Recently, Nanning, Guangxi
A woman had a sudden amniotic fluid embolism
Respiratory failure, cardiac arrest, postpartum hemorrhage
The maternal condition is dangerous
A thrilling life and death rescue
And that's it
August 6
Guangxi Zhuang Autonomous Region Maternal and Child Health Care Hospital Xiangzhuyuan District
Ms. Wang, 41 years old
Prepare to go to the delivery room to give birth to your second baby
At about 16 o'clock, I just entered the elevator
Ms. Wang had sudden convulsions and confusion
Medical staff urgently opened the green channel
16:33
Ms. Wang was transferred to the operating room
Doctors found she had respiratory failure
"Not good, it's an amniotic fluid embolism!"
Amniotic fluid embolism
The disease is dangerous and the mortality rate is high
Known as the "Grim Reaper of Obstetrics"
Hospital obstetrics team
Immediately activate the emergency and severe maternal treatment plan
Kong Lin, the director of obstetrics who was not on duty that day
After receiving the notification, he rushed to the hospital
"Amniotic fluid embolism is very dangerous
It's a big test."
16:38
The fetus is removed smoothly
They were then quickly referred to paediatric care
After the baby is born
Ms. Wang's situation took a turn for the worse
Cardiac arrest occurs and bleeding from the abdominal cavity continues
The doctors work closely together
Perform CPR for women
and give it a blood transfusion
At the same time, the team went to the People's Hospital of the Autonomous Region
The emergency department ECMO team urgently called for help
and requested blood transfusion support from the Nanning Central Blood Station
After receiving help
People's Hospital of the Autonomous Region
Deputy Director of the Emergency Department, Qiu Guozheng
Schedule an ECMO team to leave today
In the blood station in the center of Nanning
Nurse Huang Meng, head of the blood supply department, and colleagues
While doing a good job of filing
While preparing blood out of the bank
4070 ml of fresh frozen plasma was urgently delivered
Time to wait for support
Maternal CPR is ongoing
Kong Lin said, "We must control the intensity and frequency
It is extremely difficult to maintain effective CPR for a long time"
In the operating room
Each of the 5 doctors presses for a few minutes
When you can't use the strength, you will replace the individual
Continuous CPR for 90 minutes
18:45
The ECMO team arrives at the operating room
18:56
ECMO goes into operation
Replaces maternal cardiopulmonary function
Next, the blood supply from the blood bank is delivered
The obstetric team proceeded with the surgery
More than 4,000 ml of plasma ran out quickly
There is not enough plasma, so I can only continue to seek help
The blood station has had six emergency blood supplies
Red blood cell suspension, plasma, fibrinogen...
A steady stream of trips to the operating room
The operation is finally over
Maternity challenges remain
All night, more than 30 medical staff did not dare to close their eyes
Maternal monitoring and hemostasis are continued
Kong Lin said, "I don't dare to relax for a moment
Watching the mother bleeding all the time
Really anxious"
7 August, 10 a.m
Maternal coagulation function and other indicators
It's starting to get better
By the afternoon of the same day
After more than 20 hours of rescue
The mother's bright bleeding basically stopped
17 o'clock
ECMO runs continuously
The pregnant women were transferred to the People's Hospital of the Autonomous Region for treatment
In the intensive care unit of the People's Hospital of the autonomous region
Life and death rescues continue to relay
Due to cardiac arrest
Ischemia and hypoxia are long
maternal secondary ischemic hypoxic encephalopathy,
cardiogenic shock, disseminated intravascular coagulation,
Multiple organ insufficiency syndrome
At the same time, bleeding is continuing in the abdominal cavity
Treatment is very difficult
Hospital Emergency Department, Obstetrics,
Hepatobiliary, Pancreatic, and Splenic Surgery, Urology,
Cerebrovascular Disease and Spinal Cord Neurosurgery,
Department of Respiratory and Critical Medicine......
More than a dozen disciplines collaborate
Form a team of experts
Work together and actively treat them
Two days later
Maternal systolic function and blood pressure are restored
ECMO was finally successfully removed
As the mother's condition stabilizes
Consciousness is gradually restored
Life support equipment such as ventilators have also been removed
Two weeks later, the woman was transferred to the general ward
According to the introduction
In the process of maternal rescue
The total transfusion volume is about 67,500 milliliters
This is equivalent to 337 people
The sum of a single 200 ml blood donation
About 17 healthy adults
The sum of the blood in the whole body
This is in the last 5 years
The largest case of blood use in Nanning City
August 23
After more than half a month of treatment
Ms. Wang's organ function recovered well
Has been able to communicate normally and can get out of bed
Her baby was treated for hypothermia
10 days after birth, he was also successfully discharged from the hospital and returned home
The team of doctors judged
About another week
Ms. Wang can then be discharged from the hospital and go home
Reunite with your baby
Ms. Wang's family to medical staff
I expressed my heartfelt gratitude
"Special thanks to the medical staff for their efforts
Saved my wife at the most critical moment
I am also very grateful for the selfless dedication of the unpaid blood donors."
Ms. Wang's husband, Mr. Yuan, said
In the future, I will continue to participate in regular unpaid blood donations
Pass on this love
I wish the mother and baby good health
Hats off to the medical staff!
CCTV News Comprehensive Nanning Television, Guangxi Zhuang Autonomous Region Maternal and Child Health Care Hospital Xiangzhu Campus, Guangxi Zhuang Autonomous Region People's Hospital, Nanning Central Blood Station
Source: China Women's Daily