After handling the placenta, Wu Xiangdong was about to suture it, but something happened to Li Yanan.

The fetus wrapped in her quilt was as small and sweet as a kitten. It was the first time for Li Yanan to come into close contact with such a small baby. Li Yanan couldn't bear to see it curled up into a ball.

However, after the baby is delivered, a preliminary examination is required according to the procedure. In addition to checking whether there are any deformities in the appearance, it is also necessary to evaluate whether the functions of various organs are normal.

"One nose, one mouth, two eyes, two ears, two arms, two legs, five fingers and five toes..."

Li Yanan followed the instructions and checked from head to toe, but at this time she noticed something was wrong, because the baby was too quiet, and no matter how Li Yanan checked him, he seemed to be asleep.

"Doctor Wu, come here and take a look. There seems to be something wrong with the child." Li Yanan immediately reported what he saw. Wu Xiangdong did not dare to delay when he saw that there was something wrong with the child. He immediately put down the needle and thread in his hand and came to the table.

"His lips actually started to turn purple, and his muscle reflexes were also weakening." Wu Xiangdong looked at the baby's slightly undulating chest, as if something was hindering his breathing.

Wu Xiangdong grabbed the quilt and hung the baby head down, tapping the baby's back gently with his right fingers.

Once, twice, three times...

Wu Xiangdong performed rhythmic tapping according to the characteristics of the newborn's lungs. After a while, the baby coughed up some light yellow liquid from its mouth, and then returned to its previous quiet state.

"The newborn has aspiration of amniotic fluid, the body is inactive, and there are symptoms of ischemia and hypoxia." Wu Xiangdong took off the stethoscope and rubbed it on the baby. A weak heartbeat came from the stethoscope to Wu Xiangdong's ear. He probably gave it up.

Suddenly, there were only seventy or eighty heartbeats, which was extremely abnormal for a newborn baby.

The normal heart rate of a newborn should be between 120-160 beats/min. This is because the newborn’s cardiovascular system is not fully developed, has a relatively fast metabolism and requires a large amount of oxygen, but the newborn’s heart ejects very limited blood each time in order to supply blood to the whole body.

The heart will compensate by increasing the number of heartbeats.

"If this continues, the baby's blood supply will only get worse and worse." When Wu Xiangdong heard the baby's slower and slower heartbeat, he immediately thought of the pregnant woman's sudden cardiac arrest due to ischemia. He immediately took off his stethoscope and laid the baby flat on his back.

On the table, the buttons of the quilt were unbuttoned, revealing a chest the size of a baby's thumb.

Wu Xiangdong put his thumbs together, hugged the baby's chest with both hands, and supported the back with the other four fingers. This action was a bit like the chatting and typing posture of mobile phone users in the future, but the slight difference was that Wu Xiangdong's thumbs were always fixed on the baby's chest.

On the sternum.

One two one, two two one, three two one, four two one...

Wu Xiangdong recited the formula silently according to his own rhythm while pressing.

"Is this the thumb compression method for newborn resuscitation?" Li Yanan knew this because her best friend was a nurse in the gynecology and neonatal department, so she imparted relevant knowledge and experience to her whenever possible.

However, the thumb compression method is very different from chest compression in the traditional sense. It is suitable for rescuing infants and young children. The depth of compression should be calculated based on the diameter of the baby's front and rear chest. Generally, it is 1/3 of it to produce a palpable pulse.

Effect.

At this time, Wu Xiangdong's thumb never left the baby's chest wall. Even after pressing and waiting for the chest to rebound, he kept counting the heartbeats. The compression frequency of more than 150 times soon made the baby's purple skin gradually turn rosy.

But Wu Xiangdong knew in his heart that compression could only temporarily maintain the baby's life. If he wanted to survive, he must first solve the problem of hypoxia.

"Wan Zhihua, please switch with Li Yanan and let her take over your work temporarily. You go to the rescue vehicle to prepare a set of pediatric intubation tools to establish an artificial airway for the baby."

Now there are only three of them medical staff in the entire clinic, a doctor, a nurse, and an anesthetist. Although the staff is fully equipped, the pressure of having to rescue two patients at the same time, one of which is a newborn baby, can be imagined.

"It's really difficult to intubate a newborn." Wu Xiangdong's arrangement doubled Wan Zhihua's pressure. Although he is a senior anesthesiologist, most of the patients he handles are adults, and even the youngest children are almost two or three years old.

, you don’t really encounter many premature babies like those who are just born.

But now, as the only anesthesiologist in the room, he had no choice but to bite the bullet. He found the pediatric endotracheal tube from the ambulance, deliberately selected the thinnest one, and ran over with a laryngoscope.

At this time, Wu Xiangdong was still pressing, but the position of the intubation tube had been moved out. Upon seeing this, Wan Zhihua immediately stepped forward. He used his right thumb, middle finger and index finger to lift the baby's lower jaw and open his mouth.

Hold the laryngoscope in your left hand and go deep into the newborn's mouth to expose the uvula. Then, the mirror body goes deep into the newborn's pharynx along the back of the tongue, lifts up the epiglottis, and exposes the glottis.

The initial work went surprisingly smoothly, but when Wan Zhihua passed the catheter from the baby's mouth through the glottis, he ran into trouble.

"The newborn's glottis is too narrow, and the catheter I was holding couldn't be inserted in." After a while, Wan Zhihua was soaked all over, and the bright green surgical clothes gradually turned into dark black. He held the catheter and hung it over the newborn.

There was no progress at all in his mouth.

Wan Zhihua's eyes were so anxious that his eyes were red, and big beads of sweat were dripping down his neck. The obstruction of the intubation here made people very anxious, but Li Yanan on the other side was also in trouble.

High-intensity chest compressions are indeed difficult for a fragile little girl. Due to her pregnant figure and the high height of the examination bed, Li Yanan could only stand on tiptoes to perform chest compressions, which put a great strain on her physical strength.

.

"Second cycle, 1001, 1002, 1003..." Li Yanan gritted his teeth and insisted. A pair of small hands kept pressing on the huge body. His arms were numb, and even the gastrocnemius muscles in his calves began to become sore and swollen, but

But she refused to stop, for fear of dragging everyone down for her own reasons.

Sweat continued to break out from her face, her entire back was already wet, and steam could even be seen rising from Li Yanan's collar.

The two people on the left and the right looked solemn and silent. There was a tense atmosphere in the whole clinic. In the corner, the family members who saw his wife and children rescuing had already burst into tears. He covered his face and cried and did not dare to look at them, but

He was also afraid that this would be their last meeting, and the despair in his heart seemed to tear him apart.

"Live on, don't give up." Wu Xiangdong looked at the dying baby in front of him, and kept hitting his heart under the sternum with his thumb. Just as Wu Xiangdong's last round of compressions was about to end, a sudden burst of energy came from the fingertips placed in front of the sternum.
Chapter completed!