生命与时间赛跑武安市中医院成功抢救一例胎盘早剥并发DIC（弥漫性血管内凝血）患者
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.wuan888.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 "> <!----> <div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">近日，武安市中医院妇产科、手术室、检验科等科室通力协作，成功救治一名胎盘早剥并发凝血功能障碍、DIC（弥漫性血管内凝血）患者，将患者从死亡的边缘拉回来，并且成功地保留子宫，母女平安。</p></div></div><div><div id="template" class="temp9 large center"><div id="content"><div class="lin lin2"> </div><div class="p"><strong>准确判断，快速确诊</strong></div></div></div></div><div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">33岁的二胎孕妈妈李女士，现已孕足月，李女士突然出现阴道出血，急来市中医院就诊。值班医生郝晓丹接诊患者后，高度考虑胎盘早剥，患者随时可能大出血、失血性休克、DIC、凝血功能障碍、危及生命。对胎儿来说随时可发生胎死宫内，新生儿窒息、死亡……需要急诊剖宫产终止妊娠，郝医生第一时间通知妇产科主任田彦梅，同时联系手术室急诊手术。</p></div></div><div><div id="template" class="temp9 large center"><div id="content"><div class="lin lin2"> </div><div class="p"><strong>多学科协作，与死神生死角逐</strong></div></div></div></div><div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">患者进入手术室后，妇产科主任田彦梅在局麻强化下急诊手术，郝晓丹医师、祁存凤医师默契配合，为抢救母婴争取时间，助产师刘军林及麻醉师侯烁对新生儿成功复苏。手术顺利，探查胎盘早期剥离1/3面积，术中出血600ml，术毕患者安返病房。医护人员终于松了一口气。殊不知，患者病情迅速恶化，阴道流出大量不凝血，继而腹部切口大量渗血，血压急速下降，心率加快，患者出现烦躁、胸闷气短、无尿等症状。立即联系血库，检验科主任郭中华紧急调血，化验、交叉配血，检验科医师郭许波在紧张有序进行，为输注冷沉淀和血小板，司机师傅夜里两次到邯郸血站取血。田彦梅主任、李便利医生、郝晓、李璐护士彻夜抢救，历经16个小时，共计输成分血5250ml，患者终于转危为安。</p></div></div><div class="mp-article-images"><div class="mp-article-images-blank"><div class="mp-article-images-item"><div class="mp-article-images-item-mask abs-fadeout abs-fadeout"><img src="https://pic.app.wuan888.com/backend/20220805104735_4_Fs3AL1uvyUSoKI3NRj5MsJZKT-77.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" width="363" height="337" data-qf-thumb="https://pic.app.wuan888.com/backend/20220805104735_4_Fs3AL1uvyUSoKI3NRj5MsJZKT-77.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" data-qf-origin="backend/20220805104735_4_Fs3AL1uvyUSoKI3NRj5MsJZKT-77.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" data-qf-thumb-origin="backend/20220805104735_4_Fs3AL1uvyUSoKI3NRj5MsJZKT-77.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" /></div><img 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id="content"><div class="p">患者感恩送锦旗</div></div></div></div><div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">“真是太感谢你们了，多亏你们医护人员的精湛技术，快速抢救，密切配合，才保住了我们母女的平安。”为感谢医生的精准救治和护士的精心护理，家属把印有“医术精湛医德高、热情服务暖人心”的锦旗送到了妇产科医护人员手中，表达医护人员对她们的“救命之恩”。</p></div></div><div class="mp-article-images"><div class="mp-article-images-blank"><div class="mp-article-images-item"><img src="https://pic.app.wuan888.com/backend/20220805105043_4_FvGML6UBG7ghyltJDGbBcddbnAjx.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" width="359" height="273" data-qf-thumb="https://pic.app.wuan888.com/backend/20220805105043_4_FvGML6UBG7ghyltJDGbBcddbnAjx.