Elderly maternal amniotic fluid embolism, more than 20 medical fighting for 6 hours to fight back to death

The Yangtze River Daily Da Wuhan client September 13th. On the afternoon of September 13, she learned that she could be discharged with her baby in two days. Ms. Lan, who was the first mother, couldn't help crying. Thinking of her 12 days ago, she was almost separated from the children's yin and yang because of the amniotic fluid embolism.

Multi -disciplinary teams composed of more than 20 medical staff are rescued Ms. Lan.

On September 1st, Ms. Lan, who was 40 weeks pregnant, was sent to the Karen Hospital of Wuhan Puren Hospital for birth. At 8 pm, at the age of 41, she gave birth to a 7 -pound baby boy. When the whole family was eager for the arrival of a new life, Ms. Lan's situation suddenly turned sharply.

30 minutes after giving birth, Ms. Lan, who was also observed in the delivery room, suddenly bleed a lot, irritable, pale, accelerated heart rate, and reduced blood pressure. The medical staff of the class quickly organized major bleeding. Urgent investigations found that the maternity has abnormal coagulation function, which is likely to be a rare postpartum acute amniotic fluid embolism! Fei Zhiyi, the director of the experience of the experience of the obligation and gynecological reproductive center, did not hesitate, and immediately started the emergency treatment plan of amniotic fluid embolism: oxygen! Continue ECG monitoring! Open multiple vein channels to rescue medicines ...

Gao Qin, director of the delivery room, quickly reported the situation to the Medical Department. Under the unified coordination of the hospital rescue leadership group, the emergency green channel was launched immediately. Multi -disciplines such as anesthesiology, operating room, ICU, Cardiology, Periodology, Hematology, Testing, and color Doppler ultrasound rooms went to assist in the rescue. One speed was a speed. Life and death rescue quickly began! The maternal condition progressed quickly. When the experts of various departments arrived at the operating room, she was already in a shock state. This means that the maternal failure will soon occur, which may endanger life at any time.

Ms. Lan is equivalent to replacing the blood of her body again. Correspondent Yin Qian

During the rescue, Ms. Lan had dangerous dangers such as coagulation dysfunction, cardiac arrest, and heart ventricular fibrillation. The team of experts performed their duties: tracheal intubation, ventilator, blood distribution test, large amount of component blood transfusion, cardiopulmonary resuscitation, electro -tremating ... Cure, quickly establish an internal circulation, let the "artificial heart" and "artificial lungs" replace the patient's cardiopulmonary function ... Under the close cooperation of the expert team, she pulled her back from the "death line" again and again. After more than 20 hours of rescue for more than 20 hours of medical staff, Ms. Lan's various indicators tended to be stable, and indexes such as coagulation function gradually returned to normal, and finally turned to safety.

According to Fei Zhiyi, amniotic fluid embolism refers to the sudden childbirth complications of amniotic fluid embolism that suddenly enter the mother's blood circulation system, the severe childbirth period of the severe childbirth during the internal blood vessels, renal failure or sudden death, which may occur during childbirth, or maybe or may also It was after delivery. According to relevant medical guidelines in 2018, the incidence of amniotic fluid embolism is only one -20%, and the mortality rate is as high as 60%to 80%. The occurrence of amniotic fluid embolism is urgent, and the timing of diagnosis and treatment is often delayed due to lack of understanding of it, making it difficult to succeed in treatment. Usually, pregnant mothers will lose their lives in a few minutes, because of urgent onset, rapid progress, low rescue success rate, mortality for maternal maternal mothers High, becoming the "nightmare" of all obstetricians.

When I heard the doctor said that she could be discharged in two days, Ms. Lan cried. Correspondent Yin Qian

"This time, it can be successfully recovered back to this maternal maternal, which is closely related to the timely cooperation of timely identification, timely diagnosis and treatment of obstetric experts, and the close cooperation of multidisciplinary experts." She reminded that amniotic fluid embolism is often not expected before childbirth, so delivery In the process of observing the maternal, especially when there are fetal deaths, huge children, front placenta, placental peeling early, and uterine contraction, etc., medical care should be more careful. (Changjiang Daily reporter Liu Xuan Correspondent Yin Qian Li Lin Mu Yuyi)

[Edit: Yu Lina]

For more exciting content, please download the "Da Wuhan" client in the major application markets.

- END -