庐山市危重孕产妇救治中心成功救治一例早产、前置胎盘并子宫破裂重度休克患者
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.shanglushan.com/static/publish/css/style.css?v=1605251010499" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010499"><!-- 付费贴--> <div class="preview_article "> <!----> <p>五一“小长假刚过，5月5日中午，庐山市人民医院迎来了新的挑战，一位孕30周，前置胎盘穿透性植入致子宫破裂大出血重度休克的二胎妈妈。在妇产科、ICU、麻醉科、儿科、手术室、外三科、超声科、检验科等医护人员全力抢救下，母婴转危为安。情况危急 反应快速 启动应急预案情景回放：孕妇二胎，有剖宫产史，此次孕30周，于5月5日在家中突发剧烈腹痛，立即来我院妇产科。于12:31开通绿色通道办理住院，值班医生及科主任黄晓梦即刻检查：患者已经意识模糊，烦躁不安，皮肤苍白，四肢湿冷，呈严重休克表现，胎心105次/分。立即开通两条静脉通道，给氧、心电监护及抗休克治疗。上报医务科，启动危重孕产妇救治预案，通知抢救小组人员迅速到场。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.shanglushan.com/forum/20230523183031front2_0_150420_Fhl7fmPMHGA2MDy-sq8sE5eZUHK4.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="640" height="854" data-qf-origin="forum/20230523183031front2_0_150420_Fhl7fmPMHGA2MDy-sq8sE5eZUHK4.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p> </p><p> </p><p>统筹指挥 分工协作 彰显团队精神危重孕产妇救治中心抢救小组组长、副院长吕华新立即到场进行指挥调度，快速组成抢救团队。结合床边彩超结果、腹腔穿刺抽出不凝固血液、重度休克等情况，抢救团队一致意见：孕妇失血性休克、腹腔内出血、子宫破裂？胎盘植入？胎儿窘迫，立即下达病危通知书，开通绿色通道急诊手术。各抢救小组各司其职。产科救治小组负责手术，麻醉科负责麻醉及监护，ICU负责液体复苏及生命体征的管理，新生儿复苏团队做好早产儿重度窒息抢救准备，血库做好大量输血准备，后勤人员做好标本、血液的运送保障……时间就是生命。面对如此复杂又危急的情况，各抢救成员临危不乱，全力抢救。</p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.shanglushan.com/forum/20230523183042front2_0_150420_Fgk9xQScB_cY9B0AfmK9N7irZo7Y.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="1280" height="959" data-qf-origin="forum/20230523183042front2_0_150420_Fgk9xQScB_cY9B0AfmK9N7irZo7Y.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p> </p><p>急而不乱 沉着应对 实施有效抢救13:00由医护人员护送至手术室，全麻插管，颈内深静脉置管，13:07开始手术，开腹后腹腔大量积血涌出，子宫左侧前壁近宫角处一破裂口伴活动性出血，子宫前壁血管怒张，子宫下段膀胱反折腹膜处见蚯蚓状血管密布……切开子宫下段迅速取出胎儿（体重1590g重度窒息早产儿），用止血带捆绑子宫下段，剥离胎盘，前壁胎盘植入面积10cm*10cm，子宫下段剥离面渗血明显……经过近2小时紧张的手术，终于成功止血。同时在台下，早产新生儿重度窒息，新生儿复苏团队立即给予气管插管、呼吸机辅助呼吸等处理，新生儿脸色也逐渐红润。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.shanglushan.com/forum/20230523183111front2_0_150420_Fp3XgdKsHKVByJj3iahoqIwA1dCe.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="1080" height="810" data-qf-origin="forum/20230523183111front2_0_150420_Fp3XgdKsHKVByJj3iahoqIwA1dCe.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.shanglushan.com/forum/20230523183111front2_0_150420_FphbD-PWp5tq-aH2S6HvEsn-SI3I.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="1080" height="838" data-qf-origin="forum/20230523183111front2_0_150420_FphbD-PWp5tq-aH2S6HvEsn-SI3I.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.shanglushan.com/forum/20230523183111front2_0_150420_FpZv_FN5Cd53UXStyspwDb3e_Lfo.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="1080" height="1440" data-qf-origin="forum/20230523183111front2_0_150420_FpZv_FN5Cd53UXStyspwDb3e_Lfo.jpg?watermark/3/image/aHR0cDovL3BpYy5hcHAuc2hhbmdsdXNoYW4uY29tL2FkbWluX0ZyeUpxNm1ZVDZaczFFclpPN1A5c1B5SENMdkcucG5n/dissolve/70/gravity/SouthEast/dx/10/dy/65/text/QOWwj-eHle-9nu-9nu-9ng==/fontsize/400/dissolve/70/gravity/SouthEast/fill/I2ZmZmZmZg==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p> </p><p> </p><p>术后经统计：产妇共出血约5600ml（超过正常人体血液总量），共输入16U红细胞悬液、1600ml血浆、2治疗量血小板，10U冷沉淀。在妇产科等多学科的共同努力下，目前产妇恢复良好，早产新生儿情况稳定。感言 ：产科风险无处不在，大大小小的抢救我们妇产科经历了不少，我们用扎实的医疗技术一次又一次保障着母婴安全，彰显了我院作为全市危重孕产妇救治中心的快速反应能力、抢救水平、多学科团队合作以及强大的后勤保障能力。健康之所系，性命之相托，我们将勇毅前行，笃行不怠，充分发挥综合性医院危重孕产妇救治能力，为我市妇幼健康保驾护航。</p><p>来源庐山市人民医院</p> <!----></div> 为人民医院点赞 为医护人员点赞 妇幼保健院不错 为他们点赞 为人民医院点赞！ 点赞！ 挺好的点赞 感谢医生 啊 医疗技术越来越好
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