life is sweet

Chapter 7 [007] Placenta accreta

Before the nurse walked out of the operating room, she heard Su Qingchun on the operating table suddenly say:
"Oops, why can't this placenta come out."

Su Qingchun gently pulled off the placenta that had protruded a little bit, he frowned, and then muttered: "It seems that it can't be completely peeled off."

"It can't be placenta accreta."

"Placenta accreta?" Jiang Kuang repeated.

Then he seemed to think of something, and added: "Oh, brother, this woman's first child seems to be a caesarean section, could it be because of this reason?"

"But she can check it out when she should be thinking about the four dimensions!"

"Hi! Don't mention it, this woman basically hasn't had any checkups. Judging from her husband's tone, it is estimated that she didn't even have an intrauterine and extrauterine diagnosis."

"No way!" Jiang Kuang was surprised.

"It's meaningless to find out what caused it now." Su Qingchun said with a frown.

Then Su Qingchun tried to remove the placenta manually again, but the placenta still showed no sign of separation.

"Hey, it's true, and it looks more serious." Su Qingchun sighed.

Jiang Kuang became nervous when he heard about it, because he knew that placenta accreta was firmly combined with the uterus and could not be separated, and forced separation would cause massive hemorrhage and even be life-threatening.

Generally, placenta accreta is more likely to occur the more times of cesarean section, more than 4 cesarean sections, if there is placenta previa, the probability of combined placenta accreta will be as high as more than half.

Although Jiang Kuang has been in the clinic for more than 2 years, it is still rare to see this kind of placenta accreta discovered after surgery, because now puerpera will be checked, and usually it will be discovered early, before surgery. countermeasures will be taken in advance.

"Brother, what should we do now?" Jiang Kuang was a little nervous.

"Hurry up and notify the blood bank to increase the blood volume by three units immediately." Su Qingchun said forcefully.

"it is good."

The nurse hurriedly prepared.

Time passed by minute by minute, Jiang Kuang was very anxious seeing the dwindling plasma bags, and asked anxiously, "Why hasn't the blood from the blood bank come yet?"

"Hurry up and watch." Su Qingchun, who was on the rescue side, glanced at the little blood left in the plasma bag, and said.

The nurse was also worried, and hurried to make a phone call. When the phone was picked up, the blood from the blood bank arrived.

"Come on, come on," the nurse shouted excitedly.

Seeing that the blood from the blood bank was being delivered, Jiang Kuang hurriedly greeted him and took over the box containing the plasma.

But when Jiang Kuang held it, he found that the blood was still cold.

"Brother, what should we do? The blood is still cold." He frowned and said anxiously.

"Hurry up and find a way." Su Qingchun didn't have time to think about these things, and at this time he was resuscitating Sun Meng's bleeding.

Jiang Kuang looked around, there was no other way at present, so he put the blood bag in his arms into his arms, when the cold blood bag approached Jiang Kuang's chest, he couldn't help shaking.

"There is almost no blood!" said the nurse, looking at the blood transfusion bag.

Seeing this, Jiang Kuang stomped his feet anxiously, and said anxiously: "Hurry up, hurry up, hurry up and get hot!"

His chest was cold, and he saw that the effect was not obvious, so he switched to his armpit again, just like this, he used his body to cover the cold blood plasma back and forth.

"Doctor Jiang, hurry up."

The more the nurse urged Jiang Kuang, the more anxious he became. He even jumped up to raise his body temperature.

A few minutes later, Jiang Kuang finally warmed a blood bag.

"Quick, quick!" Jiang Kuang, whose body was already blue with cold, hastily handed the blood bag to the nurse.

As soon as the nurse put on the plasma, she realized something was wrong, and quickly shouted: "It's not good, Dr. Su, the patient's heart rate is almost undetectable."

Su Qingchun glanced at the ECG monitor.

"Xiao Jiang, go outside now and tell your family members about the situation, tell them that you are critically ill, and I will try to find a way to stop the bleeding first with conservative treatment."

"Okay!" Jiang Kuang stared straight at Su Qingchun, listening to his explanation, not daring to miss a word.

