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探访医院产科医生:孕妇再哭再闹都要笑脸相迎--亲民维稳网络舆情监测室
2012-09-07
医学界通常把疼痛分成0至10级,0代表无痛,1级是不引人注意的疼痛,如蚊虫叮咬,10级则为剧痛,如生产疼痛。
The medical profession is usually the pain into 0 to 10 levels,0 painless,Level 1 is unspectacular pain,Such as mosquito bites,10 level is pain,Such as production pain.
疼痛作为主观感受,每个人的体验不尽相同。不过,在大多数产妇的回忆中,分娩的疼痛可达到9-10级。难怪有人说“生子犹如过鬼门关”。
Pain as subjective feeling,Everyone's experience is not the same.but,In most maternity memories,The pain of childbirth can reach 9-10 level.No wonder people say that"A son is like death".
产科,这个闪烁着生命希望地方,让每个家庭百感交集;然而,生产可能遇到任何突发情况,对于医生而言,每一对母子平安的背后,不知藏着多少千钧一发。
maternity,The flashing life hope place,Let every family all sorts of feelings;however,Production may meet any sudden situation,For the doctor in,Each pair of mother and child behind peace,Do not know how many hidden by a hair.
上周,南方日报记者蹲点广东省人民医院产科,实录从怀孕到生产后42天这300多天中,处于不同阶段的准妈妈和妈妈的状态,近距离跟随产科医生,守护生命的诞生。
Last week,Southern daily reporter CunDian guangdong province people's hospital maternity,Memoir from pregnancy to production 42 days after this more than 300 days,In different stage of the quasi mother and mother's state,Close to follow an obstetrician,Guard the birth of life.
一上午接诊60准妈妈 Morning accepts 60 quasi mother
龙年结婚生子两旺,前7个月,该院产科分娩量比去年同期多出了221个,医生比往年更忙碌
The dragon married two prosperous,First seven months,The hospital obstetric delivery quantity than the same period last year more than 221,The doctor more busy than in previous years
8月31日,酷热难耐。
August 31,,Very hot.
不到8时,省人民医院产科主任韩凤珍的诊室门口就挤满了孕妇,加上陪同的家属,轮候座椅一下被坐满。
Less than 8,Province people's hospital maternity director HanFengZhen office door is filled to the pregnant women,Accompanied with the family,Wheel passenger seat once was full.
今年是龙年,结婚生子两旺。前7个月,该院产科的分娩量就比去年同期多出了221个,这意味着产科医护人员要比往年更忙碌。
This year is the year of the dragon,Married two prosperous.First seven months,The hospital obstetric delivery quantity than the same period last year more than 221,This means that the obstetric medical personnel to more busy than in years past.
在不到8平方米的诊室里,进修医生黄夏艳把一叠厚厚的病历放在韩凤珍办公桌上,随后马上走到一个用帘子隔开的空间,给一位准妈妈听胎心。
In less than 8 square meters office,Study the doctor HuangXia brilliant put a pad of heavy medical records in HanFengZhen on the desk,Then go at once to a curtained-off space,To a quasi mom listen to cardiac.
与她搭档的韩凤珍占据着房间的另一部分,仔细询问其他孕妇的情况。
And her partner's HanFengZhen occupy the another part of the room,Careful questioning of other of pregnant women.
“孩子的股骨有点短!”韩凤珍看着B超结果,一边做记录。
"The child's femoral a little short!"HanFengZhen looked at B to exceed the results,Side make record.
“哗……”,这位穿着蓝色连衣裙、扎着马尾辫的年轻女子一下子哭了,身边的丈夫傻了眼,百般安慰。
"Wow...",This is dressed in a blue dress/Firm ponytail young woman suddenly cried,Side husband silly eye,In every possible way to comfort.
准妈妈叫谢梦婷,是韩凤珍这天上午接诊的第42个孕妇。印象中,她是个谨慎听话的人。
Quasi mother call XieMengTing,Is this morning HanFengZhen became a 42 pregnant women.impression,She is a careful obedient people.
