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Recently, the Shenzhen Health Commission's sentence "call me" helped pregnant women quickly obtain nucleic acid certificates, triggering heated discussions on the whole network, and netizens praised "Shenzhen Speed". Yesterday (January 9), #Shenzhen emergency caesarean section for pregnant women with untested nucleic acid in other places # also appeared on Weibo hot search, reproducing the speed of Shenzhen, Nandu reporters returned to the doctors involved in the treatment of this matter, reviewing the 50 minutes of life and death.
At 16:05 on January 8, Luohu People's Hospital opened a "green channel" for a second-born mother who was in critical condition of 36 weeks + 4 weeks pregnant, and after 50 minutes, she was successfully sent to the isolation negative pressure surgery room for caesarean section.
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The fetus is at risk of hypoxia asphyxia, and the hospital sends the pregnant mother to a special operating room for 50 minutes
Gao Rui, a doctor at the Luohu District People's Hospital who participated in the treatment at that time, introduced to the Nandu reporter that in the process of inquiring about the medical history, it was found that the pregnant woman had coughed, coughed up sputum and nasal congestion in the past 4 days, and had self-measured body temperature of 38 ° C the previous day, and there was no recent nucleic acid results and test results, it was difficult to rule out the epidemic-related situation, "but the pregnant woman's delivery period was only 36 weeks + 4 days, less than a month, and the preliminary examination found that there were a number of high-risk factors." ”
At present, high-risk pregnant women have suspected symptoms and no recent nucleic acid results, how should the hospital deal with the problem in the face of difficulties? "In order to ensure the safety of the mother and baby, we launched an emergency plan, opened a green channel, and transferred her to the isolation delivery room through the 'suspected COVID-19 patient transfer process'." Gao Rui recalled, "In further examination, it was found that the pregnant woman may have 'placental abruption', the situation is critical, if the treatment is not timely, the fetus may appear hypoxic asphyxia." Subsequently, the obstetric team immediately launched the placental abruption rescue plan, and Zheng Wenling and Dr. Gao Rui of Luohu District People's Hospital performed an emergency caesarean section for the pregnant mother to terminate the pregnancy.
At 16:55, the pregnant woman passed through a special channel and was transported under negative pressure into the isolation negative pressure surgery room, and dr. Gao Rui and Zheng Wenling performed a cesarean section. At about 17:17, the newborn was successfully delivered, and there was no danger. After the operation, the nucleic acid test results of the mother have also been released and are negative.
It is worth mentioning that during the operation, the doctor found that 1/3 of the placenta of the mother had been stripped off in advance, and the uterine cavity had a large amount of blood, and it was extremely important to rescue it in time. From the arrival of the pregnant woman to the admission to the operating room, it takes only 50 minutes. Gao Rui introduced that under the epidemic situation, if according to the normal reception procedure, the time to wait for the nucleic acid test results and other test results is counted, it will take at least two hours, "but my colleagues are very powerful, in the process of treatment, the medical staff of the laboratory department, the B ultrasound room, the anesthesia department, the operating room, and the neonatology department cooperate with the tacit understanding throughout the process, each link is smooth, and the process of reporting the special situation to the superior is also smooth." ”
Nandu reporter returned to visit and learned that at present, the pregnant woman and the premature baby are hospitalized in the obstetrics and gynecology department and the premature pediatric department for observation, and the situation is good and stable. (To be visited by the family members of the mother to be supplemented)
In the face of risk, the doctor said that "caution and hesitation coexist, but it is the duty to treat patients." ”
Compared with the ordinary admission procedure and caesarean section, the pregnant woman was treated and operated on through the "suspected new crown patient transport process", and the operation was more rigorous and the protection was more stringent. Gao Rui said that this time the treatment can be so smooth, thanks to the hospital's emergency plan and its daily training and exercises with colleagues. Gao Rui said that every time in the process of treating high-risk pregnant women, the heart is cautious and nervous, but as a medical staff, it is the duty to treat patients, "while protecting ourselves, ensuring the safety of mothers and babies, and improving their work, this is our responsibility, and there is nothing to praise." ”
This is not the only "special pregnant mother" recently faced by Luohu District People's Hospital, on January 8, the obstetrician also treated a pregnant woman with a health code of red code, while doing a good job of protection, ensuring the prevention and control of hospital infection, while ensuring the safety of pregnant women's lives. Qin Chenglu, director of the obstetrics department of Luohu District People's Hospital, introduced that since the outbreak of the epidemic, district leaders and hospital leaders have attached great importance to various emergencies under the epidemic, formulated various emergency plans, and strengthened daily training and exercises. ”
Author: Zheng Shaochun, researcher at Shenzhen Big Thing Think Tank