"Remember to explain the critical condition of the parturient. After conservative treatment fails to stop the bleeding, I may resort to hysterectomy at any time because the placenta accreta cannot be removed. This must be explained, and then let them sign quickly." Su Qingchun added.

"Good! Good! I know!"

Jiang Kuang knew the dangers of placenta accreta, and he also knew that the situation was urgent. After Su Qingchun explained the matter clearly, he hurriedly strode out.

The nurse holding the baby had just finished checking up with the neonatologist, so Jiang Kuang went to find the mother's family before her.

Jiang Kuang walked out of the operating room, and before he could catch his breath, he shouted:

"Is Sun Meng's family here?"

Sun Meng's husband and mother-in-law, who were waiting outside the operating room, hurried over when they saw the doctor calling their names.

"Doctor, I am Sun Meng's family member." Zhang Zhicheng walked back and forth hurriedly.

"It's like this. After Sun Meng's caesarean section, the placenta could not be stripped. Now it is considered to be placenta accreta. If it is forced to separate now, there may be heavy bleeding at any time. Now Dr. Su is processing it inside to see if it can be stripped. If it doesn't work, it needs to be removed immediately. uterus."

Sun Meng's husband, Zhang Zhicheng, was a little confused: "Doctor, what do you mean?"

"What is placenta accreta?"

"Why do you need to remove the uterus?"

"Doctor, can you explain more clearly?"

Zhang Zhicheng asked several times.

The situation was already urgent, and Jiang Kuang was impatient here, and now the family members kept asking questions, which really made Jiang Kuang feel anxious.

"Hey! The situation is urgent now, and I don't have so much time to explain it to you in detail. It's probably the situation"

Before Jiang Kuang finished speaking, the nurse took out the child who had just been examined and was about to show it to the family members.

"You are Sun Meng's family, right?"

"Yeah!" At this moment, the family members turned their attention to the child again, completely ignoring Jiang Kuang.

"Come and see the baby." The nurse said while leaning the baby towards Zhang Zhicheng, "This is a girl, born at 19:06, weighing 1700 grams."

"The child's condition is not very good now, and it needs to be sent to the neonatology department for observation."

"Ah?" Zhang Zhicheng exclaimed, "Why is it a girl?"

Zhang Zhicheng didn't intend to take the child to have a look at all.

"Doctor, did you make a mistake? My wife should have given birth to a boy." Zhang Zhicheng confirmed repeatedly.

"We can't make a mistake, it's indeed a girl." The nurse lifted the child's clothes as she spoke, "Look at it."

"Is it wrong?" Zhang Zhicheng asked.

The mother-in-law on the side also echoed in a low voice: "Yes! Nurse, did you hug the wrong one?"

"How could it be wrong? Your wife had a caesarean section, and your wife is the only woman in our operating room, and I was the one who hugged her all the time after giving birth." The nurse explained helplessly.

Zhang Zhicheng and Sun Meng's mother saw that the nurse was so determined that she had nothing to say.

Seeing that they were preoccupied with boys and girls, the nurse was afraid that they would not hear what she said just now, so she added: "Also, this baby was born prematurely, and the whole situation is not very good. We need to put the baby in the newborn. Pediatrics to observe and treat."

"Go." Zhang Zhicheng waved his hand.

"Then you want to hug the baby first?"

The mother-in-law was watching the son-in-law's response, as if she wanted to come over but didn't dare to come over.

"Just carry it!" Zhang Zhicheng replied, turning his head in the other direction of the child.

The nurse glanced at Jiang Kuang helplessly, then angrily took the child away.

　Remarks: Placenta accreta refers to the penetration of placental villi into part of the muscular layer of the uterine wall, which occurs in the first trimester.Placenta accreta is one of the serious complications of obstetrics, which can lead to maternal hemorrhage, shock, uterine perforation, secondary infection, and even death.Multiparity, induced abortion, induced labor, cesarean section, and puerperal infection are the main causes of placenta accreta.

　　
　
(End of this chapter)