At 6:31 am on July 15, the obstetrics and gynecology department of cheng County People's Hospital received a 30-year-old pregnant woman. The patient was admitted to the hospital for menstruation for 9 months, lower abdominal pain, 23 hours with vaginal fluid flow for half an hour, nausea, and vomiting for 10 minutes. After admission, the patient was admitted to the hospital and found that "the patient had uterine tension between uterine contractions and uterine 2 uterus, which showed obvious tenderness, anemia, and absent fetal heart." The attending physician of obstetrics and gynecology department Yang Yanyan quickly reported the condition to the department director Zhang Xiaoxi, and after discussion, he considered implicit placental abruption. The department director Zhang Xiaoxi instructed immediate surgery to terminate the pregnancy and rescue the patient's life.
preoperative examination of the patient's coagulation function was abnormal. During the operation, it was found that placental abruption III°. The patient suffered from postpartum bleeding and diffuse intravascular coagulation. The bleeding volume was 3000ml. The uterine B-Lynch suture was performed to stop the hemostatic.
Obstetrics and Gynecology Department immediately reported the patient's condition to the hospital leaders, and the hospital leaders quickly organized and participated in the rescue. Dean Wang Yawen coordinated and dispatched blood, Vice President Gao Guoqing guided the rescue on the spot and dispatched the department of cardiology, general surgery, blood transfusion, critical care medicine (ICU), joint consultation and treatment of the department of anesthesia in the operating room. Vice President Liu Hongxian immediately entered the operating room to participate in the rescue, and Zhu Hong, director of the medical department, coordinated the work of all links; during the joint rescue of multidisciplinary disciplines, a total of 1,200ml of red blood cell suspension, 1,000ml of plasma, and 9.75u of cold precipitation were sent to the patients. The rescue process took 3 hours, the patient's coagulation function began to recover, and the condition tended to stabilize. After successful joint rescue of multiple disciplines, Han Lingxiang, director of the 120 Emergency Center, dispatched ambulances and related emergency equipment as soon as possible. The medical staff of the Emergency Center cooperated with the obstetrics and gynecology department and critical care medicine department to Hanzhong 3201 Hospital for follow-up treatment.
On July 22, the patient was discharged from the hospital and returned to cheng County . On the 25th, Yang Yanyan, the attending physician of the obstetrics and gynecology department of Cheng County People's Hospital, conducted a home visit to the patient on the weekend and learned that the patient is currently recovering well.
This time, the joint treatment of multidisciplinary treatment was carried out. All departments responded quickly and cooperated tacitly. With the dispatch and participation of the hospital leaders, they not only quickly came up with the treatment plan, but also participated in the rescue as quickly as possible, and successfully saved the patient's life in the end. All disciplines of Chengxian People's Hospital will continue to take serving the people's health as the purpose, and based on the standards and requirements of tertiary hospitals, continuously improve medical level and medical technology, realize the common development of all disciplines, and make their due contributions to ensuring the health of the people in the county.
This issue's feed: He Taotao
This issue's editor: Li Biyao
Editor in charge: Jia Xuxu
Producer: Jia Lan
Producer: Jia Lan
