Qilu Evening News Qilu One Point Reporter Zhang Xiaoguang Wu Yu Trainee Reporter Zhang Guangyi Correspondent You Kai Chen Yuan
Jasmine fragrance companion, grass to the mother.
Zi Mo and Zi Xuan, this is the name Guo Siyuan gave to the newborn twin daughter, symbolizing the great maternal love and eternal companionship.
In the hospital room, Guo Siyuan held the hand of his sleeping wife Li Man on the bed, and he sighed: "I can't imagine, a few days ago I almost lost them forever..."
A week ago, Li Man, who was seven and a half months pregnant, was transferred to the obstetrics department of Zibo Central Hospital due to severe anemia.
"After admission, the physical examination found that the patient's blood pressure increased, brown urine, hemolysis, liver function damage, etc., the anemia was gradually aggravated, and the maternal condition continued to deteriorate, considering HELLP syndrome..." Duan Peter, director of obstetrics, introduced Li Man's condition.
Qilu Evening News Qilu One Point reporter learned on the spot that this rescue battle concerning the lives of mother and son, Zibo Central Hospital dispatched a total of 7 departments, nearly 20 medical staff, and remotely dispatched and screened 2,000 ml of washed red blood cells from the blood station.
In the operating room, all the medical staff are doing their best to carry out this life-and-death game, just to protect these three living lives and the three families behind them.
At present, Li Man has been transferred from the ICU back to the general ward for postoperative rehabilitation, while her twin daughters are in stable condition in the neonatal intensive care unit and are gradually recovering...
Severe anemia, blood in the body continues to "disappear"
Medical history and symptoms are important factors for doctors to make initial judgments.
At 2 p.m. on January 16, Ma Airong, the director of obstetrics, was receiving treatment when an unusually pale pregnant woman walked into the clinic.
"There is edema all over the body, the lips and face are pallor and abnormal, and there is a clear appearance of severe anemia." Ma Airong recalls his first meeting with Li Man.
And Li Man's blood routine confirmed her judgment. The test results showed that the red blood cell value was 1.36 and the hemoglobin was 53 g/L.
"The value of normal female red blood cells is 3.8 to 5.1, and the value of hemoglobin is 115 to 150g/L, and Li Man is not even half of the normal value." Holding this extremely abnormal test result, Ma Airong frowned and looked at the young twin mother in front of him, with a little more worry on his face.
Subsequently, in the inquiry of li man and his family's condition, it was learned that on January 15, when Li Man was in a foreign hospital for routine obstetric examination, he found hemoglobin 63g/L, and after 1 day of hospitalization in the outer hospital, hemoglobin continued to drop to 53g/L, so the local hospital suggested that he immediately transfer to Zibo Central Hospital for treatment.
In addition to severe anemia, patients also have abnormalities such as hypertension and elevated urine protein. Ma Airong, who has many years of medical experience, understands that Li Man's situation is not optimistic, and if the blood continues to "disappear", it will soon endanger the lives of the mother and son.
Therefore, she immediately contacted the doctor in the ward to urgently arrange for Li Man to be admitted to the hospital.
During the admission examination, Yang Yi, an obstetrician, found that Li Man's urine was brown, and when pressed, he learned that the patient had appeared in the brown urine for 4 consecutive days. Brown urine means that the patient has developed an extremely critical condition during pregnancy--- hemolysis.
Yang Yi immediately reported the situation to the obstetrics director Duan Peter, Duan Peter informed the immediate improvement of the relevant examination, and soon the test results were returned, liver function damage, lactate dehydrogenase increased.
Based on various results, Duan Peter judged that Li Man may have suffered from a high-risk disease during pregnancy, HELLP syndrome.
HELLP syndrome is mostly a serious complication of hypertensive disease during pregnancy, most of which are manifested as thrombocytopenia, liver function damage, hemolysis, etc., which is a serious obstetric complication that endangers maternal life.
Depending on the patient's condition, caesarean section is performed as soon as possible after an emergency blood transfusion to correct the anemia. Immediately prepared for emergency blood transfusion, but after blood matching, it was found that the patient's blood contained irregular antibodies.
"Li Man's condition is special because patients with severe anemia should have blood transfusions as soon as possible, but because her blood contains irregular antibodies, if the blood is transfused according to the conventional matching type, it will cause transfusion hemolysis." And Li Man himself has his own hemolysis situation, if because of blood transfusion to aggravate hemolysis, the consequences will be unimaginable..." Seeing the results, Yang Yi on the side was also very worried.
The hospital blood bank was in emergency, and the city searched for 3 hours
For the mother and daughter trio, blood is life.
Considering that Li Man is a special critically ill pregnant woman with HELLP syndrome, the first treatment is to terminate the pregnancy, but Li Man also suffers from severe anemia, and it is very dangerous to take the risk of surgery.
