"Although this pregnancy was unsuccessful, there is a slight regret, but it has been the best medical outcome." The epidemic is merciless, there is love in the world... I wish all medical staff a hundred 'poisons' and good health! Zhu Jianlong, director of the Department of Obstetrics and Gynecology of Pudong Hospital, recently received a handwritten thank-you letter from an ectopic pregnancy patient and his family. This letter let him call "warmth" directly in this special April.
As the largest comprehensive obstetrics and gynecology department in the south of Pudong New Area, in the Department of Obstetrics and Gynecology of Pudong Hospital, nearly half of the resident sampling teams from the director in their 50s to the resident residents in their 20s are all over Pudong New Area. Since the outbreak of this round of epidemics, a special "sealing and control ward" has been opened here, which is specially used to treat pregnant women in the sealed area of Pudong.
"Pregnant in October, ripened", in this special period is full of variables, but also to the medical staff to bring more new problems, new challenges.
Thrilling, rescue ectopic pregnancy shock in the confined area
Since the outbreak of this round of the epidemic, due to the dispatch of support tasks, everyone in the obstetrics and gynecology department of Pudong Hospital, which is tightly staffed, has been in a state of "busy busyness" every day. Sometimes, when you think your busy day is over, you don't expect that the thrilling night has just begun.
On the evening of April 1, Ms. Qiao, who lived in the sealed area of Zhuqiao, suddenly felt persistent abdominal pain, and at one point the pain was so painful that she fainted. Ms. Qiao knew she was pregnant in early March, but she had not yet had time to go to the hospital for a maternity examination due to the sudden outbreak. The family was anxious, and after dialing "120", Ms. Qiao was sent to the emergency department of Pudong Hospital.
On the same day, it happened that Dr. Zhu Jianfang received the consultation, and after medical history inquiry and physical examination, Zhu Jianfang suspected that she was ectopic pregnancy and immediately underwent abdominal puncture. Sure enough, 5 ml of non-clotting blood was drawn, at this time, the patient's blood pressure suddenly dropped to 81/54mmHg, and he was pale. Zhu Jianfang immediately opened two venous passages for the patient, and at the same time notified the doctor on duty in the ward: "There is a patient with ectopic pregnancy, hemorrhagic shock, urgent surgery, and ward support!" ”
A detail that has to be mentioned is: at that time, the patient's nucleic acid report results were not out, and Xu Yiqun, the deputy chief physician on duty in the ward, decided to open the green channel and save people! The phone call went to the emergency operating room and the anesthesiology department, and was immediately ready to take place, and another doctor on duty, Ke Huihui, also quickly changed into protective clothing and entered the emergency hall to put in the relevant preoperative preparations.
Soon, the surgery begins. During the operation, only to see that the patient has a rupture in the interstitial part of the right fallopian tube, and the right salpingectomy needs to be performed quickly! Xu Yiqun and Ke Huihui are wearing "big white", wearing 3 layers of gloves, the goggles are all fog and water droplets, the vision is blurred, the operation is much more difficult than usual, and the operation is in difficult progress.
During this period, in order to open up the green channel and transfer blood preparation, laboratory testing and blood collection as soon as possible, Duan Yingchun, deputy director of the Obstetrics and Gynecology Department on duty on the same day, made an emergency report to Xiong Wujun, vice president in charge of medical treatment at Pudong Hospital, and coordinated and coordinated by multiple departments to implement relevant work. During the special period, the blood bank was nervous about blood preparation, seeing that 2 units of red blood cells had been transfused, the patient's blood pressure had not yet recovered, Duan Yingchun immediately contacted the blood bank for emergency allocation, and finally the patient was transfused with 6 units of red blood cells and 400 ml of plasma.
The operation was finally completed, and the patient with hemorrhagic shock from the ectopic pregnancy from the containment area was rescued, and everyone breathed a sigh of relief.
Online and offline 24 hours a day to guard the mothers-to-be
Such sleepless nights are only a small fragment of the "epidemic" of the obstetrics and gynecology team of this hospital. Since the outbreak of this round of the epidemic, the epidemic prevention and control situation is grim, and nearly half of the obstetrics and gynecology department of Pudong Hospital has been stationed in the nucleic acid sampling team, which is the "hotel - sampling point" two points and one line every day.
On the way back from nucleic acid sampling, the medical staff fell asleep tired
The nucleic acid sampling team's "little talk, no work" team of three obstetricians and gynecologists can complete 2500 samples a day, including home sampling for bedridden elderly people.
