2

On the 22nd of the month, when the epidemic was high, Ms. Sheng came to the obstetrics department of Changsha Fourth Hospital for routine obstetrics. She found high blood pressure and considered severe preeclampsia. She was in a critical condition. Once eclampsia occurs, it will threaten the lives of mothers and children. The doctor suggested Be hospitalized immediately. Because of the sudden incident, Ms. Sheng hesitated. Zhang Yang, the deputy director of obstetrics department and chief physician, patiently and carefully explained the condition to the parturient and family members. She gained the trust of the couple and was admitted to the obstetric ward.

During the hospitalization, Ms. Sheng had a high blood pressure of 174/110 mmHg. After careful diagnosis, treatment and care by the medical staff of the whole department, Ms. Sheng's condition was under control and her blood pressure was well controlled. She was discharged from the hospital on March 1. On April 11, Ms. Sheng has been pregnant for 37 weeks, her liver function has become abnormal, and her blood pressure is high again. She is considering being hospitalized again for severe preeclampsia and preparing to terminate the pregnancy after cesarean section after antispasmodic treatment. Doctors are doing it seriously. Preoperative deployment, various inspections, anesthesia plan, preoperative discussion, surgical consent, etc. Shou Deyun Kai Jian Yueming, after all the doctors' perseverance, finally the mother and the child are safe.

On the evening of March 10, the Second Obstetrics Department of Acheng District People’s Hospital in Heilongjiang came to a pregnant woman who was afraid of going out for medical treatment because of fear of contracting new coronary pneumonia. She had been pregnant for 35 weeks at the time of treatment and had dizziness, headache, and blurred vision for half a month. She had symptoms of nausea, vomiting, and hematemesis, and her blood pressure was measured at 170/110 mmHg. The doctor on duty Li Xuenan initially assessed her as severe preeclampsia. Li Xuenan and nurse Ren Tianshu immediately performed a fetal heart check on the patient, perfected the auxiliary examination, established venous access, antispasmodic and lowered blood pressure, oxygen inhalation and other symptomatic treatments. The fetal monitoring chart indicated fetal distress in the uterus.

The doctor on duty immediately reported the patient's condition to the director Liu Liping. Director Liu diagnosed that the fetus was dying in the uterus and must be operated on immediately! At 18:26, a baby boy was born, but due to premature delivery without breathing and heartbeat, the rescue team used tracheal intubation, heart compression, adrenaline and other links to rescue the newborn, and finally the mother and child were safe.

For pregnant mothers, we must be highly vigilant against some obstetric emergencies and critical illnesses. Like preeclampsia, it is a very dangerous pregnancy disease. The incidence is about 2 to 5%. Preeclampsia is a pregnancy-specific disease. There are many high-risk factors, such as: advanced age, obesity, primipara, pregnancy interval, family history of preeclampsia, diabetes, chronic nephritis, hypertension , Autoimmune diseases, etc., are likely to suffer from preeclampsia. Once it suffers from it, it will have a rapid onset, serious complications, high risk of premature delivery, and poor pregnancy outcome. There is no better treatment method, and the pregnancy can only be terminated in a timely manner. .

Placental growth factor (PLGF) is a protein secreted by syncytiotrophoblasts related to placental development, and is a reference indicator for evaluating placental growth and development. The level of PLGF is significantly reduced when the placenta is defective. The detection of placental growth factor (PLGF) in the blood of pregnant women can:

(1) Predict early-onset severe preeclampsia

(2) Identify early-onset preeclampsia

(3) Risk stratification and detection of early-onset preeclampsia

(4) Assess the growth and development of the placenta and predict the risk of preterm birth