Summary: Many pregnant women will choose to eat it because they feel uncomfortable during pregnancy and are afraid of affecting their children. Expectant mothers have a suppressed immune system during this special period of pregnancy. Once the viral infection is not controlled in time, severe pneumonia and damage to heart, liver, and kidney functions will occur, which may affect mothers and infants. Catastrophic, even loss of life. Many pregnant women choose to carry colds and discomforts with them for fear of affecting their children during pregnancy. Recently, Ms. Li, who was 23 weeks pregnant in Zhaoqing, had a fever of 39 degrees and did not seek medical treatment in time. After a week of hard work, severe multi-organ dysfunction occurred. It was not until she was transferred to the ICU of Zhujiang Hospital of Southern Medical University that she discovered that Ms. Li was not suffering from a common cold, but dengue fever.
Pregnant woman with high fever for one week may cause multiple organ dysfunction
Ms. Li, who lives in Zhaoqing, is 39 years old and her second child is almost 6 months old. One day in late June, Ms. Li suddenly developed a fever, with her body temperature reaching 39 degrees. Because she was afraid of affecting the fetus, she not only did not go to the hospital for treatment, but also did not take medicine. \”At the time, I thought it was just a cold. Resting more and drinking more water should help relieve the pain,\” Ms. Li said.
However, a week later, Ms. Li\’s cold not only did not relieve, but her symptoms became more and more serious. In addition to fever, she developed difficulty breathing, headache, abdominal pain, and general weakness. She rushed to the local hospital for treatment, and the test results were like a slap in the face. The functions of many organs such as the heart, lungs, kidneys, blood system, and circulatory system have been damaged to varying degrees, and the situation is very dangerous.
The culprit of fever is not the cold, but dengue fever
By the time the patient was transferred to another hospital, his condition was already very serious. Wang Hua, deputy director of the intensive care unit of Zhujiang Hospital, said that the results of a series of examinations were not very good. The blood oxygen saturation was very low, requiring a non-invasive ventilator to maintain breathing; blood creatinine increased by more than 1.5 times, platelets were less than one-tenth of the lower limit of normal, and cardiac enzymes were significantly elevated. These results mean that the patient\’s multiple organ functions are normal. damaged.
What\’s more serious is that imaging examination results showed that Ms. Li had begun to develop large white lungs. Whitening of the lungs means the patient has a severe infection that is causing fluid to build up in the lungs. In layman\’s terms, the alveoli from which air is exhaled are in water. Deputy Director Wang Hua said.
Why did Ms. Li, whose pregnancy had always been uneventful, suddenly become so dangerously ill? The ICU immediately organized multiple departments including the Obstetrics and Gynecology Department of the hospital to conduct MDT consultations. Considering the current high incidence of dengue fever, the patient had been to orchards and woods before the onset of the disease. The doctor screened him for dengue fever antibody IgM and it was positive; his blood was drawn and sent to the Guangzhou Center for Disease Control and Prevention, and the result was dengue fever.
In order to save the pregnant woman as much as possible and minimize the impact on the fetus in the abdomen, the ICU and obstetrics and gynecology experts developed a comprehensive treatment plan after consultation and discussion. Non-invasive ventilator assists breathing, anti-infection, nutritional support, albumin and platelet transfusion. The patient was discharged successfully and the pregnancy continued.
Reminder: Expectant mothers are not feeling well, please do not carry it casually
Dengue fever is an acute infectious disease caused by the dengue virus and spread through the bites of Aedes mosquitoes, with fever, rash, and body pain as the main symptoms. The peak season for dengue fever in Guangdong Province is from May to October every year, especially in August and September. advertise
In addition to pregnant women, susceptible groups to dengue virus also include the elderly, patients with chronic diseases, infants and young children. Depending on the severity of the disease, dengue fever can be divided into three categories: typical, mild and severe. Among them, the early symptoms of severe dengue fever are similar to those of typical dengue fever, but the condition suddenly worsens after 35 days and may even be life-threatening due to multiple organ failure.
Wang Hua, deputy director of the ICU of Zhujiang Hospital, reminded that there is currently no effective antiviral treatment for dengue fever, and measures such as symptomatic and supportive treatment are mainly adopted. Therefore, citizens and friends must do a good job in preventing and killing mosquitoes. Once symptoms and manifestations similar to the above appear, you should seek medical treatment as soon as possible to avoid worsening of the condition.
In addition, it should be pointed out that many pregnant women like Ms. Li suffer from colds, fevers and other physical discomforts. For fear of affecting the baby, I always want to endure it and pass it on.
Pan Shilei, director of the obstetrics department of Zhujiang Hospital, reminded that for ordinary people, colds and fevers may pass quickly, but for expectant mothers, any changes in the body will affect the healthy growth of the baby.
Expectant mothers have a suppressed immune system during this special period of pregnancy. Once the viral infection is not controlled in time, severe pneumonia and damage to heart, liver, and kidney functions will occur, which may affect mothers and infants. Catastrophic, even loss of life. Therefore, if expectant mothers feel unwell, they must seek medical treatment in time and must not just carry on.
Hu Qiongzhen Wu Xiaodan