待谢梦婷平复了情绪,韩凤珍抚摸着她的手臂,说,“不用太担心,从B超来看,胎儿股骨一直在长,可能和遗传有关,两周后复查,放心,孩子挺好的!”谢梦婷当即破涕为笑,离开了诊室。“产科医生不仅是认真地诊断、治疗,更多的还要安慰。”韩凤珍说。
To XieMengTing remove the mood,HanFengZhen stroked her arm,said,"Need not worry too,From B to exceed to see,Fetal femur has been long,May and genetic relevant,Two weeks after the review,Rest assured,The child's!"XieMengTing promptly smile through tears,Left the clinic."Maternity doctor is not only seriously diagnosis/treatment,More comfort."HanFengZhen said.
诊室内刚清静了1分钟,一个清瘦的女子挺着大肚子闯了进来,“能给我先看吗?我预约了下周的号!可我今天刚好在附近办事,想现在看。”
Clinic inside just quiet for a minute,A thin woman stand big breaking in,"Can I see first?I have an appointment next week's number!But today I just work in the nearby,Want to look now."
韩凤珍看了看她的病历资料,然后说,“对不起,你的号是下周的,况且你目前情况并无异常。这里还有20个病人,如果别人都这么随意,你也会不高兴,对吗?按照我们预约时间来就诊没问题的。”
HanFengZhen looked at her medical records,Then said,"I'm sorry,Your number is the next week,Besides your current situation and no abnormalities.There are 20 patients,If others are so random,You also will not be pleased,Do you?According to our appointment time to see a doctor no problem."
即使遇到这样的孕妇,韩凤珍也从不动怒。
Even if encountered this kind of pregnant women,HanFengZhen never angry.
省人民医院产科以处理妊娠合并心脏病及胎儿先心病为专长,挂她门诊的绝大多数都是高危妊娠孕妇,闯进来加号也是常见现象,“如果病情真有需要,无论多忙,我们都会加号”,韩凤珍解释说,“有些孕妇突然感觉不好的我们也会重视,所以实际每天看的病人数要远远超过最初的预约挂号。”
Province people's hospital maternity department to handle the pregnancy with heart disease and fetal congenital heart disease for expertise,Hang her most of the outpatient service is high-risk pregnancy pregnant women,Came into the plus sign is common phenomenon,"If the disease is need,No matter how busy,We will plus",HanFengZhen explained,"Some pregnant women suddenly feel bad we will also pay attention to,So every day the third actual see much more than the original make an appointment."
闯进来的准妈妈被拒,必然有些失落,一旁的黄夏艳会意地笑了笑,腾身送走她。随后,回到座位上的她,忍不住揉了揉眼睛。昨夜,因为遇到一个非常棘手的病人,值夜班的黄夏艳一宿没睡。
The intruder quasi mother rejected,Inevitable some lost,One side of HuangXia brilliant knowing smile,Went away her body.then,Go back to your seat of she,Can't help but rubbed his eyes.Last night,Because met a very difficult patients,The night HuangXia brilliant night didn't sleep.
病人叫刘芸,怀孕25周,从惠州送来时是凌晨4时,患有妊娠高血压、重度子痫前期,如果得不到及时救治,她的其他器官就可能会因为血流灌注减少而造成损害,甚至出现心血管、血液、肾脏、肝脏、脑和子宫胎盘灌流等情况。
The patient that LiuYun,25 weeks of pregnancy,Huizhou is sent from 4 in the morning,With gestational hypertension/Severe preeclampsia,If not treated in time,Her other organs may because blood perfusion and reduce the damage,Appear even cardiovascular/blood/kidney/liver/The brain and uteroplacental perfusion, etc.
此时的刘芸已全身水肿,哪怕是一点灯光刺激,都会让她不停抽搐。为了她,妇产科几乎全面出动:韩凤珍等在产房抢救,其他骨干如杜娟、胡小平等教授,临时组成一个团队,讨论治疗方案。
The LiuYun already anasarca,Even if it is a little light stimulation,Will let her keep tic.In order to her,Department of gynaecology and obstetrics almost overall turnout:HanFengZhen etc in the delivery room rescue,Other key such as j/Professor hu small equality,Temporary form a team,Discuss treatment.