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" data-qf-origin="backend/20220805105043_4_FvGML6UBG7ghyltJDGbBcddbnAjx.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" data-qf-thumb-origin="backend/20220805105043_4_FvGML6UBG7ghyltJDGbBcddbnAjx.png?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnd1YW44ODguY29tL2FkbWluX0Ztb0ZBVlFDU2VmVnhoWnNYZ2J5bnFoOEkwT1cucG5n/dissolve/20/gravity/Center" /></div></div></div><div><div id="template" class="temp9 large center"><div id="content"><div class="lin lin2"> </div><div class="p">成功救治，绝非偶然</div></div></div></div><div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">在这场生命接力赛中，所有医护人员视救死扶伤为己任，敬畏生命，视生命的托付重于泰山，齐心协力、争分夺秒，用精湛的技术水平、通力合作的精神最终取得胜利。</p><p class="ql-block ql-indent-1"> </p><p class="ql-block ql-indent-1">十月怀胎，一朝分娩。每个孕妈妈经历了怀胎十月的辛苦，到达妊娠晚期，面临分娩这一大关，分娩是一个复杂多变的过程，情况瞬息万变，往往伴随着突发与意外。其中胎盘早剥就是其中一个严重的并发症，疾病发展迅猛，危及母儿生命。</p><p class="ql-block ql-indent-1"> </p><p class="ql-block ql-indent-1">此次对胎盘早剥并发DIC患者的成功救治，展现了市中医院在妇产科急危重症的急救处理方面拥有较高的技术力量和综合实力</p></div></div><div><div id="template" class="temp9 large center"><div id="content"><div class="lin lin2"> </div><div class="p">什么是胎盘早剥、DIC？</div><div class="b"><img src="https://pic.app.wuan888.com/backend/20220805105115_4_FuGJ62D_DzloEoSV7mlbEDL7i3n7.png" width="360" height="411" /></div></div></div></div><div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">妊娠20周后正常位置的胎盘在胎儿娩出前，部分或全部从子宫壁剥离，发病率约为1%。属于妊娠晚期严重并发症，疾病发展迅猛，可危及母儿生命。DIC，弥散性血管内凝血，不是一种独立性疾病，而是许多疾病在进展过程中产生凝血功能障碍的一种临床病理综合征。胎盘早剥就是引起 DIC 的一种主要病因。</p></div></div><div><div id="template" class="temp9 large center"><div id="content"><div class="lin lin2"> </div><div class="p"><strong>有什么风险？</strong></div></div></div></div><div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">胎盘早剥面积大、出血多，胎儿可因缺血缺氧而死亡，产妇失血过多可发生休克、脏器衰竭、羊水栓塞，DIC 危及生命。</p></div></div><div><div id="template" class="temp9 large center"><div id="content"><div class="lin lin2"> </div><div class="p"><strong>如何预防？</strong></div></div></div></div><div class="mp-article-images"><div class="mp-article-images-blank"><div class="mp-article-images-item"><div class="mp-article-images-item-mask abs-fadeout abs-fadeout"> </div><img src="https://pic.app.wuan888.com/backend/20220805105229_4_FjlEVFJN5gEqZEib7RESGX4qEFRY.png" width="279" height="193" /></div></div></div><div class="mp-article-texts mp-content"><div class="mp-article-texts-word mp-article-texts-newword"><p class="ql-block ql-indent-1">市中医院妇产科医生特别提醒准妈妈、孕妈妈，孕前一定要有计划的备孕，尤其有过高危孕产史、不良孕产史的备孕人群，在备孕期间就要做好综合评估。</p><p class="ql-block ql-indent-1"> </p><p class="ql-block ql-indent-1">怀孕后一定要规范产检，不要抱有侥幸心理。如果孕检发现合并症与并发症，更要重视产检，建议选择综合救治能力强的医院住院待产。让医院能够提前准备预案，准备充分，以减少母婴危情的发生，争取一个最优的结局。</p></div></div> <!----></div>
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