This thrilling treatment took place at 4 am.
A rescue team composed of more than 20 people from obstetrics, anesthesiology, ICU, operating room, pediatrics and other disciplines in the Third Affiliated Hospital of Zheng Da successfully "robbed" the maternal and fetal lives from "amniotic fluid embolism", a serious childbirth complication with a mortality rate of 80%.
Lily, a 34-year-old second-born mother, is also a doctor in a hospital in Zhengzhou. She chose to give birth in the Third Affiliated Hospital of Zheng Da because of her trust in the obstetrics specialty of the Third Affiliated Hospital of Zheng Da.
When Lily was born, the early stage went well. However, at 3: 55 in the morning, when her cervix was completely opened, she suddenly developed cough, irritability and nervousness, followed by slow response, disturbance of consciousness and failure of fetal heart monitoring. Her blood pressure dropped, and the vital monitor showed that her blood pressure dropped to 70/50mmHg, and her blood oxygen saturation dropped to 80%. ...
With years of clinical experience, doctors and midwives initially judged that the patient was likely to have amniotic fluid embolism, and immediately started the emergency plan for amniotic fluid embolism rescue. Under the guidance of the hospital-level multidisciplinary rescue team led by Xu Yajuan, director of obstetrics, Wang, director of obstetrics, and deputy chief physician immediately performed emergency cesarean section, and a life-and-death rescue began.
After a short and long 9 minutes, a baby boy gave birth at 4: 04. After the rescue and recovery of pediatricians and midwives, the newborn gave a loud cry, and everyone breathed a sigh of relief.
However, after the delivery of the fetus, the maternal uterus contracted badly, the wound bled violently, the blood pressure continued to drop, and the bleeding exceeded 3000mL in a short time, and the blood did not coagulate. The hospital-level multidisciplinary rescue group believed that the parturient had disseminated intravascular coagulation (DIC) and intractable postpartum hemorrhage. In order to save the young woman's life, the rescue team decisively decided to remove the uterus.
On the operating table, several medical staff skillfully cooperated, carefully operated and strictly stopped bleeding. Under the operating table, the rescue team carried out their duties in an orderly manner. Hu, Director of Obstetric Ward, Han Ning, Director of Delivery Room, and Head Nurse communicate calmly. Lin Jing, the director on duty and director of the Party Office, and Xu Yunfei, deputy director of the Medical Department, coordinate and organize the delivery of first-aid drugs and blood products and the cooperation between various departments. Jiang Lihua, Director of Anesthesiology Department, and Wang Lixin, Chief Head Nurse of Operating Room, participated in maintaining blood pressure, heart rate and breathing at the scene, and performed central venous catheterization and tracheal intubation, which were given by departments such as Critical Care Medicine Department, Blood Transfusion Department, Laboratory Department and Pharmacy Department.
Finally, after more than four hours of soul-stirring rescue, with the help of Qi Xin, a medical worker, Lily's pale face gradually turned rosy, the surgical wound was completely stopped bleeding, and her vital signs tended to be stable. Everyone finally saved their mother from death!
During the operation, the cumulative amount of maternal bleeding reached 5500mL. For Lily, who weighs less than 60 kilograms, this amount of bleeding is equivalent to a whole body exchange. After the vital signs were stable, everyone escorted her to the intensive care unit for further treatment, and the newborn was transferred to the neonatal department for observation and treatment after resuscitation. All the medical staff present stayed up all night, but no one shouted tired.
The moment the medical staff saw Lily walk out of the operating room, her husband immediately greeted her and kept thanking the medical staff. I never thought such a dangerous complication would happen, he said. This time, it was the medical staff of the Third Affiliated Hospital of Zheng Da who gave his lover a second life. It was obstetricians who successfully brought their babies into this world. It was the Third Affiliated Hospital of Zheng Da that gave their family the hope of health and safety!
At present, after careful treatment and nursing in neonatology, intensive care medicine and obstetrics, Lily and her children have recovered and been discharged.
It is understood that amniotic fluid embolism is an acute pulmonary embolism, anaphylactic shock, disseminated intravascular coagulation or sudden death caused by amniotic fluid suddenly entering the maternal blood circulation during childbirth, which is a rare and extremely critical complication in obstetrics. DIC, severe shock and multiple organ failure are very difficult to treat in clinic, which develop rapidly and have high mortality. The incidence of amniotic fluid embolism is about 4/65438+6/65438+6 million, and the highest mortality rate is over 80%, which is one of the main causes of maternal death. At present, there is no complete prevention method.
Lily's ability to stand the test of death is closely related to the early identification ability of obstetrics department of Zheng Da Third Affiliated Hospital, the effective implementation of emergency plan and the full cooperation of the team. The Third Affiliated Hospital of Zheng Da will always strive to ensure the safety of pregnant women and newborns, and constantly create life miracles with superb medical skills and high-quality nursing technology.
Delivery room Liu Yanxinghe
Editor: Liang Xiao