Hangzhou's pregnant mother Nana (pseudonym).
It's the 36th week of pregnancy.
But at this critical juncture.
After eating a cold strawberry.
Blood spurts from the mouth. He almost lost two lives.
What the hell is going on?
It turned out that Nana had symptoms of morning sickness soon after she was pregnant, and thinking that every pregnant woman would encounter this situation, Nana thought that it would be good to wait until she was a month old, so she didn't take it to heart. But she never expected that morning sickness accompanied her throughout her pregnancy, and she was already 36 weeks old, and she was still vomiting, and the vomit occasionally had a trace of blood. She herself wondered why morning sickness accompanied her throughout her pregnancy, but when she thought that she was about to give birth in a few weeks, she and her family didn't pay attention to it.
Recently, when the strawberries went on sale, Nana's husband bought big and red strawberries to take home, intending to satisfy his wife's cravings. Nana looked at the fresh strawberries and picked up the largest one and stuffed it into her stomach. However, the strawberries were still a little cold when they were brought in from outside, and Nana already felt something was wrong when she ate them, so she immediately rushed into the toilet and began to vomit, followed by a little blood and vomited out.
At this time, the little couple was frightened and hurriedly took a taxi to the hospital to see an emergency. As a result, as soon as she arrived at the emergency room, Nana spurted out a mouthful of blood on the floor of the emergency room, spilling all over the ground. Even the doctor who received the doctor at that time was frightened, and the doctor estimated that the blood volume reached 1000ml, and had a bad premonition, and the pregnant woman was afraid that she had encountered the most dangerous "gastrointestinal bleeding". What went wrong?
Immediately afterwards, Nana was pulled by an ambulance to the emergency department of the First People's Hospital of Hangzhou as quickly as possible. The emergency department of a hospital in the city found that the baby in Nana's womb also had fetal heart rate instability, and the situation was very dangerous. Fortunately, the child was close to term and had almost developed, and the young couple did not hesitate at all and immediately agreed to undergo a caesarean section.
In an operating room, the mother and child are "rescued" at the same time
After learning the news, the obstetrics, gastroenterology, neonatology, and intensive care medicine departments immediately formed a rescue team. Due to the urgency of the child's fetal heart rate instability, Director Zhai Hongbo and Deputy Director Wu Linzhen decided to perform cesarean section for Nana first. After the child was born, there was no breathing or crying, and Zhang Zhiqun, director of the neonatology department, immediately performed intubation ventilation and chest compressions for the child. After 5 minutes, the child finally had a heartbeat and breathing.
On my mother's side, Yang Jianfeng, director of the Department of Gastroenterology, immediately used a gastroscope to find a gastrointestinal bleeding point, and saw two tears about 3cm long from the lower esophagus to the cardia under the endoscope, which were deep into the muscle layer, accompanied by active bleeding, and was diagnosed as "esophageal cardia mucosal tear syndrome" during the operation. Yang Jianfeng quickly closed the tear with a metal titanium clip to stop the bleeding, flushed the bleeding site to ensure that there was no active bleeding, and Nana's bleeding was stopped, and then she was sent to the ICU for continuous **.
Fortunately, through the efforts of all the medical staff, the mother's bleeding stopped, the baby's breathing and heartbeat also increased, and the mother and son were successfully rescued, and they are now out of danger.
Why does gastrointestinal bleeding occur?
Yang Jianfeng, director of the Department of Gastroenterology, said that esophageal cardia mucosal tear syndrome is caused by intense and frequent nausea or vomiting, which leads to a sudden increase in intra-abdominal pressure, resulting in tears in the mucosa and or submucosa at the distal end of the esophagus or cardia, causing upper gastrointestinal bleeding.
Yang Jianfeng solemnly reminded everyone that if the mother is found to have **, vomiting blood, or bloody stool during pregnancy, she must be vigilant against gastrointestinal bleeding and go to a professional hospital for examination as soon as possible to ensure the safety of the mother and the child.
Does morning sickness really go all the way to birth?
Wu Linzhen, deputy director of the Department of Obstetrics, said that after the 8th week of pregnancy, morning sickness will begin to ease, and after 12 weeks, morning sickness will basically disappear. But it's rare for Nana to vomit throughout her pregnancy.
Although morning sickness is a normal phenomenon during pregnancy, if the pregnant woman has severe morning sickness, it will also affect the nutritional intake of the pregnant woman, which is not only bad for the pregnant woman's body, but also affects the development of the fetus, so if the morning sickness is severe, you need to find a way to relieve the morning sickness. In medicine, "hyperemesis gravidarum" refers to some cases where morning sickness is very serious, and in this case, it can only be relieved by going to the hospital in time for the corresponding **.
Hyperemesis gravidarum can be relieved with the following methods**.
1. Psychology**.
Pregnant women need psychological counseling, treat hyperemesis gravidarum with a positive and optimistic attitude, and the pregnant woman's family should give enough recognition and care to avoid triggering bad emotions of the pregnant woman.
2. Drugs**.
Medications are required if a pregnant woman eats a small amount of food per day, is unable to meet her daily energy needs, or even has electrolyte imbalances**. If the electrolyte test shows hypokalemia, potassium supplementation should be prescribed by the doctor. If you have other symptoms such as metabolic acidosis, you need to seek medical attention at a professional medical institution.
3. Dietary conditioning.
The diet is mainly light and easy to digest foods, such as egg custard, rotten noodles, etc., eat small and frequent meals, you can take vitamins, or drink lemon water to relieve symptoms. Avoid spicy, irritating, cold, greasy food, etc.
*: Hangzhou Traffic 918