(Health Times reporter Dong Yingyu)
On January 7, a reporter from the Health Times learned from Xuanwu Hospital of Capital Medical University that in the hospital operating room, with a loud baby crying, Li Xue (pseudonym), a 29-year-old congenital cerebral artery malformation, successfully gave birth to a healthy baby boy. Three months ago, 20 weeks pregnant, she suddenly fainted at home, and her life was hanging in the balance. After the life and death rescue of the hospital's multidisciplinary team, she successfully escaped from danger in critical condition and fulfilled her dream of being a mother.
The patient gives birth to a healthy baby boy. Courtesy of the hospital
On the first day of the Mid-Autumn Festival holiday,
The emergency room came to a critically ill pregnant woman
On the morning of September 19, 2021, Li Xue, a 20-week-pregnant mother-to-be, suddenly fainted at home and was in a deep coma, and her family quickly sent her to the emergency department of Xuanwu Hospital of Capital Medical University. After the hospital learned of it, it immediately opened the green channel, formulated an emergency plan, and the rescue teams of the intervention center, neurosurgery, anesthesia, obstetrics and gynecology were urgently assembled from all directions.
"I learned from my family that the patient had a history of congenital cerebral artery malformations, and doctors highly suspected that the blood vessel malformations were ruptured." Sun Liyong, deputy chief physician of neurosurgery, told The Health Times reporter.
Interventional surgery is performed with craniotomy tension. Courtesy of the hospital
Sun Liyong introduced that from the CT results, it is a very large cerebellar acute hemorrhage, the patient has appeared deep coma when admitted to the hospital, pupil dilation, there is a very dangerous manifestation of cerebral hernia, and the bleeding problem must be solved immediately.
At 9 o'clock, the neurosurgery team urgently performed interventional embolization surgery. They were dealing not only with a patient, but also with a pregnant woman. Even if the family insists on treating adults, as a doctor, no life can be given up lightly. On the one hand, emergency treatment, on the other hand, doctors carefully use lead coats and lead aprons to help patients protect their abdomen and prevent radiation from affecting the fetus.
After the interventional surgery was completed, a thrilling craniotomy began. Removal of lesions, removal of hematomas, adequate decompression... In close coordination with the neurosurgery and operating room teams, the operations are carried out in an orderly manner. "The brain is a confined space, once bleeding, the pressure can not be released, the blood will form a hematoma, quickly compress the surrounding tissues, the brain at this time is like a pressure cooker, the doctor's operation is like opening the lid of the pressure cooker." Sun Liyong said.
Until 6:30 p.m., the 6-hour-long surgery was over. Immediately after the operation, CT showed that the surgical results were satisfactory. The doctor's hanging heart finally let go. "This patient's hernia is the deadliest occipital foramen hernia, and there is no chance of survival without timely treatment." The team's race against the clock and seamless connection has won a glimmer of life for patients. Sun Liyong said with emotion.
There is only one chance to be a mother, and it is also necessary to keep the big and the small
The first round of the sprint was completed, and the baton was handed over to the neurosurgery intensive care unit team. At this time, the biggest problem facing the intensive care unit doctor is how to take into account the adult and the fetus and take an effective treatment plan.
Wang Ning, chief physician of the Neurosurgery Intensive Care Unit, analyzed the patient's condition. Courtesy of the hospital
"The patient's condition is very unstable and termination of pregnancy is not allowed under such conditions. Therefore, every medication and every step of treatment must consider fetal safety. Wang Ning, chief physician of the neurosurgery intensive care unit, said. Fortunately, after two months of careful treatment by the guardianship team, Li Xue crossed one difficulty after another and his condition improved step by step.
In the process of monitoring, the hospital organized a number of multidisciplinary consultations, under the escort of neurosurgery, obstetrics and gynecology, respiratory and other multidisciplinary escorts, Li Xue's small life in the abdomen grew tenaciously, fetal heart rate, development are very good, not affected by treatment.
At 28 weeks of pregnancy, Li Xue's state gradually stabilized and entered the perinatal period. "For this stage, our treatment principle is to do our best to rescue and prolong the gestational age. We went to the ward every day to listen to her fetal heartbeat to see if there were any signs of miscarriage or premature birth, and she especially trusted us. Zhou Qi, chief physician of the Obstetrics and Gynecology Department, told the Health Times reporter.
On the afternoon of December 22, Li Xue was pushed into the operating room, and she eventually gave birth to a healthy baby boy. "The kid was 4 pounds and 6 two, which exceeded our expectations. The crying was also very loud and everything was exceptional. Zhou Qi said happily.
The doctor helped Li Xue do rehabilitation treatment. Courtesy of the hospital
Nowadays, children grow up healthily under everyone's care. Li Xue, who continues to receive treatment in the Medical Rehabilitation Department. In the future, she is expected to return to a semi-natural state through rehabilitation, partially returning to normal life.
For her, who experienced the calamity of life and death a few months ago, this may have been the most satisfactory ending.