由于病情严重,治疗并没马上见效,刘芸的不安瞬间“引爆”了一旁精神高度紧张的丈夫,忍不住在楼道大吵大骂。
Due to the serious illness,Treatment is not immediately obvious,LiuYun anxiety moment"detonate"The spirit of high tension side of her husband,Can't help in the corridor to lambaste big fight.
护士长王晓云见状,立刻叫人把这个焦虑的男子带进办公室,并请来一位主任专门解释刘芸的病情和诊断情况,好不容易才平复了他的情绪。
The head nurse WangXiaoYun looked at,Immediately call this anxiety man take into the office,And a director, please explain special LiuYun condition and diagnosis,Very not easy to remove his emotions.
早上7时,刘芸病情趋稳,医护人员长舒一口气;
At 7 in the morning,LiuYun illness stabilised,Medical staff was relieved;
8时,韩凤珍和黄夏艳开始出门诊。这一天,韩黄搭档处理了将近60个门诊孕妇,这大概是今年的平均数。从怀孕到产后全负责
8,HanFengZhen and HuangXia brilliant starting out in clinic.This day,Korea's yellow partner treatment for nearly 60 outpatient pregnant women,This is probably this year's average.From pregnancy to postpartum all responsible for
孕产妇和新生儿在任何一个环节出现问题导致死亡,产科医生必须将情况从区级到省级层层上报
Maternal and newborn in a part of any problems leading to death,Maternity doctor must will situation from the district to provincial layer upon layer reported
既是妈妈,又是产科大夫,韩凤珍很明白,孕育生命是女人的人生大事,十月怀胎的漫长过程,对孕妇生理和心理都是极大的考验,孕妇怀孕时的许多想法和做法并不能用常人的思维去理解。
Is mother,And maternity doctor,HanFengZhen very understand,Life is a woman of great things of life,In October the long process,For a pregnant woman physical and psychological health is a great test,Pregnant women during pregnancy could not be used many ideas and methods of normal thinking to understand.
“孕产妇和产科医生的关系也不能用普通的医患关系去诠释。”韩凤珍坦言,她的确遇到不少极端的病人,“一些人认为,怀孕是本能,不以为意;另一个极端是过于紧张,还有的病人非常抑郁。”
"Maternal and obstetrician relationship also cannot use ordinary doctor-patient relationship to interpretation."HanFengZhen said,She really meet many extreme of the patients,"Some people think that,Pregnancy is instinct,Care nothing for;The other extreme is too nervous,And of the patients very depressed."
这天,记者恰好碰上一个。
This day,Reporter just with a.
病房内,大多数准妈妈为了图清爽,早早理了短发,而任晓菁还留着乌黑的长发。她面容姣好,曾是文艺单位“台柱”,自怀孕后,看到自己体态改变,一直郁郁寡欢。住进来待产后,她几乎没给过“室友”好脸色看,也常对丈夫发火。
Ward in,Most moms-to-be diagram and relaxed,Early cut short hair,And RenXiaoJing also has black hair.Her face fair,Was literary unit"pillars",Since after pregnancy,To see their posture change,Has been down in the dumps.After living in labor,She had hardly given"roommate"Good look,Often to the husband firing.
碰面时,她正要求丈夫挪床。短短1小时,挪来挪去了好几次,总是不满意。王晓云轻轻走到她身边,问,“睡得不舒服吗?”
meet,She is asking her husband to move the bed.Just 1 hour,Move to move several times,Always not happy.WangXiaoYun gently walked beside her,ask,"I did not sleep well?"
“这里太脏,怎么都不舒服!” 任晓菁情绪有些激动,还自顾自地往地上扔了几个纸团。护士长王晓云安抚了一下,走到她丈夫旁,低声说了两句。
"It's too dirty,How are not comfortable!" RenXiaoJing a little emotional,Also decided to throw the earth a few paper group.The head nurse WangXiaoYun appease it,Walk to her husband's side,Low voice say two words.
“这就是一个典型的因怀孕而抑郁的准妈妈。”工作了20年,王晓云相信自己的判断,“这样的孕妇如今非常普遍,刚刚我就是让她丈夫做好心理准备,包容她,同时对她进行心理疏导,尤其是产前、产后这段非常时期。”
"This is a typical for pregnant and depression expectant mother."For over 20 years,WangXiaoYun believe in my own judgment,"Such a pregnant woman now so common,Just I just let her husband mentally prepared,Containing her,At the same time to her psychological counseling,Especially the prenatal/Postpartum this difficult period."
