Heavy bleeding is an extremely dangerous emergency.
In ancient times, no matter how skilled the midwife was, there was nothing she could do.
Therefore, giving birth to a woman in ancient times was equivalent to going through hell.
Although medicine is now advanced and there are various methods to deal with emergencies during pregnancy, heavy bleeding is still something that should not be underestimated.
There are many causes of maternal hemorrhage.
For example, if the placenta remains, it will affect the contraction of the uterus and prevent the arteriovenous sinus on the attachment surface of the placenta from closing in time, causing massive bleeding.
Another example is birth canal injury, tearing during childbirth, causing massive blood loss, and difficulty in stopping bleeding...
Zhao Yuan and Hao Fang rushed to the emergency room and found that the mother was already unconscious.
The maternal family member was her mother, who was crying out of breath.
He Sui got the patient's information and said, "The patient is twenty-five years old and unmarried. During the delivery process at the community hospital, he suffered massive bleeding and was sent to our hospital for rescue by 120."
Having a child out of wedlock...
No wonder I didn’t see my husband accompanying me.
The mother of the pregnant woman saw that Hao Fang was the leader, held her hand tightly, and choked with sobs: "My daughter is in so much pain. His fiancé was a sailor and was about to get married. He encountered a typhoon at sea and the whole ship sank.
When I learned the news, my daughter had just found out that she was pregnant. At that time, we advised her not to have this child, but she felt that she had a deep relationship with her boyfriend and that she could leave a bloodline for him and give his family a sustenance, so she insisted.
She is about to be born. I never expected to encounter such a thing. Doctor, you must save her."
Hao Fang nodded slightly, "Don't worry, we will do our best."
Zhao Yuan took a look at his blood pressure and then his ECG, his face darkened and he said, "It could be amniotic fluid embolism."
Hao Fang went over and took a look at the ECG, which showed signs of cardiopulmonary failure.
"Hurry up and do a detailed inspection!"
After a while, the results came out.
Amniotic fluid embolism, massive bleeding!
Amniotic fluid embolism is a notorious disease in obstetrics.
Clinically, the mortality rate reaches 80%!
Everyone gasped.
Hao Fang showed the magnanimity of a chief physician, "Don't be stunned, hurry up and do the surgery."
Zhao Yuan immediately predicted maternal amniotic fluid embolism. Hao Fang had already established trust in Zhao Yuan, "Zhao Yuan, you will be the first assistant!"
Zhao Yuan looked solemn.
When it came to human life, Zhao Yuan put all distracting thoughts behind him.
Amniotic fluid embolism is the disease with the greatest mortality rate in obstetrics. I didn’t expect to encounter it on my first day in the obstetrics department.
Amniotic fluid is the serum in the blood vessels of pregnant women, which is mixed with fetus feces and fat vernix in the later stages.
During the delivery process, fetal cells, vernix or meconium in the amniotic fluid enter the mother's blood through the veins of the placenta and block the blood vessels in the lungs, preventing the lungs from receiving blood supply, causing complications in the heart or lungs.
75% of maternal deaths are caused by damage to the heart or lungs.
25% die due to inability of blood to clot.
The scary thing about amniotic fluid embolism is that it is unpredictable and depends entirely on God's will.
Even the experienced Hao Fang was not sure whether he could be rescued.
It was originally a catastrophic disease, not to mention massive bleeding.
Treatment is too difficult!
"Notify the family of the critical illness!"
When the nurse heard the news, her eyes turned red.
This is the case in obstetrics. Every day I feel happy because of the birth of new life.
But there will also be regrets due to unexpected deaths.
Although I have seen all kinds of patients and thought that my heart was hardened by pity, it would still be destroyed by unexpected shocks...
Zhao Yuan stood at the first assistant's position and asked Hao Fang for instructions, "Anti-allergic first, then anti-shock?"
Hao Fang nodded in approval.
"Tracheal intubation, positive pressure oxygen administration. Hydrocortisone 200 mg intravenously, dexamethasone 20 mg intravenously, followed by 20 mg intravenous infusion."
Amniotic fluid contains fetal fat, meconium, keratinized epithelium and other substances. When these substances enter the blood circulation system, they can cause allergic reactions. Therefore, pregnant women need to actively fight allergies when they experience amniotic fluid embolism.
After the injection of anti-allergic drugs is completed, the cardiopulmonary function will be improved!
Atropine and aminophylline are delivered in an orderly manner!
Infusion of drugs to correct coagulation disorders.
One order after another is issued!
The atmosphere in the emergency room did not get better, but instead became more depressing!
"Preparing for a caesarean section!"
Hao Fang's tone became serious.
The child has not been taken out yet.
This rescue was absolutely hellish.
The incidence of amniotic fluid embolism is very low. Many doctors may not encounter it even once after working in obstetrics for a lifetime.
Hao Fang glanced at Zhao Yuan, who started the caesarean section operation.
Surgeons who are capable of cardiac surgery have demonstrated superb stability in performing laparotomy operations.
After a moment, a small child was taken out of the pregnant woman Zhao Yuan's belly.
It's so fast!
Everyone was surprised!
The child is much smaller than expected, definitely not 2kg.
Accompanied by a cry.
Everyone breathed a sigh of relief.
At least the child was saved for the time being...
However, the crisis is not over yet.
"Do you want to do resection?" He Sui asked softly as the second assistant.
With severe bleeding, even if the bleeding point is found, it is extremely difficult to stop the bleeding.
The simplest method is to directly remove the organ.
But for women, this is a very cruel decision.
Zhao Yuan glanced at Hao Fang and asked, "Can you let me investigate first?"
Hao Fang looked puzzled, but knowing that Zhao Yuan would not make a request rashly, she nodded slightly.
Next, Zhao Yuan's behavior made He Sui feel uncomfortable.
Because Zhao Yuan inserted one hand along the incision of the caesarean section.
For a moment, Zhao Yuan's eyes flashed with light.
"The bleeding point has been found! Maybe it doesn't need to be removed."
He Sui said softly: "Are you planning to use suturing to stop the bleeding? If it doesn't work, it may worsen the patient's condition."
There were murmurs of discussion in the operating room.
At this moment, it is obviously more important to get the patient out of danger.
Suturing is most likely a useless effort!
Hao Fang thought for a while, "Let the patient's family decide!"
After a while, He Sui got a reply from the family, "She hopes to preserve her daughter's fertility. If that doesn't work, she can do it again..."
Hao Fang sighed.
Everyone has their own position when making decisions.
When my mother made this decision, she must have been very conflicted in her heart.
Although the patient already has a child, the child has lost his father. The daughter will definitely remarry, and she hopes to leave a chance for her daughter.
With the consent of the family, Zhao Yuan began suturing.
He chose a large right triangular needle and continued to insert the needle at the predicted bleeding location to form a square suture and use compression to stop the bleeding.
Cho suturing?!
Hao Fang's eyes were shining, recognizing the technique used by Zhao Yuan.
This is indeed the most suitable method at the moment.
However, this technology is very unpopular.
In particular, it is a bit incredible that Zhao Yuan, a medical student in the obstetrics and gynecology department, can use this technology!
After a while, the choke suture was completed!
Zhao Yuan stitched up too quickly.
This is to avoid delays.
Everyone is watching the blood volume.
If suturing doesn't work, then the only option is to remove it!
The anesthesiologist confirmed it was correct and said softly: "The bleeding has stopped!"
Zhao Yuan suddenly breathed a sigh of relief.
Hao Fang loosened his clenched fists.
Her first reaction was that if she encounters a similar situation in the future, she can go to Zhao Yuan to handle it!
