Du Peicong, Guo Haifeng, Meishan observed Baiyang Chuanguan news reporter Wang Qingshan
On March 18, the reporter learned from the Meishan Hospital of West China Hospital of Sichuan University that recently, multiple departments of the hospital jointly successfully treated a dangerous Placenta previa maternal, mother and daughter are now safe.
On the morning of March 15, a woman with a dangerous placenta previa at 36 weeks + 4 days of gestation was transferred to another hospital. She had a history of multiple cesarean sections and miscarriages. “This is one of the most critical illnesses in obstetrics. Surgical termination of pregnancy is the only rescue method before.” According to Yuan Yuanxia, chief physician of the Department of Obstetrics and Gynecology, West China Hospital, Meishan Hospital, Sichuan University, due to the serious condition of the symptoms, after the fetus was removed during the operation, the Immediately when the placenta is removed, acute and massive bleeding may occur, and even DIC (diffuse intravascular hemorrhage), multiple organ failure, and maternal death may occur.
When faced with a life-or-death struggle, the choice of obstetricians is to step up and rise to the challenge. The department immediately reported to the hospital for approval, and cooperated with multiple departments such as interventional radiology, anesthesiology, neonatology, and blood transfusion to jointly formulate a surgical plan.
“The placenta accreta may have invaded the bladder, and the possibility of intraoperative hysterectomy is very high. However, the patient is strongly It is required to preserve the uterus. We must consider a more comprehensive approach.” In order to try to preserve the uterus of the mother, the medical team decided to perform “abdominal aortic balloon implantation” preoperatively through the interventional radiology department to control intraoperative bleeding and increase the preservation of the uterus. possibility.
At the same time, the departments of blood transfusion, anesthesia, surgery, neonatal and other departments discussed the problems of maternal conditions, surgical indications, timing of surgery, anesthesia methods, guarantee of blood products and the feasibility of implementing balloon occlusion. , make all the preoperative preparations and plans.
Besides, the medical staff communicated with the mother again to calm her nervousness. On the other side, the medical team is actively preparing various related treatments, rescue measures and items, and is waiting in full force.
At the beginning of the treatment, the maternal condition found during the operation was consistent with the preoperative MRI diagnosis, the anterior uterine wall was engorged, the placenta accreta… According to the original plan, after the fetus was successfully delivered, the interventional radiology department immediately Filling and blocking the abdominal aortic balloon quickly relieved the turbulent hemorrhage after placental dissection. The surgical field is clean and clear, which has bought precious time for the surgeon to suture the wound to stop bleeding.
“In the past without interventional intervention, intraoperative blood loss of several thousand milliliters was possible. The decision to remove the uterus is the only choice for the life of the mother.” Yuan Yuanxia said, “Now with multidisciplinary cooperation, the balloon is used to block bleeding, which has bought more time for the surgeon to save the uterus, and finally made it possible to save the uterus. , the safety of mother and baby.”
Here, Meishan Hospital, West China Hospital of Sichuan University reminds expectant mothers: In order to further protect the health of mothers and babies, please adhere to regular obstetric examinations, inform the relevant maternal history in detail, and encourage natural childbirth at the same time . When complex complications occur, please try to choose a medical institution with comprehensive treatment capabilities for treatment.