it means that there are unforeseen circumstances during the operation, and it's your lover's
Congenital blood vessel variation means that her blood vessels are different from those of ordinary people, so she suffered from massive bleeding."
Duan Haitao then asked: "Since it is normal, why was it said to be fibroid removal in advance and then changed to uterine removal?"
"Surgery is not static. No one can predict what will happen during the operation. This is also beyond the reach of modern medicine. You also saw this on the operation notice and you signed it!"
"Then why don't you prepare enough plasma?"
"The routine preparation for this kind of surgery is two pounds of plasma. In fact, most patients don't need blood transfusions at all!"
Duan Haitao suddenly became excited and spoke louder: "I don't understand your terminology, but do you know how much pain the hysterectomy has brought to Yaoyao and our family?"
Wang Yu nodded and said: "I know, but as a doctor, I can only guarantee the patient's rights to the greatest extent. The situation like your wife is now is the best we can do! I can only express my regrets.
!”
"Regret?" Duan Haitao finally roared, "Can a regret solve the problem?"
Wang Yu sighed and said: "If you think there is something wrong with my operation, you can apply for a medical malpractice appraisal. This is also your right!"
Duan Haitao closed his eyes in pain, and said after a while: "What's the use? Hasn't Yaoyao's uterus been cut off? Originally, we came to see the doctor because we were not pregnant, but after watching it, we couldn't get pregnant at all.
!”
Wang Yu also felt guilty: "I'm sorry!"
At some point, Duan Haitao opened the door and went out.