Qilu Evening News Qilu One-Point Reporter Xu Liang Correspondent Zhang Xiaoran Hou Jin
Generalized edema, massive fluid accumulation in the abdominal cavity, decreased fetal motility... A few days ago, Xiaofang (pseudonym), a 38-year-old mother of two children, suffered from the top few "killers" in obstetrics during childbirth - eclampsia. Fortunately, dezhou Municipal Hospital immediately opened a green channel, multidisciplinary joint diagnosis, racing against the clock, and using "mother and child safety" to deliver a perfect answer to the rescue of this life and death speed.
Ten days rose by 20 pounds
Severe eclampsia in a 33-week pregnant woman hangs in the balance
On 25 January, the Obstetrics Department of Dezhou Municipal Hospital accepted a pregnant woman. When she came to the doctor, she had a full body edema, a large effusion in the abdominal cavity, and had no appetite for two days, accompanied by a decrease in urine output and decreased fetal movement. The pregnant woman, named Xiaofang, has been pregnant for 33 weeks, because she once gave birth to a child, she is usually in good health, so she did not have regular obstetric examinations this pregnancy. Unexpectedly, a week ago, Xiaofang's weight suddenly rose sharply, gained nearly 20 pounds in ten days, and began to have symptoms of edema, the highest blood pressure was as high as 170/101mmHg, which came to the hospital.
Chen Wanshan, director of the Second Department of Obstetrics of Dezhou Municipal Hospital, considered that Xiaofang was severe preeclampsia and progressed rapidly, and Hellp syndrome was not excluded. Chen Wanshan immediately arranged to improve the relevant examinations, dynamically monitored the fetus and the patient's vital signs, explained the condition to the family in detail, and reassured the patient and alleviated the patient's anxiety.
Turn on the green channel
Multidisciplinary federation diagnosis outperforms the Grim Reaper
After the examination was perfected, Ren Hualin, assistant to the dean and head of the quality control section, immediately organized a multidisciplinary consultation, and soon, experts from the intensive care unit, surgical anesthesiology, neonatology and blood bank came to the scene to jointly check the patients and understand the condition. After a full assessment of the maternal and fetal situation, experts agreed that the risk of continuing to wait for delivery is high, it may endanger the life of the mother and the baby at any time, and immediate surgery is required to terminate the pregnancy. Permit of no delay! The hospital immediately activated the green channel, the rescue team was in place, and the medical staff were waiting to prepare for the operation.
Intraoperatively, a large amount of intraperitoneal effusion, amniotic fluid contamination, and placental abruption were seen, indicating that the patient's condition was critical and the operation was timely and accurate. After the operation, the mother and the baby were transferred to the intensive care unit for further observation and treatment, at present, Xiaofang's blood pressure is stable, the recovery is good, the newborn is stable, the weight is gradually increased, and will be discharged from the hospital in the near future.
Seemingly "lucky" is actually inevitable
Rich experience to ensure the safety of mothers and babies
"Severe preeclampsia is a serious complication of pregnancy that can lead to reduced perfusion of organs in all systems throughout the body, causing harm to mothers and babies, and even leading to maternal and infant deaths." Chen Wanshan told reporters that the high risk factors for the disease include advanced maternal age, preeclampsia history, hypertension, diabetes, chronic nephritis, multiple pregnancies, and pregnancy intervals greater than ten years. Chen Wanshan reminded that pregnant women with high risk factors and women who are trying to become pregnant must have regular obstetric examinations in a timely manner, monitor blood pressure in accordance with doctors' instructions, and effectively prevent the development of diseases and reduce the damage to mothers and babies through early intervention. If there is a significant aggravation of lower limb edema, rapid weight gain, increased blood pressure, dizziness and other discomfort, you should go to the hospital in time, early detection, early treatment, and minimize the risk.
It seems "lucky", but it is inevitable. From admission to hospitalization, to perfect examination, to multidisciplinary consultation, opening green channels, and completing surgery, the "luck" of one link and one link is inseparable from the conscientious, experienced and skilled medical team. In recent years, the Obstetrics Department of Dezhou Municipal Hospital has strengthened multidisciplinary collaboration, accumulated rich experience in the treatment of pregnant women with severe preeclampsia, HELLP syndrome, dangerous placenta previa and other acute and critical maternal diseases, and the level of treatment has been steadily improved, becoming the "guardian spirit" of maternal and infant safety in Texas.