Under rapid consideration, Duan Peter immediately contacted Chai Juchuan, director of the blood transfusion department of Zibo Central Hospital, and requested that the blood transfusion department urgently match blood.
Because Li Man's blood is positive for irregular antibodies, his blood transfusion requirements are more precise, so when screening blood, in addition to the need for blood type consistency, additional antibody screening is also required for blood of the same blood type.
However, when Chai Juchuan screened all the blood in the hospital, he found that there was only one bag of red blood cells available. Forced by the urgency of time, he immediately contacted the Zibo City Blood Station to request an emergency blood supply.
"Only by ensuring that there is sufficient blood can a caesarean section be performed." Chai Juchuan clearly knew that sufficient blood sources meant the continuation of life for Li Man on the line of life and death at this moment.
At this time, it was already 8 p.m. on January 16, and the blood bank staff who had already left work immediately returned to work after receiving the notice and began blood screening.
The screening lasted for more than three hours, and at about 12 p.m., 120 cars honked and 10 bags of washed red blood cells were finally screened out by the blood bank and sent to the hospital.
The obstetric department began to transfuse Li Man's blood for the first time.
However, Li Man's condition was far more serious than imagined.
During the blood transfusion process, Li Man had adverse transfusion reactions such as rising body temperature and chills, accompanied by symptoms such as dyspnea and heart failure.
Seeing this, Duan Peter's brow tightened, "Suspend blood transfusion, in order to ensure maternal safety, immediately contact the operating room, transfer to the operating room for blood transfusion and prepare for surgery!" ”
Considering that the patient has developed critical symptoms such as heart failure, while preparing for the operation, Duan Peter contacted Wang Yang of the Department of Critical Care Medicine, Fu Haibo and Zhang Minglin of the Neonatal Intensive Care Unit to make preparations for rescue, and reported to the Medical Department for support and help.
After making full preoperative preparations, at 1:50 a.m. on January 17, Li Man was pushed into the operating room.
Guo Siyuan, her husband outside the operating room, hugged his mother's shoulder, looked at the light sign of the "operating room", and prayed quietly.
And from this moment on, the life and death test of Li Man and the two children in her womb has just begun...
Multidisciplinary joint treatment, the twins landed safely
Time cannot stand hesitation, and steadfastness and tenacity are the only salvation of life.
Outside the operating room, husbands and parents waited anxiously. In the operating room, Li Man and the two children in his abdomen have also withstood the test of time.
At 2:30 a.m., as Yue Yifeng of the anesthesiology department pushed the anesthetic drug into Li Man's body, the operation began.
Duan Peter was responsible for commanding and dispatching, and the operation was performed by the obstetrics Department Ji Cuixia, Zhou Rongguo and Yang Yi. Under the shadowless lamp, they tacitly cooperated, accompanied by the sound of the operation of the machine and the shallow breathing of the crowd...
At this moment, everyone in this operating room is working hard for the new life of the mother and son.
Within 10 minutes of the operation, two children in the abdomen were born one after another, weighing 2 pounds 6 two and 2 pounds 4 two, respectively.
After the birth of the newborn is very young, immediately handed over to the neonatal doctor for treatment, the neonatal doctor immediately gave resuscitation, two times three times, the operating room remembered the first baby's loud cry.
However, a few minutes after the birth of the second child, there was a sudden cardiac arrest, Fu Haibo and Zhang Minglin immediately began to rescue, and Yue Yifeng intubated the child's trachea.
On the other side, the three chief surgeons of the obstetrics department and Wang Yang of the department of intensive care medicine are rescuing the mother every second.
Duan Peter closely watched the progress of the operation and went out to communicate with the maternal family many times, explain the condition, and reassure the family.
As the minutes and seconds passed, another baby was successfully revived and his heartbeat returned to normal.
The cry of the baby is like a ray of hope, penetrating the atrium of all people's hearts.
Outside the operating room, Guo Siyuan, seeing their two children in the transport incubator launched by the operating room, shed tears of excitement.
"Because the two children are premature babies, coupled with the fact that the mother suffers from severe anemia, the child's weight is too small, so it is necessary to transfer them to the neonatal intensive care unit for observation, the adults are still in the rescue, the current condition is stable, don't worry." Then Duan Peter explained to Guo Siyuan.
At 3:30 a.m., the surgery was over. After an hour of observation in the operating room, the woman Li Man was transferred to the ICU for postoperative treatment.
When he learned that the mother and daughter were safe, Guo Siyuan, a man of nearly thirty, leaned over his mother's shoulder and cried loudly. "For two long hours, all I could do was wait and pray." The man's intermittent voice also moved the obstetric staff on the side.
Two days later, Li Man's condition returned to stability and he was transferred back to the maternity ward.
