Public Health Daily, New Hunan Client, February 24 (Correspondent Zou Jiqing, Luo Sufang) 28 weeks, 845 grams; 76 days, 1700 g. This is not only a simple set of numbers, behind the change of numbers is a living little life that has been successfully rescued! After 76 days of "life clearance", the ultra-premature baby who was only 28 weeks old was finally discharged from the neonatal department of Loudi Maternal and Child Health Hospital.
Criticality: "Slap" unexpectedly arrived
Time back to December 8, 2021, Ms. Xiao (pseudonym), who is 28 weeks old, came to the obstetrics department of the hospital because of the red vagina for 6 days and irregular abdominal pain for 4 days, and after expert diagnosis, the uterine opening has opened a second finger, premature birth is inevitable, that is, she was sent to the delivery room for delivery, and after a while, a small hope for a smooth birth was born. Pan Pan is only 845 grams, the size of an adult's "slap", and the skin is thin and tender like jelly. "The child's gestational age is too small, it belongs to ultra-low birth weight, the whole body organs are extremely immature, and the clinical treatment and care are extremely difficult." Zou Jiqing, 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 perform positive pressure ventilation through resuscitation sac under tracheal intubation of Pan Pan, and then immediately transferred to the neonatal intensive care unit (NICU) for hospitalization.
Thrilling: Tenacious under 24-hour supervision
The days that followed were long phases of treatment. Zou Jiqing led the medical team to take care of Pan Pan for 24 hours a day, accompanying him to face one difficulty after another and overcoming one difficulty after another. After admission, the child has difficulty breathing, the three concave signs of breathing can be seen, the invasive ventilator is given to support ventilation, the chest X-ray next to the bed shows "white lung changes in both lungs", and the endotrachea is injected with porcine lung phospholipid injection for treatment. Organize a general consultation of the whole hospital, diagnose necrotizing enterocolitis stage II.A, and give conservative treatment. Incubators that mimic the intrauterine environment, strict body temperature management, respiratory management, drug doses accurate to a few tenths of a milliliter... The beating of every value on the monitor affects the hearts of the medical staff, and slowly, the little foot has nearly doubled in size, and each meal can suck 38 ml of milk by itself.
Touched: Finally met the criteria for discharge
Under the careful care of medical staff, the situation of Panpan gradually improved, and the vital signs tended to be normal, and the nursing staff guided Panpan's mother to implement "kangaroo care". At present, Panpan's weight has reached 1700 grams, and the vital signs are stable, which meets the criteria for discharge. "Thank you for saving my child and 'saving' my family." On the day of discharge, Ms. Xiao held Zou Jiqing's hand tightly and said gratefully.