Red net moment December 27 news (correspondent Xie Qianling Zhou Yanzi) On November 9, Ms. Lin, who was 29 weeks pregnant, found that she had a little vaginal bleeding repeatedly in the past two days, and her family immediately sent her to the local hospital for treatment. The local hospital quickly transferred her to Zhuzhou Maternal and Child Health Hospital, where she underwent emergency surgery immediately after admission.
At 21:54 on November 10, with the help of obstetricians, Kang Kang was born early. What makes people feel sad is that Kang Kang, who has only 900 grams, belongs to ultra-low birth weight, the thighs are only the thickness of adult thumbs, the development of various organs is extremely immature, and symptoms such as shortness of breath and breathing difficulties occur shortly after birth.
Before the obstetrician prepares for emergency surgery, the neonatology department is fully prepared for the warming of the incubator, the connection of the ventilator pipes and the configuration of special drugs. In the delivery room, the chief resident performs neonatal resuscitation of the premature baby while wrapping the whole body in plastic film to keep warm. When Kang Kang's condition stabilized, he was immediately transferred to the neonatology department.
"The child's gestational age is too small, it belongs to the ultra-low birth weight, and the clinical treatment and care are extremely difficult." Wang Ping, director of the neonatology department, said.
The 24-hour rescue after the birth of the premature baby is particularly critical, and the medical staff who have been in the neonatal intensive care unit immediately rescue KangKang, respiratory support, incubator warmth, and injection of special drugs in the lungs... After a series of rescues, the baby's breathing condition is more stable than before, but the baby will face many other levels after that. As a result, the medical staff took shifts to guard the baby's incubator for 24 hours, and every numerical beat on the monitor touched the hearts of the medical staff.
Thrilling Baby diagnosed with congenital bowel atresia
Due to the ultra-low birth weight, premature babies have extremely immature organ development, low immunity, and extremely poor adaptability to the external environment, complications ensued, one after another the child can not breastfeed, a moment the child will not move, a moment the child does not breathe... repeatedly. Faced with the critical barriers that threaten your baby's life, the neonatal medical team immediately developed a detailed treatment plan and care plan.
Kangkang's digestive system is immature and the intestines are congenitally stunted, so they have been fasted and rely on intravenous nutrition to maintain nutrition. On November 11, the nurse on duty found that a little coffee-colored liquid elicited from the baby's gastric tube, and the abdomen was slightly raised, and the doctor checked the situation and recommended continued observation. After a few hours, the nurse on duty reported that the doctor's baby's stomach tube elicited dark red coffee-colored flocculents, and the abdominal circumference was obviously enlarged a lot, and the surgeon was consulted to consider "necrotizing enterocolitis in newborns and congenital gastrointestinal malformations."
On November 12, the doctor found that Kang Kang had obvious bloating and abnormal skin color in the abdomen, and took a vertical abdominal position to indicate that the abdominal loop was fixed and the intestinal canal dilation was aggravated. After consultation with pediatric surgeons, it is recommended that surgery be performed immediately to prevent the occurrence of intestinal necrosis and perforation.
In the afternoon, multidisciplinary experts such as pediatric surgery, anesthesia operating room, and neonatology performed surgery for Kangkang. During the operation, when Chen Xiaolin, a pediatric surgical expert, explored the abdominal cavity, he found that the empty ileal congestion and edema, the ileal inflation was obviously dilated, and it was about 20 cm away from the blind part of the ileum, and the terminal ileum was whitish, which meant that the situation was very critical, and it was likely that the intestinal necrosis would be perforated later. Subsequently, when the surgeon probed, he found that KangKang's empty ileum had multiple segmental atresia, and successfully completed the double-mouth ostomy of the intestine, the surgical process was very smooth, and Kangkang's vital signs were stable.
Touched by 24-hour care under tenacious breakthrough
After a few hours of tension, Kang Kang was transferred from the operating room to the neonatal ward. The next few days are a long treatment stage, Kang Kang's gestational age and weight are too low, and it is also the first case of the youngest case of intestinal congenital dysplasia in the hospital, so the medical staff of the neonatology department have raised the spirit of twelve points to take care of this "slap baby", accompanying him to face one difficulty after another, and overcoming one difficulty after another.
Incubators that mimic the intrauterine environment, strict body temperature management, respiratory management, drug doses accurate to a few tenths of a milliliter... Director Wang Ping and head nurse Li Xinfeng led the medical team to set up a treatment and nursing team to take care of Kang Kang 24 hours a day", while closely testing blood oxygen, blood gas and various vital signs.
During this period, the most important thing is the care of the baby's ostomy and the maintenance of the venous passage. Each class of nurses will give the baby an ostomy care, and observe the skin condition of the ostomy mouth and the color, amount and characteristics of excrement at any time to avoid special circumstances.
Nursing process, the most difficult or the maintenance of intravenous channels, due to Kangkang coagulation function abnormalities, can not be placed in the PICC catheter, in order to ensure the treatment of medication, intravenous nutrition and other timely and accurate input, nurses rely on exquisite injection technology under the baby's almost transparent skin, thin as a hair in the blood vessels, open up the life channel of infusion.
Lasting 43 days, Kang Kang increased weight from 900 grams to 1600 grams, the little foot has nearly doubled, each meal can suck 34ml of milk by itself, from invasive auxiliary ventilation to non-invasive auxiliary ventilation to nasal cannula oxygen, the current blood oxygen is stable, and all vital signs are gradually returning to normal.
"Because I was born prematurely, weighed so little, and had a major surgery a few days after birth, I was really worried that my baby wouldn't be able to sustain it. I am very grateful to the doctors and nurses here who gave me the confidence to take good care of my baby. Ms. Lin looked at Kang Kang in the incubator and said excitedly that she was only looking forward to taking Kang Kang home early.