Weifang's "Law Baby" was discharged safely after 100 days in Youth Chuang Customs
Author:Popular Net Qingdao Time:2022.07.08
Volkswagen · Poster Journalist Xin Gang Correspondent Feng Ping Qingdao Report
How much effort should I have to work in 24 weeks and 660 grams to feel this beautiful world? The answer to Qilu Hospital (Qingdao) in Shandong University is 100 days.
On June 23, the medical staff of Qilu Hospital (Qingdao) Pediatric Center of Shandong University held a simple and warm celebration ceremony. The protagonist of the ceremony was Xinxin (pseudonym), who had just over 100 days. Xinxin is a super early birth that can't wait to be born in her mother's stomach for 24 weeks. There are only 660 grams when they are born. After being guarded by medical staff such as obstetrics, anesthesiology, and children's medicine, she can finally return to her mother's arms. For the first time, the young parents who hugged Xinxin in their arms also left a tear in excitement and thanked the medical staff thanked.
Difficult to protect the fetus and be born early
Ms. Liu from Weifang is 26 years old and has been married to infertility for many years. After successful conception through IVF-ET technology, they cherish this "pregnancy". Due to Ms. Liu's physical reasons, she has been protecting the fetus during pregnancy.
Who knows that she was less than 21 weeks of pregnancy, and she suddenly had a cervical expansion. In order to keep the fetus, Ms. Liu came to the Qilu Hospital (Qingdao) obstetrics of Shandong University's "recurrence abortion and premature prevention and control center". The chief team of the obstetrics Liu Haiying urgently performed a modified cervical ring for her and actively treated. Although she worked hard to protect the fetus, the baby in the stomach was still in the world at 24+ weeks. The obstetrics and departmental medicines and the anesthesiology team immediately launched a super premature infant treatment plan. Everyone prepared in advance, preheating in the box, and the ventilator commissioning and refreshing, waiting for the maternal delivery time.
However, the birth of the babies did not cry, and the skin was "jelly -like" skin, clearly visible blood vessels, slightly curved limbs, like Zhang Wei's eyes and extremely weak autonomous breathing. Newborn physicians and anesthesiologists have been interrupted, and they are skilled in the tracheal intubation for newborns, established effective breathing channels. At the same time, the nurse immediately gave the "plastic wrap" parcel to keep warm. After the effective recovery, the child was safely transferred to a newborn guard room (hereinafter referred to as NICU). The medical care had carried out a related measurement: weighing 660g, a head circumference of 23cm, and a length of 31cm. Faced with this small life who visited the world 106 days in advance, NICU medical staff and her parents joined hands to start a difficult and firm journey of creating a miracle of life.
How difficult is the baby rescue 24 weeks?
We often say that "in October pregnant, once childbirth", the baby with good vitality is at least 37 weeks, weighing more than 2,500 grams, and a length of about 50 cm. Xinxin, who was born in 24 weeks, only has the size of the palm of the adult, the whole body is transparent, jelly -like, the blood vessels are clearly visible, extremely slender, the thighs only have adult fingers, no ability to breathe, and the intestine does not have digestive foods. Functions, all organs are extremely immature. At present, the survival rate of the domestic 24 weeks is still very low, as long as there is a trace of hope that everyone will not give up.
Due to the dysplasia of premature babies, all the drugs and nutrient solution that maintains life must rely on the infusion method to enter the child's body. This requires that the life channel must be established quickly for children. Dr. NICU needs to be used to pipe in the umbilical vein and umbilical arteries from the reserved umbilical cord, and to the lower cavity veins and abdominal aorta near the heart. This umbilical venous pipe is the key to successful treatment of children. However, the baby's umbilical vein is less than 1 mm in diameter, and the difficulty of intubation can be imagined. Dr. NICU's team, with superb medical skills, was admitted to the hospital for about 2 hours, quickly completed the umbilical venous pipe, and successfully opened a passage for the children. After 10 days of retaining, the experienced NICU medical staff did the PICC deep vein tube for Xinxin to ensure the continuation of the life channel after the umbilical vein catheter was removed.
Medical and concentric, help Xinxin break through the level
In the following 100 days, Xinxin experienced newborn respiratory distress syndrome, neonatal sepsis, neonatal respiratory failure, neonatal acid poisoning, neonatal coagulation function abnormal, neonatal pneumonia, lung, and low protein of newborn low protein Hematology, neonatal electrolyte disorders, decreased thrombocytopenia, arterial ducts unclean, poor bronchial lung development, premature anemia, feeding intolerance, gastroesophageal reflux, cholecosteential accumulation, premature infant retinopathy ... These clinical diagnosis is like like The dangerous peaks stood in front of them.
Because the digestive system and nervous system of ultra -premature babies are extremely immature, a slightly uneasy care details may cause life to danger. Huang Qikun, director of the Department of Children's Medicine, led Tian Xueping, Deputy Chief Physician Zuo Ruiping, and Deputy Nurses of Zhao Tingting to formulate a thorough treatment plan for Xinxin, and guarded day and night. As large as "breathing support method, anti -infective medication", as small as "liquid volume, heat card, various nutritional composition ratio, trace element supply", etc., the adjustment of each treatment plan The link is wrong. Doctors must repeatedly scrutinize each clinical decision, but also decide as soon as possible to help this tenacious little life successfully break through the barrier again and again.
For 100 days, the scene of treatment has still remembered NICU medical staff. When the abdominal distension of the child's abdominal distension lurking necrotic small intestine colorectal inflammation, they immediately improved the chest tablets and abdominal ultrasound examination of the bed, banned diet, full intestinal nutrition, etc., avoiding the occurrence of necrotic small intestinal colonitis; the baby's bronchial pipes Difficulty of delaying pulmonary development, they successfully removed the machine according to the guidelines for small doses of hormones; the baby arterial catheter was not closed, and they were successfully closed according to the drug of the pulmonary catheter in 2 times to avoid the treatment of cardiac surgery; due to long -term use of the ventilator machine There are more sputum, and medical staff need to suck sputum from the children from time to time, give careful care and feeding while also carried out kangaroo -style care, and so on. Twenty -hour care for 24 hours, every time the blood pressure, heart rate, breathing, oxygen and monitoring tracking, any change in this small life affects the hearts of all medical staff.
After the NICU medical staff worked overtime and rescued and guarded day and night, she broke through the level and experienced 52 days of creative breathing, 25 days of unparalleled breathing, and 22 -day nasal duct oxygen. In 39 weeks, the weight increased steadily to 2700g, the head circumference was 33cm, and the length was 45cm. Finally, he was discharged and returned to the warm home.
The successful treatment of Xinxin has refreshed the successful treatment of the minimum and minimum birth weight of the premature babies at Qilu Hospital (Qingdao), and created a miracle of life!
The medical staff of the temporary parents of Xinxin for 100 days, although they are a little reluctant, are more happy. Because, doing its best to every life is the mission of a doctor.
Persevere, you do n’t persist if you see hope, but you will see the hope ...
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