Recently, a case occurred in the emergency room of the hospital, which was heartbreaking. A 32-year-old mother of two children, who was 6 months pregnant, suddenly felt difficulty breathing in the evening and was rushed to the hospital where she suffered cardiac arrest. The hospital tried its best to rescue her, but unfortunately both mother and son died, one after another. \”She suffered from pulmonary hypertension, an absolute contraindication for pregnant women. If she had paid attention to her symptoms of chest tightness, dizziness, and edema and terminated the pregnancy early, this tragedy could have been avoided.\” Respiratory of Shaw Hospital Affiliated to Zhejiang University School of Medicine Zhang Ruifeng, deputy director of the Department of Internal Medicine, was very emotional. This year is a great year for fertility. With the implementation of the comprehensive two-child policy in the Year of the Monkey, the number of newborns in Nanjing this year is expected to increase by 30% year-on-year. There is also a \”blowout\” phenomenon among high-risk pregnant women. In the critical maternal center of Gulou Hospital, from January to March this year, more pregnant women with dangerous placenta previa were admitted than in the previous year combined. Older women giving birth to a second child, in vitro fertilization, twins, multiple births… all increase the risk of having a baby! Be sure to give pregnant women a heads up! During this period of time when cardiopulmonary hypertension was the \”invisible killer\”, Run Run Shaw Hospital encountered several pregnant women suffering from the disease, with a mortality rate of over 50%. In order to avoid tragedy, it is best for women to have a heart ultrasound examination when preparing for pregnancy. She suffered from chest tightness and dizziness for more than a month, but she did not pay attention to the accident. The second mother\’s surname is Wu. She is only 32 years old and works in administrative work in her workplace. Because the first child was a girl, after the second-child policy was relaxed, she and her husband both wanted to have another boy to get a good result. Ms. Wu is usually in good health and she got pregnant successfully not long after she started to prepare for pregnancy. The family is very happy. My mother-in-law takes good care of her in terms of food and daily life, and her husband takes me to and from get off work. In the first five months of pregnancy, she did not have any pregnancy reactions. Not only did she feel comfortable, but she was also in a good mood, full of expectations for the birth of the child. Unexpectedly, a month later, I would experience dizziness, chest tightness and other uncomfortable symptoms, and my body would become a little swollen. She thought she was probably tired, and the temperature had changed a lot during this period, and she had a slight cold, so she didn\’t take it to heart. On the day of the accident, Ms. Wu came home from get off work in the evening, washed a little and then lay down on the bed to rest. However, she suddenly felt difficulty breathing, severe chest tightness, and couldn\’t move her body. Upon seeing this, her mother-in-law rushed her to the hospital. Later, he was transferred to Hangzhou overnight to find a doctor from Shaw Hospital. Pulmonary hypertension complicated by cardiac arrest, both mother and son died. Doctors recalled that Ms. Wu was already in serious condition when she was admitted to the hospital. She had chest tightness and shortness of breath. She lay motionless and could not speak clearly. The examination found that many small blood vessels around her pulmonary artery were blocked, and the pulmonary artery pressure \”exploded\” to as high as 130, which is below 25 for normal people. This is typical of idiopathic pulmonary hypertension. This disease is a large type of malignant pulmonary vascular disease characterized by increased pulmonary artery pressure and pulmonary arteriole lesions. It is called a \”malignant tumor\” that occurs in the pulmonary blood vessels. \”The cause of Ms. Wu\’s illness was pregnancy.\” The doctor explained that pregnancy will cause changes in hormone levels, and blood circulation will also put great pressure on the heart. Pregnancy is an absolute contraindication for patients with pulmonary hypertension. Once you become pregnant, terminate the pregnancy as soon as possible, so as not to cause life danger to pregnant women. In order to save Ms. Wu\’s life, after discussing with her family, the doctor reluctantly performed a caesarean section for her. She seemed to know secretly that the baby could not be saved. As soon as the baby was taken out, she suddenly suffered a cardiac arrest. Although the hospital carried out all-out rescue efforts, Ms. Wu unfortunately passed away half a month later. Before pregnancy, it is best to have a cardiac ultrasound. Tragedy like Ms. Wu’s was not an accident for Dr. Zhang Ruifeng. In September last year, he also encountered two 50-year-old strong men who died of the disease within three days. He said that the onset of pulmonary hypertension is characterized by urgency and severity, and almost half of the patients have been to the emergency room. The probability of sudden death in patients with severe pulmonary hypertension exceeds 30%. Most patients with pulmonary hypertension are young people aged 20-40. They are young, but their hearts are like those of a 70-year-old man. They cannot sing, climb stairs, run, or fly. If the disease is serious, they may die suddenly at any time even from trivial matters such as tying shoelaces. \”The causes of pulmonary hypertension are very complex. In addition to idiopathic pulmonary hypertension, many diseases, such as pulmonary thromboembolism, lupus erythematosus, rheumatoid arthritis, interstitial lung disease, cirrhosis, congenital heart disease, etc., can cause Complicated by pulmonary hypertension.\” He pointed out that the above high-risk groups should be regularly screened for pulmonary hypertension. It is worth noting that pulmonary hypertension is very hidden and its initial symptoms are relatively mild. It often only presents non-specific symptoms such as fatigue after exercise, asthma, chest tightness, chest pain, dizziness, etc. It is easily confused with tracheitis, asthma, coronary heart disease, etc. Although pulmonary hypertension is dangerous, the condition can still be controlled with timely diagnosis and effective treatment. Therefore, if you have unexplained shortness of breath or chest tightness, you must see a doctor in time, and you can have a cardiac ultrasound examination. Be reminded that you may also suffer from infertility after giving birth! Many people think that after having one child, it will be easier to have another. In fact, this is not the case! 38-year-old Zhang Ting Dabao is already 6 years old, but she has been trying to get pregnant for her second child for 2 years without getting pregnant. After going to the hospital for a checkup, it was discovered that the cause of her infertility was blocked fallopian tubes. Pregnancy at an advanced age may cause premature ovarian failure, polycystic ovary syndrome, fallopian tube disease and ovulatory dysfunction. If the interval between the two pregnancies is large and the person trying to conceive is about 40 years old, experts recommend going to a regular hospital for a pre-pregnancy check-up. In addition, pregnant mothers should also pay attention to whether they have placenta previa. Severe and dangerous placenta previa is likely to occur in mothers with second babies. The risk is quite high and it is easy to cause heavy bleeding. Being a mother is not easy… For mothers who are planning to become pregnant, don’t miss these tests.
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