The patient is Ms. D.TM, 24 years old, from Lang Son, admitted to the Central Obstetrics Hospital on April 15 with continuous abdominal pain and vomiting. The patient said she took a pregnancy test herself, the result was positive, and had abdominal pain 2 days ago.
Quickly performing an initial examination and ultrasound, the emergency doctor in the Department of Medical Examination determined that the patient had symptoms of intra-abdominal bleeding and requested immediate transfer to the operating room.
While lying on the operating table, Ms. M. was in a drowsy state, her pulse was small and difficult to detect, and her blood pressure could not be measured. Determining that the patient was in hemorrhagic shock, the doctors both resuscitated and administered anesthesia. However, due to excessive blood loss, during the surgery, the patient’s circulation stopped twice.
Immediately, the emergency team consulted with the board of directors, and the entire hospital turned on mode red alertand at the same time held inter-hospital consultations with Viet Duc Friendship Hospital (about 200 meters from the Central Obstetrics Hospital) to focus on treating patients.
After 15 minutes of continuous chest compressions and active resuscitation, the patient’s heart beat again. Immediately, doctors at both hospitals urgently performed surgery to stop the bleeding. The doctor said the patient had a mass ruptured ectopic pregnancy causing loss of 2.5 liters of blood, very dangerous (an average adult has about 5 liters of blood, depending on many factors).
On the same afternoon, patient M. was transferred to Viet Duc Friendship Hospital to continue intensive resuscitation treatment. After 10 days, Ms. M.’s health stabilized.
Ectopic pregnancy can cause particularly serious complications such as rupture of the fallopian tube, causing a lot of blood loss, and even threatening the patient’s life due to massive bleeding. In the early stages, ectopic pregnancy sometimes has symptoms like a normal pregnancy and is difficult to recognize.
Unruptured ectopic pregnancy:
– Late period then urine test shows pregnancy.
– Abdominal pain in the lower abdomen, dull pain, sometimes severe
– Prolonged bleeding, usually after a few days of missed menstruation, the bleeding is usually light, dark brown in color, sometimes mixed with membranes.
Ruptured ectopic pregnancy:
– Symptoms of unruptured ectopic pregnancy
– Accompanied by sudden, severe abdominal pain, pain, sweating, paleness, paleness…
– Symptoms of intra-abdominal bleeding depend on the level of blood loss such as blue skin, pale mucous membranes, cold limbs, rapid pulse, low blood pressure.
Forging the signature of the leader of the National Children’s Hospital to appropriate moneyA social network account posted about a son with lung cancer who was transferred to the National Children’s Hospital, along with documents with a red seal and the signature of the hospital’s leadership to call for help, however, the hospital denied the information. believe and confirm that this subject is a fraud.
Tags: Urgently turned red alert save young girl critical hemorrhagic shock cardiac arrests
-
