novel for you Chapter 815 Mother and daughter are safe
Chapter 815 Mother and daughter are safe
More than ten minutes later, the test report confirmed Wan Lingyun's concerns: platelet count 58x10^9/L, lactate dehydrogenase 680U/L, alanine aminotransferase 120U/L, fibrinogen 1.2g/L - typical preeclampsia combined with HELLP syndrome. The mortality rate of this obstetric critical illness is as high as 20%, and the patient's gestational age is only 34 weeks. Although the fetal survival rate has improved, the mother may suffer from liver rupture, DIC, and acute renal failure at any time.
"Contact the ICU to prepare bedside blood filtration, and notify the neonatal department to prepare for the rescue of premature babies!"
As Wan Lingyun spoke, she asked Feng Chenhui, "Have you called Dr. Chen Yang?"
"I have given the injection. Doctor Chen said he will be here soon." Feng Chenhui said.
When Feng Chenhui called Chen Yang, Chen Yang and Wen Manlu Hanhan were looking at a house. The house was a 120-square-meter three-bedroom apartment. The lighting was good, and the sun was shining through the floor-to-ceiling windows on the balcony onto the beige floor tiles. Hanhan was running around the living room happily with her little feet spread out.
Children are very interested in any new things. When a package arrives at home, they will hold it in their arms, just like a baby.
As he was speaking, Chen Yang received a call from Feng Chenhui.
"what happened?"
After Chen Yang hung up the phone, Wen Manlu asked Chen Yang with concern.
"Lulu, there's an emergency at the hospital. The patient with eclampsia is having convulsions. I need to go take a look."
"I'll go with you."
The good thing about finding a partner who is also a doctor is that you can understand each other.
We are all doctors, and we are aware of the particularity of this profession, so we can give each other the greatest understanding and comfort.
Of course, the disadvantages are also obvious. Both of them are doctors and they must be very busy at work.
Especially for ordinary doctors, there is almost no freedom. Only when they reach Chen Yang's level, they have relatively more freedom.
Chen Yang and Wen Manlu brought Hanhan to the emergency department, and Feng Chenhui hurried over to greet them.
"Doctor Chen...Doctor Wen is here too."
Wen Manlu had taken care of Chen Yang in the hospital before, so some people who were familiar with Chen Yang had seen Wen Manlu.
"How is the patient?" Chen Yang asked.
"The situation is not optimistic. Director Wan is inside." Feng Chenhui said.
When Chen Yang walked into the emergency room, the patient was experiencing his fourth convulsion and his whole body was cyanotic. The nurse was ready to intubate him.
Wan Lingyun's forehead was covered with sweat. When she saw Chen Yang, she seemed to have grasped a life-saving straw: "Doctor Chen, you are finally here. Conventional Western medicine treatment is ineffective. The patient is now in a deep coma, with pupils of different sizes. There is a suspicion of intracranial hemorrhage. The obstetrics department's opinion is to perform a cesarean section immediately to remove the fetus, but the anesthesia risk is extremely high..."
"First stabilize his consciousness and control the convulsions."
Chen Yang walked quickly to the bedside, opened the patient's eyelids, and saw that the whites of the eyes were covered with red threads, the tongue coating was thick and dry yellow, and the tongue was dark purple. He quickly placed his fingertips on the wrist pulse - the pulse was stringy, slippery and rapid, like a knife scraping bamboo, which was a sign of internal liver wind and phlegm and fire disturbing the upper body.
Eclampsia falls into the category of "eclampsia" and "pregnancy spasm" in traditional Chinese medicine. It is mostly caused by liver and kidney yin deficiency. After pregnancy, yin blood gathers to nourish the fetus, causing the liver to lose nourishment, liver yang to rise, internal wind to move, and phlegm and fire to cover the clear orifices.
Chen Yang did the examination and quickly gave a plan: "I'll tell you a prescription and prepare it right away."
“取羚角粉 3 克冲服，急煎羚角钩藤汤加减：羚羊角丝 6g（先煎）、钩藤 15g（后下）、生地黄 20g、白芍 15g、川贝母 10g、竹茹 12g、茯神 15g、石决明 30g（先煎）、牛膝 10g、甘草 6g。” 他语速极快，“另外，准备吴茱萸粉调醋贴涌泉穴，引火下行；耳尖放血，先泻肝火！”
The nurses immediately split up and took action.
As Chen Yang spoke, he looked at Wan Lingyun's previous treatment and said to Wan Lingyun, "In terms of Western medicine, there is no problem in maintaining magnesium sulfate treatment, but the blood magnesium concentration needs to be monitored to prevent excessive respiratory suppression."
"The patient has low platelets, so give him intravenous immunoglobulin and prepare platelet suspension. Once the convulsions are controlled, do a head CT scan immediately to check for intracranial hemorrhage."
