A little baby with a weight of only 780 grams!The Shanghai Children's Medical Center successfully completed the "double super" premature bedside surgery

Recently, the National Children's Medical Center (Shanghai) and Shanghai Jiaotong University School of Medicine Shanghai Children's Medical Center Freshmen and Cardilateral Studies and Anesthesiology have successfully implemented an ultra -premature premature babies, ultra -low -birth and re -born arterial catheter ligation. This It is the most weighed and youngest heart surgery performed by the hospital. It is also the first hospital's heart bed surgery in the hospital. At present, the baby's life signs are stable and the condition is good.

Super early, ultra -low -born "double super" premature babies

The birth age of only 26 weeks, a premature child (pseudonym) with a weight of only 690 grams of birth. Due to the extremely immature development of each organ system, it was transferred to the neonatal intensive care unit (NICU) for treatment. After birth, Xinchao prompts the baby's arterial ducts to be as large as 4mm, which is a very dangerous signal. Arterial catheter is an important life channel for the fetus. If it is not closed after birth, it may cause difficulty in evacuation of newborn ventilation machines, poor bronchial lung development, and prone to heart failure. Image examination shows that Tong Tong's arterial duct diameter is close to the aorta diameter. Although the drug treatment that improves heart function has been given, there are still signs of heart structure changes and deterioration of heart function.

Seeing that this thin little life is in danger, after multiple pre -operative discussions, the neonatal and branches and chest surgery have agreed that the arterial duct ligation is imperative. Considering that Tong Tong's weight is extremely low, the multidisciplinary joint diagnosis and treatment team (MDT) decided to perform surgery next to the bed to reduce the probability of transfers to the operation of the low body mild mild breathing in the operating room and the operating room.

After establishing a treatment plan, the teams responded quickly and prepared actively. NICU further stabilizes the heart function and internal environment of children, supplemented by positive nutritional support and prevention, and created good surgical conditions; the courtyard team has given comprehensive guidance to the disinfection of the surgical environment of the bedside; Evaluate, make full risk prevention and treatment plans; the nursing department and the surgical care team have repeatedly checked the venue to properly prepare for disinfection and surgical items ... Everyone has repeatedly scrutinized and drilled every step to ensure the safety of surgery to the greatest extent. Essence

Day 21 The surgery is successful

In the end, on the 21st day of Tong Tong (29 weeks of fetal age+780 grams of correction of the fetal age), the child centered multidisciplinary joint diagnosis and treatment team performed the arterial catheter ligation of Tong Tong. The surgery was implemented by the Chief Physician of the Chief Physicians of the Heart -up Surgery. The entire surgery was successfully completed after 1 hour, and various vital signs during the operation were stable, and the child's blood loss was only 5ml.

"This is the dual -super (super premature premature babies, ultra -low birth weight infant) heart surgery we have done at present, and the heart surgery of heart surgery." Director Sun Yanzhen said, " The incision is tiny, which means that it is not easy to travel out of the arterial catheter. Each step must be methodical, and each action must be fine and fine, which is very tested. "

It is gratifying that after the child's arterial catheter was closed, the child's heart was strong, blood pressure rose, and various indicators quickly returned to normal. After careful care through the neonatal medical team, Tong Tong's cardiopulmonary function has recovered well. At present, it has successfully separated from creative breathing support, realized full intestine feeding, and the weight gain is also very ideal. After further stability, Tong Tong can return to his parents. Before you.