The 9 -year -old child gathered a bite of blood to scare his parents and doctors say that such patients are easily ignored

"Thank you uncle and aunt, I can finally go home!" In the past few days, 9 -year -old Xiaoyiyi, with the tuberculosis surgery and pediatrics of Hangzhou Cheung Hospital (Hangzhou Red Cross Hospital) affiliated to Zhejiang University Medical College Doctors say goodbye.

Half a month ago, Xiao Yiyi, who had a pale face, was held by his parents to the hemoptysis of hemoptysis of hemoptysis of the municipal thoracic hospital (Municipal Red Club Hospital). In the case of a small cough, a small cough coughing a bite of bright red blood. Zhong Fangming, deputy chief physician of tuberculosis surgery, quickly browsed the little girl's inspection information. The chest CT prompted the two lung infection lesions. Hospitalization.

After hospitalization, the further bronchial artery CTA examination showed that the two lungs saw spots and high -density shadows, accompanied by calcification, and saw the bronchial shadow in the inside. The time to get tuberculosis is not short.

Yiyi's two lungs "white flowers"

The arrow indicates that the bronchial artery is thickened

Yiyi's father suddenly realized: "No wonder she didn't grow much this year. Her sister was as tall as her mother at this time."

Considering Xiaoyiyi's actual condition, tuberculosis surgeons suggested that Xiaoyi was given bronchial embolism under the bronchial arterial angiography. However, patients' families have a lot of concerns and are unwilling to undergo surgery for the time being. They want to stop bleeding by drugs to observe the curative effect.

Under the leadership of the two directors of Zhan Lu and Lin Long, the hospital's pediatric department formed a children's tuberculosis treatment team with the doctors in tuberculosis surgery to conduct comprehensive treatment such as Xiaoyi and nutritional support. Under the guidance of Zhao Qian, the tuberculosis drug treatment of Xiao Yiyi, under the guidance of Zhao Qian, the deputy chief physician of the Tuberculosis Surgery, accurately controlled the medication of medication. After several days of treatment, Yiyi's body temperature gradually returned to normal, and people were in the spirit. It didn't completely let go.

On the fourth day of the hospitalization, Yiyi suddenly coughing fiercely, and then took a bite of blood, watching the doctor and nurse rescued around the thin figure, and Yiyi's parents anxiously paced back and forth by the bed, holding it tightly inside. The attending physician Yang Jun once again suggested that Xiao Yiyi's parents received bronchial arterial embolism under the bronchial arterial angiography. "This embolism, simply speaking, uses a tube with hemostatic material, enters the blood vessels through Xiaoyiyi's femoral artery, and then finds bleeding blood vessels, and blocked it. We have done a lot of examples. I will do my best to help Xiaoyiyi. "Under the patient's patience, Yiyi's father finally made up his mind:" Doctor, we must do this hemostatic surgery, we must save my child! "

After preparing sufficient surgery, the doctor performed the bronchial arterial embolism under the bronchial arterial angiography for Xiaoyi. The whole process was smooth, and the smile appeared on the face of Xiao Yiyi and his parents.

The bronchial artery under the angiography

After surgery, the children's tuberculosis treatment team formulated detailed drugs and nutritional support treatment based on Yiyi's condition and nutritional status. Yiyi was better than the day a day, and now she has been discharged smoothly.

Yiyi represents a group of neglecting groups in my country -children's tuberculosis. Based on the World Health Organization (WHO) global tuberculosis report in 2021, it is estimated that about 9.9 million new tuberculosis cases worldwide in 2020, of which about 1.09 million new child tuberculosis patients died of tuberculosis.

Children's tuberculosis clinical symptoms are different due to age, potential basic diseases, and diseases of the disease. Children's tuberculosis teams of municipal thoracic hospitals (Municipal Red Club Hospital) recommend that the following children need further investigation of tuberculosis:

(1) Unknown fever for more than 2 weeks, or if the cough continues to cough for more than 2 to 3 weeks, children have slow growth or stagnation of growth.

(2) History of close contact with suspicious tuberculosis.

(3) Failure to ask for a close contact history of tuberculosis, but children from high incidence of tuberculosis.

(4) Other special groups: ① Children with immune function inhibition mainly include: HIV infection, immune defects, autoimmune diseases, blood system diseases, malignant tumors, severe malnutrition, long -term use of glucocorticoids and biological agents, acceptance Or prepare children with organs or bone marrow transplants, hemodialysis, etc. ② Other people: newborn for mothers who are diagnosed with tuberculosis before or during pregnancy.

(Hangzhou.com reporter Yang Wei correspondent Wang Li Li Xiaoyuan Shen Dan was provided by the interviewed unit)

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