Nandu Xunnan area likes to use pork feet ginger vinegar to supplement her body, but if the mother has inflammatory bowel disease with intestinal obstruction, eating this bowl of supplements is likely to be fatal.Ms. Chen, 34, suffered from Mediterranean anemia, G6PD deficiency, and Crohn’s disease. After experiencing hardships, she finally got the opportunity to become a mother, but pig’s foot ginger became the "fuse" that endangered her life.
Eat for many days of pig feet ginger ginger pregnant women’s accumulated feces 6000ml
As early as nine months ago, Ms. Chen was told that the end of the intestine was narrowed at the time of inspection of inflammatory bowels at the Sixth Hospital of Zhongshan.Director Gao Xiang in the hospital’s digestive department repeatedly told patients to have cautious diet during the outpatient clinic, and do not interrupt the drug treatment of Crotn’s disease.But because I wanted to Huaibao too much, Ms. Chen thought that continued medication would affect pregnancy, and she stopped the treatment of Crohn’s disease in violation of the doctor’s advice.
After learning that Ms. Chen was pregnant by accident, Professor Gao Xiang was worried that her body was thin and formulated a treatment plan for oral intestinal nutritional treatment for her.However, Ms. Chen felt that she was "insufficient nutrition" during pregnancy, so she ate pig’s feet ginger every day.
It turned out that Ms. Chen not only suffered from Crohn’s disease, but also merged with intestinal obstruction. The difficulty of digestion "supplemented food" was equivalent to oil on the fire.After 14 weeks of menopause after pregnancy, the doctor did not know that she had repeated fever and abdominal pain for more than 1 year due to the two consecutive days of fever.
During the hospitalization, Ms. Chen’s condition deteriorated rapidly.Due to repeated high fever, abdominal distension, vomiting dung -like substances, and rapid progress, it is rapidly progressing to the infectious shock combined with multi -organ functional failure (breathing, liver, kidney, coagulation, blood), critical condition, Apachii score is as high as 42 points, and the mortality rate is expected to be 94.4%, The next day, Ms. Chen was transferred to the rescue treatment of intensive medical medicine.The result of the abdomen CT made people stunned: not only did she not have the intestinal wall thickened at the end of the intestine, but also inflammation of the intestinal cavity stenosis and small intestinal obstruction, upper lung lobe and dual lung lobe.
The Department of Severe Medicine was immediately shocked by Ms. Chen, who was severely shocked. She had an emergency gastrointestinal operation, leading to up to 6000ml of feces. At the same time, she was actively anti -infection, the ventilator auxiliary breathing, and the pressure of blood pressure to maintain blood pressure.What makes people regret is that the fetus in Ms. Chen has been unable to recover, and the pregnant woman herself is also in danger.Professor Yang Chunhua, director of the Severe Medicine Division of the Sixth Hospital of Zhongshan, considers that the patients are severe purulent, infectious shock, and intestinal infections (Crohn’s disease combined with intestinal obstruction).And with the obstetrics to take out the dead fetuses, we can keep Ms. Chen’s life.
The child in the abdomen of the intestinal "thunder" is not kept
The Department of intensive medical department immediately contacted the Medical and Political Department to organize the hospital’s consultation, including gastrointestinal medicine, gastrointestinal surgery, obstetrics, endoscopic rooms, anesthesiology, and blood department.Due to severe infection, Ms. Chen’s platelets dropped from 260*10^9/L to 15*10^9/L in two days.The risk of anesthesia is extremely high, and there are extremely high risk of death during the operation and after surgery.
After fully communicating with patients and family members, the patient’s life signs were extremely unstable, multi -organ failure, and coagulation dysfunction. That night, the multidisciplinary team of the Sixth Hospital of Zhongshan launched a "life relay" for two and a half hours.Gastrointestinal surgery Yang Zuli, Ke Jia, Lin Yijia and other teams, obstetrics Zhou Lanping, Peng Jinsao and other teams performed caesarean section for patients with caesarean section+gastrointestinal decompression+back -end two -cavity, abdominal discharge+artificial production (pliers scraper scrapingSurgery).
