Chapter 620 Amniotic Fluid Embolism
On this day, when Li Sanniang was on duty in the hospital, someone suddenly broke into the hospital and shouted: "Doctor Li, I'm looking for Dr. Li." , Doctor Li? "
In addition to Li Sanniang, there is also a male doctor named Li, who is generally called "Old Doctor Li" in the hospital.
Seeing this, Nan Xing hurriedly walked out from the front desk and asked which Dr. Li the man was looking for.
“My eldest daughter gave birth, and Po Wen said that she would find a female doctor named Li to help her.”
As soon as Li Sanniang heard this, she knew she was looking for her.
Qiuxiang has already had experience. When Li Sanniang went to Nanxing to get the medicine bag, Qiuxiang had already carried Li Sanniang's medical kit out of the clinic.
Like a gust of wind, Li Sanniang and Qiuxiang followed the man into the carriage and rushed to his home.
On the other hand, Dr. Cui in the hospital said to old Dr. Li: "Doctor Li is really young. Look, all the people who come back to see Dr. Li have been trained by Dr. Li. They are only more than ten years old." He left just as soon as he took a breath, but it was really fast."
Dr. Cui's words did not make Dr. Li say anything, but Tang Mingyue, who was listening on the side, answered: "It's okay if you don't hurry up. Ah, isn’t this woman wandering around behind closed doors when giving birth? If she arrives late, how can she compete with the Lord of Hell for her life?”
No matter what other people in the hospital said, Li Sanniang was sitting in the carriage with a sullen face asking the man to understand the situation.
It turns out that the person who asked the man to come to the hospital to find someone was Yao Qingqing. Yao Qingqing was originally a Wen Po. After learning the new style of Wen Po in Li Sanniang’s Wen Po School, she became a Wen Po. It is even more convenient in one line.
Moreover, because of her status as a student of Wenpo Academy, even wealthy families with a small fortune are willing to ask her to come and deliver babies.
This time, this family is a wealthy businessman with a small family background in Chang'an City. The eldest wife of the Zhou family is giving birth this time. Although it is not the first time, the eldest wife of the Zhou family has given birth twice. She still cared about her body and bones, so she invited Yao Qingqing to come to her house.
Everything was fine originally, and as a multiparous woman, this process was familiar to me.
Everyone thought this was just an ordinary, ordinary woman giving birth, and the accident happened.
Yao Qingqing was helping the eldest lady of the Zhou family adjust her breathing according to Li Sanniang's instructions. She found that the eldest lady of the Zhou family was shivering and breathing rapidly. It was not the usual rapid breathing during childbirth, but It's morbid shortness of breath.
At this time, Yao Qingqing felt something was wrong. She immediately said to the mother-in-law beside her: "The situation is not right. Go and ask a doctor to come to your home!"
This is The eldest lady of the Zhou family is the mistress who has taken charge of the family. Not to mention that the eldest lady of the Zhou family has given birth to two sons. She is a great contributor to the Zhou family.
The mother-in-law obviously saw Yao Qingqing's seriousness. After all, he yelled like that and had such a serious expression on his face. Everyone knew it was not a joke.
The mother-in-law immediately went out and told the grandmother of the Zhou family who was waiting outside. The grandmother of the Zhou family naturally responded to this and quickly called the housekeeper to send someone to the hospital to invite someone.
This is the reason why Li Sanniang was invited by this man.
But Li Sanniang, who was sitting in the carriage now, listened to what the man said. Her heart skipped a beat, and she knew that it might not be too late.
Although there is no way to know the specific situation of the eldest lady of the Zhou family at the scene from the man's mouth, it is only those situations that can make Yao Qingqing make a decisive decision to call the doctor.
No matter what the situation is, the time between sending people from the Zhou family to the hospital and then following Li Sanniang back to the Zhou family has been shortened as much as possible, but saving lives is like putting out fires, and it is best to do it as quickly as possible .
After another quarter of an hour, the carriage stopped. At this moment, Li Sanniang guessed that the eldest lady of the Zhou family was not in danger.
But it is the doctor's duty to save people. Li Sanniang got out of the car, started running, and followed the man to the backyard. Before Li Sanniang could enter the house, she heard crying in the house.
“It seems that I’m late.”
However, Li Sanniang still entered the house. What Li Sanniang saw first was Yao Qingqing, who was standing aside with a sad face. She The surgical gown he was wearing was covered in blackened blood.
“Sir!”
