COLUMN

The second Department of general surgery in our hospital successfully completed a pre broadcast draft of TAPP

"Inform the operating room of emergency cesarean section and pediatricians in place..." late at night on October 31, a "speed of life and death" was staged in the obstetrics department of Shenyang Weikang hospital. Ms. Li (pseudonym), who was 36 weeks + 3 days pregnant, had placental abruption and once stepped into hell. The crisis was relieved after the full and rapid rescue of multidisciplinary medical teams such as obstetrics, pediatrics, operating room anesthesiology and Gynecology, and the mother and baby were safe. On October 31, when the night shift just took over, a patient from the Department of Obstetrics and Gynecology of Weikang hospital, 36W + 3, suddenly bled vagina and abdominal pain. Director solina, who was just leaving work, immediately put on her white coat again and made a diagnosis based on many years of clinical experience: placental abruption



The placenta is a channel connecting the mother and fetus. It is an organ for mother and baby to exchange gas and nutrients. Before the delivery of the fetus, the placenta is tightly attached to the inner wall of the uterus, which is easy and will not be separated. Only when the uterus shrinks after the delivery of the fetus will the placenta be stripped from the uterus. If the fetus has not been delivered and the placenta has been stripped, it is called "placental abruption" in medicine. Placental abruption is a serious complication in late pregnancy. The disease develops rapidly. If it is not handled in time, it can often endanger the lives of both mothers and children. As soon as the diagnosis was made, as the soldiers heard the order, the obstetrics and gynecology department immediately started the rescue plan, and the doctors on duty Gong Caiying and sun Changliang immediately participated in the rescue. Director Liu Yabin decided to operate immediately. Only every minute counts to win two lives

At this time, there is only one family member. What should I do? The nurses on the day shift stayed behind to cooperate with the nurses on duty and midwives to personally run downstairs to deliver blood, prepare blood, send tests, and push the patients into the operating room... With the assistance of the anesthesiology department, the operation was carried out rapidly, and the newborn was delivered at a very fast speed. Zhang Ke, director of neonatal Pediatrics, who came from home, took the child and immediately put it into rescue. The operation is continuing. Massive placental abruption, anterior wall uteroplacental stroke. A large number of uterine bleeding, all rescue are carried out in order, blood preparation, blood transfusion, uterine B-Lynch suture... Finally, the baby's cry rang through the operating room, and the mother's uterine bleeding was stopped! No danger, mother and child safe! In the face of placental abruption in pregnant women, gynecologists and obstetricians diagnosed it in time and quickly arranged the operation. Finally, with the superb technical level of medical staff, we can ensure the safety of pregnant women and babies. Maternal and family members are very grateful to the medical staff of Obstetrics and Gynecology, and praise obstetrics and Gynecology and Weikang hospital!

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