The two sisters of the premature birth of the dual -born twins are also affected by the esophagus, and the doctor "unlocks" the help

"Thanks to the success of the doctor's success, let their sisters drink milk like other children!" The parents were very pleased to watch the two sisters who have been nearly 1 kg a month. Recently, a pair of premature sisters with congenital esophageal atresia returned to the newborn surgery of the newborn surgery of the Guangdong Maternal and Child Health Hospital. The two recovered well and had been able to eat 70 ml of milk at a time.

Similarly! Premature birth twin sisters and congenital esophagus atresia

This is a pair of premature sisters with a 32 -week pregnancy. Both were less than 1.5 kg at birth, and they had different degrees of breathing difficulties at the same time, and they could not eat milk. Sister even needs to use the tracheal intubation ventilator to assist breathing.

The doctor considers this pair of twin sisters for congenital esophagus atresia. Because the local hospital cannot handle it, the twin sisters who are only 10 hours of birth have covered the newborn surgery network of the province through the Guangdong Maternal and Child Health Hospital, and successfully transferred to the provincial women and children. Newborn surgery. Through complete related inspections, the pair of twin sisters were diagnosed with esophageal atresia and bronchial esophageal fistula.

"The incidence of the occurrence of the esophageal atresia of the shoulder is about 4%, and the twins are suffering from the esophagus lock, which is extremely rare clinically." Xiao Shangjie, chief physician of the newborn surgery of the Guangdong Maternal and Child Health Hospital, introduced that the congenital esophageal atresia is a freshman. One of the common digestive tract malformations, the incidence rate is about 1/3000-1/4500, which is one of the congenital malformations of the severe newborn, and often merged with other malformations.

Treatment! Multi -disciplines successfully "unlock" life -saving

Xiao Shangjie introduced that the esophagus is an important pipeline. Its biggest role is to transport food from the mouth to the gastrointestinal tract. If a certain section is locked into a "dead beard", it is not connected to the stomach, and even the remote esophageal and trachea are connected, then the baby is in the babies in it. Shortly after birth, respiratory symptoms will occur, manifested as a large amount of viscous foam in the oral and pharynx, and constantly overflowing to the mouth and nose. After feeding, severe cough occurs. Symptoms repeatedly appeared. "Such ultrasound examinations are not easy to detect, but most of them can be manifested as too much amniotic fluid during the fetal period. At present, surgery is the only treatment method." Xiao Shangjie reminded that if the child's mouth is green and lip, parents need to be vigilant. It should be paused immediately, and the child's head was shot to one side to avoid inhalation, and immediately sent to the hospital for professional doctors for diagnosis and treatment.

Due to the small thoracic volume and poor lung development, thoracoscopic surgery is indeed difficult. "Both sisters are premature babies with less than 1.5 kg of weight. The sister's esophageal locks are 2 cm apart. Large, postoperative complications, such as postoperative anastomosis, have a high probability of occurrence. "Xiao Shangjie said.

While improving preoperative examinations, the department also organized a multi -disciplinary preoperative discussion to formulate a detailed surgical plan, emergency plan and postoperative complications treatment plan for the sisters. In response to the problems of small chest volume and poor lung development, the anesthesiology department has not been "working" for the time being for the time being for the current operation of the right lung with accurate single lung ventilation technology to help surgical doctors get relatively large chest operation space.

It is understood that as a doctor who carried out newborn chest and abdominal mirrors earlier in China to treat various major congenital structural malformations, Xiao Shangjie had successfully performed thoracoscopic surgery for congenital esophagus with a congenital esophagus of less than 1kg. The lowest weight record. With the cooperation of multi -disciplinary, Xiao Shangjie successfully implemented the two sisters on the same day of the sisters and the esophageal fistula repair and esophageal conformity of the esophageal tracheal fistula, which took only 2 hours and 1.5 hours, respectively. After the operation, both of them recovered well and were discharged from the hospital.

It is reported that the congenital structural deformity rescue items carried out by China ’s birth defect intervention and assistance foundation include 74 types of congenital structural deformity diseases in 7 major categories. The Guangdong Maternal and Child Health Hospital is the management agency and designated medical institutions of the project. Among them, neonatal surgery is one of the congenital structural deformity rescue centers in Guangdong Province, and it is also the department in which Guangdong Province has taken the lead in carrying out congenital structure malformations. Children who have congenital structure malformations in the newborn surgery hospital in Guangdong Province Maternal and Child Health Hospital may apply in accordance with regulations and are expected to receive up to 30,000 yuan subsidy.

Medical Guidance: Xiao Shangjie, Chief Physician of the Newborn Surgery of Guangdong Maternal and Child Health Hospital

Text/Guangzhou Daily · Xinhua City Reporter: Wang Jing intern Zheng Han Correspondent Lin Huifang Guangzhou Daily · Xinhuacheng Editor: Wu Wanhong

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