Let the critical pregnant women turn in danger to the multidisciplinary team of Anli Hospital to successfully treat a patient with type A on aortic lavender

Recently, the multidisciplinary team of Qingdao Municipal Hospital staged the "Extreme Rescue" and successfully cured a type A on aortic lowering pregnant woman. The team successfully broke through the way of danger. Keep the perfect ending of the uterus and heart valve.

The team performed aortic sandwich surgery for the patient.

Nine months of pregnancy sudden aortic sandwich layer

Wang Tong (pseudonym), a 39 -year -old mother, has been pregnant for 36 weeks and 6 days. However, at 8 pm on July 8th, Wang Tong had a sudden back pain after dinner. The pain continued to be relieved. It was accompanied by sweating. He was rushed to the local hospital for treatment. Once ruptured, pregnant women and fetuses are not guaranteed. Subsequently, Wang Tong was rushed to the East Hospital of the Municipal Hospital by 120. Time is life. The survival rate of patients with aortic selanence is closely related to the onset time. Once the diagnosis rate of the acute Aorta propyrification is 50%, the mortality increases by 1%every 1 hour.

The emergency consultation doctor immediately contacted the obstetrics and cardiac surgery. After the initial assessment of the condition, it immediately decided to improve the thoracic and abdomen aorta CTA (arterial vascular CT examination) and cardiac color ultrasound examination. The arterial valve causes the amount of reflux in the aortic valve. Niu Zhaoyi, director of the East Hospital of the Heart Center, rushed to the hospital quickly, together with Tao Hong and Zhang Shuping, deputy director of the Department of Obstetrics of the East Hospital, the deputy director of the Department of Anesthesiology, Sun Lixin, evaluated the patient's condition in detail, combined with the characteristics of the patient's pregnancy week, quickly formulated a treatment plan: first cesarean section produced After the fetus is delivered, the aortic sandwich surgery is performed immediately.

6 hours to win life defense war

In order to maximize the life of maternal and infants, both surgery was responsible for anesthesia by Sun Lixin and Deputy Chief Physician Zhang Fengfeng of the experienced anesthesia department. The Deputy Chief Physician of the Occupation of the Medical Department, the deputy chief physician of Zhang Shuping, and the attending physician of Kong Yujie were born with a fetal section. The cesarean section surgery was successfully carried out, and a five -pound female baby gave birth smoothly. I saw the baby's skin was pale, without crying, no autonomous breathing, heart rate was acceptable, and the limb muscle tension was poor, manifested as severe suffocation. The rescue of recovery, began a life defense battle with "seconds". Finally, the baby's skin tone began to turn rosy, the heartbeat returned to normal, and a weak breathing appeared.

Under the guidance and evaluation of Director Li Hong, Deputy Director Liu Xiuqin, and Captain Qin Xian and Nurse Hou Jing, the baby soon pulled out the tracheal intubation and gave milk. The nursing staff observed the changes in the condition of the child 24 hours a day. According to the chest tablets and test results, antibiotics were not used for children. After combined with oxygen absorbing, atomization, and inside and outside the intestine, the oxygen is gradually evacuated to achieve all oral feeding to help the baby go through the danger smoothly. Thanks to the timely treatment, the baby did not suffer any complications due to suffocation after birth.

On the other side, the deputy chief physician of the obstetrics Zhang Shuping filled the gauze of the uterus and vagina for the patient to compress the uterine wall wound. Prevention of major bleeding and rapid delivery, fighting for opportunities and time for subsequent cardiac surgery teams. At 3:40 in the morning, the cesarean section surgery ended smoothly. Next, the important task is to keep adults. At 3:50 in the morning, Director Cardiac Niu Zhaoyu led the team Wang Tianyi to attend the emergency aortic mask surgery. treatment plan. After 6 hours of fighting, at 10:10 am, the operation ended smoothly. On the first day of the patient, the tracheal intubation was successfully removed, and the ventilator was separated. The vital signs were stable. At the same time, good news came from the neonatal department. Three days after the operation, the patient had a stable respiratory cycle and had begun to go to the ground. Seeing the photos of the baby, the second child's face after the rest of her life was filled with extremely happy smiles.

Aortic clay layer is more dangerous than myocardial infarction

Aortic claying is an extremely dangerous cardiovascular disease. The arterial vascular wall is divided into three layers, which are outer membranes, middle membranes and endometrium. If the endometrium breaks a crack due to various factors, the blood pressure will enter the interior membrane under the endometrium, causing the middle membrane to tear and stripping the bilateral aorta. There is only one layer of outer membrane outside the pseudo -cavity. If this layer of external membrane is ruptured, patients often bleed a lot of bleeding in a very short period of time. They often have no time to rescue, and the patient will die. Still very dangerous. The aortic fidelid layers are divided into type A and B. Type A occurred in the aorta that is very close to the heart, and the mortality rate is very high. Type B is the main arteries that occur at a farther heart. Type, but surgery should be performed as soon as possible.

Due to changes in hypertension and hormone changes in pregnant women, it is often a high -incidence group of aortic selanes. After this population is diagnosed, it is basically the existence of lack of surgery in the early 21st century. The pregnant woman is the most dangerous type A on the aortic fideline. (Guanhai News/Qingdao Evening News reporter Yu Bo Correspondent Xu Fuqiang)

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