"Yeah." Wan Lingyun nodded.
Dissolve the antelope horn powder in warm water and inject it into the stomach through a nasogastric tube.
Ten minutes later, the decocted Chinese medicine decoction was also infused through the stomach tube. Chen Yang stared at the monitor and saw that the blood pressure was still high, but the frequency of convulsions seemed to have slowed down slightly.
Suddenly, the patient uttered a low groan, the stiff muscles in his limbs began to relax, and his pupils' light reflex gradually recovered.
"The convulsions have stopped!" the nurse exclaimed.
The ECG monitoring showed that the heart rate dropped to 110 beats/min, the blood pressure was 165/100mmHg, and the blood oxygen saturation rose to 94%. Wan Lingyun touched the patient's forehead and found that he was sweating, but his body temperature had dropped from 39.2°C to 38.5°C.
"Fortunately, Dr. Chen, you arrived in time."
After walking out of the emergency room, Wan Lingyun was still a little scared.
Chen Yang's level is now recognized by the hospital. No matter what kind of patient, as long as Chen Yang is there, he can turn danger into safety.
"Director Wan, you're joking." Chen Yang smiled modestly.
As she was talking, Wen Manlu came up with Hanhan in her arms: "How is the patient? Is he okay?"
"It's okay. We are out of danger temporarily." Chen Yang said.
"This is Lulu, right?"
Wan Lingyun looked at Wen Manlu with a smile: "I've heard other people talk about Lulu a long time ago. They said Lulu is pretty. This is not just pretty, this is very beautiful."
"This is Director Wan Lingyun." Chen Yang introduced to Wen Manlu.
"Director Wan, you're joking. You're the beautiful one." Wen Manlu said with a smile.
“This is Hanhan.”
Wan Lingyun smiled and looked at Hanhan again: "Auntie will bring a sister to play with you someday."
Hanhan is almost four years old now, and Wan Lingyun’s daughter Xiaoyou is only one year older than Hanhan, so the two of them can be playmates.
"Auntie is so beautiful." Hanhan continued to make use of her sweet talk.
The little girl's mouth is really adorable and she looks cute too.
To be precise, the little girl deserves at least half of the credit for the current situation between Chen Yang and Wen Manlu.
If Hanhan hadn't acted as a middleman and allowed Chen Yang and Wen Manlu to get to know each other first, given Wen Manlu's personality, it might not have been certain that her relationship with Chen Yang would be able to develop further.
"The little guy is really good at talking."
Wan Lingyun smiled and said, "She's better than our little girl in terms of her mouth."
"Mom, is Auntie praising Hanhan?" Hanhan asked Wen Manlu with her head tilted.
"It's praising Hanhan." Wen Manlu said with a smile.
The little girl smiled happily, very happily.
Watching Wen Manlu and Hanhan getting along, Wan Lingyun couldn't help but think of Xun Jiahong.
To be honest, the relationship between Chen Yang and Wen Manlu is somewhat similar to that between her and Xun Jiahong.
Now it seems that Chen Yang and Wen Manlu are getting along very well, and Hanhan and Wen Manlu are also getting along very well, so...
Wan Lingyun couldn't help but be a little distracted.
"Doctor Chen, Director Wan, the CT scan results just came out. There is no intracranial hemorrhage, but cerebral edema."
As they were talking, Feng Chenhui came over with the patient's test results, his eyes showing fatigue but also joy.
"If that's the case, we can do a cesarean section now. The fetus weighs about 2000 grams and has a survival rate of more than 70%." Wan Lingyun said.
Chen Yang nodded: "Chinese medicine treatment has controlled the liver wind. Now we need to nourish yin and blood to prevent postpartum hemorrhage. I will prescribe a postpartum conditioning prescription, heavy use of astragalus, angelica, donkey-hide gelatin, and Panax notoginseng powder to stop bleeding."
After a pause, Chen Yang continued, "The patient's tongue is dark purple, with signs of blood stasis. She may have difficulty in delivering lochia. She needs to add motherwort and salvia miltiorrhiza, but pay attention to the amount of bleeding and adjust at any time."
After the patient's family signed the consent form for surgery, Wan Lingyun began to prepare for the operation.
Chen Yang, Wen Manlu and Hanhan were also waiting in the hospital for a while. After a while, Wu Mengmeng, who learned the news, also came over.
"Master."
Wu Mengmeng greeted Chen Yang first, then smiled and said to Wen Manlu, "Hello, Master's wife."
Wen Manlu's cheeks couldn't help but turn red.
About an hour later, the door of the operating room opened, and Wan Lingyun came out holding the baby wrapped in a pink swaddle, with a smile on her face: "Mother and daughter are safe, premature baby score is 7 points... The mother lost 300ml of blood during the operation, which is much less than expected. It seems that Dr. Chen's Chinese medicine prescription was effective if I drank it before the operation."