On the morning of December 15, in the ward of the Department of Neonatology of the Second Affiliated Hospital of Xi'an Jiaotong University, Yang Yang's (pseudonym), grandmother and grandmother looked at the swaddled baby and shed tears of excitement. Yang Yang (pseudonym), who was only 2 days after his birth, detected acute liver failure caused by a variety of diseases, and after more than ten days of treatment, he went from coma to gradual awakening, and he was about to be discharged from the hospital, opening his eyes to explore this novel world, behind this seemingly ordinary happiness, there are also unexpected hardships and ups and downs.
On the evening of December 2, a high-risk child with a variety of diseases who was born only 2 days ago was transferred from the local hospital to the Neonatology Department of the Second Affiliated Hospital of Jiaotong University due to high blood ammonia and deep coma, and the Neonatology Department opened the green channel for blood purification in the neonatal emergency department jointly established with the Department of Nephrology and Internal Medicine for the first time. After the nephrology department arrived at the neonatology department, the abdominal dialysis group immediately carried out treatment, which created an opportunity to stabilize the internal environment of the child and win treatment time. Chief Physician Wang Li, chief physician of the Department of Nephrology and Internal Medicine of the Second Affiliated Hospital, led the medical staff of the Department of Nephrology and the director of the Department of Neonatology Wang Huiping, to repeatedly negotiate and formulate a thorough diagnosis and treatment plan for a series of treatment details such as catheterization, pre-flushing formula, anticoagulant method and dose, blood flow rate, replacement fluid and dialysate flow rate, and sealing of tubes. During the treatment period, the parameters need to be constantly adjusted, and the WeChat group of the newborn emergency blood purification team in the middle of the night sent nearly a thousand messages to communicate the child's condition, and worked together to save the child.
Recalling the whole rescue process, Yangyang's father still has palpitations, "Special thanks to all the medical staff for their efforts to treat and care, I was particularly nervous and scared at the time, and now I can finally hold my baby by myself." ”
According to Wang Huiping, director of the Department of Neonatology, "the weight and data of this child at birth are relatively good, but when living for more than two days, parents found that this child did not eat much, lay there was not too much movement, nor did they cry too much, and after observing for a period of time, they felt that the child had not been in a state of relief, so they chose to seek medical treatment nearby." After examination, it was found that the child's blood ammonia is very high, reaching 436, and the liver function test transaminases index is more than 3000, and the normal value is generally 0 to 40, which means that liver failure is very critical. At 12 o'clock in the evening of the same day, through the ambulance transported over, it was urgent to do a peritoneal dialysis for him, after 30 hours of peritoneal dialysis and 36 hours of blood purification, the child's various indicators fell down, blood ammonia has dropped to more than 60, restored consciousness, breathing is normal. You see today Yangyang's parents, as well as grandma and grandmother have come to pick him up, the happiness of the two families are gathered here, so we feel that saving the child's life is actually very meaningful, which is also where our pediatricians usually work and feel very valuable. ”