Core tips
A few days ago
A special life
Only 31+2 weeks of "small points"
Came into this world
however
His coming
It didn't go as smoothly as expected
After active treatment, this "small point" of only three and a half pounds is more complicated than expected: neonatal shock, pulmonary hemorrhage, sepsis, respiratory distress syndrome, disseminated intravascular coagulation, asphyxia, pneumonia, upper gastrointestinal bleeding, premature infants, myocardial damage, kidney damage, hypoproteinemia, anemia, hyperglycemia, hyperlactic acidemia, hyperbilirubinemia, skull hematoma and other nineteen diseases.
Fortunately, under the full care of the neonatal team of the First Affiliated Hospital of Bao Medical College, the little guy spent a thrilling 8 days and passed one "life barrier" after another...
June 28 was an unusual day for both Ms. Shao, a 23-year-old young mother, and her baby.
"Jingle bells..." In the neonatal ward of the First Affiliated Hospital of Bao Yi Hospital, the urgent telephone rang suddenly, "A 31+2 week pregnant woman, completely placenta previa to protect the bleeding, is about to undergo a cesarean section, and needs to protect the fetus!" After the doctor on duty, Ge Qiqi, received the call, prepared the rescue box and ran to the operating room to protect the platform.
At the same time, in the neonatal ward, the nursing staff has preheated the imported incubator and radiation table, and the equipment of the monitoring and rescue unit such as ventilators and ECG monitors are also in place to welcome the arrival of the little one at any time.
At 21:32 that night, in the anxious wait of the family, the little guy with a birth weight of only 1850 grams could not wait to come to this world.
"The baby's whole body is pale, muscle tone is loose, and breathing like wheezing..." Ge Qiqi's attending physician made a rapid assessment, immediately gave warmth, positive pressure ventilation of the resuscitation sac, the child's skin color turned red, the recovery was successful, and he was immediately transferred to the neonatal intensive care unit.
Time is of the essence! Everyone knows that it is not simple to successfully drag this little life back from danger. "Premature babies face multiple risks such as immature development of multiple organs, and the child's asphyxia and maternal placental bleeding will also aggravate this risk, and the operating room is only the first step, and every step after that is like walking on thin ice." Director Song Yu'e said.
Difficulty breathing, bruising of the extremities, hematomas of the scalp, bleeding from the acupuncture site... Respiratory distress, poor blood clotting, infection, threatening the life of the little one. For the first three days, non-invasive ventilator respiratory support, plasma transfusions, anti-infective therapy...
With the further improvement of the examination, the difficulties and obstacles in front of the medical staff have become "mountains":
Respiratory distress syndrome, sepsis, disseminated intravascular coagulation, asphyxia, pneumonia, upper gastrointestinal bleeding, prematurity, myocardial damage, hypoproteinemia, hyperbilirubinemia, skull hematoma, hyperglycemia...
Before everyone could catch their breath, Death was approaching the little guy.
At the 68th hour of the little one's birth, the blood routine showed that the hemoglobin dropped from 160 g/L to 113 g/L and soon to 74 g/L. The child develops hyperlactic acidemia, blood oxygen saturation decreases, "Not good! Pulmonary hemorrhage! Director Song Yu'e instructed, "Immediately intubate the trachea!" At this time, blood gushes out along the endotracheal intubation, "increase the pressure and frequency of the ventilator, and stop the bleeding immediately!" "A review of the chest x-ray also suggests manifestations of pulmonary hemorrhage.
The little guy then developed hemorrhagic shock, hyperlactic acidemia, kidney damage... Song Yu'e's team quickly formulated a detailed treatment plan, emergency expansion, acid correction, cross-matching, bedside ultrasound except for intracranial hemorrhage, trachea injection of pulmonary surfactant...
Whether it is a day shift or a night shift, the whole department is pinching a handful of sweat for the little guy, and they all know that the PH value of blood gas analysis 6.9 means that death is getting closer and closer, and everyone actively and orderly participates in this defense war.
Medical staff are always guarding the little one, closely observing and carefully analyzing subtle changes and adjusting each parameter. The infusion of drugs again and again, the arterial blood gas again and again, is even more affecting everyone's heart.
Fortunately, after 12 hours of full rescue, the little guy finally broke through the most dangerous moment.
As the director of the neonatology department, Song Yu'e not only wants to ensure the treatment of the child, but also to dispel the concerns of the baby's parents and soothe their anxiety.
"The baby's family is a Henan Shangqiu people, asked to transfer back to the hometown for follow-up treatment, in order to ensure the safety of the baby's life, we have twice communicated with the doctors of the neonatal intensive care unit of Henan Children's Hospital, and the doctors on both sides have always believed that at a distance of more than a thousand kilometers, the baby's condition is so critical that it cannot be transferred, and it is necessary to actively continue treatment on the spot, and then respect the wishes of the family after the condition is stable." Director Song Yu'e introduced.
After careful treatment and care by the neonatal team, the condition of the little guy gradually stabilized: the infection was obviously controlled, the parameters of the invasive ventilator were gradually reduced, the coagulation function improved, the myocardial damage and kidney damage improved significantly, and the hypoproteinemia anemia was significantly corrected, and now 32 + 4 weeks, each nasal feeding breast milk 8ml, to July 5, the weight of 1810g, basically restored birth weight.
As the indicators normalized, the faces of the neonatal medical staff finally showed a smile that had not been seen for a long time.
According to the wishes of the family, at 8:30 a.m. on July 7, after the neonatology department of the First Affiliated Hospital of Bao Yi hospital and the team of Henan Children's Hospital successfully completed the handover, the little guy and his family set off on a journey back to their hometown and will be treated locally for follow-up treatment.
▲The Department of Neonatology of the First Affiliated Hospital of Bao Yi and the team of Henan Children's Hospital successfully completed the handover
In Baotou, a life-saving treatment came to an end. A thick medical record, a tired figure, recorded the 8 days of tug-of-war with the god of death and race against life, and also recorded the belief and efforts of the neonatal medical team of the First Affiliated Hospital of Bao Medical College that never gave up.
"Every baby here is our little angel!" Bringing a better future to your baby is the common aspiration and goal of all neonatology medical staff. Director Song Yu'e said.
Looking forward to the little ones
Can recover as soon as possible
Early return
Mom and Dad's arms
May the world be beautiful
It's all about you
Transferred from: Healthy Baotou