Text/Yangcheng Evening News All Media Reporter Zhang Hua
Correspondent, Jiaqi Cai
Picture/provided by the hospital
Under the requirements of the prevention and control of the new coronary pneumonia epidemic, what should I do if the bleeding from the ectopic pregnancy urgently needs surgery and there is no nucleic acid test report? Recently, 28-year-old Ms. Li faced such a situation due to bleeding from an ectopic pregnancy. The Guangdong Provincial Reproductive Hospital launched an emergency plan in a timely manner, and medical staff wore protective clothing to carry out emergency operations, which not only did a good job in hospital sense protection, but also timely protected the life and health of patients, and protected patients’ fertility with characteristic minimally invasive surgery.
Abdominal pain and bleeding! Ectopic pregnancy emergency
At 3 p.m. on September 23, Dr. Wang Xiaoxia of the gynecological ward received a patient from the outpatient clinic, Ms. Li, 28 years old, who had stopped menstruating for more than a month. She came here because of vaginal bleeding and abdominal pain. On consultation, B-ultrasound showed that there was no obvious intrauterine gestational sac sonogram, and there were mixed sound groups and a small amount of pelvic effusion in the left appendage area.
Dr. Wang Xiaoxia immediately reported the situation to Zhu Jinhu, director of gynecology. “During the gynecological examination, she was very resistant, saying that it was painful and not allowing the examination.” Dr. Wang Xiaoxia recalled that considering everyone’s different tolerance for pain, she conducted two gynecological examinations on Ms. Li. “After the second time, the patient still felt severe pain and pale, and I thought it might be an ectopic pregnancy.”
“The possibility of mass rupture is extremely high. If it takes a long time and the amount of bleeding is large, it may be life-threatening.” Director Zhu Jinhu, with his rich experience, immediately decided to arrange emergency surgery.
But Ms. Li did not have a nucleic acid test report that met the surgical requirements. According to the relevant emergency mechanism, after the gynecology department notified the medical and educational department of the relevant situation, the anesthesiology department immediately launched an emergency plan and opened a green channel for emergency surgery. Ms. Li hoped to have minimally invasive surgery. Since she had eaten more at 1:00 noon and combined with her situation, after a comprehensive judgment, the director of the Department of Anesthesiology, Qing Zhaohui, arranged the surgery at 5:30 pm.
The doctor wears protective clothing and the operation goes smoothly
Later, Ms. Li was taken to the operating room on time, and medical staff wearing isolation gowns, protective clothing, and protective masks began to operate on her.
“Wearing protective clothing for surgery in an operating room with no air conditioning, the biggest feeling is stuffiness, and there is a little lack of oxygen in the back.” Director Zhu Jinhu, the chief surgeon, said, “Everyone overcomes discomfort and races against time. The operation was successfully completed, and the left fallopian tube pregnancy was completely removed by laparoscopic surgery. During the operation, it was found that the patient’s pelvic adhesions were serious, which may also be the cause of ectopic pregnancy, and we took corresponding measures together.”
50 minutes later, the operation was successfully completed, and Ms. Li was safely returned to the ward after the operation. It is reported that Ms. Li is undergoing fertility treatment due to infertility, and she thought she could become a mother, but who expected it to be an ectopic pregnancy, the tube bed doctor comforted her, “The fallopian tubes were preserved during the operation, and the pelvic adhesions were also treated. A smooth pregnancy helps.”
“The whole operation process is very smooth.” Director Zhu Jinhu said that the successful completion of the operation is inseparable from the support of departments such as anesthesiology, laboratory and other departments. Skilled cooperation.
The director of the Department of Anesthesiology, Qing Zhaohui, introduced that the hospital attaches great importance to emergency surgery without nucleic acid results, and has repeatedly supervised the Department of Anesthesiology to carry out emergency drills, which have been continuously improved through training, practical exercises, assessments, and drills. The emergency response ability of the anesthesiology department, so as to achieve close cooperation with relevant departments, and ensure the safety of patients, medical staff and teams through superb medical technology.