Premature baby's congenital esophageal atresia, 2 days after birth, the doctor solved the "lock" for life -saving

Wuhan Evening News July 29th (correspondent Luo Huarong Huang Jieying) The 31 -week -old baby spit bubble like a crab after birth. He was diagnosed as a congenital esophageal lock. The esophagus was a "dead beard". Surgical experts from Hubei Provincial Maternal and Child Health Hospital pierced the needle on the esophagus of the cotton line, which matched the "barrier" up and down, and successfully cured this "slap" baby.

On April 7, Qianjiang's 31 -week baby was born in advance, weighing only 1750 grams. He breathed weakly and groaned. He kept vomiting like a crab in his mouth. The doctor's examination found that the child had a congenital esophageal atresia, and the local hospital immediately referred the child to the Hubei Provincial Maternal and Child Health Hospital.

At 1 am on April 8th, the child arrived at the Hubei Provincial Maternal and Child Health Hospital. After improving the relevant examination, the child found that the child was congenital esophageal atresia with esophageal tracheal fistula, and the arterial duct was not closed. At the same time, neonatal pneumonia was also issued.

Yang Xinghai reviews the children.

Esophageal locking is a severe digestive tract deformity. It is not connected to the esophagus. Once feeding, it will enter the lungs. If there is no surgery, the child will die quickly due to malnutrition and pneumonia in a short period of time. However, the child's weight is less than 1800 grams and is accompanied by pneumonia. The survival ability is extremely weak.

Yang Xinghai, director of surgery and leader in Hubei Province, immediately organized a variety of disciplines such as neonatal department and surgical anesthesiology department. After full discussion, and under the strong requirements of parents, Yang Xinghai decided to lead the team to perform surgery for small lives and formulated a sufficient surgical plan.

On April 9th, under the escort of the surgical anesthesiology department and neonatal department, Yang Xinghai began to surgery for this slap baby. During the operation, it was found that the children's esophageal was locked up to 3 cm long, and the upper end expanded in a "round hammer", and the lower end of the slim was connected to the trachea. Yang Xinghai first settled the vein of Zichic, carefully separated the remote esophageal, looked for tracheal fistula, and strictly repaired the fistula. At the same time, the surrounding blood vessels and nerves were protected. On the esophagus of the cotton line, the esophagus was carefully completed. Insert, the operation was successfully completed in more than 2 hours. After surgery, the child passed the breathing failure and infection, avoiding the anastomotic fistula, gradually eating milk and recovering slowly.

in surgery.

During the hospitalization period, surgeon learned that children had difficulty in family, and up to 100,000 yuan of treatment costs became a heavy burden on the family, and postoperative care and premature infants were expensive. After the medical insurance reimbursement, Huang Yanqin, the head of the surgeon, actively applied for the child's "childlike project hospital model" and the Hubei Charity Federation and other public welfare assistance projects. In the end, the cost of treatment was only over 10,000 yuan.

On July 29, parents took their children to the hospital for review and sent Jinqi. Looking at the previous slap baby, Yang Xinghai hugged happily, and the child who was crying was quiet in his arms. After review, the child's recovery after surgery was good, and the weight was gradually growing.

"Congenital esophageal atresia is a severe developmental malformations of newborn digestive tract. The incidence rate is 1/5000. If it is not treated in time, it will die within a few days after birth." There are more than a hundred cases of caoped lock surgery, and the number of surgical cases and success rates ranks among the forefront of the country.

[Edit: Yu Lina]

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