▲Zhang Liyan checks the status of the baby in the ward
Neonatology is a special ward, which is for a special group of people who are less than 28 days after birth, or even before full term, "naughtily" run out of their mother's stomach. They can't talk, they can't walk. Here, the babies received careful treatment and care from the "temporary mothers" of the neonatology department.
Lead the team to form disciplines
Overcome difficulties to become the benchmark of neonatology in Fuzhou
In the Department of Neonatology of Fuzhou Children's Hospital affiliated to Fujian Medical University, Zhang Liyan, vice president of the hospital and director of the Department of Neonatology, has just checked the status of the babies in the ward and is exchanging health data with the nurses... Under her leadership, the department of neonatology started from scratch, grew rapidly, and developed into a municipal key discipline, and has now become the benchmark of neonatology in Fuzhou.
Zhang Liyan, who has a cheerful personality, a capable act and a strong affinity, recounts her indissoluble relationship with Fuzhou Children's Hospital and the Department of Neonatology affiliated to Fujian Medical University.
Born into a family of medicine, Liyan Zhang received her Ph.D. in Pediatrics from Zhejiang University from 2010 to 2014. Her supervisor, Professor Du Lizhong, is a member of the Standing Committee and Secretary General of the Pediatric Branch of the Chinese Medical Association, the honorary leader of the Neonatology Group, and a distinguished professor of Fuzhou Children's Hospital.
At the end of 2014, as a high-level introduction of talents in Fuzhou, Zhang Liyan's team came to Fuzhou Children's Hospital affiliated to Fujian Medical University to establish a neonatology department.
Overcoming staff shortages and weak neonatology, she completed the creation of the Neonatal Intensive Care Unit (NICU) in April 2015. When the department was first established, there were only 5 doctors and 15 nurses, plus the "congenital deficiency" of the zero obstetric department of the children's hospital, which meant that the transfer of children from the outer hospital became the main source of admission and treatment of children.
▲Newborn transporter
To this end, in June 2017, the hospital purchased the first neonatal transport ambulance in the province for the transport of critically ill newborns. The appearance of the newborn transport ambulance is no different from that of the ordinary ambulance, but the interior is equipped with a newborn transport incubator, multi-functional monitoring, a special ventilator for newborns, an infusion pump and some commonly used emergency drugs, and medical staff can monitor the newborn's vital signs and ECG, blood pressure and other data in real time during the transfer, which is equivalent to a mobile "neonatal care unit".
Less than a month after the purchase of this ambulance, the first inter-hospital transfer was successfully carried out. "At that time, the seriously ill number was still in the hospital, so I waited outside the delivery room, waiting from 4 p.m. to midnight." Zhang Liyan recalled.
▲The neonatal nurse is monitoring the child's condition
Although it has been several years, what happened that day is still vividly remembered. On July 4, 2017, Xiao Yun (pseudonym), who experienced three pregnancies, was a post-90s mother with incomplete heart function, went to four hospitals, and finally risked delivering an ultra-low-weight baby boy with a gestational age of 26 weeks and a weight of only 750g in Fujian Provincial Top 3 General Hospital, only a little larger than an adult's slap, only a heartbeat, no breathing, and a small face that was bruised.
The hospital urgently summoned the neonatologist and invited Director Zhang Liyan to come to the rescue. With her experience, Zhang Liyan immediately carried out emergency rescue such as tracheal intubation and cardiopulmonary resuscitation, and at the same time gave pulmonary surfactant and other treatments in the trachea, so that the baby boy could breathe. Subsequently, the baby boy was transferred to Fuzhou Children's Hospital for further treatment, and finally his condition was stable and he was successfully discharged. One after another, regardless of day and night rush and rescue, the figure of Zhang Liyan's team is active in the rescue of ultra-premature babies in provincial third-class general hospitals. For individual very low-weight premature babies, she will also lead the team to wait in the delivery room operating room in order to treat the child in the first time.
Nowadays, the neonatology team has gradually grown, there are nearly 20 doctors and more than 50 nurses; more than 1,500 critically ill newborns are admitted and treated every year, the rescue success rate of critically ill patients is as high as 98.5%, and 24 weeks of 560g ultra-low birth weight children have been successfully rescued, and many parents have escorted newborns from Longyan, Jiangxi and other places to come to the clinic.
Break through difficulties and fight monsters to upgrade
Neonatal Corey is full of heartwarming stories
"Life first, patient first" is Zhang Liyan's consistent principle.
In July last year, the neonatal department admitted an ultra-premature baby transported from Sanming, and the medical staff of the department called "Little Brother".
The "little third brother" was born less than 1 kilogram, many organs were immature, and their lives were in danger. His parents felt little hope, left the baby, and quietly left.
In the face of such a situation, Zhang Liyan and her team did not give up, they not only spontaneously brought clothes for the newborn from home, but also purchased some early education products at their own expense to play for him. They cared for the "little third brother" as if he were their own child, took him through dozens of life and death barriers such as breathing and feeding, and let him return to his family.
In May this year, the neonatology team also set a record for ecMO (artificial heart and lung) treatment of the lightest newborn in our province.
At that time, the neonatology department admitted a premature baby with respiratory distress due to inhalation of meconium. In the face of the child who was only two days old and weighed 2.8 kilograms, Zhang Liyan rose to the challenge, while guiding the first aid method through the telephone, while notifying the transfer team to quickly rush to the primary hospital where the child was located.
After 1 hour, the child was sent to the neonatal intensive care unit, Zhang Liyan quickly contacted the joint diagnosis of experts inside and outside the province, and through the cooperation of multi-hospital experts, successfully allowed the child to use artificial heart and lung, creating a miracle of life.
▲Group photo of some members of the neonatology team
Similar stories are numerous, from little known to rushing to transport, to patients taking the initiative to come to the door, and even some difficult diseases and critically ill patients that other hospitals can't deal with will also come to visit. The department of neonatology is always doing its best to treat and gently care for every child, from communication to treatment to follow-up, setting new records every day.
The neonatology department's care for small children does not stop at treatment, but also reflects in the follow-up of discharge. On the basis of routine telephone follow-up, the Department of Neonatology carried out post-discharge outpatient follow-up of premature infants, including general examination, physical growth monitoring and evaluation, neuropsychological and behavioral development monitoring and evaluation, feeding guidance and early intervention.
▲Foreign pediatric experts go to the neonatology department to carry out teaching work
▲Newborn high-frequency ventilator use sharing session
In recent years, the department has also organized training for many times, such as holding clinical hot issues and advanced life support training courses in neonatology, inviting foreign neonatology experts to carry out training and teaching work, and also inviting attending physicians of the Department of Neonatology of Guangzhou Women and Children's Hospital to come to the department and share the use of neonatal high-frequency ventilators. In addition to improving the medical technology and service quality of the department, the Department of Neonatology is also committed to continuously consolidating the basic treatment capabilities of grass-roots medical staff, holding various training courses to guide grass-roots obstetricians, neonatologists and midwives to take correct measures to rescue critically ill newborns in the process of emergency transport.
Zhang Liyan said that in addition to having excellent clinical skills, it is also necessary to expand the influence of neonatal treatment in Fuzhou to the whole country and build the name of Fujian neonatology.
(Zhang Shuai)
Source: Fujian Health News