"Our original choice is right!" Multi -discipline collaborate protects the mother and baby peace of peace
Author:Southern Medical University Sh Time:2022.07.13
Recently, thanks to our strong specialist strength and multidisciplinary collaborative platform, we have provided good treatment plan and reliable and safe guarantee for patients with critical illness. Little life, on the day of discharge, she and her family couldn't help but sigh: "Our original choice was right, thank you!"
Treatment of twists and turns: expectant mothers suffer from kidney disease
Ms. Li (pseudonym) is 29 years old. She has had a history of teratoma and has been infertility for many years. Until this year, she was happy to discover "happy". Early pregnancy. When she thought everything was smooth and peaceful, but unexpectedly appeared "condition" at about 20 weeks of pregnancy -both lower limbs edema. During the examination, a large amount of urine protein (25g/24h), severe hyparonal lenin (12.5g/ L) The blood lipids rose significantly, and it turned out to be "kidney disease syndrome".
The danger signal is lighter: it is diagnosed as a high -risk pregnant woman
Ms. Li was worried that she was afraid of the loss of protein in the loss of protein in the fetal syndrome, but also worried that the nephrotic syndrome would cause the fetus to cause the fetus and the treatment of diseases. After many understanding, she still chose to believe that the strong specialist technologies and multi -disciplinary collaborative diagnosis and treatment capabilities of the three -level comprehensive hospitals came to Southern Medical University Shunde Hospital's nephrologist for help. At this time, the expectant mother had been pregnant for 24 weeks+5 days. The whole body was significant, the weight gaining 15kg, the perineum swelling, and the combined vaginitis and urinary system infection.
Point of knowledge
Pregnancy nephropathy syndrome is one of the critical condition of nephropathy, which may lead to complications such as eclampsia, hypertension, fetal growth, dead tires, placental peeling, postpartum bleeding and other complications, and the progress of maternal kidney disease. There is a big risk of threats. In patients with primary nephropathy syndrome, severe proteinuria is an important risk factor for poor prognosis of maternal and infants.
For nephrobiosis teams, the treatment of nephropathy syndrome during pregnancy is challenging. Due to the special characteristics of pregnant women, and limited safety data for use taboos or use during pregnancy during pregnancy, it is therefore treated with taboos or use. Therefore Drugs need to be very cautious.
Multi -disciplinary collaboration: fine escort for each step of diagnosis and treatment
Director Directors Dou Xianrui of the Kidney Department led the team to visit Ms. Li many times, and organized internal medical discussions, and timely adopted measures to interfere with patients' proteinuria, low protein, hyperlipidemia, edema, infection, etc., so that the disease quickly stabilized. At the same time, reported to the situation of high -risk pregnant women in the medical section, and organized specialties such as obstetrics, gynecology, neonatal, clinical pharmaceuticals, ultrasonic diagnosis, and anesthesia department for consultation.
Through repeated discussions and multi -disciplinary cooperation, appropriate treatment plans were formulated based on the situation of colleges and maternal and infant characteristics. The nephomica medical team has meticulous diagnosis and treatment, and Ms. Li has no complications such as thrombosis.
During the subsequent treatment, the results of each patient's examination and examination changed, and each fetal monitoring and color Doppler ultrasound examination of the fetus touched the hearts of the whole person. Medical care not only dedicated to the treatment of the disease, but also provided a full range of humanistic care. Everyone strives for the improvement of the condition, and we are looking forward to the coming of the peace of life.
After more than a month of treatment and care, Ms. Li's edema was reduced, my weight decreased, and the fetal development was consistent with the pregnancy week. After the consultation of the whole hospital, she was evaluated by multiple disciplines.
Shuangxi Linmen: Maternal and infants were discharged from the hospital
Under the relay of nephrology, obstetrics, and neonatal, Ms. Li, who was 30 weeks of pregnancy+6 days, successfully performed a caesarean section to produce the next little baby boy. The newborn weighs 1450g and the newborn APGAR scores 9 points. The condition of postpartum patients was discharged from the hospital. The quantification of urine protein in 24 hours fell from 43.1g/day to 1.1g/day. The albumin rose, the blood lipids decreased, and the edema subsided.
Recently, Ms. Li returned to the hospital for kidney puncture biopsy. The pathology was confirmed to be segmented glomerular sclerosis. The current treatment effect is good, and the drug is gradually reduced. The baby also took care of the neonatal care unit. The growth and development indicators were good, and the weight had increased to 2250g. In the end, the good news of the mother and baby was discharged together.
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