[Dynamic] 110 days of battle, "mini" sisters break through the level

After 110 days of persistence, the Institute of Pediatrics of the Capital Pediatrics created a miracle of life again under the collaboration of the multi -department, 28 weeks of fetal age, a birth weight of only 620g, 850g, premature infant Dating and Xiaoting successfully obtained the treatment of treatment , I was discharged smoothly today.

The mother's mother's pregnancy is combined with liver function abnormalities, anti -phospholipid syndrome and other pregnancy period complications. A variety of methods were used during pregnancy to "precious children". Four days after birth, Dating and Xiaoting have appeared severe abdominal distension one after another. Doctors considered the possibility of intestinal perforation. Under the tracheal intubation connection T -combination recovery device, it was transferred to the first child's newborn on April 5th. Internal medicine.

The freshmen have established a professional team for the first time, formulated a detailed assessment plan and diagnosis and treatment plan. Under the collaboration of ordinary (newborn) surgery, anesthesiology, and auxiliary departments, the comprehensive treatment of Dating and Xiaoting will be comprehensive. And care. Two hours after admission, the two babies were treated with surgery. Daling was diagnosed with fetal feces intestinal obstruction after surgery. Xiaoting was diagnosed with necrotic small intestinal colonitis and gastrointestinal perforation. In order to recover the gastrointestinal function, the bowel fistula was performed on the belly. After the operation, the two babies continued to break through the customs in the neonatal internal medicine ward.

The state of the two babies was poor when admitted to the hospital, severe abdominal distension, and the color of the abdominal wall was blue. It can be seen that the gastrointestinal type is obvious. Although the surgery is smooth, the intestinal development of premature babies is poor and the intestinal function is extremely poor. , Nutrition, digestive tract infection and other issues, these are arduous challenges to medical staff.

Before intestinal feeding after surgery, the superb nurses need to ensure that the baby can obtain the energy and elements necessary for growth and development through the intravenous infusion, but the baby’s blood vessels are thinner than the infusion pipeline. High requirements. Guo Litao, the head nurse, led the backbone of the nursing to ensure that the venous pathway was open throughout the diagnosis and treatment process, so that each dose of drugs could be successfully entered in the baby's body. In addition, the baby's intestinal peristalsis function is extremely poor. Even if the bowel fistula surgery is performed, repeated abdominal distension and difficulty in defecation are still existed. Through the treatment of intestinal wash, laxative, touch, and Chinese medicine massage, their intestinal function gradually improved. From trace feeding to normal eating, the medical staff made countless day and night efforts. Even the inpatients and practitioners have served as temporary mothers and taught them how to eat them one bite.

In addition to the digestive system, the respiratory system and circulation system of Dating and Xiaoting also allowed medical staff to "care". As soon as Dating was born, there was a neonatal respiratory distress syndrome. It needs to have ventilator to assist breathing. During the hospitalization, neonatal pneumonia, bronchial lung development and other complications appeared. High pressure causes severe congestion and cannot be separated from the ventilator. After the closure of the arterial catheter in the Department of Medicine, Dating performed a second general hemp surgery. During the operation, Zhang Hui, director of the cardiac surgery, and Pan Shoudong, director of the Department of Anesthesiology, was closely cooperated. Yang Shengnan, the attending physician of the newborn internal medicine, accompanied and monitored the whole process. After the operation, Ding's cardiopulmonary function was significantly improved. After 12 days, it was successfully evacuated with a ventilator. At present, it has been smoothly soligorated and can breathe freely.

Similarly, Xiaoting suddenly had heart rate and breathing that was difficult to maintain on the second day after the operation. Wang Yajuan, director of the newborn internal medicine, commanded and rescued in front of the bed. Even for a moment, the parents gradually lost confidence in Xiaoting, but the medical staff did not give up and worked hard to rescue. She survived this level. After that, Xiaoting's cardiopulmonary function miraculously improved, and he successfully evacuated the ventilator in January after his birth.

During the regular screening of the bottom of the eye, Xiaoting's eye lesions gradually progressed, which seriously endangered vision and needed surgical treatment in time. For more than February after birth, Zhang Hao, deputy director of the ophthalmology, performed the injection of the two -eyed vitreous cavity drugs under the general anesthesia, and the postoperative monitoring of the bottom of the eye was significantly improved.

Premature babies are not just "mini editions" of full moon babies. They start to "fight" as soon as they are born. Respiratory, feeding, infection, development, and development ... Each level has been survived to stay in the world. Dating and Xiaoting almost experienced all the complications in the growth of premature babies.

Throughout the treatment process, medical staff and parents have to communicate more than a day to help parents establish confidence in taking care of their children, assist in establishing a folder of premature infants clinics, help reservation for premature infant clinics, instructed the precautions after discharge, and premature birth. The outpatient experts do a good job of handover. After the unremitting efforts of medical staff and parents, Xiaoting's weight increased to 2000g in 74 days after his lifetime. He successfully peride and achieve full oral feeding. Da Ting, who has experienced three general anesthesia surgery, returned to her mother's warm arms more than 100 days after birth, and refreshed the record of the minimum weight premature babies to treat the minimum weight of the first child.

With the development of the discipline, the newborn internal medicine has successfully centered dozens of super mature, ultra -low -birth weight children, and the birth weight of premature babies that have been successfully cured are getting smaller and smaller, from 720g to 670g, to 620g.Director Wang Yajuan said: The success of premature babies is inseparable from the refined management of the department, superb technology, high -quality care, and multi -disciplinary collaboration.Solunt, far away, the successful treatment of "mini" sisters not only refreshed the record of the minimum weight premature infant of the first child, but also showed the advantages and good prospects of multidisciplinary cooperation.In the future, the internal medicine of the newborn will continue to strengthen exchanges and cooperation with the hospital, comprehensively improve the level of treatment of newborn treatment and comprehensive treatment of internal and surgery diseases, and "pave the way" for the healthy growth of more premature babies, support more family families with premature infant familiesglorious future.Wen | Li Sichen, Zhang Wenhui, Yang Shengnan

Photo | Yang Shengnan

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