紧急！义乌双胞胎孕妈，剧烈孕吐呕血休克！他们出手了……
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <p class="">原标题：双胞胎孕妈剧烈孕吐呕血休克，多学科协作打赢“保胃战”与“保胎战”</p><p class=""> </p><section><section><section style="font-size: 15px; line-height: 1.5; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">当“95后”双胎孕妈因妊娠期剧烈孕吐遭遇<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">消化道大出血并失血性休克，</span></strong>面对<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">“保胃战”与“保胎战”</span></strong>的双重挑战，义乌市中心医院多学科团队无缝衔接、高效协作，最终护航母婴平安。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">此次成功抢救，是我院<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">多学科联合诊疗（MDT）和急危重症孕产妇救治综合能力</span></strong>的生动体现，也为孕期剧烈呕吐可能引发的严重风险敲响了警钟。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108374681178801.png" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="display: inline-block; width: 26px; height: 26px; vertical-align: top; overflow: hidden; border-radius: 245px; background-color: #ffb957; box-sizing: border-box;"><section style="color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">!<br /></strong></p></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; background-color: #6575fe; margin: 0px 0px 0px -12px; min-width: 5%; max-width: 100%; height: auto; padding: 6px 10px 6px 18px; box-sizing: border-box;"><section style="font-size: 17px; text-align: justify; color: #ffffff; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">双胎孕妈剧烈孕吐引发大出血</strong></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">绿色通道开启、多学科联动护航</strong></p></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 60%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108393995507738.png" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">孕12周的小西（化名）幸运怀上了双胞胎，可紧随而来的是<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">极为严重的孕早期妊娠反应</span></strong>，难以控制的剧烈孕吐已经<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">持续多日</span></strong>。入院前，小西呕出大量鲜红色血液，被家人紧急送入中心医院急诊科。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/1769510841405152022.jpeg" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><section><section style="font-size: 15px; line-height: 1.5; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">接诊医生、急诊科主任医师王晓华回忆，患者入院时仍有持续的呕吐、呕血，程度较剧，伴头晕乏力，考虑<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">剧烈孕吐导致的贲门撕裂可能</span></strong>，立即<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">启动危重孕产妇抢救绿色通道</span></strong>。</strong></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108434078268661.jpeg" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">一边，面对孕妇已出现的失血性休克、气道误吸风险极高的紧急状况，急诊团队当机立断，完善胎儿超声的同时，立即予护胃、止血等对症治疗，为后续抢救赢得宝贵时机。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">另一边，迅速请示科主任、医务科，迅速协调组织多学科讨论。急诊科、重症医学科、消化内科、产科等相关科室专家火速集结，快速研判病情，经MDT团队周密评估并与家属充分沟通，认为<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">患者当前贲门撕裂持续活动性出血，保守治疗难以控制</span></strong>，应尽快收住ICU，并<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">在严密监护和生命支持保障下实施床旁内镜下介入治疗</span></strong>。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="display: inline-block; width: 26px; height: 26px; vertical-align: top; overflow: hidden; border-radius: 245px; background-color: #ffb957; box-sizing: border-box;"><section style="color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">!<br /></strong></p></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; background-color: #6575fe; margin: 0px 0px 0px -12px; min-width: 5%; max-width: 100%; height: auto; padding: 6px 10px 6px 18px; box-sizing: border-box;"><section style="text-align: justify; color: #ffffff; font-size: 17px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">床旁内镜力挽狂澜</strong></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">成功止血守护母婴平安</strong></p></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108453834741123.jpeg" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">方案既定，多学科团队即刻进入“战斗”状态。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">消化内科副主任医师陆小锋回忆，进镜后，胃内可见较多暗红色血性液，贲门近胃体小弯可见一条线性糜烂，上覆红色血栓头，食管处又见一条线性糜烂，予钛夹夹闭创面，冲洗后未见明显活动性出血，介入止血治疗顺利。</p><section style="font-size: 15px; line-height: 1.5; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/1769510847407439298.jpeg" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108494109448679.jpeg" /></section></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">他解释，本次抢救之所以选择在气管插管下进行内镜止血，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">首要目标是确保绝对安全</span></strong>。患者处于休克状态，意识模糊，气道保护能力极差，<strong style="box-sizing: border-box;">如再次出现呕吐，会导致血液或胃内容物误吸入肺，引发致命性窒息或肺炎</strong>。气管插管能物理隔离气道与消化道，为精细的内镜操作也提供了<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">稳定的生命支持和无干扰的视野</span></strong>。</p><section><section><section style="font-size: 15px; line-height: 1.5; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108514067750372.jpeg" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 陆小锋副主任医师正在为患者进行内镜检查（资料图）</strong></p></section></section></section></section><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">次日，小西就顺利拔除气管插管，各项生命体征平稳。经消化内科和产科密切观察，<span style="color: #ff0000; font-weight: bold;">母亲及其腹中</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;"><span style="color: #ff0000; font-weight: bold;">双胞胎胎儿情况稳定，状态良好</span></span></strong>，目前已顺利出院。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="display: inline-block; width: 26px; height: 26px; vertical-align: top; overflow: hidden; border-radius: 245px; background-color: #ffb957; box-sizing: border-box;"><section style="color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">!<br /></strong></p></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; background-color: #6575fe; margin: 0px 0px 0px -12px; min-width: 5%; max-width: 100%; height: auto; padding: 6px 10px 6px 18px; box-sizing: border-box;"><section style="text-align: justify; color: #ffffff; font-size: 17px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">专家提醒：</strong></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">剧烈孕吐不容小觑，及时就医很重要</strong></p></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 80%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108534153160816.png" /></section></section><section style="color: #6a3e3e; line-height: 2.5; direction: ltr; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">消化内科与产科专家表示，因妊娠呕吐导致贲门撕裂的病例在临床上较为常见，但由此<span style="color: #ff0000; font-weight: bold;">导致消化道大出血的相对少见</span>，该病例也给广大孕妈们提了个醒：</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">妊娠剧吐是常见的早孕反应，但出现呕吐极其频繁、无法进食进水、体重明显下降、呕吐物带血或呈咖啡渣样、尿量明显减少、头晕乏力等症状时，</strong><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">必须高度警惕、立即就医，切不可当做普通孕吐硬扛</span></strong><strong style="box-sizing: border-box;">，延误治疗时机可能危及母子生命。</strong></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260127/17695108554249518900.jpeg" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">此次成功抢救，展现了义乌市中心医院在应对急危重症孕产妇救治时</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">多学科联合救治的高超水平与强大合力</span></strong><span style="text-indent: 2em; box-sizing: border-box;">，也体现了医院作为</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">“义乌老百姓家门口的三甲医院”的责任与担当</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。医院将继续优化危重症救治流程，加强多学科协作，为保障群众健康构筑起更加坚固的生命防线。</span></p></section></section><section class="empty_paragraph"></section></section></section></section></section><p style="display: none;"> </p> <!----></div> 真危险:o:o:o
生孩子都不容易，还好现在技术越来越好了
不容易
必须点赞
好好好
母亲都是伟大的
看着太疼了
生孩子是真遭罪
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