Loudi: Ultra-low birth weight, ultra-premature twin sisters "Rebirth Adventures"

(Parents of twin sisters deliver the pennant to the neonatal medical staff)

"The twin sisters' gestational age is only 25 + 4 weeks, at birth, the two sisters are in a very poor state, weak vitality, after 91 days of treatment, finally saved the twins from the 'ghost gate'." On June 1, in the fourth ward (neonatology department) of the central hospital, Wang Shulian, director of the neonatology department, said that when she recalled the scene, she still felt thrilling.

Time back to February 12. "Jingle bells, jingle bells..." At midnight, the urgent telephone rang, breaking the silence of midnight in the neonatal ward. As soon as the medical staff on duty in the neonatal department picked up the phone, they heard the obstetrician urgently say: "We have a 47-year-old pregnant woman who is pregnant with twins and is an IVF baby, 25 + 4 weeks pregnant, and now the membrane is ruptured early, and the baby is about to be born, please be prepared." ”

After receiving this notice, the already busy neonatal ward became more busy and tense. Prepare the incubator and preheat it, prepare the ventilator and adjust the parameters ... While making preparations, the medical staff on duty in the neonatology department rushed to the delivery room with rescue boxes and mobile ICU platforms to wait for the baby to be born.

At 2:28, her sister Xiaohan (pseudonym), who weighed only 810 grams, was finally born smoothly. She breathes weakly, her complexion is bruised, her reflexes are poor, her muscle tone is low... There was almost no crying. Immediately, the medical staff implemented tracheal intubation, resuscitation sac positive pressure artificial ventilation and other treatments, after some intense rescue, Xiao Han's skin color changed from bruised to rosy, muscle tone, reaction improved, with spontaneous breathing and heart rate.

The sister was born smoothly, but the younger sister Xiaoyu (pseudonym) was still in the mother's uterine cavity, and soon there was a decrease in fetal heart rate. Discovering this abnormality, the doctors and midwives who were delivering babies broke out in a cold sweat. Afterwards, the midwife and midwife said: "Thinking of the situation at that time, my heart beat will be accelerated to this day, except for concentrating and going all out, I dare not have any distractions at all, and the only thought is to ensure the safety of my mother and daughter." ”

With the rich experience of the medical staff, at 2:52, Xiaoyu was finally born. She weighs only 860 grams, and the situation is not optimistic. Immediate endotracheal intubation, positive pressure artificial ventilation of the resuscitation sac and other treatments such as chest cardiac compressions, after some emergency rescue, the vital signs of Xiaoyu gradually stabilized.

The two sisters who walked from the "ghost door" were transferred to the neonatology department of the central hospital under the warming of the transport incubator and the auxiliary ventilation of the T combination, but the situation was still not optimistic, and the medical staff of the neonatal department were ready to race against death at any time. "From the moment the two sisters moved in until they were discharged from the hospital, 24 hours a day, there was no interruption in human care." Wang Shulian told reporters that after a detailed examination, it was found that in addition to the small gestational age, light weight and immature development of various organs, the two sisters also had neonatal pulmonary hyaluronic membrane disease, neonatal pneumonia, type II respiratory failure, fungal infections and other diseases.

"The two sisters had difficulty breathing due to extremely immature lung development and insufficient synthesis of alveolar surfactants, so they could only rely on ventilators to assist ventilation. After 2 months of respiratory support, the two sisters' situation gradually improved, and they removed the ventilator and changed to an air oxygen mixer to give oxygen support. After 3 months, the two sisters finally completely stopped oxygen and their breathing returned to stability. Zeng Yan, head nurse of the neonatal department, said that when using ventilator-assisted ventilation, the nurse's nursing work is particularly important. When suctioning sputum, it is necessary to strictly operate sterile, and to try to concentrate on the operation to reduce irritation; not only to find ways to fix the "nasal congestion" to ensure normal ventilation, in order to make the ventilation effect the best and most comfortable, but also to often wet the nasal cavity of the two sisters and clean the respiratory tract; to always keep an eye on the monitor, once the situation occurs, it is necessary to take timely countermeasures according to the actual situation, such as changing the position, touching stimulation, etc.

As the saying goes: "Three points of treatment, seven points of care." The twin sisters can "regain their life" because of the hard work of the neonatal nursing staff of the central hospital.

"The baby needs to breastfeed after birth, and the two sisters will have bloating, vomiting, gastrointestinal bleeding and other feeding intolerances at any time due to the immature development of the gastrointestinal tract, and they must use amino acids, fatty milk and other intravenous nutritional support to maintain fluid and energy supply." Initially, because it does not suck, nasogastric feeding is only given. To reduce the number of venipunctures and reduce pain, the nurse placed the sisters in a PICC (Trans-Peripheral Venipuncture Center). Ling Yaojun, the tube bed doctor of the two sisters, said that when the baby was just born, the blood vessels were as thin as hair, and the difficulty of vein puncture was very large, plus the baby's skin was very tender, and it was necessary to be more careful when fixing the tube, so as not to tear the baby's skin with tape. With the gradual increase in milk volume, the two sisters also have gastroesophageal reflux, at this time the nurse should pay close attention to the situation of the two sisters, at any time to adjust the nursing plan, such as taking measures such as prone lying, raising the head, a small number of meals and so on.

Set up a special treatment team, formulate practical treatment plans and nursing plans, exchange and discuss, and further improve the plan... At each step, the medical staff of the Neonatology Department of the Central Hospital walked like a thin ice.

In these 91 days, the two sisters from relying on invasive ventilators, to non-invasive ventilators, to oxygen inhalation, to not need oxygen support; from micro-feeding, to full feeding; from nasal feeding, to partial nasal feeding, to complete the full amount of milk, each transformation, condensed the efforts of all the medical staff of the neonatology department. In addition, due to the seriousness of retinopathy in preterm infants with light rain, the Ophthalmology Department of the Central Hospital implemented intravitreal injection of radzumab in both eyes.

With the joint efforts of medical staff and family members, the two sisters survived many difficulties such as breathing, infection, jaundice, and feeding, and finally grew from a palm to a large baby weighing 3470 grams and 3240 grams respectively.

"Thank you very much, you have worked hard!" On the day Xiao Han and Xiao Yu were discharged from the hospital, the parents of the two sisters personally sent the pennant to the neonatology department. This is the best feedback from parents to medical staff. (Reporter Xia Peony Correspondent Zou Jiayun)