The mortality rate is as high as 86%!Elderly maternal amniotic fluid embolism, multi -disciplines joined forces to win the death god

The Yangtze River Daily Da Wuhan Client September 6th. The amniotic fluid embolism is a rare complication of obstetrics. It can quickly endanger maternal life and is called a nightmare for maternal and obstetricians. On August 28, such a scene occurred at the obstetric department of Taikang Tongji (Wuhan) Hospital (referred to as Taikang Tongji). , Essence of a race staged a racing of life and death, and finally pulled the mother back from the edge of death.

At 11:30 am on August 28th, Ms. Ms. Wang, a 37 -year -old woman in Tongji, who had just completed a cesarean section, returned to the ward, and suddenly her blood oxygen dropped rapidly, her lips were purple, and her consciousness fell into a coma. Dr. Pan Hongjuan, who rushed to the ward, immediately realized that the lady was likely to encounter amniotic fluid embolism, the most dangerous complications of the mother.

Director Chen Yong, Director Zhao Caizhen, Dr. Chen Yong, Dr. He Huawei, deputy chief physician of the Department of Critical Medicine, and Surgical Anesthesia Center quickly rushed to the ward tissue for rescue. After a series of symptomatic treatment, Ms. Wang gradually improved, and the blood oxygen saturation gradually increased. The blood oxygen saturation gradually returned to normal, and slowly responded to the external voice, the vital signs became stable, and the hearts of all medical staff at the scene let go.

However, the crisis was not completely lifted. Next, the maternal may also have abnormal coagulation function, postpartum bleeding, pulmonary embolism and other follow -up dangers. After informed the family members of the current condition and the risks that may occur next, and obtain the consent of the family members, the mother was transferred to the ICU for further further Treatment and observation. After the ICU observation one night, Ms. Wang had a stable signs of life and passed the period of coagulation dysfunction. Finally, she was in danger.

"Although the incidence of amniotic fluid embolism is only 1.9-7.7, the mortality rate is as high as 86%, which is the most dangerous complication of obstetrics." Director Zhao Caizhen introduced that amniotic fluid embolism is the ingredient of amniotic fluid during pregnancy. "Waterfall -like" class reactions such as inflammation and immunity occur, which occurs similar to a systemic inflammatory response syndrome, causing pulmonary hypertension, pulmonary edema, severe hypoxemia, respiratory failure, cycle failure, cardiac arrest, and severe bleeding of maternal bleeding, and severe bleeding of pregnant women, and severe bleeding of pregnant women. Sandascular coagulation and multi -organ failure, so amniotic fluid embolism is also known as obstetric "death", which is a rare complication of obstetrics.

"The main feature of amniotic fluid embolism is that the onset of onset, dangerous condition, and difficult to predict, can lead to serious bad endings such as mothers and children's disability or even death." Director Zhao Caizhen further reminded that primary maternal, multiple pregnancy, dissection, and dissection of the elderly (over 35 years old) Various reasons such as palace, giving birth, pre -placenta, and eclampsia may be the cause of amniotic fluid embolism. It is recommended that pregnant mothers must go to regular hospitals to conduct a regular check -up, and strictly abide by the doctor's advice, eat reasonably, eat appropriate exercise appropriately, and exercise appropriately , Control your own weight and fetal weight, reduce the birth or masturbation of cesarean section due to "huge children". (Changjiang Daily reporter Zhang Jian correspondent Wang Huiwen Pan Hongjuan)

[Edit: Yu Lina]

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