On this day, the operating room of Taihe County People's Hospital was brightly lit, and the medical staff carried out one operation after another in a tense and orderly manner. The emergency phone rang, and an anxious voice came from inside: "Hurry up and vacate an operating room, the mother cannot lie flat, sit and breathe, and need to undergo an emergency cesarean section." "Upon receiving the notice, the operating room and the anesthesiology department prepared rescue items for the first time, and at the same time notified the neonatology department, obstetricians and midwives to arrive urgently.
Lu Lina, deputy chief doctor of the obstetrics department, pushed the mother into the operating room in a wheelchair, and the mother sat on the operating table and could not lie flat, sweating heavily and breathing hard. It turned out that the mother was a severe preeclampsia patient with a sudden onset of acute left heart failure and pulmonary edema at 30 weeks of pregnancy. After fully understanding the condition, Dr. Ye Pengfei and Dr. Han Jingwen of the Department of Anesthesiology gave the patient ECG monitoring while comforting the patient, and the nurse in charge of the nursing department Tengyu also gave the patient an emergency opening of the intravenous channel. When blood pressure is measured, the patient's blood pressure has been high to the extent that the cuff sphygmomanometer cannot monitor it, the patient is becoming more and more irritable, breathing is becoming more and more difficult, and urgent surgery is needed, and it is urgent...
"The situation is urgent, immediate general anesthesia!" Ye Pengfei said to the medical staff who were ready to be present. Rescue supplies are fully equipped for anesthesia to start, Han Jingwen skillfully and quickly intubates the trachea to ensure the patient's respiratory safety, all the medical staff on and off the stage are methodically and perfectly cooperate with each other, the operation is fast, a baby boy is smoothly cut out, and the baby is handed over to the obstetrician, midwife and neonatologist under the stage for emergency rescue, and safely escorted to the neonatal department. The operative anesthesiologist maintains airway patency, blood pressure reduction, vasodilation, diuresis, and with the efforts of all medical staff, the mother's vital signs are stable during the operation, and she is sent to the intensive care unit for continued treatment after surgery. At nine o'clock in the morning of the second day, the mother was awake and successfully extected, with good vital signs and good mental state.
In the face of the dangerous condition of difficult and critically ill pregnant women and the challenge of high-risk anesthesia, the Department of Anesthesiology, Obstetrics, Neonatology and Critical Care Medicine has once again successfully completed multidisciplinary collaboration, which not only reflects the technical level of each specialty and the comprehensive critical care ability of our hospital, but also once again proves the trustworthiness of MDT team collaboration in Taihe County People's Hospital.
In the face of the dangerous severe eclampsia,
Pregnant mothers can't take it lightly!
So what is eclampsia?
What is the pre-severe eclampsia?
Before that, learn about a disease that is not unfamiliar with "hypertension".
High blood pressure is what we usually understand as blood pressure 120/80mmhg above normal. Hypertension in pregnancy is the first hypertension that occurs after 20 weeks of gestation, followed by preeclampsia, that is, after 20 weeks of pregnancy, the pregnant woman has a systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg, accompanied by any of the following: urine protein quantitative ≥ 0.3 g/24 h, or urine protein/creatinine ratio ≥ 0.3, or random urine protein ≥ (+) (the method of examination when unconditional protein quantification is performed); no proteinuria but accompanied by any of the following organs or system involvement: heart, lungs, liver, kidney and other important organs , or abnormal changes in the blood system, digestive system, nervous system, placenta ‐ fetal involvement, etc. Persistently elevated blood pressure and/or urine protein levels, or organ involvement or placental‐ fetal complications in pregnant women, are manifestations of preeclampsia progression.
Therefore, as the name suggests, severe preeclampsia is a further development of preeclampsia, that is, any of the following manifestations of preeclampsia in pregnant women with preeclampsia are: (1) persistent increase in blood pressure is uncontrollable: systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 110 mmHg; (2) persistent headache, visual impairment or other central nervous system abnormalities; (3) persistent epigastric pain and subcapsular hematoma or liver rupture ;(4) Abnormal aminotransferase levels: elevated serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST); 5) impaired renal function: urine protein quantification > 2.0 g/24 h; oliguria (24 h urine output).
Pregnant mothers should often monitor their blood pressure after 20 weeks of pregnancy, if there is a increase in blood pressure, seek medical treatment in time, follow the doctor's advice to adjust in time, Taihe County People's Hospital Obstetrics and Gynecology Clinic can be routine obstetric examination and documentation, the whole process of care for you a whole pregnancy until a smooth delivery. The Anesthesiology Department has also routinely carried out painless delivery techniques, which relieve pain during childbirth analgesia and reduce pain for expectant mothers to no longer experience pain, and reduce the fear of childbirth and postpartum tiredness. Painless natural childbirth is the perfect choice for expectant mothers!
Text: Department of Anesthesiology Han Jingwen
Audit: Medical Services Division
EDIT: Public Information Section