Ms. Chen’s body was hidden one after another.During the operation, it was found that the risk of intestinal necrosis was found due to poor intestinal blood transport.After surgery, the patient’s wound was severe, the coagulation function was extremely poor, and the indicators were very disturbing.What is even more tricky is that due to the original severe infection, the patient’s platelet is still below 10*10^9/L within a week, abnormal coagulation, combined DIC, abnormal liver function, coagulation factor synthesis disorders, and the uterine cavity will still bleed on the second day of the surgery.600ml, but blood lactic acid was still high within 3 days. Five days after surgery, Ms. Chen’s calcium original was still unable to measure, and her condition was still extremely dangerous.Severe Medical Division has once again jointly produced and intervened, and for Ms. Chen to open up the "Life path".
There was a wave of flat, and the waves were rising again.Acute renal injuries occur under the patient’s purulent disease, and the renal function is not involved in intervention, which is even worse.The Department of Severe Medicine actively gives anti -infection and CRRT to remove inflammatory medium for kidney support treatment, and then supplemented by breathing support, improving tissue irrigation, regulating boosting drugs, and liquid optimization management.
After multiple tests, the discharge is finally restored
Every day, every step, like walking on the wire.Fortunately, Ms. Chen’s condition gradually stabilized. With the help of all medical staff, she overcomes the electrolyte disorders and ventilator -related pneumonia related to the merging of acute kidney skills. From January 12, CRRT treatment has finally been discontinued.
On January 16, Ms. Chen finally removed the tracheal intubation.Liver function, renal function recovery, platelets rise, lung infection improvement, coagulation function recovery, and starting intestinal nutrition, which can enter the water through the mouth.Turn on the Department of Division in January 20.Turn on the Department of Division in January 20.According to Ms. Chen’s current high nutritional risk and still combined with abdominal cavity and lung infection, the Great Internal Medicine of the Sixth Hospital of Zhongshan actively controls the infection, on the one hand, she formulates a complete intestinal and external nutrition plan for her.After nearly a month of gradual recovery, Ms. Chen completely separated from the nutrition of the bowel. Director Gao Xiang formulated a plan for the stability and physical fitness of the whole intestine in the nasal feeding whole intestine.On February 20, Ms. Chen was discharged well without leaving any organ damage.It is reported that doctors in the Department of Gastroenterology in the later period will still provide long -term treatment and monitoring in the clinic.
Please note: Crohn’s patient patients:
Director Gao Xiang reminded that Crohn’s disease is an unknown intestinal inflammation disease that can occur in any part of the gastrointestinal tract, but it occurs at the end of the end and the right half.This disease and chronic non -specific ulcerative colonitis are collectively referred to as inflammatory bowel disease (IBD).The clinical manifestations of this disease are abdominal pain, diarrhea, and intestinal obstruction, accompanied by intestinal manifestations such as fever and nutritional disorders.The course of the disease is more delayed, repeated attacks, and it is not easy to cure.This disease is also called limited enteritis, limited recovered, segmented enteritis and granuloma enteritis.At present, there is no root treatment. Many patients have complications and need surgery, and the recurrence rate after surgery is very high.The recurrence rate of this disease is related to factors such as the scope of the disease, the strength of the disease attack, the extension of the course of the disease, and the increase in age, and the mortality rate has increased.
Patients with Crohn’s disease need long -term monitoring, treatment and follow -up under the guidance of professional inflammatory bowel disease (IBD) doctors.Choose.
The diet of patients with Crohn’s disease will change due to the characteristics of each person’s disease and the stage of the disease. Experienced IBD centers will formulate a reasonable and individual diet plan for each patient.
Crohn’s patients can get pregnant when the disease is well controlled, but in addition to conventional obstetrics during pregnancy, IBD doctors also need IBD doctors to give specific treatment plans and suggestions for the disease.The IBD Center of Zhongshan Sixth Hospital Integration of the Internal Medicine, reproductive centers, obstetrics, and gynecological forces has a maternity clinic, which provides the whole process for Kroin’s mothers.
Jianwen Nandu reporter Wang Daobin Correspondent Jian Wen Yang Li Rao Yao Yao Wang Li Chun Tang Jian