On January 25, the Qilu Evening News Qilu one-point reporter came to the hospital, and there was a scene at the beginning of the article...
Later, when Li Man talked about the experience, she said: "In fact, I don't remember what happened in the middle, but when I opened my eyes to look for the child, the first thing I heard was Director Duan telling me that the child was very good, really grateful, thank you to all the medical staff." ”
Guo Siyuan, the husband on the side, also said: "This is really a big thing in our family, thank you for saving my family and giving us a complete home." ”
Thinking back to the scene a few days ago, the corners of Guo Siyuan's eyes were moist again.
"Jasmine and Grass" is not only a commemoration of this tenacious life game with the mother, but also the eternal love that parents give to their children.
Similar cases are not isolated obstetrics, and emergency treatment highlights the level of the department
In the obstetrics department of Zibo Central Hospital, emergency critical cases such as "Li Man" are not uncommon.
On October 20, 2021, Tian Xi, who was 26 weeks pregnant, fell unexpectedly while working and was urgently transferred to the obstetrics department of Zibo Central Hospital.
"At that time, the patient's uterine orifice had been enlarged by nearly 3 centimeters, the amniotic sac was protruding significantly, and there was a risk of miscarriage at any time, and if he wanted to save the fetus, he needed to implement emergency cervical cerclage as soon as possible." But at the same time, she also had contractions, which are contraindicated in emergency ligation, and contractions must be suppressed before they can be operated on. According to the patient's situation after admission, Duan Peter introduced.
Duan Peter introduced the relevant situation to the patients and their families, inhibiting the possibility of uterine contractions at any time, the possibility of uterine opening, premature rupture of membranes, and infection, and the probability of success of surgery is not large, and there is also a great risk of infection and premature birth after surgery, the superposition of a variety of problems, and the prognosis that is difficult to predict. All of the above made the patients and their families very hesitant, and after an afternoon of discussion, they chose to give up the fetus in the womb.
After Duan Peter and Yang Xiuzhi learned that the family had given up, they organized a discussion in the department and believed that the fetus had been 26 weeks old, and it was a pity to give up.
Moreover, they believe that pregnant women who re-conceive after miscarriage are at higher risk of cervical insufficiency.
"Although patients choose to give up, as doctors, children are also a small life, and we can't give up lightly." Duan Peter and Yang Xiuzhi proposed a solution and communicated with the patients repeatedly for a long time in the ward. In the end, the patient and his family chose to believe them and agreed to cooperate with the treatment.
Through timely suppression of contractions, fine surgical operations, postoperative special group care, strict prevention of infection, active prevention of preterm birth and other treatments, one week after the operation, the patient will be safely discharged from the hospital and regularly go to the outpatient clinic for re-examination.
After the operation, Tian Xi was also successfully pregnant to 37 weeks under the professional care of obstetric personnel.
At the 37th week of pregnancy, that is, on January 7, 2022, Tian Xi gave the removal of sutures, followed by self-rupture of membranes, regular contractions, painless delivery and doula accompanying delivery, and a healthy and lovely boy was born smoothly. In the delivery room, the father of the accompanying child excitedly cut the baby's umbilical cord, printed footprints, and wrapped a small quilt.
At that moment, Tian Xi shook Duan Peter's hand and said, "This child was given to us by your obstetrics, if it were not for your professional persistence and protection, I would not have had this child at all, thank you so much!" ”
The safety of Li Man's mother and daughter and the smooth birth of Tian Xi's child not only reflect the multidisciplinary joint treatment and cooperation ability of Zibo Central Hospital, but also reflect the strong emergency treatment ability and advanced medical technology level of the obstetric team.
The safety of mothers and babies is the common aspiration of all families, and the obstetrics department of Zibo Central Hospital has been working hard for this.
The Obstetrics Department of Zibo Central Hospital has a medical team that "can come when called, can fight, and can win". At present, there are nearly 80 medical staff in the department, including 2 chief physicians, 9 deputy chief physicians, and 12 attending physicians, including 3 doctoral students and 17 master's students. "This is a medical team with a perfect talent echelon, superb medical technology and simple medical style." A hospital person commented.
Similarly, the one-on-one dojo delivery, family accompaniment delivery, and integrated wards of maternity and rest in obstetrics provide a comfortable and free delivery environment for women, and can smoothly give birth to children in a warmer environment.
The Obstetrics Department of Zibo Central Hospital, as the treatment center for critically ill pregnant women in Zibo City, is responsible for the referral and treatment of difficult and critically ill pregnant women in the city and surrounding cities. Relying on the strength of the general hospital, in recent years, the continuous progress of obstetric medical technology, the tacit understanding of teamwork, and the gradual enrichment of medical experience have provided more high-quality and efficient medical services for the majority of pregnant women, and will better escort pregnant women in Zibo.