Ms. Wu is 31 years old this year,
8 months pregnant,
If nothing else,
She will have her second baby in February.
However, just a few days ago,
She often coughed up blood from time to time,
The doctors who visited the hospital at the time considered that she was pregnant,
Because the situation is not serious,
Fear of hemostatic drugs having an effect on the fetus,
No special treatment was done.
At about 11 a.m. on January 10,
Ms. Wu suddenly felt unwell,
Was sent to the rescue room of Xiamen Hongai Hospital,
In less than half an hour,
The volume of hemoptysis is up to 500 ml.
If the blood does not stop,
Hemoptysis is likely to block the trachea,
causes choking in pregnant women,
or hemorrhagic shock,
Both lives will face the threat of death.
The Emergency Medicine Department immediately opened a green channel,
Choose the drug that has the least effect on the fetus for hemostasis,
And urgently call the maternity hospital, the department of critical care medicine,
Department of Anesthesia Surgery, Department of Interventional Therapy, Department of Respiratory Medicine.
At 11:35 a.m. on the same day
The departments quickly assembled,
Multidisciplinary emergency consultation in the rescue room.
"Further hemostasis operations will definitely hurt the fetus!"
"Considering that the fetus is 34 weeks old, there is a high chance of survival at this time!"
"We try to finish the caesarean section in about half an hour!"
The departments agreed,
Every effort must be made to save two lives.
Shen Kaijin, director of the Emergency Medicine Department, while organizing the general department to stabilize vital signs, immediately made a comprehensive decision, asking the maternity hospital to remove the fetus first, and then perform hemostasis through interventional treatment.
The Emergency Department of Emergency Medicine performed controlled fluid resuscitation and kept the airway open, and Ms. Wu was escorted all the way to the operating room at the green light, which was already 12 o'clock.
The baton was handed
Hands of obstetrics and gynecology hospitals and anesthesia surgery departments.
Director Yang Hualing of the Anesthesia Surgery Department performed tracheal intubation for pregnant women, and Tong Meihe, director of maternity hospital, performed caesarean section surgery.
After 2 minutes, Tong Meihe and the director successfully removed a baby girl weighing 4.3 kilograms, and the baby girl was mildly suffocated; the neonatologist took over the first time, intubated her trachea, and after successful resuscitation, she was transferred to the neonatology department through the transport system, and the caesarean section lasted 35 minutes.
After the baby is delivered,
The doctor was finally able to perform normal hemostasis.
At 12:39, to save time, seamlessly open the next operation in the same operating room:
The Anesthesia Surgery Department continued to maintain vital signs; the director of the Thoracic Surgery Department Han Kaibao performed bronchoscopy on the spot;
Zeng Yinglang, deputy chief physician of the Department of Interventional Therapy, conducted transvascular interventional treatment for the mother, and through arteriography, it was found that Ms. Wu's right bronchial artery was bleeding, and the doctor finally stopped the bleeding after intervening in embolism.
After the operation, Ms. Wu was sent to the Intensive Care Unit for continued treatment.
Today, Ms. Wu is conscious and her vital signs are stable, and she is about to be transferred to the maternity ward.
The baby is now supporting breathing through a non-invasive ventilator, using breast milk donated by The Milk Donor Curry Loving Mother's breast milk for feeding, eating and sleeping soundly, and it is expected that the respiratory support will be removed in these two days.
Shen Kaijin, director of the Department of Emergency Medicine, said:
The cause of Ms. Wu's bleeding was pulmonary artery-bronchial fistula, which needs further investigation.
This life relay involving multiple departments is interlocked, and if any of these links are not smooth enough, the mother and baby will be in danger.
At the same time, we remind the majority of pregnant women and their families that they must pay close attention to their own situation, and if there is an abnormality, they must go to the hospital emergency department in time to avoid delaying the treatment time.
Fujian Health Daily all-media reporter: Liao Xiaoyong
Correspondent: Mao Lingzhi
Source: Fujian Health News