Li Sanniang nodded, and when she got closer, she heard Yao Qingqing describing the situation in a low voice to Li Sanniang.
“.I found something was wrong, so I hurriedly asked the Zhou family to call the husband.
But the eldest lady of the Zhou family became ill very quickly. I just finished talking to the old lady, the eldest lady, she I couldn't breathe, and after a few breaths, I started coughing, and all I coughed up was pink foam. I felt for the lady's pulse, and her pulse was very fast. I thought this was the amniotic fluid embolism that my husband said, and before I could react, the lady lost her breath.”
Li Sanniang saw a woman standing in front of the eldest wife of the Zhou family holding a quilt. Li Sanniang looked at Yao Qingqing with questions in her eyes.
"Sir, after I found out that the lady was dying, I immediately thought of the caesarean section to take out the baby that the husband said. The situation was urgent and I couldn't care about it. I, I
I directly I cut open the lady's lower body with a knife and took out the child.
Fortunately, I took it out early and insufflated the child according to the teacher's instructions. "
Li Sanniang stretched out her hand and patted Yao Qingqing's upper arm to comfort her: "A woman has to go through hell after giving birth. You have handled such an emergency situation extremely well.
At least you saved the kid.
In this situation, even if I come, it will be useless.
Doctors can only cure diseases, but cannot change the lives of those who have been written in the book of life and death by the Lord of Hell. ”
After a while, two young men came from the door outside. Li Sanniang looked on. These were probably the two sons born to the eldest wife of the Zhou family.
Sure enough, The two of them broke into the house, but the Zhou family's grandma refused to allow them to come forward, "Your grandma hasn't cleaned up yet. It's so indecent. How could you, a face-conscious person like your grandma, want you to see it?"
Just right here, you two kowtow to your mother-in-law right here and complete the bond between mother and son. "
Finally, the two young men were dragged out.
"This must be Dr. Li? "
Seeing Li Sanniang nod, the grandmother of the Zhou family, who was holding herself up and starting to deal with the funeral affairs of the eldest wife of the Zhou family, solemnly bowed to Li Sanniang and Yao Qingqing.
This But Li Sanniang and Yao Qingqing were so shocked that they had no time to escape.
"Thank you so much to Mrs. Yao Wen and Dr. Li today. If Mrs. Yao Wen hadn't made a decisive decision, my little boy would have been stillborn.
Fate is like this, but Dr. Li's life was in vain.
But Dr. Li’s arrival like this will definitely be remembered by our Zhou family.”
Li Sanniang and Yao Qingqing did not expect that the Zhou family’s grandmother did not scold or treat them. Despite looking for trouble, he was still grateful to the two of them after the death of the eldest lady of the Zhou family.
Seeing the expressions on Li Sanniang and Yao Qingqing's faces, Grandma Zhou guessed what they were thinking.
The grandmother of the Zhou family looked back at the bloody eldest wife of the Zhou family and Sanlang of the Zhou family in her arms, shook her head, then turned to Li Sanniang and Yao Qingqing and explained: "When I first got married, When I was visiting relatives at home, I saw a woman like Xiumei who had an emergency during childbirth and died before she could be saved.
That was my eldest brother's first wife, and she died in two deaths at the time. "
It is basically impossible to save amniotic fluid embolism. It is said that the mortality rate is 80%, but in fact it is no different from 100%.
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Amniotic fluid embolism refers to the sudden entry of amniotic fluid into the maternal blood circulation during delivery, causing acute lung disease Serious intrapartum complications of embolism, anaphylactic shock, disseminated intravascular coagulation, renal failure or sudden death.
The incidence rate is 4/100,000 to 6/100,000. Amniotic fluid embolism is caused by tangible substances (fetal vellus hair, keratinized epithelium, vernix, meconium) and procoagulant substances that contaminate the amniotic fluid entering the maternal blood circulation.
Once amniotic fluid embolism occurs, even with active rescue, the mortality rate is still very high, and the maternal mortality rate can be as high as 80%.
The time to death can be as fast as minutes to hours. About 1/3 of patients die within half an hour of onset, and the other 1/3 die within 1 hour of onset, mostly due to pulmonary embolism. The remaining 1/3 died from blood failure or kidney failure.
Amniotic fluid embolism is the most dangerous complication in obstetrics. Since this condition is often unpredictable before delivery, the mother must be closely observed during delivery, especially in cases of fetal death or macrosomia. , placenta previa, placental abruption, uterine hypercontraction and other conditions must be even more careful. --——The above comes from the Internet
(End of this chapter)