For 84 days of treatment, 26 weeks of super premature twins recovered and discharged
Author:Hubei Daily Time:2022.09.27
Hubei Daily News (Correspondent Gong Yuxi) Recently, a pair of twins with only 26 weeks of pregnancy, only 900 grams and 890 grams are super premature infants. After nearly 3 months of careful treatment, from Wuhan University People's Hospital (Hubei Provincial People's Hospital ) The newborn department was discharged from the hospital smoothly, refreshing the record of the neonatal department of the hospital for the treatment of polar production twins.
At the end of last year, Ms. Tong, who lived in Hanyang District, Wuhan City, was happy with twins, and the whole family looked forward to the arrival of new life. At the end of May this year, Ms. Tong, who was only 26 weeks and 2 days, broke the amniotic fluid, and the family immediately sent it to the emergency department of Wuhan University People's Hospital for treatment.
The obstetrics receiving emergency help immediately launched the "emergency post of party members". After the doctor on duty rushed to the emergency examination, the diagnosis was a lady of the child as an acute choric membrane amniotic fluid, which was difficult to produce high risk. If you do not give birth to the fetus urgently, it is likely that three lives cannot be kept. However, the fetus is only more than 6 months of pregnancy, and the risk of treatment of premature birth is extremely high.
Facing the critical situation of the "dilemma", the hospital's difficulty maternal MDT team was diagnosed overnight to treat the mother and fetus. At 9 o'clock in the morning, under the close monitoring of the obstetric expert team, Ms. Tong gave birth to a pair of twins. The twins were born about 12 weeks in advance than normal fetuses. Professor Fang Chengzhi, director of the freshmen who has been fully prepared, immediately organized the medical team of the neonatal intensive care unit medical team to implement the rescue: two fetuses enter the heating box to keep warm, clean the respiratory tract, the tracheal intubation, ventilator auxiliary respiratory, while applying the lung maturity to mature lung maturity Drugs, anti -infection, anti -shock treatment, etc.
After more than 20 minutes of emergency treatment and symptomatic support treatment, the vital signs of the twins have temporarily stabilized. But this is just the first level of rescue, and the brothers' life -resistant journey has just started. Due to the age of the fetus, the light weight, the development of the organs of the whole body is not mature, it is necessary to break through the heavier level, infection, body temperature, and feeding. President Fang Chengzhi, the head of the head of the monk Yanyan, organized a doctor and nursing team to formulate a personalized 24 -hour medical care and nursing measures based on a rich experience in treating super premature infants.
During the hospitalization period in the past 3 months, twins have experienced intracranial hemorrhage, convulsions, respiratory distress syndrome, pulmonary hemorrhage, sepsis, feeding impatience, edema, anemia, etc. complication. Each time the team of Professor Fang Chengzhi tried to capture the development of the disease as much as possible, intervened in time, and successfully resolved the crisis, so that the children were in danger.
After 84 days after the newborn department, the twins corrected the fetal age of 38+1 week. Their autonomous breathing became smoother and smoother, and the amount of milk reached 53 ml per meal. At the end of September, Ms. Tong and her husband brought twins to the hospital for review, and the results showed that the development of the twins reached normal levels.
Professor Fang Chengzhi, the People's Hospital of Wuhan University (Hubei Provincial People's Hospital), introduced that the 26 -week twin rehabilitation was discharged from the hospital for the rapid development of neonatal medicine. In recent years, the Newborn Department of the People's Hospital of Wuhan University has successfully cured many premature premature babies (32 weeks of birth) and super premature babies (28 weeks of birth age). The experience of treatment has been accumulated, and the level of treatment has reached the level of advanced domestic. The development and promotion of MDT rescue, NO therapy, PICC, and umbilical venous pipe tube of Kohn super premature babies, etc., provides important foundations and guarantees for the timely and effective treatment of ultra -premature babies, which not only improves the success rate of treatment of special premature babies , And ensure their good long -term survival quality.
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