Improve the level of neonatal treatment 900 grams of critically ill premature infants recovered in Shanghai

Xiao Jiannan's treatment process is full of hardships. Courtesy of The Affiliated Pediatric Hospital of Fudan University

Zhongxin Online, January 20 (Chen Jing, Xi Xiaolei, Jiang Rong) reporters learned on the 20th that Xiao Jiannan, who has been treated in Shanghai for nearly a year and has experienced several life challenges, has been discharged from the hospital. Cheng Guoqiang, chief physician and doctoral supervisor of xiao Jianan, chief physician and doctoral supervisor of the Department of Neonatology of the National Children's Medical Center and the Children's Hospital Affiliated to Fudan University, told reporters that the failure of withdrawal, gastrointestinal bleeding, repeated infections, pulmonary hypertension, etc., Xiao Jianan's treatment process is full of hardships.

Cao Yun, director of the Department of Neonatology at the National Children's Medical Center (Shanghai) and the Children's Hospital Affiliated to Fudan University, told reporters on the same day that when he was admitted to the hospital, Xiao Jiannan was diagnosed with severe bronchopulmonary dysplasia (BPD), combined with pulmonary hypertension and serious infection. Fudan Pediatrics' BPD multidisciplinary team works together to treat it. Experts dynamically optimize respiratory management strategies and implement individualized and delicate care, gradually changing from invasive respiratory support to noninvasive respiratory support. Rehabilitation doctors also intervened early and carried out early rehabilitation measures such as oral intervention and physical therapy to promote the development of children's nerve function.

According to reports, in the 328 days of hospitalization in ninatal department of the Children's Hospital of Fudan University, Xiao Jianan spent her 1st birthday and many "firsts" in her life: the first time to turn over, the first time to sit in a small chair, the first time to take a small toy, the first time to listen to ancient poems... Doctors and patients worked together to overcome the breathing, digestion, circulation, infection and other obstacles, through one difficult challenge after another, and the condition improved day by day.

Before being discharged from the hospital, Xiao Jiannan, who was 1 year old and 5 months old, weighed nearly 10 kg and could be fed smoothly and met the discharge criteria. Parents came to the family ward of the neonatal department a week early to learn the relevant knowledge and skills of family oxygen therapy, nursing, first aid and rehabilitation, participate in the care of the child, and make full preparations for the discharge of Xiao Jiannan.

It is reported that the Children's Hospital of Fudan University is the largest treatment and transfer center for critically ill newborns in East China, and a multidisciplinary team of bronchopulmonary dysplasia has been established under the Department of Neonatology. The hospital told reporters that the hospital has established a bronchopulmonary dysplasia clinic this year, which will continue to provide comprehensive medical security services for the post-discharge management of children and promote the long-term health of children.

During the interview on the same day, the reporter learned that for neonatal diseases, medical experts in Shanghai are always looking for better treatment strategies. Congenital airway stenosis is a disease that seriously threatens the health and growth of children. However, due to the difficulty of surgery and the difficulty of postoperative recovery, the treatment of this disease has left many cardiothoracic surgeons helpless. The team of Wang Shunmin, Department of Cardiothoracic Surgery of The National Children's Medical Center (Shanghai) and Shanghai Children's Medical Center affiliated to Shanghai Jiao Tong University School of Medicine, conducted a 10-year retrospective analysis of many tracheal stenosis surgeries in infants under 1 year old. The research team found that personalized treatment strategies, including specialized treatment with bridging bronchial tubes and selective anterior tracheal suspension, could achieve good clinical results in infant-related surgeries, and the overall surgical mortality rate decreased from 12.5% in the early stage to 2.27%. The relevant research results are published in the international authoritative journal "The Journal of Thoracic and Cardiovascular Surgery".

It is reported that the tracheal treatment team of The Department of Cardiothoracic Surgery of Shanghai Children's Medical Center began to explore the treatment of tracheal stenosis in 2007, and through more than ten years of experience accumulation, it has mastered a complete set of teamwork treatment processes for a variety of tracheal stenosis diseases, while paying attention to perioperative rehabilitation and multidisciplinary cooperation, and making unremitting efforts for children to be able to breathe smoothly. Related clinical achievements have won the Huaxia Medical Progress Award, Shanghai Medical Science and Technology Award and other honors. (End)

Source: China News Network