情绪平复后,任晓菁到试教室上了第一节疏导课……
Mood after remove,RenXiaoJing to try on the classroom of the first quarter counseling class...
不过,最让产科医生头疼的是“不听话”的孕妇,比如已经怀孕38周的刘紫玲。由于体内羊水少,心动过速,韩凤珍告诉她,随时要做好剖宫产的准备,否则极有可能胎死宫内。
but,The most let obstetrician headache is"Not obedient"Of pregnant women,For example is pregnant LiuZiLing 38 weeks.As the amniotic fluid less,tachycardia,HanFengZhen told her,To do a good job at any time to cesarean section,Otherwise likely intrauterine fetal death.
可刘紫玲死活不同意,“家里人都说了,一定要痛了才生,不能剖!”
Can LiuZiLing anyway don't agree,"The family said,Must the pain was born,Can't cut!"
韩凤珍无奈地摇摇头,又一次晓以利弊,“孩子是你的,如果真的胎死宫内,你考虑过后果吗?”医生们连哄带劝,可刘紫玲就是不听,怕影响她情绪,医护人员只好暂时离开。
HanFengZhen reluctantly shook his head,Another xiao to advantages and disadvantages,"The child is your,If really intrauterine fetal death,Have you considered the consequences?"The doctors even coax belt advised,Can LiuZiLing wouldn't listen,Be afraid influence her emotions,Medical staff have to leave.
“一会我们还得回去劝,如果出问题就麻烦了。”出了房门,韩凤珍马上吩咐了身边的工作人员,必须负责到底,“因为按照治疗周期来算,产科是全院治疗周期最长的科室。
"For a while we have to go back to advise,If the problem is in trouble."Out of the door,HanFengZhen immediately said to the side of staff,Must be responsible for what,"Because the treatment cycle to calculate,Maternity is the longest department partial treatment cycle.
从孕妇怀孕的那一刻起,直到分娩后第42天的300多天时间里,产科医生要对孕产妇和新生儿全权负责。如果孕产妇和新生儿在任何一个环节出现问题,导致死亡,产科医生必须将这一情况从区级到省级层层上报。
From the moment of pregnant women,Until after delivery of 42 days more than 300 days,Maternity doctor to maternal and neonatal solely responsible for.If the maternal and newborn in a part of any problems,Cause of death,Maternity doctor must will be the situation from the district to provincial layer upon layer reported.
也正因如此,产房里的“母子平安”远远不够。问题往往从出产房那一刻才开始出现,人间百态也由此上演。
Also because of such,In the delivery room"The safety of the mother and"Far from enough.Problems often from the delivery room that moment began to appear,Human characters, and so on.
那天夜里,王晓云刚拿到新生儿的血型结果,马上犯难:孩子的妈妈是A型血,孩子的爸爸是O型血,婴儿的血型却是B型。“只要稍微有点生理卫生常识的人都明白,这个孩子并不是产妇丈夫的亲生小孩。”
That night,WangXiaoYun just got neonatal blood type results,Puzzled immediately:The child's mother is A type of blood,The child's father is a type O blood,The baby's blood type is B type."As long as a little bit a little bit physiological health knowledge to understand,The child is not maternity husband's own child."
好几天都顾不上女儿的王晓云本想早点回家,可为了应对一切可能发生的情况,尤其是孩子父亲出现过激行为,王晓云只能时刻监控着病房,甚至通知了安保人员。
Several days to the daughter's WangXiaoYun wanted to go home earlier,But in order to deal with all the possible conditions,Particularly in children, father appears aggressive behavior,WangXiaoYun can only time monitoring the ward,Even notice the security personnel.
医护人员又这样守了两天一夜,直到这个家庭顺利办理了出院手续,大家紧绷的神经才松弛下来。
Medical personnel and so keep two days one night,Until the family well dealt with leave hospital formalities,Everybody frayed nerves just relax.
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