However, as a designated medical institution in the Pudong Sealing and Control Area, a large number of sealed pregnant women who were originally examined in a maternity and infant, Red House, and Renji Hospital were transferred to the Obstetrics and Gynecology Department of Pudong Hospital. A special "sealing and control ward" was also opened in the hospital.
"The first week of the mothers who were admitted to the ward were somewhat anxious, and while we were paying close attention to treatment and epidemic prevention, we also had to follow up on their psychological state and do a good job of appeasement." Hu Hua, secretary of the women's and children's party branch and director of the obstetrics department of Pudong Hospital, told reporters that as early as March 20, the obstetrics and gynecology department of Pudong Hospital, "120", Pudong Women's And Children's Insurance Center and street neighborhood committees established a "sealing and control circle" WeChat group, which is specifically responsible for docking and following up the demands of pregnant women in the sealing and control area.
"Some people have to be evaluated for hospitalization by 120 transports, but there are many people who are not going to be hospitalized... The sudden outbreak of the epidemic and the measures of community sealing and control have made them have many doubts. At this time, as long as the answer is given, they are not afraid. Hu Hua said that after the group was built, almost 24 hours of WeChat continued, and the doctors at the director level "relayed" to answer various questions of "expectant mothers" in the group, day and night.
In this way, a "sealed ward" and a "sealed control circle" WeChat group are constantly guarding the "expectant mothers" online and offline. From March 20 to April 6, it was transformed into a designated hospital for new crown treatment, and the "sealed ward" received 102 obstetrics, 28 gynecological cases, 76 cases of delivery, and 78 babies were born, of which two mothers also gave birth to twins.
The hospital's "transformation day" was another sleepless night
There is also a special node that also makes doctors unforgettable.
At 9:00 a.m. on April 5, the Obstetrics and Gynecology Department of Pudong Hospital received a notice from the Women's Insurance Institute that 10 pregnant women in the sealed control area had been referred from the Lingang Branch of the Sixth Hospital and a woman and a baby, and their new crown nucleic acid tests were negative. Patients are on their way to be referred and will arrive one after another. On the same day, Pudong Hospital received the unified deployment of Shanghai Municipality, and it will be temporarily transformed into a designated hospital for new crown treatment from 00:00 on the 6th!
"Their condition is very critical, and if they are not admitted, they may delay the time of treatment and endanger the safety of mothers and babies." Director Zhu Jianlong immediately decided, "Collect! After the condition has stabilized, contact the transfer. ”
Among the 10 newly admitted pregnant women, 3 pregnant women needed emergency caesarean section surgery, and 1 pregnant woman had nearly opened her uterine opening and needed to be transferred to the delivery bed as soon as possible. On this day, Li Wenjiao, Zhu Zhanpeng and Ma Dongqin, three doctors on duty, were responsible for treating 10 newly admitted patients, and urgently contacted the operating room and the department of anesthesia to improve preoperative preparations, and two caesarean sections were carried out at the same time.
In the delivery room at this time, the midwife was also tirelessly busy. In just 3 hours, all 10 newly admitted pregnant women were admitted to the hospital and 3 emergency cesarean sections were performed. At the same time, 1 person was born in the delivery room and 4 small lives were born safely in the obstetrics and gynecology department of Pudong Hospital.
Who knows, 3 cesarean section surgeries have just ended, and a pregnant woman in the ward who induced labor suddenly has heavy bleeding, and the risk is extremely high. Dr. Duan Yingchun, who had just finished surgery, put on the "big white" again...
In the blink of an eye, it was dawn. The medical staff did not rest, patiently explained and communicated with the patients, and arranged the transfer direction. In the end, all patients were transferred out safely and smoothly. After more than ten hours of continuous combat of all medical care in the obstetrics and gynecology department, Pudong Hospital has also been officially transformed into a designated hospital for the new crown.
"Most of the women who live here now are pregnant women who are less than 28 weeks old, and many of them are accompanied by family members - if the family members are also positive, they are arranged together by the superiors when they are coordinated for treatment, which is also very humane, which can make pregnant mothers feel more at ease." Zhu Jianlong was in between busy work, quickly made a telephone connection with the reporter. Since the epidemic, including him, many medical care here have not returned home for a long time.
"A doctor, doing his best, to rescue a critically ill pregnant woman, many times the nucleic acid results have not come out, but everyone wearing protective clothing rushed up, did not consider more, I think, this is a doctor's instinct." 」 Hu Hua said.
Author: Tang Wenjia
Editor: Tang Wenjia
Editor-in-Charge: Fan Liping
*Wenhui exclusive manuscript, please indicate the source when reprinting.